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. 2023 May 2;21:90. doi: 10.1186/s12964-023-01051-1

Table 2.

The advantages and disadvantages of different methods targeting circRNA therapeutics

Pattern Technology Material Effect Advantages Disadvantages
In vitro RNAi ShRNA, siRNA, ASO. KD

1. Convenient to synthesis and deliver;

2. Relative low expense.

1. Rapid degradation;

2. Low delivery efficiency;

3. Lack of cell-specificity;

4. Off-target effect.

In vivo &vitro CircRNA expression vector Plasmid, LV, AAV. OE & KD

1. Relative stable;

2. Frequently used.

1. Mis-spliced product;

2. Off-target effects.

In vivo & vitro Synthetic circRNA Circularized RNAs OE Highly purified.

1. Difficult to generate large amount;

2. Immune system activation.

In vivo Nanoparticle Liposome, polymer, dendrimer, inorganic material (gold, or metal oxides). OE & KD

1. Target specific cell through receptors and ligands;

2. Relatively stable from degeneration;

3. Facilitate cell uptake;

4. Prevent to immune activation.

1. Limited to target to the cytoplasmic circRNAs;

2. Low delivery efficiency;

3. Toxicity.

In vivo &vitro Exosome Exosome OE & KD

1. Protect RNAi molecules from degradation;

2. Promote cellular uptake;

3. Biocompatible.

1. Difficult in manufacturing;

2. High cost.

In vivo Cre-lox system Cre recombinase KO

1. Cell-type specific or tissue specific;

2. Relatively safe.

1. Ectopic Cre expression leads to the off-target effect;

2. Need validation of genotyping.

RNAi RNA interfering, shRNA Short hairpin RNA, siRNA Short interfering RNA, ASO Antisense oligonucleotides, LV Lentivirus, AAV Adenovirus-associated virus, OE Overexpression, KD Knock-down, KO Knock-out