Journal: International Journal of Molecular Sciences
Article Title: RNA-Based Therapeutic Strategies in Multiple Myeloma: From Molecular Targets to Delivery and Clinical Translation
doi: 10.3390/ijms27020843
Figure Lengend Snippet: Functionalized lipid nanoparticles (LNPs) for targeted RNA delivery in multiple myeloma (MM): overcoming bone marrow (BM) niche challenges and bio-inspired strategies. This schematic illustrates LNP design for BM-targeted RNA therapy in MM, addressing niche barriers (e.g., fibrosis, hypoxia) and incorporating antibody orientation and co-stimulation. ( Top Center and Top Right ): BM niche challenges include TGF-β-driven fibrosis (collagen I/III crosslinking), hypoxia (pO 2 < 5 mmHg), dense ECM (hyaluronan/heparan sulfate), high interstitial pressure, MM cell efflux pumps, and macrophage/MDSC scavenging. To reach this niche, antibody decoration (e.g., anti-CD38 ) or naturally inspired ApoA1 (enhances BM tropism ) can be used. ( Top and Bottom Left ): Functionalized LNPs with PEGylated lipid (stealth/stability), phospholipid (disperses aggregates), nucleic acid, ionizable lipid (endosomal escape), and cholesterol (structural integrity). Encapsulates RNA (e.g., siRNA) for intravenous injection into MM mouse models, as in αCD38-tLNP siRNA-CKAP5 studies (; IV for systemic BM delivery). ( Bottom Center ): ApoA-coated LNP composition, DMPC (phospholipid: stabilizes with ApoA1), cholesterol (structural organization), tricaprylin (promotes spherical stability), MC3 (ionizable lipid for RNA complexation), ApoA1 (BM targeting/stability) . Antibody ratios (e.g., CD3/CD28 on aLNPs) affect cargo expression (e.g., higher CD28 ratios increase CAR+% in T-cells via bio-inspired co-stimulation ). ( Bottom Right ): Antibody orientation is critical; nanobody-mediated (e.g., anti-Fc nanobody) ensures site-specific conjugation and antibody orientation, improving LNP targeting . Abbreviations: aLNPs, activating antibody-labeled lipid nanoparticles; ApoA1, apolipoprotein A1; BM, bone marrow; CAR, chimeric antigen receptor; CD, cluster of differentiation; DMPC, dimyristoylphosphatidylcholine; ECM, extracellular matrix; EDC, 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide; IV, intravenous; LNP, lipid nanoparticle; MC3, DLin-MC3-DMA; MDSC, myeloid-derived suppressor cell; MM, multiple myeloma; mRNA, messenger RNA; NHS, N -hydroxysuccinimide; PEG, polyethylene glycol; siRNA, small interfering RNA; TGF-β, transforming growth factor beta; tLNP, targeted lipid nanoparticle; VLA-4, very late antigen-4.
Article Snippet: 3 , VLA-4 (α4β1 integrin)-targeted NPs , LDV peptide or anti-VLA-4 antibody , ~2-fold BM accumulation , Hijacks MM-stroma adhesion for deep penetration , Transient leukocyte trafficking interference , Preclinical (strong in MM) , [ , ] .
Techniques: Injection, Expressing, Conjugation Assay, Labeling, Derivative Assay, Small Interfering RNA