Article
作者: Bhandari, Prakash ; Lamb, Suellen ; Elian, Fahed ; Gyoba, Jennifer ; Wee, Ping ; Hejazi, Maryam ; Duncan, Roy ; Clancy, Eileen K ; Grin, Liliya ; Quevedo, Rodrigo ; Bukhari, Amirali ; Raturi, Arun ; Beatty, Perrin H ; Lewis, John D ; Scholz, Matthew ; Delmage, Angela ; Rana, Natasha ; Parmar, Manoj ; Morales, Luis ; Sosnowski, Deborah ; Ablack, Jailal ; Kumar, Jitendra ; Garcia, Henry ; Pink, Desmond ; Brown, Douglas W ; Todd, Brendan ; Vega, Hector ; McAllister, Chandra ; Rawal, Bijal ; Govindasamy, Natasha ; McMullen, Nichole ; Gupta, Somnath ; Solis Ares, Maria Paola ; MacKenzie, Duncan
Genetic medicines show promise for treating various diseases, yet clinical success has been limited by tolerability, scalability, and immunogenicity issues of current delivery platforms. To overcome these, we developed a proteolipid vehicle (PLV) by combining features from viral and non-viral approaches. PLVs incorporate fusion-associated small transmembrane (FAST) proteins isolated from fusogenic orthoreoviruses into a well-tolerated lipid formulation, using scalable microfluidic mixing. Screening a FAST protein library, we identified a chimeric FAST protein with enhanced membrane fusion activity that improved gene expression from an optimized lipid formulation. Systemically administered FAST-PLVs showed broad biodistribution and effective mRNA and DNA delivery in mouse and non-human primate models. FAST-PLVs show low immunogenicity and maintain activity upon repeat dosing. Systemic administration of follistatin DNA gene therapy with FAST-PLVs raised circulating follistatin levels and significantly increased muscle mass and grip strength. These results demonstrate the promising potential of FAST-PLVs for redosable gene therapies and genetic medicines.