Applications

RNA aptamers are short, single-stranded RNA molecules that have the ability to fold into specific three-dimensional shapes, enabling them to bind to a wide range of target molecules with high affinity and specificity. The discovery of RNA aptamers can be traced back to the early 1990s when researchers began to explore the potential of RNA molecules to form complex structures and interact with various ligands. Derived from the in vitro selection process known as SELEX (Systematic Evolution of Ligands by Exponential Enrichment), RNA aptamers exhibit high affinity and specificity for a wide range of targets, including proteins, peptides, small molecules, and even entire cells. In the rapidly evolving landscape of modern biomedical research, RNA aptamers have emerged as a promising class of biomolecules with immense potential for diagnostic and therapeutic applications. The unique properties of RNA aptamers have enabled their application in a diverse range of fields, including therapeutics, diagnostics, molecular imaging, targeted drug delivery, environmental monitoring, research, and synthetic biology[1,2].

drawing

RNA aptamers offer several advantages over traditional antibodies and other molecular recognition elements[3]:

  • Versatility     Aptamers can be engineered to target a wide range of molecules, including proteins, small molecules, ions, and even whole cells.
  • High Affinity and Specificity     They can exhibit binding affinities and specificities comparable to monoclonal antibodies.
  • Stability     RNA aptamers can be chemically modified to enhance their stability, allowing them to resist degradation and maintain their function in various biological environments.
  • Renewability     Unlike antibodies, which are produced by living organisms and can be challenging to produce in large quantities, aptamers can be synthesized in vitro in large quantities and with high purity.
  • Low Immunogenicity     They generally elicit a lower immune response compared to antibodies, which is advantageous for in vivo applications.
  • Ease of Modification     RNA aptamers can be chemically modified to improve their properties, such as stability, solubility, and resistance to nucleases.
  • Multivalency     They can be designed to bind multiple targets or to carry multiple functionalities, such as drug delivery or imaging agents.



Diagnosis and detection

In the diagnostic arena, RNA aptamers have been employed as molecular probes for the detection of various biomarkers. Their high affinity and specificity for target molecules allow for the development of sensitive and selective assays. For example, aptamers have been used to detect cancer biomarkers in blood samples, enabling early diagnosis and treatment of malignancies. Additionally, aptamers have been utilized in the development of biosensors for the detection of pathogens, toxins, and other harmful substances, providing a rapid and reliable means of monitoring environmental and food safety. In addition, they can detect and image various biomolecules or cellular processes, enhancing the sensitivity and specificity of diagnostic assays[6,7].

Diagnosis of infectious diseases and pathogens

In the evolving field of diagnostics for infectious diseases, RNA aptamers have emerged as a powerful tool for the detection of parasites, bacteria, prion protein, and viruses. In the context of viral detection, RNA aptamers have been developed to target conserved regions of viral genomes. These aptamers can be used in diagnostic assays such as reverse transcription-polymerase chain reaction (RT-PCR) or isothermal amplification techniques, enhancing the sensitivity and specificity of viral detection. The ability to rapidly detect viral infections, especially those caused by emerging or re-emerging viruses, is crucial for effective disease control and management. Another important application is in infectious disease diagnostics. RNA aptamers can be designed to recognize viral proteins, enabling the rapid and precise detection of viral pathogens such as HIV, hepatitis C virus (HCV), and influenza. These aptamer-based diagnostic tools can be particularly valuable in resource-limited settings where quick and accurate detection is crucial for disease management and control[4,5].

The following table will give some examples of RNA aptamers cases.

drawing
Section Target References
Viral HIV-1 1992
Viral HCV 1997
Viral HSV 2005
Viral HPV-16 2011
Viral Hirame rhabdovirus 2012
Viral HBV 2011
Viral H3N2 (Influenza virus) 2006
Section Target References
Bacteria Escherichia coli 1997
Bacteria Yersinia 1998
Bacteria Salmonella enterica 2005
Parasite Trypanosome 1999
Parasite Caenorhabditis elegans 2006
Fungi Candida albicans 2019
Infectious disease Bovine Prion Protein 2008

Cancer Recognition and Molecular Imaging

In the diagnostic arena, RNA aptamers have been employed as molecular probes for the detection of various biomarkers. Their high affinity and specificity for target molecules allow for the development of sensitive and selective assays. For example, aptamers have been used to detect cancer biomarkers in blood samples, enabling early diagnosis and treatment of malignancies. RNA aptamers can be conjugated with imaging agents, making them valuable tools in molecular imaging for disease diagnosis and monitoring. For instance, RNA aptamers specific to cancer biomarkers can be labeled with fluorescent dyes or radioactive isotopes and used to visualize tumors in vivo. This application has significant implications for early cancer detection, allowing for non-invasive imaging of tumor cells and monitoring of treatment efficacy[7,8,10].

