Modified mRNA directs the fate of heart progenitor cells and induces vascular regeneration after myocardial infarction
Open accessAbstract
In a cell-free approach to regenerative therapeutics, transient application of paracrine factors in vivo could be used to alter the behavior and fate of progenitor cells to achieve sustained clinical benefits. Here we show that intramyocardial injection of synthetic modified RNA (modRNA) encoding human vascular endothelial growth factor-A (VEGF-A) results in the expansion and directed differentiation of endogenous heart progenitors in a mouse myocardial infarction model. VEGF-A modRNA markedly improved heart function and enhanced long-term survival of recipients. This improvement was in part due to mobilization of epicardial progenitor cells and redirection of their differentiation toward cardiovascular cell types. Direct in vivo comparison with DNA vectors and temporal control with VEGF inhibitors revealed the greatly increased efficacy of pulse-like delivery of VEGF-A. Our results suggest that modRNA is a versatile approach for expressing paracrine factors as cell fate switches to control progenitor cell fate and thereby enhance long-term organ repair.
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Conclusive data have also been presented for mRNA as a platform for protein (replacement) therapies.
“Conclusive data have also been presented for mRNA as a platform for protein (replacement) therapies (Kormann et al, 2011; Kariko et al, 2012; Zangi et al, 2013; Thess et al, 2015; Balmayor et al, 2016).”
From mRNA mediates passive vaccination against infectious agents, toxins, and tumors (2017) · cites this paper as Zangi et al, 2013
The Abstract and Results report that VEGF-A modRNA produced a therapeutic protein and improved cardiac outcomes in a mouse model of myocardial infarction. This supports mRNA as a potential platform for protein-based therapy, but the paper does not demonstrate protein replacement therapy specifically or establish conclusive efficacy across such therapies. Page numbers were not supplied in our copy. (LLM, conf=0.85)
Experimental — accuracy not yet measuredConventional unmodified mRNAs are inferior to molecules harboring specific nucleoside modifications, but the picture changes dramatically with sophisticated sequence-engineering.
“Our work principally confirms that conventional unmodified mRNAs are inferior to molecules harboring specific nucleoside modifications as suggested by various recent reports,23,24,25,26,27 however, the picture changes dramatically with a sophisticated sequence-engineering.”
From Sequence-engineered mRNA without chemical nucleoside modifications enables an effective protein therapy in large animals (2015) · cites this paper as [25]
Intramyocardial injection of mRNA expressing human VEGF-A with RNAiMAX decreased morbidity of mice with myocardial infarction following repair of heart function.
“For example, an intramyocardial injection of mRNA expressing human vascular endothelial growth factor A (VEGF-A) with RNAiMAX decreased the morbidity of mice with myocardial infarction following the repair of heart function.[201]”
From RNA delivery biomaterials for the treatment of genetic and rare diseases (2019) · cites this paper as [201]
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“Conclusive data have also been presented for mRNA as a platform for protein (replacement) therapies (Kormann et al, 2011; Kariko et al, 2012; Zangi et al, 2013; Thess et al, 2015; Balmayor et al, 2016).”
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- Authors
- Zangi, L., Lui, K. O., von Gise, A., Ma, Q., Ebina, W., Ptaszek, L. M., Später, D., Xu, H., Tabebordbar, M., Gorbatov, R., Sena, B., Nahrendorf, M., Briscoe, D. M., Li, R. A., Wagers, A. J., Rossi, D. J., Pu, W. T., & Chien, K. R.
- Affiliations
- Boston Children's Hospital (US)
- Harvard University (US)
- University of Hong Kong (HK)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Pu, William T
- Chien, Kenneth R
- ORCID
- Venue
- Nature Biotechnology
- Published
- 2013-09-08
- Volume
- 31
- Issue
- 10
- Pages
- 898-907
- ISSN
- 0733-222X (ISSN-L)
- 1087-0156
- 1546-1696
- PMC
- PMC4058317
- OpenAlex
- W2098419906
- Cited by
- 646
- References
- 56
- Citations by year
- 2026: 31 · 2025: 47 · 2024: 46 · 2023: 49 · 2022: 55 · 2021: 60 · 2020: 51 · 2019: 50 · 2018: 61 · 2017: 45 · 2016: 56 · 2015: 49 · 2014: 36 · 2013: 9
- FWCI
- 22.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Biotechnology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- The HKU Scholars Hub (University of Hong Kong) (submittedVersion)
- Funders
- Howard Hughes Medical Institute
- National Institutes of Health (5u01hl100401-07, 1u01hl098166-01)
- U.S. Public Health Service (U01H100408, U01JL100401)
- National Heart, Lung, and Blood Institute (U01HL100402, RC1HL099618, U01-HL098166, R21HL104602, U01-HL-100401, R01HL094683)
- National Institute of Allergy and Infectious Diseases (R01AI092305)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Health Sciences › Medicine › Surgery › Tissue Engineering and Regenerative Medicine
- Keywords
- modified mRNA, VEGF-A, myocardial infarction, epicardial progenitor cells, paracrine signaling, vascular regeneration, intramyocardial injection, DNA vectors, VEGF inhibitors, cardiac function recovery
- MeSH terms
- Animals, Cell Differentiation, Disease Models, Animal, Humans, Kinetics, Luciferases, Models, Biological, Myocardial Infarction, Myocardium, Regeneration, RNA, Messenger, Stem Cells, Biomarkers, Survival Analysis, Treatment Outcome, Apoptosis, Gene Transfer Techniques, Muscle, Skeletal, Cell Lineage, Stem Cell Transplantation, Vascular Endothelial Growth Factor Receptor-2, Vascular Endothelial Growth Factor A, Endothelial Cells, Cell Proliferation, Mice
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