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SIRT6 siRNA engineered exosomes is a preclinical, exosome-based gene-silencing therapeutic designed for the treatment of metastatic castration-resistant prostate cancer (mCRPC). The therapeutic consists of HEK293T cell-derived exosomes surface-modified with a cholesterol-conjugated E3 aptamer, which specifically targets prostate cancer cells. These engineered exosomes deliver a small interfering RNA (siRNA) payload that silences Sirtuin 6 (SIRT6), a deacetylase enzyme often overexpressed in advanced prostate cancer. By inhibiting SIRT6, the drug suppresses tumor proliferation and metastasis through the inhibition of the Notch signaling pathway and the reversal of epithelial-mesenchymal transition (EMT). This research-stage compound was developed by researchers at Shanghai Jiao Tong University and has demonstrated efficacy in xenograft mouse models.
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