Tuesday 31 July 2012

Can gold cure us?


No it can’t. But in a recent report (1) scientists show how using tiny gold particles they were able to deliver a therapeutic agent called siRNA to cells and tissues.
siRNA are two short stretches of ribonucleic acid (RNA), chemically very similar to DNA. siRNA molecules whose sequence is properly designed can be very powerful in reducing the level of a target gene’s activity, most commonly by stopping the production of the protein the gene encodes for. In their paper, the authors focused on a protein called endothelial growth factor receptor, or EGFR, which is known to be hyperactive in certain types of cancer. As you probably figured out by now, reducing the levels of EGFR protein by siRNA might therefore be a very powerful way of helping some cancer patients. This study did not involve any human patients, but it did show that gold nanoparticles coated with siRNA molecules designed to reduce EGFR levels were successful in doing so in cultured cells and even in the skin of mice.
The facts that EGFR is hyperactive in some malignancies as well as that siRNA can reduce levels of proteins have been known for decades. So why has it taken so long for the scientists to come up with an effective way of combining the two pieces of knowledge into something effective. The problem is, putting siRNA into cells, especially when they are a part of a living organism, is not a straightforward task. It’s a bit simpler when the cells grow in culture – we can mix siRNA with some chemicals or stick it into modified viruses, which have the natural ability to inject DNA or RNA into cells. But when it comes to patients, using these chemicals or viruses is not something you can get patients to agree to easily. The mentioned chemicals can be simply toxic and viruses are, well, viruses. These two methods can not only be harmful to cells or organisms, but they can also modify the so-called gene expression, i.e. set of genes that are active in given cells. For example, cells in our bodies usually know that they have been infected by a virus and they activate all sorts of genes to alert the body’s immune system, often resulting in phenomena such as inflammation. Scientists do have means of checking how the profile of active genes inside cells changes after they’ve been subject to a certain type of treatment, and one of the fascinating things about the gold nanoparticles was that they changed the activity of only seven genes in cultured cells. Is that a lot? Well, a chemical reagent used to deliver the same siRNA to the same cells affected 427 genes. On top of that, the siRNA delivered on gold nanoparticles was still about 50% active after 4 days, at which time the siRNA delivered by the compared chemical completely lost its activity. But most importantly, when tested in animals, the gold-delivered siRNA managed to get into the majority of cells, stayed active in there for a long time, exerted a prominent effect, and no obvious signs of toxicity were apparent in the skin (site of application) or any other tested organ.
This approach, obviously, has its limitations. In the mentioned study, the researchers applied the gold nanoparticles only to the skin. They did not mention or speculate about how the golden spheres could be delivered to another organ. After all, it’s not only skin that might require some siRNA. Direct injections might be effective, but this certainly requires testing. Additionally, it would be hard to imagine this technique being used systematically, say, to treat metastatic cancer. After all the authors point out just how localised the action of this method is. Nonetheless, this is a very promising discovery that seems to have a whole multitude of pros and limited number of cons. Hopefully, in the near future some of our conditions will get treated by rubbing some gold into our skin…


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