The following table will give some examples of RNA aptamers cases. The picture is from an article written by M Ryan Corces about cancer markers[9].

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Biomarkers Cancer Type References
EGFR Lung cancer 2019
CD30 Lymphoma 2014
CD30 Lymphoma 2009
Integrins Glioblastoma 2019
PSMA Prostatic cancer 2002
Biomarkers Cancer Type References
PSMA Prostatic cancer 2010
PSMA Prostatic cancer 2010
MMP-9 Glioblastoma 2016
MMP-9 Melanoma tumor 2016
SK-BR-3 Breast cancer 2010

Clinical sample detection

With the rapid development of biotechnology and medicine, RNA aptamer, as a new recognition element, has shown great potential and application prospect in the field of clinical sample detection. As an RNA molecule with high affinity and specific binding to specific targets, RNA aptamers play an important role in the detection and diagnosis of biomarkers in serum, biomarkers in urine, feces, prostatic fluid and other clinical samples.[12,13].

The following table will give some examples of RNA aptamers cases.

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Clinical sample Target Disease indication References
Plasma α Thrombin Thrombosis 1994
Serum IL-6R Immune diseases 2015
Serum IL‐17A Inflammation 2011
Cerebrospinal fluid Amyloid beta-peptide Alzheimers disease 2009
Excrement,Serum ect. CEA Gastric cancer 2018
Clinical sample Target Disease indication References
Serum IgE Allergy 1996
Serum Dopamine Parkinson's Disease 1997
Serum L-tyrosine Phenylketonuria 2000
Serum Neuropeptide Y Angiocardiopathy 2002
Cellular tissue β cells Diabetes 2022



Disease treatment and drugs

Aptamers as inhibitor

RNA aptamers can be used as therapeutic agents to modulate the activity of proteins or other targets involved in disease pathways. RNA aptamers have shown great promise as therapeutic agents, primarily due to their high specificity and low immunogenicity compared to antibodies. The therapeutic potential of RNA aptamers is particularly promising. Their ability to bind tightly and specifically to target proteins has enabled the development of aptamer-based therapeutics that can inhibit the function of disease-causing proteins. Aptamers have been used to target a wide range of proteins, including growth factors, receptors, enzymes, and transcription factors, with the potential to treat a variety of diseases, including cancer, inflammatory disorders, and infectious diseases. Furthermore, aptamers can be conjugated to therapeutic payloads, such as cytotoxic drugs or radioactive isotopes, enabling targeted delivery of therapeutics to diseased cells while minimizing systemic toxicity[7,13,14,15].

The following table will give some examples of RNA aptamers cases.

drawing
Name Target Disease Clinical Status References
Pegaptanib (Macugen) VEGF165 Age-related macular degeneration (AMD) FDA approved(2004) 2006
Avacincaptad pegol (Izervay) Complement protein C5 Age-related macular degeneration (AMD) FDA approved(2023) 2023
RB 006 (Pegnivacogin) Coronary Artery Disease Factor IX Phase III 2011
NOX-E36 (Emapticap pegol) CCL2 Type 2 diabetic patients with albuminuria Phase II 2017
RBM-007 (Umedaptanib pegol) bFGF Achondroplasia Phase II 2022
NOX-A12 (Olaptesed pegol) CXCL12 Glioblastoma Phase II 2024
AM003 LAG3 Solid Tumor Phase I 2024
BC 007 GPCR x β-adrenoceptors Post-Acute COVID-19 Syndrome Phase II 2023
Apta-1 Heparin-binding motif (Exosite II) on thrombin Sepsis Phase I 2022
E-10030 (Fovista) PDGFB Hippel-Lindau disease Phase II 2021

Targeted drug delivery

The another innovative applications of RNA aptamers is in targeted drug delivery. By conjugating aptamers to therapeutic agents, it is possible to direct these agents specifically to disease sites, minimizing off-target effects and enhancing therapeutic efficacy. Targeted drug delivery is a smart way to give medicine to the body. Instead of spreading the medicine everywhere, which can cause side effects, we want to give the medicine only to the place where it's needed. So, imagine we have a medicine that can help fight a disease, but we don't want it to go everywhere in the body. We can attach this medicine to an RNA aptamer. The RNA aptamer is like a guide, it knows exactly where to go because it can find and stick to its specific target. When the RNA aptamer finds its target, it delivers the medicine right there. This way, we can treat the disease more effectively and with fewer side effects. It's like sending a package directly to the right address instead of leaving it at the post office for someone to pick up. For example, aptamers that bind to cancer cell surface markers can be linked to chemotherapeutic drugs, ensuring that the drugs are delivered directly to the cancer cells while sparing healthy tissues. In targeted drug delivery, these RNA aptamers are used to deliver drugs directly to the affected cells or tissues. By attaching a drug to an RNA aptamer, the medication can be directed precisely where it is needed, reducing side effects and increasing effectiveness. This approach is particularly useful for treating diseases like cancer, where it's important to target only the cancerous cells while leaving healthy cells unharmed[16,17,18].

