The endothelial cells of brain capillaries form extremely tight junctions, providing a superfine filter that prevents the transport of most molecules from the vasculature into the brain parenchyma1, 2, 3. To overcome this, the conventional approach in gene therapy experiments has been to inject siRNA and viral or DNA vectors directly into the brain by stereotactic surgery (reviewed in refs 2, 3). However, these methods result only in localized delivery around the injection site, with no widespread effects within the brain; they are also too invasive for human therapy. If one could overcome the blood–brain barrier (BBB), intravenous administration would provide the ideal noninvasive means for delivery throughout the brain because of the rich vascularity of the brain, with capillaries encasing virtually every brain cell3.
Because neurotropic viruses do cross the BBB to infect brain cells, we asked whether the strategy used by viruses to enter the central nervous system could also be used to enable delivery of siRNA to the brain. We chose rabies virus to test this hypothesis because it shows a high degree of neurotropism in vivo and the cellular entry mechanisms have been well characterized.
RVG pseudotyping confers neuronal cell specificity
RVG interacts specifically with the nicotinic acetylcholine receptor (AchR) on neuronal cells to enable viral entry into neuronal cells4, 5. We therefore initially tested whether pseudotyping lentivirus with RVG, instead of the conventionally used vesicular stomatitis virus glycoprotein (VSV-G), could confer specificity for neuronal cells. Green fluorescent protein (GFP)-encoding lentiviral vector Lentilox pLL3.7 (ref. 6) pseudotyped with either RVG or VSV-G was tested for its ability to infect neuronal or non-neuronal cells. Whereas VSV-G pseudotyped lentivirus infected both cell types, RVG pseudotyping resulted exclusively in the infection of Neuro 2a cells, not HeLa cells (Supplementary Fig. S1a). Because RVG has been shown to mediate retrograde axonal transport and increase the spread of a viral vector within the brain7, we also tested whether RVG pseudotyping of pLL3.7 encoding a short hairpin RNA (shFvEJ)8 targeting Japanese encephalitis virus (JEV) increases its antiviral efficacy. Different concentrations of shFvEJ lentivirus, pseudotyped with RVG or VSV-G, were tested for protection efficacy in an intracranial JEV challenge assay8. Whereas at a high dose (2
105 transducing units) both lentiviruses afforded protection equally, at a lower dose (2
103 transducing units), all mice treated with RVG-pseudotyped lentivirus survived but all those treated with VSV-G-pseudotyped lentivirus succumbed to JEV infection (Supplementary Fig. S1b). Taken together, these results suggest that RVG confers neuronal cell specificity and in addition, by facilitating retro-axonal and trans-synaptic spread7, enhances the transduction of neighbouring neuronal cells.
RVG peptide binds specifically to neuronal cells
The snake-venom toxin
-bungarotoxin (BTX) specifically binds to the AchR9, and a short (29-residue) peptide derived from RVG competitively inhibits the binding of BTX to the AchR in solution10. We reasoned that this peptide might bind specifically to neuronal cells expressing the AchR. To detect binding, we synthesized a biotinylated RVG peptide or a control peptide of similar length derived from the rabies viral matrix protein (RV-MAT). When tested for cell binding, RVG peptide was found to bind to the AchR-expressing Neuro 2a cells11, 12 but not to the receptor-negative HeLa cells, whereas RV-MAT peptide bound to neither cell type (Fig. 1a). RVG peptide also did not bind several other non-neuronal cells tested (Fig. 1b). To confirm AchR-mediated binding specificity, we tested whether BTX could inhibit RVG peptide binding to Neuro 2a cells. Indeed, BTX inhibited RVG binding in a dose-dependent manner (Fig. 1c). Moreover, BTX was also able to displace prebound RVG from Neuro 2a cells (not shown). Next we tested whether RVG peptide could also specifically bind primary neuronal cells. Freshly isolated mouse brain cells but not splenocytes bound the RVG peptide, and neither cell type bound RV-MAT (Fig. 1d). Because AchR is widely expressed in the brain, including the endothelial cells of brain capillaries13, we also examined the ability of RVG peptide injected intravenously to cross the BBB and enter brain cells. Mice were injected with biotinylated RVG or control RV-MAT peptides and, 4 h later, brain cell suspensions were examined by flow cytometry. As shown in Fig. 1e, brain cells from mice injected with RVG, but not those injected with RV-MAT peptide, were positive for peptide uptake, indicating that the RVG peptide might cross the BBB to enter brain cells.
Figure 1: A short RVG peptide binds to neuronal cells in vitro and in vivo.

