Key result
SM-102 and ALC-0315 LNPs outperform C12-200 with robust cardiac modRNA expression and lower immunogenicity.
Why the study?
The efficiency and safety of modified messenger RNA delivery into the heart using lipid nanoparticles remain undetermined, and whether post-injection immune cell activation is driven by nanoparticle composition or transfection efficiency is unknown.
Does LNP lipid composition affect the efficiency, off-target biodistribution, and immunogenicity of intramyocardial modRNA delivery in a healthy mouse model?
Does LNP lipid composition affect the efficiency, off-target biodistribution, and immunogenicity of intramyocardial modRNA delivery in a healthy mouse model?
The choice of ionizable lipid in LNP formulations critically determines the cardiac transfection efficiency, off-target organ accumulation, and inflammatory response following intramyocardial delivery, identifying SM-102 as a promising candidate for cardiac mRNA therapeutics.
The efficiency and safety of modified messenger RNA (modRNA) delivery into the heart using lipid nanoparticles (LNPs) remain undetermined. We previously demonstrated that modRNA encapsulated in C12-200 LNPs outperforms current state-of-the-art intramyocardial modRNA delivery methods. Surprisingly, C12-200 LNPs triggered robust local immune cell activation 5 days post-injection, which was not evident on day 1. To investigate whether this immune response is driven by LNP composition or modRNA transfection efficiency, we systematically compared cardiac transfection efficiency, off-target biodistribution, and immunogenicity of modRNA formulated with clinically validated LNPs from Onpattro, BNT162b2/Comirnaty, and mRNA-1273/Spikevax. All tested formulations outperformed C12-200 in cardiac delivery, with mRNA-1273 and Onpattro showing markedly reduced off-target accumulation in the liver and spleen. Histopathological analysis revealed formulation-dependent immune cell infiltration, most pronounced with C12-200. C12-200 significantly elevated cytokine levels in both serum and heart tissue, whereas Onpattro increased cytokine levels mainly locally. In contrast, cytokine levels in animals treated with BNT162b2 and mRNA-1273 were comparable to those in PBS-treated controls. Importantly, cardiac transfection efficiency did not correlate with cytokine induction or histopathological changes, indicating that LNP-driven immunogenicity is independent of transfection efficacy. These findings provide a foundation for refining LNP formulations to optimize cardiac modRNA delivery while minimizing immune-related adverse effects.
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Labonia et al. (2026) studied Healthy (Evaluating cardiac modRNA delivery). Clinically validated LNPs (SM-102, ALC-0315, D-Lin-MC3-DMA) vs. C12-200 LNPs and PBS control was evaluated on Cardiac modRNA transfection efficiency and local immunogenicity. SM-102 and ALC-0315 LNPs achieved robust cardiac modRNA expression with minimal off-target delivery and significantly lower immunogenicity compared to C12-200 LNPs after intramyocardial administration.
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