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一种α-半乳糖神经酰胺佐剂mRNA癌症疫苗在Wistar Han大鼠和家猪中的临床前毒理学评估。

Preclinical toxicological assessment of an α-galactosylceramide-adjuvanted mRNA cancer vaccine in Wistar Han rats and domestic pigs.

作者信息

Meulewaeter Sofie, De Velder Margo, Reckelbus Diethard, Mwangi Kevin, Ehouarne Thomas, Aernout Ilke, Engelen Yanou, Halimi Fellanza, Van Herteryck Isis, De Bels Lobke, Redant Valerie, De la Mane Louise, Ingels Joline, Coppens Bo, Van Calenbergh Serge, Cornillie Pieter, Holtappels Gabriële, Descamps Benedicte, Vanrompay Daisy, De Smedt Stefaan C, Van den Broeck Wim, Vandekerckhove Bart, Devreese Mathias, Verbeke Rein, Lentacker Ine

机构信息

Ghent Research Group on Nanomedicines, Laboratory of General Biochemistry and Physical Pharmacy, Faculty of Pharmaceutical Sciences, Ghent University, Ottergemsesteenweg 460, 9000 Ghent, Belgium.

Cancer Research Institute Ghent (CRIG), Ghent University Hospital, Ghent University, 9000 Ghent, Belgium.

出版信息

Mol Ther Methods Clin Dev. 2025 May 19;33(2):101493. doi: 10.1016/j.omtm.2025.101493. eCollection 2025 Jun 12.

Abstract

Galsome-NEO is a glycolipid-adjuvanted mRNA lipid nanoparticle (LNP) cancer vaccine encoding neo-epitopes for evaluation in a phase 1 study in patients with non-small cell lung cancer. To assess the safety of Galsome-NEO, a repeated-dose toxicity study was conducted in Wistar Han rats involving three intramuscular doses of 30 μg mRNA. A dose-escalation study in piglets tested three doses of 3, 15, and 100 μg mRNA. Rats showed a pronounced pro-inflammatory response, evidenced by cytokine secretion and an acute phase reaction. Clinical findings included temporary local reactions (maximum grade 3), elevated temperatures, and weight loss. In pigs, all doses were well tolerated. Blood analysis showed elevated alkaline phosphatase and decreased thrombocytes in rats, while pigs had reduced reticulocyte counts. Histology revealed hepatocyte vacuolation in rats and immune infiltration at injection sites in both species. In rats, blood and histology alterations resolved 3 weeks post dosing, except for immune infiltration in the connective tissue at injection sites in two females. Galsomes with mRNA encoding the major outer membrane protein induced T cell responses in pigs. Natural killer T cell activation was observed in both species. These findings align with the safety data for the COVID-19 mRNA vaccine, Comirnaty, and demonstrate Galsomes' potential in large animals.

摘要

Galsome-NEO是一种糖脂佐剂mRNA脂质纳米颗粒(LNP)癌症疫苗,编码新表位,用于在非小细胞肺癌患者中进行1期研究评估。为了评估Galsome-NEO的安全性,在Wistar Han大鼠中进行了重复剂量毒性研究,涉及三次肌肉注射30μg mRNA。在仔猪中进行的剂量递增研究测试了3、15和100μg mRNA的三个剂量。大鼠表现出明显的促炎反应,表现为细胞因子分泌和急性期反应。临床发现包括暂时的局部反应(最高3级)、体温升高和体重减轻。在猪中,所有剂量的耐受性都良好。血液分析显示大鼠碱性磷酸酶升高和血小板减少,而猪的网织红细胞计数减少。组织学显示大鼠肝细胞空泡化,两种动物注射部位均有免疫浸润。在大鼠中,给药后3周血液和组织学改变消失,但两只雌性大鼠注射部位结缔组织的免疫浸润除外。编码主要外膜蛋白的mRNA的Galsomes在猪中诱导了T细胞反应。在两种动物中均观察到自然杀伤T细胞活化。这些发现与COVID-19 mRNA疫苗Comirnaty的安全性数据一致,并证明了Galsomes在大型动物中的潜力。

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