a, Neuro 2a and HeLa cells (inset) were incubated with biotinylated RVG or RV-MAT peptides, stained with SAPE and examined by flow cytometry. b, Peptide binding was also tested with the indicated cell lines in triplicate. Error bars indicate s.d. RV-MAT did not bind any of the cell lines (not shown). c, Neuro 2a cells were stained with biotinylated RVG in the absence (red histogram) or presence (grey histograms) of decreasing concentrations of BTX. d, Freshly isolated mouse brain (left) and spleen (right) cells were tested for peptide binding. e, Mice were injected intravenously with biotinylated RVG or RV-MAT peptide; 4 h later, isolated brain cells were stained with SAPE. Error bars indicate s.d. (n = 6).
High resolution image and legend (117K)RVG-9R peptide delivers siRNA to neuronal cells
Although RVG peptide can bind to neuronal cells, it does not bind nucleic acids and therefore cannot be used to transport siRNA. However, short, positively charged, cell-penetrating peptides bind negatively charged nucleic acids by charge interaction14, 15, 16. A nona(l-arginine) peptide was reported to be highly efficient in facilitating the cellular uptake of nucleic acids, and replacement of l-arginine with d-arginine (to form 9dR) enhanced the uptake even further17. Moreover, a cholesterol-conjugated oligo(d-arginine) has been used to deliver siRNA to a transplanted tumour in mice18. Thus, we tested whether RVG fused to 9dR could bind and deliver siRNAs to neuronal cells. For this we used RVG-spacer-9dR (designated RVG-9R) and control RV-MAT-spacer-9dR (RV-MAT-9R) chimaeric peptides. Both peptides were able to bind siRNA in a dose-dependent manner in a gel-shift assay (Fig. 2a). RVG-9R was also able to transduce fluorescein isothiocyanate (FITC)-labelled siRNA into neuronal cells in a dose-dependent manner and, in agreement with siRNA binding studies, a 1:10 molar ratio of siRNA to peptide was found optimal for maximal transduction (Fig. 2b). To determine the neuronal specificity of siRNA delivery, Neuro 2a and HeLa cells were transduced with FITC-siRNA complexed to RVG-9R or RV-MAT-9R, and Lipofectamine transfection was used as a positive control. Lipofectamine enabled siRNA uptake by both cells, and RV-MAT-9R was unable to transduce either cell type (Fig. 2c). In contrast, RVG-9R transduced Neuro 2a cells, but not HeLa cells, to a similar degree to Lipofectamine. Thus, RVG-9R allows neuronal cell-specific siRNA delivery.
Figure 2: RVG-9R peptide binds and delivers siRNA to neuronal cells in vitro, resulting in gene silencing.

a, Mobility of free or peptide-complexed siRNA was analysed by agarose-gel electrophoresis. b, Neuro 2a cells were examined for uptake of FITC-siRNA complexed with RVG-9R at the indicated concentrations. c, Neuro 2a and HeLa (inset) cells were examined for uptake of FITC-siRNA complexed with RVG-9R or RV-MAT-9R peptides at a 1:10 molar ratio. Lipofectamine transfection (Lipofect.) was used as a positive control. d, Neuro 2a cells stably expressing GFP were transduced with GFP siRNA complexed with RVG-9R or RV-MAT-9R peptides, and GFP silencing was tested 2 days later. A representative histogram and cumulative data from three independent experiments (inset) are shown. The grey filled histogram represents Neuro 2a cells not expressing GFP. MFI, mean fluorescence intensity. Error bars indicate s.d.
High resolution image and legend (114K)Although RVG-9R could transduce siRNA to Neuro 2a cells in the above assay, siRNA is not functional unless it is delivered into the cytoplasm. Thus, we also assessed the gene-silencing ability of the siRNA delivered by RVG-9R. Neuro 2a cells stably expressing high levels of GFP were transduced with anti-GFP siRNA, bound to RVG-9R or RV-MAT-9R or transfected with siRNA by using Lipofectamine, and GFP expression was determined 2 days later. RV-MAT-9R-complexed siRNA was unable to decrease GFP levels, whereas RVG-9R/siRNA silenced GFP expression to a similar extent to Lipofectamine transfection (Fig. 2d), suggesting that the RVG-9R-delivered siRNA was indeed functional. The RVG-9R/siRNA complex was also found to be non-toxic in a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) assay (more than 90% viability at 48 h after treatment of Neuro 2a cells with RVG-9R at up to 25:1 peptide:siRNA ratio; data not shown).
