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Fig. 6.2 Strategies for cell type-specific siRNA delivery in vivo. A variety of approaches have
been used for the cell type-specific delivery of siRNAs, including the direct conjugation of target-
ing molecules, such as ligands [cholesterol ( a ) and a -tocopherol ( b )], aptamers ( c ) or polymers
[dynamic polyconjugates ( d )]. In addition, the negatively charged siRNA will spontaneous bind to
positively charged proteins or peptides fused to an antibody ( e ) or a ligand [e.g. a portion of the
rabies virus glycoprotein (RVG) ( f )]. siRNAs can be encapsulated into polymeric [e.g. cyclodex-
trin ( g ) coated with the ligand transferring] or lipid nanoparticles [e.g. immunoliposomes ( h ), lipid
nanoparticles coated with an antibody]. Reprinted with permission from [ 41 ] Copyright 2011 Gene
Therapy
understanding of selective biological molecules and the era of “omics” such as
genomics, proteomics and lipidomics [ 27, 31 ]. Examples for active cellular target-
ing include the cholesterol-siRNA conjugate (Fig. 6.2a ). The speci fi city of this
delivery system is determined by the lipoprotein to which the cholesterol-siRNAs
conjugates are attached in the circulation. When the conjugates bind low-density
lipoproteins (LDL), the particles are mainly taken up by the liver due to its LDL-
receptors' expression, whereas when binding high-density lipoproteins (HDL), they
accumulate in the liver, the gut, the kidney and steroidogenic organs, all of which
express scavenger receptor class B, type I (SR-BI) receptors, which bind HDL [ 58 ] .
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