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Off-target messenger RNAs with partial complementarity to the siRNA seed region (siRNA off-targets)

Target
siRNA off-targets
Molecular classification
Nucleic acid, Messenger RNA (mRNA)
01

Overview

Off-target messenger RNAs with partial complementarity to the siRNA seed region represent a major class of unintended interactions in RNA interference (RNAi) therapeutics. This phenomenon occurs when the seed region of an siRNA—typically nucleotides 2 through 8 of the antisense strand—binds to the 3' untranslated region (UTR) of transcripts other than the intended target (Birmingham et al., 2006). This binding mimics the natural mechanism of microRNAs (miRNAs), leading to the downregulation of hundreds of unintended genes across the transcriptome (Jackson et al., 2003). Such off-target effects can result in cellular toxicity or altered physiological states, posing a significant challenge for drug safety and specificity in clinical development (Setten et al., 2019). To mitigate these risks, researchers employ chemical modifications, such as 2'-O-methyl substitutions at position 2 of the antisense strand, and advanced bioinformatic screening to minimize seed-mediated complementarity (Janas et al., 2018). Understanding and controlling these interactions is critical for the development of safe siRNA-based drugs like Patisiran and Inclisiran, as unintended silencing of essential genes can lead to adverse clinical outcomes.

Other names
Seed-mediated off-targetsmiRNA-like off-target effectssiRNA-mediated off-target silencingUnintended mRNA targets
02

Mechanism of action

Unintended binding of the siRNA antisense strand seed region (nucleotides 2-8) to the 3' untranslated regions (UTRs) of non-target mRNAs, leading to their degradation or translational inhibition via the RNA-induced silencing complex (RISC) (Birmingham et al., 2006; Jackson et al., 2003).

03

Biological functions

Gene silencingRNA interferenceTranslational regulationPost-transcriptional regulation
04

Disease associations

ToxicityAdverse drug reactionsHepatotoxicity
05

Safety considerations

Unintended gene silencingHepatotoxicityOff-target toxicityAltered cellular pathwaysPotential for long-term cumulative toxicity
06

Interacting drugs

Patisiran

5 more in the full profile.

07

Biomarkers

Transcriptome profiling (RNA-seq)Alanine aminotransferase (ALT) levelsAspartate aminotransferase (AST) levelsMicroarray gene expression analysis

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