Systemic delivery of factor IX messenger RNA for protein replacement therapy
Open accessAbstract
Significance: Abnormal gene expression is the underlying cause for many pathological states, and restoring normalcy through overexpression or knockdown is a conceptually simple solution. Despite the advantages over DNA and viral vectors, RNA-based therapeutics have been plagued by problems of poor translatability, stability, and adverse immune reactions. Efficient in vivo delivery has also been challenging because currently available lipid nanoparticles (LNPs) can induce liver damage and elicit a strong immune response. In this study, we demonstrate the successful use of LUNAR—a safe, reproducible, and effective LNP mRNA delivery platform that can be used to treat diseases requiring protein replacement. We achieve therapeutic delivery of mRNAs in a preclinical model of hemophilia and demonstrate alleviation of disease symptoms.
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mRNA-based protein replacement therapies have been applied to haematological diseases, central nervous system disorders, skin diseases and hearing loss in preclinical studies.
“In addition, mRNA-based protein replacement therapies have been applied to haematological diseases (for example, haemophilia A232, haemophilia B91,104,233 and thrombotic thrombocytopaenic purpura234), central nervous system disorders67,152 (for example, Friedreich’s ataxia67), skin diseases235,236 (for example, elastin deficiency235) and hearing loss237 in preclinical”
From Lipid nanoparticles for mRNA delivery (2021) · cites this paper as [233]
The therapeutic level of FIX in plasma was maintained up to 6 days following a single i.v. administration of ATX-based LNPs complexed with 2.0 mg/kg hFIX mRNA.
“The therapeutic level of FIX in the plasma was maintained up to 6 days following a single i.v. administration of LNPs complexed with 2.0 mg/kg hFIX mRNA.[145]”
From RNA delivery biomaterials for the treatment of genetic and rare diseases (2019) · cites this paper as [145]
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- Authors
- Ramaswamy, S., Tonnu, N., Tachikawa, K., Limphong, P., Vega, J. B., Karmali, P. P., Chivukula, P., & Verma, I. M.
- Affiliations
- Salk Institute for Biological Studies (US)
- Arcturus Therapeutics (United States) (US)
- Corresponding author
- Verma, Inder M.
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2017-02-15
- Volume
- 114
- Issue
- 10
- Pages
- E1941-E1950
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC5347596
- OpenAlex
- W2587871737
- Cited by
- 301
- References
- 28
- Citations by year
- 2026: 23 · 2025: 28 · 2024: 36 · 2023: 37 · 2022: 45 · 2021: 35 · 2020: 34 · 2019: 28 · 2018: 28 · 2017: 7
- FWCI
- 20.37
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- HHS | NIH | National Cancer Institute (CCSG: P30 014195, NINDS, P30 CA014195-38)
- Leona M. and Harry B. Helmsley Charitable Trust (2012-PG-MED002)
- California Institute for Regenerative Medicine (CIRM-TR4-06809)
- Topics
- Health Sciences › Medicine › Hematology › Hemophilia Treatment and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Keywords
- factor IX, mRNA therapeutics, lipid nanoparticles, hemophilia B, protein replacement therapy, systemic drug delivery, immune response, recombinant factor IX, clotting disorders, liver disease
- MeSH terms
- Animals, Cholesterol, Hemophilia B, Disease Models, Animal, Drug Carriers, Drug Compounding, Drug Evaluation, Preclinical, Factor IX, Female, Humans, Hydrogen-Ion Concentration, Injections, Intravenous, Liver, Male, Phosphatidylcholines, Recombinant Proteins, RNA, Messenger, Genetic Therapy, Cytokines, Mice, Knockout, Mice, Nanoparticles
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