Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Portland, Oregon, USA.
Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
J Control Release. 2019 Jun 10;303:91-100. doi: 10.1016/j.jconrel.2019.04.015. Epub 2019 Apr 12.
Retinal gene therapy has had unprecedented success in generating treatments that can halt vision loss. However, immunogenic response and long-term toxicity with the use of viral vectors remain a concern. Non-viral vectors are relatively non-immunogenic, scalable platforms that have had limited success with DNA delivery to the eye. Messenger RNA (mRNA) therapeutics has expanded the ability to achieve high gene expression while eliminating unintended genomic integration or the need to cross the restrictive nuclear barrier. Lipid-based nanoparticles (LNPs) remain at the forefront of potent delivery vectors for nucleic acids. Herein, we tested eleven different LNP variants for their ability to deliver mRNA to the back of the eye. LNPs that contained ionizable lipids with low pKa and unsaturated hydrocarbon chains showed the highest amount of reporter gene transfection in the retina. The kinetics of gene expression showed a rapid onset (within 4 h) that persisted for 96 h. The gene delivery was cell-type specific with majority of the expression in the retinal pigmented epithelium (RPE) and limited expression in the Müller glia. LNP-delivered mRNA can be used to treat monogenic retinal degenerative disorders of the RPE. The transient nature of mRNA-based therapeutics makes it desirable for applications that are directed towards retinal reprogramming or genome editing. Overall, non-viral delivery of RNA therapeutics to diverse cell types within the retina can provide transformative new approaches to prevent blindness.
视网膜基因治疗在产生可阻止视力丧失的治疗方法方面取得了前所未有的成功。然而,使用病毒载体的免疫原性反应和长期毒性仍然令人担忧。非病毒载体是相对非免疫原性的、可扩展的平台,在将 DNA 递送到眼睛方面取得的成功有限。信使 RNA (mRNA) 疗法扩展了实现高基因表达的能力,同时消除了非预期的基因组整合或需要跨越限制的核屏障的需要。基于脂质的纳米颗粒 (LNP) 仍然是核酸有效递药载体的前沿。在此,我们测试了十一种不同的 LNP 变体将 mRNA 递送到眼睛后部的能力。含有低 pKa 值和不饱和碳氢链的可离子化脂质的 LNP 显示出在视网膜中报告基因转染的最高量。基因表达的动力学显示出快速的起始(在 4 小时内),持续 96 小时。基因传递具有细胞类型特异性,大部分表达在视网膜色素上皮 (RPE) 中,在 Müller 胶质细胞中的表达有限。LNP 递送的 mRNA 可用于治疗 RPE 的单基因视网膜退行性疾病。mRNA 疗法的瞬时性质使其成为针对视网膜重编程或基因组编辑的应用是理想的。总体而言,将 RNA 疗法递送到视网膜内的多种细胞类型可以为预防失明提供变革性的新方法。