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. 2014 May 21;42(11):6787–6810. doi: 10.1093/nar/gku385

Table 4. Comparison of the mechanisms of gene expression downregulation in terms of their therapeutic utility.

AONs (RNAse H-activating) RNAi
Activity • Nuclear and cytoplasmic • Mainly cytoplasmic
Design • Chemical modifications required • Active in vivo as chemically modified or in genetic vectors
• Can be more extensively chemically modified than siRNA • More limited chemical modifications can be introduced
• Single-stranded (smaller) • Mainly double-stranded (larger molecules)
• Relatively large set of ONs must be tested to find active ones • Design rules are well established
Efficiency • Lower or equal to that of siRNAs in cell culture, depending on the chemical modification pattern used • Very high efficiency in cell culture, due to typical catalytic mode of action
• Better efficiency in vivo than siRNAs • Moderate sensitivity for target structure
• Might be more sensitive for target structure than siRNAs • RISC complex facilitates finding targets and hybridizing
• It is unknown whether it finds and hybridizes to targets unassisted
Off-target (sequence specific) • Moderate risk • High risk as activity is based on ‘seed’ pairing
• Improvement in siRNA design overcame some off-targeting
• Heterogeneous cleavages in shRNAs and shmiRs generate unwanted siRNAs
Off-target (non-sequence specific) • High risk of immunostimulatory responses through interactions with toll-like receptors (TLRs) • Possible disturbance of the endogenous miRNA pathway
• Activation of pathways by dsRNAs
Strategy development • Generally more advanced in clinical trials, as developed since the late 1970s • Developed since 2000s
• For polyQ disorders tested in last few years • Extensively tested in cell culture and rodent models of polyQ diseases