Mechanistically probing lipid-siRNA nanoparticle-associated toxicities identifies Jak inhibitors effective in

Weikang Tao1, Xianzhi Mao, Joseph P Davide

  • 1Department of RNA Therapeutics, Merck Research Laboratories, West Point, Pennsylvania 19486, USA. weikang_tao@merck.com

Insights

Lipid nanoparticles (LNPs) deliver small interfering RNA (siRNA) but cause toxicities. Janus kinase (Jak) inhibitors effectively reduce LNP-siRNA toxicity without impacting gene silencing, offering a potential safety improvement.

Area of Science:

  • Biomedical Science
  • Pharmacology
  • Immunology

Background:

  • Systemic delivery of small interfering RNA (siRNA) therapeutics is challenging due to toxicity concerns associated with delivery vehicles like lipid nanoparticles (LNPs).
  • LNPs, while effective for hepatocyte delivery, can induce dose-dependent toxicities independent of their therapeutic silencing effect.

Purpose of the Study:

  • To investigate the mechanisms underlying LNP-siRNA-induced toxicities.
  • To identify pharmacological interventions that can mitigate these adverse effects without compromising siRNA efficacy.

Main Methods:

  • Evaluation of various pharmacological probes, including anti-inflammatory drugs and innate immunity pathway inhibitors, in rodent models.
  • Assessment of the impact of these interventions on LNP-siRNA-mediated lethality, cytokine induction, organ damage, and hematological parameters.
  • Analysis of gene silencing efficacy to ensure therapeutic activity was preserved.

Main Results:

  • Janus kinase (Jak) inhibitors and dexamethasone completely abrogated LNP-siRNA toxicities, including lethality and organ impairment, without affecting gene silencing.
  • Inhibitors of PI3K, mTOR, p38, and IKK1/2 provided partial protection.
  • Genetic knockout of key immune mediators like Jak3, TNFR, IL-6, or IFN-γ alone did not alleviate the observed toxicities, suggesting a complex interplay of immune pathways.

Conclusions:

  • Activation of the innate immune response is a primary driver of systemic LNP-siRNA toxicity.
  • Multiple innate immune pathways and cytokines contribute to these toxic responses.
  • Jak inhibitors represent a promising strategy for mitigating LNP-siRNA-induced toxicities, enhancing their therapeutic safety profile.

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