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      Ionizable lipid nanoparticles for in utero mRNA delivery

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          Abstract

          Lipid nanoparticles deliver mRNA to mouse fetuses, which may ultimately enable in utero therapy to treat fetal genetic diseases.

          Abstract

          Clinical advances enable the prenatal diagnosis of genetic diseases that are candidates for gene and enzyme therapies such as messenger RNA (mRNA)–mediated protein replacement. Prenatal mRNA therapies can treat disease before the onset of irreversible pathology with high therapeutic efficacy and safety due to the small fetal size, immature immune system, and abundance of progenitor cells. However, the development of nonviral platforms for prenatal delivery is nascent. We developed a library of ionizable lipid nanoparticles (LNPs) for in utero mRNA delivery to mouse fetuses. We screened LNPs for luciferase mRNA delivery and identified formulations that accumulate within fetal livers, lungs, and intestines with higher efficiency and safety compared to benchmark delivery systems, DLin-MC3-DMA and jetPEI. We demonstrate that LNPs can deliver mRNAs to induce hepatic production of therapeutic secreted proteins. These LNPs may provide a platform for in utero mRNA delivery for protein replacement and gene editing.

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          mRNA vaccines — a new era in vaccinology

          mRNA vaccines represent a promising alternative to conventional vaccine approaches because of their high potency, capacity for rapid development and potential for low-cost manufacture and safe administration. However, their application has until recently been restricted by the instability and inefficient in vivo delivery of mRNA. Recent technological advances have now largely overcome these issues, and multiple mRNA vaccine platforms against infectious diseases and several types of cancer have demonstrated encouraging results in both animal models and humans. This Review provides a detailed overview of mRNA vaccines and considers future directions and challenges in advancing this promising vaccine platform to widespread therapeutic use.
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            Delivery technologies for cancer immunotherapy

            Immunotherapy has become a powerful clinical strategy for treating cancer. The number of immunotherapy drug approvals has been increasing, with numerous treatments in clinical and preclinical development. However, a key challenge in the broad implementation of immunotherapies for cancer remains the controlled modulation of the immune system, as these therapeutics have serious adverse effects including autoimmunity and nonspecific inflammation. Understanding howto increase the response rates to various classes of immunotherapy is key to improving efficacy and controlling these adverse effects. Advanced biomaterials and drug delivery systems, such as nanoparticles and the use of T cells to deliver therapies, could effectively harness immunotherapies and improve their potency while reducing toxic side effects. Here, we discuss these research advances, as well as the opportunities and challenges for integrating delivery technologies into cancer immunotherapy, and we critically analyse the outlook for these emerging areas.
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              Patisiran, an RNAi Therapeutic, for Hereditary Transthyretin Amyloidosis

              Patisiran, an investigational RNA interference therapeutic agent, specifically inhibits hepatic synthesis of transthyretin.
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                Author and article information

                Journal
                Sci Adv
                Sci Adv
                SciAdv
                advances
                Science Advances
                American Association for the Advancement of Science
                2375-2548
                January 2021
                13 January 2021
                : 7
                : 3
                : eaba1028
                Affiliations
                [1 ]Department of Bioengineering, University of Pennsylvania, Philadelphia, PA 19104, USA.
                [2 ]The Center for Fetal Research, Division of General, Thoracic, and Fetal Surgery, The Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USA.
                [3 ]Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
                [4 ]Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
                [5 ]Institute for Immunology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
                [6 ]Cardiovascular Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
                [7 ]Institute for Regenerative Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
                Author notes
                [*]

                These authors contributed equally to this work.

                []Corresponding author. Email: peranteauw@ 123456email.chop.edu (W.H.P.); mjmitch@ 123456seas.upenn.edu (M.J.M.)
                Author information
                http://orcid.org/0000-0002-3267-5403
                http://orcid.org/0000-0002-7920-983X
                http://orcid.org/0000-0003-4499-9066
                http://orcid.org/0000-0002-5873-8011
                http://orcid.org/0000-0002-3522-6582
                http://orcid.org/0000-0002-1596-8458
                http://orcid.org/0000-0002-1501-6510
                http://orcid.org/0000-0003-1608-861X
                http://orcid.org/0000-0002-3628-2244
                Article
                aba1028
                10.1126/sciadv.aba1028
                7806221
                33523869
                faa9c6af-ecc9-4448-bfdb-a1bb6790b2f8
                Copyright © 2021 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works. Distributed under a Creative Commons Attribution NonCommercial License 4.0 (CC BY-NC).

                This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial license, which permits use, distribution, and reproduction in any medium, so long as the resultant use is not for commercial advantage and provided the original work is properly cited.

                History
                : 18 November 2019
                : 20 November 2020
                Funding
                Funded by: doi http://dx.doi.org/10.13039/100000002, National Institutes of Health;
                Award ID: DP2 TR002776
                Funded by: doi http://dx.doi.org/10.13039/100000002, National Institutes of Health;
                Award ID: DP2HL152427
                Funded by: doi http://dx.doi.org/10.13039/100000002, National Institutes of Health;
                Award ID: T32HL007954
                Funded by: doi http://dx.doi.org/10.13039/100000002, National Institutes of Health;
                Award ID: F32HL143861
                Funded by: doi http://dx.doi.org/10.13039/100000002, National Institutes of Health;
                Award ID: 1F32CA243475-01A1
                Funded by: doi http://dx.doi.org/10.13039/100000002, National Institutes of Health;
                Award ID: 1R01DK123049-01
                Funded by: Institute for Translational Medicine and Therapeutics (ITMAT) Transdisciplinary Program in Translational Medicine and Therapeutics;
                Funded by: doi http://dx.doi.org/10.13039/100000861, Burroughs Wellcome Fund;
                Award ID: Career Award at the Scientific Interface
                Funded by: Institute for Translational Medicine and Therapeutics (ITMAT) Transdisciplinary Program in Translational Medicine and Therapeutics.;
                Funded by: Tau Beta Pi;
                Categories
                Research Article
                Research Articles
                SciAdv r-articles
                Health and Medicine
                Life Sciences
                Health and Medicine
                Custom metadata
                Mariane Belen

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