RVG-9R enables transvascular siRNA delivery to the brain
For potential delivery in vivo, we first examined whether RVG-9R binding protects the siRNA against degradation from serum nucleases. Unlike naked siRNA, RVG-9R-bound siRNA was at least partly stable for up to 8 h (Supplementary Fig. S2). Next we tested whether RVG-9R could transport siRNA to brain cells in vivo. Mice were injected intravenously with FITC-siRNA complexed to RVG-9R or RV-MAT-9R; after 10 h, single-cell suspensions from the brain, spleen and liver were examined by flow cytometry. As shown in Fig. 3a, FITC fluorescence was detected in the brain only when the siRNA was complexed to RVG-9R. However, no FITC uptake was seen in the spleen or liver, suggesting that RVG-9R allows specific targeting of brain cells. The presence of FITC-positive cells in different regions throughout the mouse brain was also confirmed by microscopic examination of brain sections stained with anti-FITC antibody (Fig. 3b).
Figure 3: RVG-9R enables transvascular delivery of siRNA to the central nervous system.

a, Mice were injected intravenously with FITC-siRNA/peptide complexes, and uptake by brain, spleen and liver cells was examined by flow cytometry. Representative histograms (top) and cumulative data (bottom) are shown. Black, RV-MAT-9R; red, RVG-9R. Error bars indicate s.d. (n = 4). Three asterisks, P = 0.001. b, Coronal sections of brain from FITC-siRNA/RVG-9R-injected mice (n = 6) were stained with anti-FITC antibody and examined by fluorescence microscopy. Images of FITC-positive cells in the cortex, striatum and thalamus at lower magnifications (left panel) and higher magnifications of the boxed regions (middle panel) are shown. Right panel, images from control immunoglobulin-stained brain sections at the higher magnification. Scale bar, 200
m.
To test brain-specific gene silencing, GFP transgenic mice were injected intravenously with GFP siRNA bound to RVG-9R or RV-MAT-9R on three consecutive days; their brain, spleen and liver cells were examined for GFP expression 2 days after the last injection. GFP expression was much greater in the brain than in the spleen and liver in the transgenic mice. Despite this, a significant decrease in GFP expression was seen after treatment with RVG-9R-bound siRNA but not with RV-MAT-9R-bound siRNA (Fig. 4a). Moreover, GFP silencing was seen only in the brain and not in the liver or spleen, confirming the specificity of brain targeting. To confirm these results in a different system, we also targeted an endogenous gene. Wild-type Balb/c mice were injected intravenously with an siRNA targeting the mouse gene encoding Cu-Zn superoxide dismutase 1 (SOD1; ref. 19) complexed to RVG-9R or RV-MAT-9R, and mRNA and protein levels of SOD1 in the brain, spleen and liver were measured by quantitative polymerase chain reaction (PCR) and western blotting, respectively. Although no changes in SOD1 levels were detected in any organ in RV-MAT-9R/siRNA-treated animals, both messenger RNA and protein levels of SOD1 were significantly decreased in the brain, but not in other organs, in the RVG-9R/siRNA-treated mice (Fig. 4b).
Figure 4: Brain-specific gene silencing by intravenous injection of RVG-9R/siRNA complex.

a, GFP transgenic mice were injected intravenously with GFP siRNA/peptide complexes, and their brain, spleen and liver cells were analysed for GFP expression. Representative histograms (top) and cumulative data (bottom) are shown. Error bars indicate s.d. (n = 5); asterisks, P = 0.004. Dotted lines in the upper panel, cells from wild-type mice; grey fill, mock; black lines and columns, RV-MAT-9R; red lines and columns, RVG-9R. b, Balb/c mice were injected intravenously with SOD1 siRNA/peptide complexes, and their brain, spleen and livers were examined for SOD1 mRNA (top) and SOD1 protein levels (bottom). Black columns, RV-MAT-9R (C); red columns, RVG-9R (T). Error bars indicate s.d. (n = 3). The numbers below the western blot represent the ratios of band intensities of SOD-1 normalized to that of
-actin. c, Small RNAs isolated from different organs of RVG-9R/SOD1 siRNA-injected mice were probed with siRNA sense strand oligonucleotide. Antisense strand oligonucleotide was used as positive control (first and last lanes). d, Mice were injected intravenously with SOD siRNA bound to RVG-9R, and the duration of gene silencing was determined by quantification of SOD1 mRNA levels (top) and SOD1 protein enzyme activity (bottom) on the indicated days after siRNA administration. Error bars in the upper panel indicate s.d. (n = 4); the horizontal lines in the lower panel represent mean values.
