2021
DOI: 10.3390/pharmaceutics13081281
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In Vitro Investigations on Optimizing and Nebulization of IVT-mRNA Formulations for Potential Pulmonary-Based Alpha-1-Antitrypsin Deficiency Treatment

Abstract: In vitro-transcribed (IVT) mRNA has come into focus in recent years as a potential therapeutic approach for the treatment of genetic diseases. The nebulized formulations of IVT-mRNA-encoding alpha-1-antitrypsin (A1AT-mRNA) would be a highly acceptable and tolerable remedy for the protein replacement therapy for alpha-1-antitrypsin deficiency in the future. Here we show that lipoplexes containing A1AT-mRNA prepared in optimum conditions could successfully transfect human bronchial epithelial cells without signi… Show more

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Cited by 10 publications
(3 citation statements)
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“…Ease of epithelial cell targeting is a primary advantage of inhaled delivery strategies ( 31 ). Protein replacement therapy by mRNA delivery to epithelial cells is therapeutically relevant for diseases such as CF ( 51 , 52 ), asthma ( 53 ), surfactant B protein deficiency ( 54 ), and alpha-1-antitrypsin deficiency ( 55 ). Our epithelial transfection rate of greater than 20% after a single dose suggests that protein expression will be therapeutically relevant; prior research has shown that, for disease mitigation, only a fraction of lung cells in CF need to express CFTR.…”
Section: Discussionmentioning
confidence: 99%
“…Ease of epithelial cell targeting is a primary advantage of inhaled delivery strategies ( 31 ). Protein replacement therapy by mRNA delivery to epithelial cells is therapeutically relevant for diseases such as CF ( 51 , 52 ), asthma ( 53 ), surfactant B protein deficiency ( 54 ), and alpha-1-antitrypsin deficiency ( 55 ). Our epithelial transfection rate of greater than 20% after a single dose suggests that protein expression will be therapeutically relevant; prior research has shown that, for disease mitigation, only a fraction of lung cells in CF need to express CFTR.…”
Section: Discussionmentioning
confidence: 99%
“…As mRNA therapy production increases up, more cost-effective GMP source materials may become available [273]. GMP mRNA production begins with DNA template synthesis and continues with enzymatic IVT [274]; this is the same multistep approach used for research-scale synthesis, with extra tests to assure safety and potency [274]. Depending on the mRNA construct and chemistry involved, this process may need small alterations for changing nucleosides, capping techniques, or the removal of a template [275].…”
Section: Therapeutic Considerations and Challengesmentioning
confidence: 99%
“…Not only do nebulized formulations tend to be more evenly distributed throughout the respiratory tract, but the inhalation of aerosolized vaccine is also highly acceptable and tolerable for the recipient [210]. Unfortunately, nebulization of nucleic acid-based formulations tends to be inefficient [211]. A previous study found that as little as 10% of the nucleic acid payload in a nebulization device chamber could be successfully emitted [212].…”
Section: Conclusion and Perspectivementioning
confidence: 99%