MITF-siRNA formulation is a safe and effective therapy for human melasma

Mol Ther. 2011 Feb;19(2):362-71. doi: 10.1038/mt.2010.263. Epub 2010 Nov 30.

Abstract

It is unclear whether siRNA-based agents can be a safe and effective therapy for diseases. In this study, we demonstrate that microphthalmia-associated transcription factor-siRNA (MITF-siR)-silenced MITF gene expression effectively induced a significant reduction in tyrosinase (TYR), tyrosinase-related protein 1, and melanocortin 1 receptor (MC1R) levels. The siRNAs caused obvious inhibition of melanin synthesis and melanoma cell apoptosis. Using a novel type of transdermal peptide, we developed the formulation of an MITF-siR cream. Results demonstrated that hyperpigmented facial lesions of siRNA-treated subjects were significantly lighter after 12 weeks of therapy than before treatment (P < 0.001); overall improvement was first noted after 4 weeks of siRNA treatment. At the end of treatment, clinical and colorimetric evaluations demonstrated a 90.4% lightening of the siRNA-treated lesions toward normal skin color. The relative melanin contents in the lesions and adjacent normal skin were decreased by 26% and 7.4%, respectively, after treatment with the MITF-siR formulation. Topical application of siRNA formulation significantly lightens brown facial hypermelanosis and lightens normal skin in Asian individuals. This treatment represents a safe and effective therapy for melasma, suggesting that siRNA-based agents could be developed for treating other diseases such as melanoma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cell Line, Tumor
  • Cell Survival / genetics
  • Cell Survival / physiology
  • Flow Cytometry
  • Humans
  • Melanins / metabolism
  • Melanoma / genetics
  • Melanoma / metabolism
  • Melanoma / therapy*
  • Mice
  • Mice, Inbred BALB C
  • Microphthalmia-Associated Transcription Factor / genetics*
  • Microphthalmos / genetics
  • Microphthalmos / metabolism
  • Microphthalmos / therapy
  • RNA, Small Interfering / genetics
  • RNA, Small Interfering / physiology
  • Reverse Transcriptase Polymerase Chain Reaction

Substances

  • Melanins
  • Microphthalmia-Associated Transcription Factor
  • RNA, Small Interfering