mrna Vaccination with Charge- Altering Releasable Transporters Cures Established Experimental Tumors
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1 mrna Vaccination with Charge- Altering Releasable Transporters Cures Established Experimental Tumors Dr. Timothy R. Blake Cancer TNT Quarterly Meeting 5/4/18
2 Principles of cancer vaccination Introduction of antigen/protein to APCs is the critical first step, afterward the immune system can take over mrna-based vaccination was proposed to be an ideal approach in the early 1970s Current methods include ex vivo activation by electroporation or viral delivery Efficient mrna transfection avoids expensive, invasive treatments
3 Nanoparticle-based mrna delivery Effective and non-toxic delivery of mrna is the major challenge of gene therapy Recent efforts using mrna delivery have shown remarkable utility as a new class of prodrug Jun Cancer vaccine (BioNTech) Nov Dec Cancer vaccine CRISPR (Moderna) (Moderna) Mar Hemophilia (Arcturas) Mar ZIKA vaccine (BioNTech) *All use proprietary Lipid Nanoparticles (LNPs) Which by Lipid nanoparticles (LNPs) Many components (some toxic) Component selection is non trivial Require microfluidic formulation Biodegradable polyplexes Amphipathic cationic oligomers Electrostatic complexation with mrna Successful with sirna
4 Synthesis or Charge-Altering Releasable Transporters (CARTs) R OH Lipid: + O O O O O n Lipid Urea Alkoxide Catalyst O OK N N H O NBoc m O R O O O n O O Lipid O O R O O O n O O Lipid O Boc N HCl Cl H 2 N CART O H m O H m Robust straightforward chemistry Fluorophores and targeting ligands can be incorporated Tunable for: sirna delivery pdna delivery Organ targeting Mix and shoot
5 Charge-Altering Releasable Transporters (CARTs) protect, deliver, and release mrna intracellularly Fluorophores - Dansyl: attached to transporter mrna complexation Intracellular delivery and cytosolic release Gene Expression - GFP: indicates expression of mrna - Cy5: attached to mrna Endocytosis charge-altering mechanism osmotic rupture translation mrna-binding by CART CART-mRNA complex endosome w/ complex endosome w/ mrna and HEGD mrna release therapeutic protein expression Endocytosis no significant degradation endosomal acidification acidic and/or enzymatic degradation mrna-binding by non-releasing transporter non-releasing transportermrna complex endosome w/ complex endosome w/ complex late endosome/ lysosome inactivated mrna extracellular intracellular Major limitation for mrna delivery is endosomal escape
6 CARTs transfect cells in vivo via multiple routes of administration IV administration shows robust uptake by the spleen and lymph nodes
7 Fluorophore labeled CARTs allow for phenotypic identification of transfected cells Blood samples taken after 1hr Spleens isolated/digested after 1 hr Skin at the site of SC injection digested at 1 hr Stained for FACS
8 CART-based mrna vaccination CARTs alone demonstrate low immunogenicity However, simply adding in a polyanionic adjuvant gives CART/mRNA vaccines enhances the desired immuno-stimulatory effect *Adjuvant (Adj.) short nucleotide PAMP (pathogen associated molecular pattern) Cells alone CART/mRNA (mcherry) CART/mRNA (mcherry) +FITC-adj. FITC-adj. alone
9 Ovalbumin-expressing A20 lymphoma model OVA Subcutaneous inoculation of 10 7 ovalbumin-expressing A20 cells Mice sacrificed upon tumor reaching a volume of 1000 mm 3 Readout: Tumor size and survival Wait 7 days Prophylactic treatment: Single dose of 7.5ug CART/mRNA/adj. mrna/cart Tumor volum measured at ea timepoint Therapeutic treatment: 3x3 ug dose of CART/mRNA/adj.
10 CART-mRNA vaccine gives long lasting prophylactic protection against OVA-A20 cells T-cells isolated from spleen Used for ex-vivo A20 cell killing assay Adj.
11 Antigen specific ex vivo killing of cancer cells Adj. Adj.
12 IV vaccination with CART/mRNA cures established tumors Adj. Adj.
13 CART-mRNA vaccine cures established tumors Adj. Adj.
14 Conclusions CARTs effectively transfect cells in vivo and express mrna cargo CARTs show preferential uptake in the spleen, where a high percentage of APCs are transfected with antigenic prodrugs (mrna) T-Cells of vaccinated mice kill antigen expressing A20 cells ex vivo The immunity granted by mrna/cart/adjuvant vaccines can cure established tumors in mice
15 Acknowledgements Prof. Robert M. Waymouth Prof. Paul A. Wender Prof. Ronald Levy Colin J. McKinlay Ole Audun Werner Haabeth Waymouth Lab Levy Lab Wender Lab Stanford University
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