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Serpin family B member 9 (SERPINB9) mRNA encodes a nucleocytoplasmic protein that serves as the primary endogenous inhibitor of Granzyme B, a potent pro-apoptotic protease released by cytotoxic T lymphocytes and natural killer cells. By neutralizing Granzyme B, the SERPINB9 protein protects cells from misdirected or premature apoptosis, a function essential for the survival of the immune cells themselves. However, many tumors and virally infected cells overexpress SERPINB9 to evade immune-mediated destruction, leading to resistance against immunotherapies such as immune checkpoint inhibitors and CAR T-cell therapy. Targeting SERPINB9 mRNA using RNA interference (RNAi) or antisense oligonucleotides (ASOs) is a therapeutic strategy aimed at reducing protein levels to restore the susceptibility of resistant cancer cells to Granzyme B-induced death. Beyond oncology, SERPINB9 is involved in regulating inflammatory responses through the inhibition of Caspase-1 and plays roles in autoinflammatory diseases and transplant rejection. Current research focuses on utilizing nanoparticle-delivered RNA therapeutics to selectively knockdown SERPINB9 in the tumor microenvironment to enhance the efficacy of existing immunotherapies.
RNA interference (RNAi) or antisense inhibition to reduce protein expression, thereby sensitizing cells to Granzyme B-mediated apoptosis.
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