An alternative method for gene knockdown in humans is Morpholino antisense (thanks, Andy). A knockdown is temporary suppression of gene expression, similar to the effect of RNAi (though Morpholinos have some advantages over siRNA: http://www.gene-tools.com/files/Summerton2007siRNAcompare.pdf ). The company AVI BioPharma has been conducting clinical trials with Morpholino oligos (
www.avibio.com). Morpholinos are widely used in developmental biology research, especially in zebrafish.
Morpholinos can knockdown protein expression by interrupting the path of a small ribosomal subunit from the 5'-cap to the start codon, preventing formation of a mature ribosome (http://www.gene-tools.com/files/bba%20review.pdf ). They are also used to redirect pre-mRNA splicing by blocking snRNP binding sites (http://www.gene-tools.com/files/draper_etal.pdf ). Finally, Morpholinos are being used to block miRNA maturation and activity (Ref 1). Effective delivery into the cells of adult organisms has been achieved by conjugation with arginine-rich cell-penetrating peptides (Ref 2,3,4) and by octaguanidinium moieties (
www.gene-tools.com/vivomorpholinos).
The modification of splicing is a form of gene deletion; while a splice-targeted Morpholino directs the removal of a single exon, if that exon has a number of bases not evenly divisible by three then the downstream exon sequences will be frameshifted, generally leading to production of a nonfunctional protein.
References
(1) Kloosterman WP, Lagendijk AK, Ketting RF, Moulton JD, Plasterk RH. Targeted Inhibition of miRNA Maturation with Morpholinos Reveals a Role for miR-375 in Pancreatic Islet Development. PLoS Biol. 2007 Jul 24;5(8):e203 [Epub ahead of print]
(2) Wu RP, Youngblood DS, Hassinger JN, Lovejoy CE, Nelson MH, Iversen PL, Moulton HM. Cell-penetrating peptides as transporters for morpholino oligomers: effects of amino acid composition on intracellular delivery and cytotoxicity. Nucleic Acids Res. 2007 Aug 1; [Epub ahead of print]
(3) Moulton HM, Fletcher S, Neuman BW, McClorey G, Stein DA, Abes S, Wilton SD, Buchmeier MJ, Lebleu B, Iversen PL. Cell-penetrating peptide-morpholino conjugates alter pre-mRNA splicing of DMD (Duchenne muscular dystrophy) and inhibit murine Coronavirus replication in vivo. Biochem Soc Trans. 2007 Aug;35(Pt 4):826-8.
(4) Amantana A, Moulton HM, Cate ML, Reddy MT, Whitehead T, Hassinger JN, Youngblood DS, Iversen PL. Pharmacokinetics, Biodistribution, Stability and Toxicity of a Cell-Penetrating Peptide-Morpholino Oligomer Conjugate. Bioconjug Chem. 2007 Jun 21; [Epub ahead of print]