Targeted delivery of miRNA therapeutics for cardiovascular diseases: opportunities and challenges

Author:

Kwekkeboom Rick F. J.1,Lei Zhiyong2,Doevendans Pieter A.23,Musters René J. P.1,Sluijter Joost P. G.23

Affiliation:

1. Department of Physiology, VU University Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands

2. Experimental Cardiology Laboratory, Department of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, P.O. Box 85500, 3508 GA, Utrecht, The Netherlands

3. ICIN, Netherlands Heart Institute, Catharijnesingel 52, 3511 GC Utrecht, The Netherlands

Abstract

Dysregulation of miRNA expression has been associated with many cardiovascular diseases in animal models, as well as in patients. In the present review, we summarize recent findings on the role of miRNAs in cardiovascular diseases and discuss the opportunities, possibilities and challenges of using miRNAs as future therapeutic targets. Furthermore, we focus on the different approaches that can be used to deliver these newly developed miRNA therapeutics to their sites of action. Since siRNAs are structurally homologous with the miRNA therapeutics, important lessons learned from siRNA delivery strategies are discussed that might be applicable to targeted delivery of miRNA therapeutics, thereby reducing costs and potential side effects, and improving efficacy.

Publisher

Portland Press Ltd.

Subject

General Medicine

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