Shuvaev Vladimir V, Tam Ying K, Lee Benjamin W, Myerson Jacob W, Herbst Alan, Kiseleva Raisa Yu, Glassman Patrick M, Parhiz Hamideh, Alameh Mohamad-Gabriel, Pardi Norbert, Muramatsu Hiromi, Shuvaeva Tea I, Arguiri Evguenia, Marcos-Contreras Oscar A, Hood Elizabeth D, Brysgel Taylor V, Nong Jia, Papp Tyler E, Eaton Deborah M, Riley Rachel, Palanki Rohan, Musunuru Kiran, Brenner Jacob S, Mitchell Michael J, Ferrari Victor A, Mui Barbara L, Semple Sean C, Weppler Sherry A, Atluri Pavan, Margulies Kenneth B, Weissman Drew, Muzykantov Vladimir R
Department of Systems Pharmacology and Translational Therapeutics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104.
Acuitas Therapeutics, Vancouver, BC V6T 1Z3, Canada.
Proc Natl Acad Sci U S A. 2025 Jul 22;122(29):e2409266122. doi: 10.1073/pnas.2409266122. Epub 2025 Jul 16.
Lipid nanoparticles (LNP) represent a versatile platform for improving delivery of therapeutic nucleic acids. Yet, delivery to the myocardium remains a formidable challenge due to local barriers in the heart and systemic hindrances. In particular, plasma apolipoprotein E (apoE) directs LNP to the liver, limiting potential extrahepatic delivery. Here, we report a cardiotropic LNP (cLNP), which within 30 min post-intravenous injection accumulates in the heart of ApoE knockout () mice. The findings were confirmed for rats and for wild-type mice after siRNA-mediated plasma apoE ablation. To test cardiac-specific functional effects as a proof of concept, we used cLNP loaded with siRNA to encoding the sarcoplasmic-endoplasmic reticulum Ca ATPase 2a (SERCA2A). This cardiomyocyte-specific protein is a key regulator of contractility and relaxation. Intravenous administration of cLNP/siRNA-ATP2A2 in mice led to near-complete ablation of SERCA2A in the myocardium and a potent modulation of contractility of the cardiomyocytes obtained from these mice. In summary, cardiotropic nanocarriers may allow the delivery and effect of RNA and other agents to the myocardium. Achieving this unmet medical need promises new types of treatment for heart diseases, which remains the leading cause of death worldwide.
脂质纳米颗粒(LNP)是一种用于改善治疗性核酸递送的多功能平台。然而,由于心脏中的局部屏障和全身障碍,向心肌的递送仍然是一项艰巨的挑战。特别是,血浆载脂蛋白E(apoE)会将LNP导向肝脏,限制了潜在的肝外递送。在此,我们报告了一种亲心肌LNP(cLNP),静脉注射后30分钟内它会在载脂蛋白E基因敲除()小鼠的心脏中积累。在大鼠以及经小干扰RNA(siRNA)介导的血浆apoE消融后的野生型小鼠中也证实了这一发现。为了测试作为概念验证的心脏特异性功能效应,我们使用装载了编码肌浆网-内质网Ca ATP酶2a(SERCA2A)的siRNA的cLNP。这种心肌细胞特异性蛋白是收缩性和舒张的关键调节因子。在小鼠中静脉注射cLNP/siRNA-ATP2A2导致心肌中SERCA2A几乎完全缺失,并对从这些小鼠获得的心肌细胞的收缩性产生有效调节。总之,亲心肌纳米载体可能使RNA和其他药物递送至心肌并发挥作用。满足这一未被满足的医疗需求有望为心脏病带来新型治疗方法,心脏病仍是全球主要死因。
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