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mRNA Delivery: Strategies, Applications, and Challenges

mRNA therapy is an emerging and promising approach that utilizes synthetic mRNA molecules to deliver genes encoding functional proteins or antigens to target cells, tissues, or organs. Compared to conventional gene therapy, mRNA therapy has several advantages, such as high specificity, versatility, safety, and transient expression. mRNA therapy has the potential to treat a wide range of diseases, such as infectious diseases, genetic disorders, and cancer. However, mRNA therapy also faces several challenges and opportunities for its effective and efficient delivery. mRNA molecules are inherently unstable and prone to degradation by nucleases in the extracellular and intracellular environments. mRNA molecules are also highly immunogenic and can trigger innate and adaptive immune responses, which may affect their translation efficiency and safety. Moreover, mRNA molecules have to overcome multiple biological barriers, such as cellular uptake, endosomal escape, cytoplasmic transport, and ribosomal access, to achieve high expression levels and biodistribution. Therefore, the development of suitable delivery strategies for mRNA therapy is crucial and challenging.

Nanoparticle-Based Delivery Strategies

Nanoparticles are nanoscale particles that can encapsulate, protect, and deliver mRNA molecules to target cells. Nanoparticles can be made of various materials, such as proteins, lipids, polymers, or hybrids. Nanoparticles can enhance the stability, immunogenicity, translation efficiency, and biodistribution of mRNA by forming complexes with mRNA through electrostatic interactions, shielding mRNA from nuclease degradation and immune recognition, facilitating endosomal escape and cytoplasmic transport, and targeting specific cell types or organs.

Schematic representation of components of lipid nanoparticles (LNPs). (Ramachandran S, 2022.)Fig.1 Schematic representation of components of lipid nanoparticles (LNPs). (Ramachandran S, 2022.)

The protein-mRNA complex is a simple and effective delivery strategy that uses proteins such as protamine and histones to form complexes with mRNA and protect it from degradation. Protamine is a cationic protein that can bind to mRNA and form compact and stable nanoparticles with a diameter of about 100 nm. Protamine-mRNA nanoparticles can protect mRNA from nuclease degradation and enhance its translation efficiency in vitro and in vivo. Histones are another type of cationic protein that can bind to mRNA and form nanoparticles with a diameter of about 150 nm. Histone-mRNA nanoparticles can also protect mRNA from nuclease degradation and improve its expression in vitro and in vivo. Protein-mRNA complex has the advantages of low toxicity, high biocompatibility, and easy preparation. However, the protein-mRNA complex also has some limitations, such as low loading capacity, high immunogenicity, and poor endosomal escape. Therefore, the protein-mRNA complex may need further optimization and modification to achieve optimal delivery performance.

Other Delivery Strategies

Besides nanoparticle-based delivery strategies, there are also some other delivery strategies that do not rely on any carrier materials for mRNA delivery. These include naked mRNA injection, physical delivery methods, and ex vivo loading of dendritic cells.

Naked mRNA injection is the simplest and most direct delivery strategy that involves injecting mRNA without any carrier into the muscle or skin. Naked mRNA injection can achieve high expression levels and long-term persistence of mRNA in vivo. Naked mRNA injection has been used to deliver genes encoding for therapeutic proteins such as erythropoietin, factor IX, or antibodies. However, naked mRNA injection also has some drawbacks, such as low stability, high immunogenicity, and limited biodistribution. Moreover, naked mRNA injection requires high doses and frequent administrations to achieve therapeutic effects, which may increase the cost and risk of adverse reactions.

Physical delivery methods are another type of delivery strategy that uses physical forces or devices to enhance the uptake and expression of mRNA in vivo. Physical delivery methods include electroporation, ultrasound, and microneedles. Electroporation is a technique that applies electric pulses to create transient pores in the cell membrane, allowing mRNA to enter the cytoplasm. Electroporation can increase the transfection efficiency and expression level of mRNA in vitro and in vivo. Ultrasound is a technique that uses sound waves to generate mechanical stress and cavitation, which can disrupt the cell membrane and facilitate mRNA delivery. Ultrasound can also improve the penetration and distribution of mRNA in tissues. Microneedles are tiny needles that can pierce the skin and deliver mRNA to the dermal layer, where there are abundant antigen-presenting cells. Microneedles can enhance the immunogenicity and stability of mRNA and induce a robust immune response. Physical delivery methods have the advantages of high efficiency, low toxicity, and easy operation. However, physical delivery methods also have some limitations, such as tissue damage, inflammation, and variability. Furthermore, physical delivery methods may require specialized equipment and expertise, which may limit their accessibility and scalability.