To confirm that the observed knockdown was due to specific delivery of siRNA within the brain, we also tested for the presence of SOD1 siRNA by northern blot analysis. siRNA was detected in the brain but not in the spleen or liver of treated mice (Fig. 4c). Both the gene silencing effect and siRNA detectability in the brain cells gradually decreased over a 9-day period (Fig. 4d and data not shown), in agreement with the duration of silencing reported after local administration of siRNA in the brain20. Repeated administration of RVG-9R/siRNA complex neither induced inflammatory cytokines nor elicited an anti-peptide antibody response (Supplementary Fig. S3), attesting to the viability of this delivery approach. Taken together, our results show that RVG-9R enables the intravenous delivery of siRNA to silence gene expression within the brain.
Discussion
Taken together, our results suggest that RVG-9R peptide may enable transvascular delivery of siRNA to the central nervous system. The relatively modest (about 50%) knockdown obtained is comparable to that reported after prolonged infusion of siRNA in the central nervous system24, 25. However, many aspects of this delivery system could be refined to enhance the delivery efficacy. For instance, because RVG-9R-bound siRNA was only partly protected against degradation in the serum (Supplementary Fig. S2), the use of chemically stabilized siRNA26 may enhance the efficacy of delivery. Moreover, encapsulation of even a stabilized siRNA within a liposomal nanoparticle greatly enhances serum half-life and bioavailability27, 28, and liposomal and polymeric nanopraticles coated with targeting ligands have been used for delivery in previous studies29, 30, 31. Thus, a combination of these methods to generate stabilized siRNA-encapsulated nanoparticles, coated with RVG peptide as a targeting ligand, may provide an ideal method to enhance delivery and decrease the requirement for siRNA and peptide for effective gene silencing. Moreover, RVG-coated nanoparticles may also provide a method for targeted brain delivery of other gene therapy vectors and small-molecule drugs. Direct conjugation of siRNA to the peptide32 might be an alternative strategy to improve delivery.
Further studies to localize the presence of siRNA and gene silencing in different cell types within the brain are also needed to understand the mechanism by which RVG-9R enables delivery to the brain. However, because RVG peptide alone (without 9R) was also detectable in the brain after intravenous injection (Fig. 1e), it is likely that receptor-mediated transcytosis by means of the
7 subunit of the AchR (which is widely expressed in the brain, including by capillary endothelial cells13) is involved in the process. The fact that RVG-9R, but not RV-MAT-9R, facilitated crossing of the BBB also indicates that specific receptor binding might be important. Although cell-penetrating peptides might also enable covalently conjugated cargo to cross membranes33, 34, receptor clustering mediated by a 1:10 molar ratio of siRNA/RVG-9R binding may be required (particularly when the siRNA is non-covalently bound to the peptide) for efficient transport of siRNA to neuronal cells. This may explain the neuronal cell specificity of targeting by RVG-9R. Because RVG-9R-delivered siRNA was functional in gene silencing in multiple systems, siRNA seems to detach from the peptide inside the cell, although how exactly this happens is unclear. Similarly, siRNA complexed with protamine has been reported to be effective in gene silencing35. Thus, although further studies are needed to explain the exact mechanisms, our study highlights the potential of RVG-9R to mediate transvascular delivery of siRNAs to the central nervous system. RVG-mediated delivery might also allow the use of RNA interference for the systematic analysis of gene function in brain cells under experimental settings. In principle, RVG-assisted delivery might also be used for the brain-directed transport of other therapeutic molecules such as gene therapy vectors and small-molecule drugs.
Methods summary
For peptide binding studies, cells were incubated for 20 min with biotinylated peptides, washed and then stained with streptavidin–phycoerythrin (SAPE). For all siRNA delivery studies, siRNA was incubated with peptides at a 1:10 molar ratio for 10–15 min at room temperature (20 °C) in serum-free DMEM medium (for in vitro studies) or 5% glucose (for in vivo studies) before use. For all in vivo delivery experiments, mice were injected into the tail vein with siRNA/peptide complexes in 100–200
l of 5% glucose, and the mice received 50
g of siRNA in each injection. All statistical analyses comparing groups of mice treated with test and control peptides were performed by one-way analysis of variance followed by Bonferroni's post hoc test. P < 0.05 was considered significant.


VPR (core protein) and either the pVSV-G or pLTR-RVG envelope constructs into 293T cells. Culture supernatants were harvested after 48 h, and viral particles were concentrated by ultracentrifugation. Lentiviruses were spin-infected onto Neuro 2a or HeLa cells in the presence of Polybrene, and after 48 h the transduction efficiency was determined by analysing GFP expression by flow cytometry.