The following table will give some examples of RNA aptamers cases.

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Name Target Conjugated drug Disease Clinical Status References
P19 PDAC Monomethyl auristatin E, maytansine 1 Breast cancer Preclinical research 2017
P19 PDAC 5-fluorouracil, Gemcitabine Pancreatic cancer Preclinical research 2017
SQ2 ALPPL2 5-fluoro-2'-deoxyuridine Pancreatic cancer Preclinical research 2015
A10 PSMA Doxorubicin Prostate cancer Preclinical research 2011
A10 PSMA Epirubicin Cancer Preclinical research 2013
Her2 aptamer HER2 Mertansine 1 Breast cancer Preclinical research 2020
CD 30 aptamer CD 30 siRNA Human anaplastic large cell lymphoma Preclinical research 2011



Biosensing and monitoring

RNA aptamers have also found applications in the field of biosensing. Their high affinity and specificity for target molecules allow for the development of sensors with enhanced sensitivity and selectivity. Aptamer-based biosensors have been used for the detection of biomarkers, pathogens, and toxins, with the potential for rapid, real-time monitoring of biological samples. Additionally, aptamers can be integrated into biosensing platforms, such as microfluidic devices and nanoparticle-based sensors, enabling the development of miniaturized, portable, and user-friendly diagnostic tools. RNA aptamers are also finding applications in environmental monitoring, where they are used to detect pollutants and toxins with high sensitivity and specificity. For instance, aptamers that bind to heavy metals such as lead and mercury can be incorporated into sensors to monitor water quality. These aptamer-based sensors offer a rapid and reliable method for detecting environmental contaminants, which is crucial for ensuring public health and safety. In addition, RNA aptamers have been developed to detect biotoxins and pathogens in food and water samples. aptamers can be used in biosensors to detect these contaminants in food products, helping to prevent foodborne illnesses[19,20].

The following table will give some examples of RNA aptamers cases. The picture is from a review written by Harmanjit Kaur[21].

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Fields Aptamer Name Target Method References
Clinical test Broccoli and SAM riboswitch SAM Fluorescence 2019
Clinical test and Foods inspection cAMP aptamer cAMP Electrochemical impedance spectroscopy 2015
Clinical test Dopamine RNA aptamer Dopamine Electrochemical 2013
Clinical test CRP aptamer C-reactive protein Electrochemical 2024
Foods and Animal R10K6_V11 Ciprofloxacin Inkjet-printed 2019
Foods and Environment Ec3(31) Escherichia coli Electrochemical Impedance Spectroscopy 2016
Clinical test Theophylline RNA aptamer Theophylline Electrochemical 2008
Foods Neomycin B RNA aptamer Neomycin B Gold nanoparticle (AuNP) sensor 2008
Clinical test Sc5-c3 HPV-16 E7 protein Field effect transistor 2021



Research Tools

In the realm of basic research, RNA aptamers serve as valuable tools for studying molecular interactions and cellular processes. They can be used as molecular probes to study protein function, investigate signaling pathways, and dissect complex biological systems. RNA aptamers can also be employed to inhibit specific proteins or pathways in a controlled manner, providing insights into their roles in cellular physiology and disease. In the laboratory, aptamers are valuable for studying protein functions, signaling pathways, and molecular interactions due to their ability to bind targets with high specificity[23,24]. Among them, fluorescent RNA aptamers is the most important research tools. For more fluorescent RNA aptamers, please refer to Fluorescences page.

For example, the aptamers can be combined with a variety of different expression platforms. RNA-based switches have been constructed that allow for controlling gene expression in diverse contexts. Recently, researchers have developed a gene expression control technique that utilizes a tetracycline-dependent ribozyme switch to achieve conditional induction of gene expression in Caenorhabditis elegans. This system provides a powerful tool for studying gene regulation in C. elegans, as it allows for precise control of gene expression in living organisms[22].

The picture is from a review written by Maike Spöring[24].

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Name Target Tool Function References
Tc aptamer Tetracycline Regulatory system 2003
Theophylline RNA aptamer Theophylline Signal-connectors——RNA devices 2018
Tc aptamer Tetracycline Alternative splicing 2018
TetR RNA aptamer TetR Splicing regulation 2019
Name Target Tool Function References
Tc aptamer Tetracycline Occlusion of miRNA target sites 2018
TetR RNA aptamer TetR Regulate Dicer processing and miRNA maturation 2017
FMN RNA aptamer FMN Aptazyme (cleavage) 1999
ATP RNA aptamer ATP Aptazyme (cleavage) 1999



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