Ex vivo loading of dendritic cells is a delivery strategy that involves loading mRNA into dendritic cells outside the body and then injecting them back to induce an immune response. Dendritic cells are professional antigen-presenting cells that can activate T cells and B cells. Ex vivo loading of dendritic cells can be achieved by using various methods, such as electroporation, lipofection, or microinjection. Ex vivo loading of dendritic cells can deliver mRNA encoding for tumor-associated antigens, cytokines, or immune checkpoint inhibitors and activate anti-tumor immunity. Ex vivo loading of dendritic cells has the advantages of high specificity, low immunogenicity, and easy manipulation. However, ex vivo loading of dendritic cells also has some challenges, such as low efficiency, high cost, and limited availability. Moreover, ex vivo loading of dendritic cells may face regulatory and ethical issues as it involves the manipulation of human cells.

Biomedical Applications of mRNA Delivery

mRNA delivery has a wide range of biomedical applications in various fields, such as functional protein expression, vaccines, cancer immunotherapy, and genome editing.

  • Functional protein expression: mRNA can deliver genes for proteins that can treat diseases caused by the lack or dysfunction of these proteins, such as hemophilia, cystic fibrosis, or anemia. For example, mRNA for factor IX can restore the blood clotting function in hemophilia B patients. mRNA for erythropoietin can increase red blood cell production and treat anemia.
  • Vaccines: mRNA can deliver antigens from pathogens and induce a protective immune response against the infection, such as COVID-19, influenza, or Zika virus. For example, mRNA vaccines for the spike protein of SARS-CoV-2 have shown high protection and efficacy in humans. mRNA vaccines for the envelope protein of Zika virus have shown strong neutralizing antibodies and T cell responses in mice.
  • Cancer immunotherapy: mRNA can deliver tumor-associated antigens, cytokines, or immune checkpoint inhibitors and activate anti-tumor immunity, such as in melanoma, prostate cancer, or breast cancer. For example, mRNA for tumor-associated antigens such as NY-ESO-1 can induce a potent cytotoxic T cell response and tumor regression in melanoma patients. mRNA for immune checkpoint inhibitors such as PD-L1 can enhance the anti-tumor activity of T cells and inhibit tumor growth in mice.
  • Genome editing: mRNA can deliver CRISPR-Cas9 or other gene editing tools and achieve precise and efficient gene modification, such as correcting, inserting, deleting, or replacing genes. For example, mRNA for CRISPR-Cas9 and a guide RNA for the PCSK9 gene can knock out the PCSK9 gene and reduce the cholesterol level in mice. mRNA for CRISPR-Cas9 and a guide RNA for the CCR5 gene can disrupt the CCR5 gene and confer resistance to HIV infection in human cells.

Conclusion

In conclusion, mRNA delivery is an emerging and promising approach that has the potential to revolutionize the fields of gene therapy and biomedicine. mRNA delivery has shown remarkable achievements and applications in various fields, such as functional protein expression, vaccines, cancer immunotherapy, and genome editing. However, mRNA delivery also faces several challenges and limitations that need to be addressed and overcome for its clinical translation and widespread application. Therefore future research and development of mRNA delivery should focus on improving the safety, efficacy, scalability, and cost of mRNA delivery, as well as exploring novel materials and methods, multifunctional and smart delivery systems, combination and synergistic therapies, and personalized and precision medicine.

Creative Biolabs is a CRO solutions company founded and managed by a team of scientists and experts with extensive knowledge and experience in cell therapy research and development. We can customize specific mRNA delivery vectors and more suitable mRNA delivery system solutions for clients to shorten the development cycle of mRNA delivery systems.

Reference

  • Ramachandran S, et al. Delivery Strategies for mRNA Vaccines. Pharmaceut Med. 2022 Feb;36(1):11-20.
  • Li M, et al. The nano delivery systems and applications of mRNA. Eur J Med Chem. 2022 Jan 5;227:113910.
  • Zong Y, et al. Lipid Nanoparticle (LNP) Enables mRNA Delivery for Cancer Therapy. Adv Mater. 2023 May 17:e2303261.
  • Wang X, et al. Preparation of selective organ-targeting (SORT) lipid nanoparticles (LNPs) using multiple technical methods for tissue-specific mRNA delivery. Nat Protoc. 2023 Jan;18(1):265-291.
  • Xiao Y, et al. Emerging mRNA technologies: delivery strategies and biomedical applications. Chem Soc Rev. 2022 May 23;51(10):3828-3845.
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