Small interfering RNAs in the management of human osteoporosis

Author:

Gargano Giuseppe1234,Asparago Giovanni123,Spiezia Filippo4,Oliva Francesco123,Maffulli Nicola5678

Affiliation:

1. Department of Trauma and Orthopaedic Surgery, AOU San Giovanni di Dio e Ruggi D’Aragona , Via San Leonardo 1, 84131 Salerno , Italy

2. Department of Medicine , Surgery and Dentistry, , Via S. Allende, 84081 Baronissi (SA) , Italy

3. University of Salerno , Surgery and Dentistry, , Via S. Allende, 84081 Baronissi (SA) , Italy

4. Department of Trauma and Orthopaedic Surgery, AOR San Carlo , Via Potito Petrone, 85100 Potenza , Italy

5. Queen Mary University of London , Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, , 275 Bancroft Road, London E1 4DG , UK

6. Mile End Hospital , Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, , 275 Bancroft Road, London E1 4DG , UK

7. School of Pharmacy and Bioengineering, Keele University School of Medicine , Thornburrow Drive, Stoke on Trent , UK

8. Department of Orthopaedic Surgery and Traumatology , University of Rome La Sapienza, Hospital Sant’Andrea, Rome , Italy

Abstract

Abstract Background Osteoporosis results in reduced bone mass and consequent bone fragility. Small interfering RNAs (siRNAs) can be used for therapeutic purposes, as molecular targets or as useful markers to test new therapies. Sources of data A systematic search of different databases to May 2023 was performed to define the role of siRNAs in osteoporosis therapy. Fourteen suitable studies were identified. Areas of agreement SiRNAs may be useful in studying metabolic processes in osteoporosis and identify possible therapeutic targets for novel drug therapies. Areas of controversy The metabolic processes of osteoporosis are regulated by many genes and cytokines that can be targeted by siRNAs. However, it is not easy to predict whether the in vitro responses of the studied siRNAs and drugs are applicable in vivo. Growing points Metabolic processes can be affected by the effect of gene dysregulation mediated by siRNAs on various growth factors. Areas timely for developing research Despite the predictability of pharmacological response of siRNA in vitro, similar responses cannot be expected in vivo.

Publisher

Oxford University Press (OUP)

Subject

General Medicine

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