Engineering of extracellular vesicles for efficient intracellular delivery of multimodal therapeutics including genome editors

Xiuming Liang*, Dhanu Gupta, Junhua Xie, Elien Van Wonterghem, Lien Van Hoecke, Justin Hean, Zheyu Niu, Marziyeh Ghaeidamini, Oscar P B Wiklander, Wenyi Zheng, Rim Jawad Wiklander, Rui He, Doste R Mamand, Jeremy Bost, Guannan Zhou, Houze Zhou, Samantha Roudi, H Yesid Estupiñán, Julia Rädler, Antje M ZicklerAndré Görgens, Vicky W Q Hou, Radka Slovak, Daniel W Hagey, Olivier G de Jong, Aileen Geobee Uy, Yuanyuan Zong, Imre Mäger, Carla Martin Perez, Thomas C Roberts, Dave Carter, Pieter Vader, Elin K Esbjörner, Antonin de Fougerolles, Matthew J A Wood, Roosmarijn E Vandenbroucke, Joel Z Nordin, Samir El Andaloussi

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Intracellular delivery of protein and RNA therapeutics represents a major challenge. Here, we develop highly potent engineered extracellular vesicles (EVs) by incorporating bio-inspired attributes required for effective delivery. These comprise an engineered mini-intein protein with self-cleavage activity for active cargo loading and release, and fusogenic VSV-G protein for endosomal escape. Combining these components allows high efficiency recombination and genome editing in vitro following EV-mediated delivery of Cre recombinase and Cas9/sgRNA RNP cargoes, respectively. In vivo, infusion of a single dose Cre loaded EVs into the lateral ventricle in brain of Cre-LoxP R26-LSL-tdTomato reporter mice results in greater than 40% and 30% recombined cells in hippocampus and cortex respectively. In addition, we demonstrate therapeutic potential of this platform by showing inhibition of LPS-induced systemic inflammation via delivery of a super-repressor of NF-ĸB activity. Our data establish these engineered EVs as a platform for effective delivery of multimodal therapeutic cargoes, including for efficient genome editing.

Original languageEnglish
Article number4028
JournalNature Communications
Volume16
Issue number1
DOIs
Publication statusPublished - 29 Apr 2025

Keywords

  • Animals
  • CRISPR-Associated Protein 9/metabolism
  • CRISPR-Cas Systems
  • Drug Delivery Systems/methods
  • Extracellular Vesicles/metabolism
  • Gene Editing/methods
  • HEK293 Cells
  • Humans
  • Inflammation/chemically induced
  • Integrases/genetics
  • Mice
  • NF-kappa B/metabolism

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