mRNA-laden LNP-enabled in situ CAR-macrophage alleviates liver fibrosis via inhibiting activated HSCs and modulating

Xin Huang1, Junfeng Hao1,2, Shuo Wang3

  • 1Department of Family Medicine, Shengjing Hospital of China Medical University, Shenyang 110022, China.

Insights

This study introduces a novel therapy using liposomal nanoparticles to target liver macrophages, reducing fibrosis by neutralizing activated fibroblasts and promoting liver repair. This approach offers a promising new treatment for liver fibrosis.

Area of Science:

  • Hepatology
  • Immunology
  • Nanomedicine

Background:

  • Liver fibrosis involves excessive extracellular matrix (ECM) deposition, driven by activated hepatic stellate cells (HSCs) and fibroblasts.
  • Fibroblast activation protein (FAP) is crucial in liver fibrosis pathogenesis, making it a key therapeutic target.

Purpose of the Study:

  • To investigate a novel therapeutic strategy for liver fibrosis using FAP-specific CAR-modified macrophages (FAPCAR-M) generated in situ.
  • To evaluate the efficacy of CD163 antibody-conjugated liposomal nanoparticles (LNPs) carrying FAPCAR mRNA in reducing liver fibrosis.

Main Methods:

  • Development of αCD163/LNP-FAPCAR, LNPs designed to deliver FAPCAR mRNA to liver macrophages.
  • In vivo administration of LNPs to induce FAPCAR-M generation and assess their impact on fibrosis markers.

Main Results:

  • LNPs successfully transduced liver macrophages, enhancing their phagocytic activity.
  • Treatment led to significant ECM reduction and improved liver fibrosis resolution.
  • Demonstrated targeted neutralization of hyperactive fibroblasts.

Conclusions:

  • αCD163/LNP-FAPCAR represents a pioneering therapeutic approach for liver fibrosis.
  • In situ generation of FAPCAR-M offers a promising strategy for liver fibrosis management.
  • Targeting FAP-expressing fibroblasts via engineered macrophages shows potential for fibrosis resolution.

Related Concept Videos

Cirrhosis II: Pathophysiology01:24

Cirrhosis II: Pathophysiology

Cirrhosis is a progressive chronic liver injury caused by prolonged inflammation, excessive fibrotic remodeling, and impaired regeneration. Over time, repeated hepatic insults disrupt the liver’s architecture and function, leading to reduced blood flow, impaired bile drainage, and diminished metabolic capacity.Pathophysiology of cirrhosisCirrhosis arises from three main responses to chronic liver damage: inflammation, immune activation, and hepatocyte death. These processes lead to structural...
Liver Regeneration01:24

Liver Regeneration

The liver is an important organ in vertebrates that plays an essential role in metabolism. It is also responsible for storing and redistributing nutrients such as carbohydrates, fats, and vitamins in the body. Additionally, the liver releases bile salts which are critical for digesting food and eliminating toxic metabolites from the body.
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are large...
Cirrhosis I: Introduction01:23

Cirrhosis I: Introduction

Cirrhosis is a chronic, irreversible liver disease characterized by the widespread replacement of healthy liver tissue with fibrotic scar tissue and the formation of regenerative nodules.Etiology of cirrhosisCirrhosis results from sustained liver injury that triggers progressive fibrosis and structural remodeling. The underlying causes are diverse, encompassing common and less frequent clinical conditions. Regardless of the origin, all causes lead to chronic inflammation, hepatocyte loss, and...