mRNA-Laden Lipid-Nanoparticle-Enabled in Situ CAR-Macrophage Engineering for the Eradication of Multidrug-Resistant

Chunwei Tang1, Weiqiang Jing2, Kun Han1

  • 1NMPA Key Laboratory for Technology Research and Evaluation of Drug Products and Key Laboratory of Chemical Biology (Ministry of Education), Department of Pharmaceutics, School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, 44 Cultural West Road, Jinan, Shandong Province 250012, China.

ACS Nano
|January 11, 2024
PubMed

Insights

Researchers developed nanoparticle-delivered RNA to reprogram macrophages, enhancing their ability to fight persistent methicillin-resistant Staphylococcus aureus (MRSA) infections and sepsis. This approach boosts innate immunity against the superbug.

Area of Science:

  • Immunology
  • Nanotechnology
  • Infectious Diseases

Background:

  • Sepsis, a severe infection complication, poses a significant global health threat with high mortality.
  • Persistent methicillin-resistant Staphylococcus aureus (MRSA) and immune paralysis are major drivers of sepsis mortality.
  • Current sepsis interventions struggle to restore immune balance and eradicate MRSA effectively.

Purpose of the Study:

  • To develop a novel therapeutic strategy to restimulate anti-MRSA innate immunity.
  • To engineer macrophages (MΦs) in situ for enhanced bactericidal activity against MRSA.
  • To evaluate the efficacy of nanoparticle-mediated in vivo programming of MΦs.

Main Methods:

  • Development of CRV peptide-modified lipid nanoparticles (CRV/LNP-RNAs) for transient in situ MΦ programming.
  • Delivery of SasA-CAR mRNA and CASP11 siRNA to MΦs using CRV/LNP-RNAs.
  • Generation of chimeric antigen receptor-engineered macrophages (CAR-MΦs) in situ.

Main Results:

  • Engineered CAR-MΦs exhibited significantly boosted bactericidal potency against MRSA.
  • The CAR-MΦs efficiently phagocytosed and digested intracellular MRSA, overcoming immune evasion.
  • Demonstrated prevention of immune evasion by the multidrug-resistant (MDR) pathogen MRSA.

Conclusions:

  • Nanoparticle-enabled in vivo generation of CAR-MΦs shows promise for treating MDR bacterial infections.
  • This therapeutic platform offers a potential strategy to combat sepsis-associated MRSA.
  • Further clinical trials are warranted to confirm the efficacy and safety of this approach.