Department of Surgery, Yale University, New Haven, CT, United States of America.
Department of Surgery, University of Pennsylvania, Philadelphia, PA, United States of America.
PLoS One. 2022 Apr 6;17(4):e0266218. doi: 10.1371/journal.pone.0266218. eCollection 2022.
Advances in Molecular Therapy have made gene editing through systemic or topical administration of reagents a feasible strategy to treat genetic diseases in a rational manner. Encapsulation of therapeutic agents in nanoparticles can improve intracellular delivery of therapeutic agents, provided that the nanoparticles are efficiently taken up within the target cells. In prior work we had established proof-of-principle that nanoparticles carrying gene editing reagents can mediate site-specific gene editing in fetal and adult animals in vivo that results in functional disease improvement in rodent models of β-thalassemia and cystic fibrosis. Modification of the surface of nanoparticles to include targeting molecules (e.g. antibodies) holds the promise of improving cellular uptake and specific cellular binding.
To improve particle uptake for diseases of the airway, like cystic fibrosis, our group tested the impact of nanoparticle surface modification with cell surface marker antibodies on uptake in human bronchial epithelial cells in vitro. Binding kinetics of antibodies (Podoplanin, Muc 1, Surfactant Protein C, and Intracellular Adhesion Molecule-1 (ICAM)) were determined to select appropriate antibodies for cellular targeting. The best target-specific antibody among those screened was ICAM antibody. Surface conjugation of nanoparticles with antibodies against ICAM improved cellular uptake in bronchial epithelial cells up to 24-fold.
This is a first demonstration of improved nanoparticle uptake in epithelial cells using conjugation of target specific antibodies. Improved binding, uptake or specificity of particles delivered systemically or to the luminal surface of the airway would potentially improve efficacy, reduce the necessary dose and thus safety of administered therapeutic agents. Incremental improvement in the efficacy and safety of particle-based therapeutic strategies may allow genetic diseases such as cystic fibrosis to be cured on a fundamental genetic level before birth or shortly after birth.
分子疗法的进步使得通过系统或局部给予试剂进行基因编辑成为一种合理的治疗遗传疾病的策略。将治疗剂封装在纳米粒子中可以改善治疗剂的细胞内递送,只要纳米粒子能够被靶细胞有效摄取。在之前的工作中,我们已经证明,携带基因编辑试剂的纳米颗粒可以介导体内胎儿和成年动物的特异性基因编辑,从而改善β-地中海贫血和囊性纤维化的啮齿动物模型中的功能疾病。修饰纳米颗粒的表面以包含靶向分子(例如抗体)有望提高细胞摄取和特异性细胞结合。
为了改善气道疾病(如囊性纤维化)的颗粒摄取,我们的小组测试了用细胞表面标志物抗体修饰纳米颗粒表面对体外人支气管上皮细胞摄取的影响。为了选择合适的细胞靶向抗体,确定了抗体(Podoplanin、Muc 1、Surfactant Protein C 和细胞间黏附分子-1(ICAM))的结合动力学。在筛选出的抗体中,针对 ICAM 的最佳靶向特异性抗体是 ICAM 抗体。用针对 ICAM 的抗体对纳米颗粒进行表面缀合可将支气管上皮细胞的摄取提高 24 倍。
这是首次使用针对特定目标的抗体进行修饰来改善上皮细胞中纳米颗粒摄取的证明。改善系统给予或递送至气道腔表面的颗粒的结合、摄取或特异性可能会提高疗效、减少所需剂量,从而提高治疗剂的安全性。颗粒治疗策略的疗效和安全性的逐步提高可能允许在出生前或出生后不久从根本的遗传水平治愈囊性纤维化等遗传疾病。