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Published on: February 1, 2019
Liver-Specific Biocompatible Lipid Nanoparticle-Enabled mRNA Therapy for Haemophilia B
Porkizhi Arjunan1,2, Hari Krishnareddy Rachamala3,4, Gokulnath Mahalingam1
1Centre For Stem Cell Research (CSCR), a Unit of Biotechnology Research and Innovation Council (BRIC) - Institute for Stem Cell Science and Regenerative Medicine (inStem), Christian Medical College Campus, Vellore, Tamil Nadu, India.
A novel Galactosylated Lipid Nucleic Acid complex (GaLiNAx) delivers messenger RNA (mRNA) for Haemophilia B treatment. This cost-effective therapy provides sustained factor IX protein expression for a month after a single dose.
Area of Science:
- Biotechnology
- Gene Therapy
- Nanomedicine
Background:
- Standard Haemophilia B treatment requires frequent factor IX infusions, posing financial and logistical challenges.
- Messenger RNA (mRNA) delivery via lipid nanoparticles (LNPs) offers a potential alternative but faces hurdles in achieving sustained protein expression.
Purpose of the Study:
- To develop an advanced nanocarrier system, GaLiNAx, for enhanced delivery of chemically modified factor IX mRNA.
- To evaluate the efficacy and safety of GaLiNAx for Haemophilia B therapy in a preclinical model.
Main Methods:
- Development of GaLiNAx incorporating an ionizable galactosylated lipid for receptor-mediated endocytosis and a cationic lipid for mRNA complexation.
- Incorporation of truncated albumin UTRs and base modifications into functional FIX mRNA to improve hepatic translation.
- Administration of GaLiNAx to a Haemophilia B mouse model to assess factor IX protein expression and safety.
Main Results:
- GaLiNAx demonstrated therapeutically relevant factor IX protein expression lasting approximately one month following a single administration in the HB mouse model.
- Safety evaluations confirmed no toxicity in major organs after multiple GaLiNAx doses.
- The developed system offers a potentially cost-effective therapeutic option.
Conclusions:
- Long-lasting mRNA therapy using GaLiNAx is a promising strategy for Haemophilia B protein replacement.
- This approach holds potential for treating other monogenic liver disorders.
- GaLiNAx represents a significant advancement in mRNA-based therapeutics.

