J Control Release. 2021 Dec 22. pii: S0168-3659(21)00680-5. [Epub ahead of print]
Hamideh Parhiz,
Jacob S Brenner,
Priyal Patel,
Tyler E Papp,
Hamna Shahnawaz,
Qin Li,
Ruiqi Shi,
Marco Zamora,
Amir Yadegari,
Oscar A Marcos-Contreras,
Ambika Natesan,
Norbert Pardi,
Vladimir V Shuvaev,
Raisa Kiseleva,
Jacob Myerson,
Thomas Uhler,
Rachel S Riley,
Xuexiang Han,
Michael J Mitchell,
Kieu Lam,
James Heyes,
Drew Weissman,
Vladimir Muzykantov.
Current nucleoside-modified RNA lipid nanoparticle (modmRNA-LNP) technology has successfully paved the way for the highest clinical efficacy data from next-generation vaccinations against SARS-CoV-2 during the COVID-19 pandemic. However, such modmRNA-LNP technology has not been characterized in common pre-existing inflammatory or immune-challenged conditions, raising the risk of adverse clinical effects when administering modmRNA-LNPs to deliver therapeutic proteins or vaccinate against infectious diseases. Herein, we induce an acute-inflammation model in mice with lipopolysaccharide (LPS) intratracheally (IT), 1 mg kg-1, or intravenously (IV), 2 mg kg-1, and then IV administer modmRNA-LNP, 0.32 mg kg-1, after 4 h, and screen for inflammatory markers, such as pro-inflammatory cytokines. ModmRNA-LNP at this dose caused no significant elevation of cytokine levels in naive mice. In contrast, shortly after LPS immune stimulation, modmRNA-LNP enhanced inflammatory cytokine responses, Interleukin-6 (IL-6) in serum and Macrophage Inflammatory Protein 2 (MIP-2) in liver by 95-fold and 52-fold, respectively. Our report identifies this phenomenon as inflammation exacerbation (IE), which was proven to be specific to the LNP, acting independent of mRNA cargo, and was demonstrated to be time- and dose-dependent. Macrophage depletion and TLR3 -/- and TLR4-/- knockout mouse studies revealed macrophages were the immune cells involved or responsible for IE. Finally, we show that pretreatment with anti-inflammatory drugs, such as corticosteroids, can partially alleviate IE response in mice. Our findings characterize the importance of LNP-mediated IE phenomena in gram negative bacterial inflammation, the generalizability of modmRNA-LNP in other forms of chronic or acute inflammatory and immune contexts needs to be addressed.
Keywords: Adverse effect; Inflammation; Lipid nanoparticle; Nanoparticle; Toxicity; mRNA