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pRNA-HER2apt-siMED1 is a preclinical RNA nanotechnology-based therapeutic candidate developed by the University of Cincinnati and its spinout startup, RNA Nanotherapeutics. It is designed to treat HER2-overexpressing, estrogen receptor-positive (ER+) breast cancers, particularly those that have developed resistance to endocrine therapies like tamoxifen. The therapeutic consists of a three-way junction (3-WJ) packaging RNA (pRNA) nanoparticle harboring a HER2-targeting RNA aptamer for tumor-specific delivery and two small interfering RNAs (siRNAs) targeting Mediator Subunit 1 (MED1). By silencing MED1, a key ER transcriptional coactivator that co-amplifies with HER2 and drives therapeutic resistance, the nanoparticle depletes MED1 expression, attenuates ERα-mediated gene transcription, and suppresses tumor growth, metastasis, and cancer stem cell formation.
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