Liver-Targeted Delivery of Oligonucleotides with N-Acetylgalactosamine Conjugation

Hao Cui1, Xinying Zhu1, Shuyue Li1

  • 1College of Life Science, Jiangxi Normal University, Nanchang 330022, People's Republic of China.

ACS Omega
|July 8, 2021
PubMed

Insights

Oligonucleotides (ONs) show therapeutic promise by targeting genes. N-acetylgalactosamine (GalNAc) ligands enhance ON delivery to liver cells via specific receptor interactions, improving treatment efficacy.

Area of Science:

  • Biotechnology
  • Molecular Biology
  • Drug Delivery

Background:

  • Oligonucleotides (ONs) are emerging therapeutics with potential for gene suppression via antisense and RNA interference mechanisms.
  • Efficient cellular internalization and tissue-specific delivery are critical challenges for ON therapeutics.
  • N-acetylgalactosamine (GalNAc) conjugation has shown significant promise for liver-targeted delivery of ONs.

Purpose of the Study:

  • To provide an overview of GalNAc-mediated liver-targeted delivery strategies for small interfering RNA and antisense oligonucleotides.
  • To highlight recent advances and efforts in developing GalNAc-conjugated therapeutic agents.

Main Methods:

  • Review of preclinical and clinical studies on GalNAc-conjugated oligonucleotides.
  • Discussion of the role of the asialoglycoprotein receptor (ASGPR) in GalNAc-mediated cellular uptake.
  • Analysis of receptor-mediated endocytosis pathways for GalNAc-ON conjugates.

Main Results:

  • GalNAc ligands facilitate efficient and specific uptake of ONs by liver hepatocytes.
  • The asialoglycoprotein receptor (ASGPR) on hepatocytes is key to GalNAc-mediated delivery.
  • Significant progress has been made in developing GalNAc-conjugated ONs for liver-targeted therapies.

Conclusions:

  • GalNAc conjugation is a highly effective strategy for liver-targeted delivery of oligonucleotide therapeutics.
  • This approach leverages the specific expression of ASGPR on hepatocytes for enhanced cellular uptake.
  • Continued development of GalNAc-conjugated agents holds immense promise for treating liver diseases.