具有可逆抗凝活性和最小免疫反应的RNA适配体的聚乙二醇样刷状聚合物缀合物。

PEG-Like Brush Polymer Conjugate of RNA Aptamer That Shows Reversible Anticoagulant Activity and Minimal Immune Response.

作者信息

Ozer Imran, Pitoc George A, Layzer Juliana M, Moreno Angelo, Olson Lyra B, Layzer Kyle D, Hucknall Angus M, Sullenger Bruce A, Chilkoti Ashutosh

机构信息

Department of Biomedical Engineering, Duke University, Durham, NC, 27708, USA.

Department of Surgery, Duke University Medical Center, Durham, NC, 27707, USA.

出版信息

Adv Mater. 2022 Mar;34(10):e2107852. doi: 10.1002/adma.202107852. Epub 2022 Jan 31.

Abstract

Ribonucleic acid (RNA) therapeutics are an emerging class of drugs. RNA aptamers are of significant therapeutic and clinical interest because their activity can be easily reversed in vivo-a useful feature that is difficult to achieve using other therapeutic modalities. Despite their therapeutic promise, RNA aptamers are limited by their poor blood circulation. The attachment of polyethylene glycol (PEG) to RNA aptamers addresses this limitation. However, an RNA aptamer-PEG conjugate that is a reversible anticoagulant fails in a clinical trial due to the reactivity of the conjugate with pre-existing PEG antibodies and has cast a pall over PEGylation of aptamers and other biologics, despite its long history of utility in drug delivery. Here, PEG antibody-reactivity of this RNA aptamer is eliminated by conjugating it to a next-generation PEG-like brush polymer-poly[(oligoethylene glycol) methyl ether methacrylate)] (POEGMA). The conjugate retained the drug's therapeutic action and the ability to be easily reversed. Importantly, this conjugate does not bind pre-existing PEG antibodies that are prevalent in humans and does not induce a humoral immune response against the polymer itself in mice. These findings suggest a path to rescuing the PEGylation of RNA therapeutics and vaccines from the deleterious side-effects of PEG.

摘要

核糖核酸(RNA)疗法是一类新兴的药物。RNA适配体具有重要的治疗和临床意义,因为它们的活性在体内可以很容易地逆转——这是一个使用其他治疗方式难以实现的有用特性。尽管RNA适配体具有治疗潜力,但它们受血液循环不佳的限制。将聚乙二醇(PEG)连接到RNA适配体上解决了这一限制。然而,一种作为可逆抗凝剂的RNA适配体-PEG偶联物在临床试验中失败了,原因是该偶联物与预先存在的PEG抗体发生反应,尽管PEGylation在药物递送方面有悠久的应用历史,但这一事件给适配体和其他生物制品的PEGylation蒙上了一层阴影。在这里,通过将这种RNA适配体与下一代类似PEG的刷状聚合物——聚[(聚乙二醇)甲基丙烯酸甲酯](POEGMA)偶联,消除了该RNA适配体与PEG抗体的反应性。该偶联物保留了药物的治疗作用以及易于逆转的能力。重要的是,这种偶联物不会与人体内普遍存在的预先存在的PEG抗体结合,也不会在小鼠体内诱导针对聚合物本身的体液免疫反应。这些发现为从PEG的有害副作用中拯救RNA疗法和疫苗的PEGylation提供了一条途径。

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