PMID- 36216580 OWN - NLM STAT- MEDLINE DCOM- 20221229 LR - 20230106 IS - 2198-3844 (Electronic) IS - 2198-3844 (Linking) VI - 9 IP - 35 DP - 2022 Dec TI - Rapid Generation of Circulating and Mucosal Decoy Human ACE2 using mRNA Nanotherapeutics for the Potential Treatment of SARS-CoV-2. PG - e2202556 LID - 10.1002/advs.202202556 [doi] LID - 2202556 AB - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can cause lethal pulmonary damage in humans. It contains spike proteins on its envelope that bind to human angiotensin-converting enzyme 2 (hACE2) expressed on airway cells, enabling entry of the virus, and causing infection. The soluble form of hACE2 binds SARS-CoV-2 spike protein, prevents viral entry into target cells, and ameliorates lung injury; however, its short half-life limits therapeutic utilities. Here, synthetic mRNA is engineered to encode a soluble form of hACE2 (hsACE2) to prevent viral infection. A novel lipid nanoparticle (LNP) is used for packaging and delivering mRNA to cells to produce hsACE2 proteins. Intravenously administered LNP delivers mRNA to hepatocytes, leading to the production of circulatory hsACE2 initiated within 2 h and sustained over several days. Inhaled LNP results in lung transfection and secretion of mucosal hsACE2 to lung epithelia, the primary site of entry and pathogenesis for SARS-CoV-2. Furthermore, mRNA-generated hsACE2 binds to the receptor-binding domain of the viral spike protein. Finally, hsACE2 effectively inhibits SARS-CoV-2 and its pseudoviruses from infecting host cells. The proof of principle study shows that mRNA-based nanotherapeutics can be potentially deployed to neutralize SARS-CoV-2 and open new treatment opportunities for coronavirus disease 2019 (COVID-19). CI - (c) 2022 The Authors. Advanced Science published by Wiley-VCH GmbH. FAU - Kim, Jeonghwan AU - Kim J AUID- ORCID: 0000-0002-1697-5107 AD - Department of Pharmaceutical Sciences, College of Pharmacy, Robertson Life Sciences Building, Oregon State University, Portland, OR, 97201, USA. FAU - Jozic, Antony AU - Jozic A AUID- ORCID: 0000-0001-6249-2328 AD - Department of Pharmaceutical Sciences, College of Pharmacy, Robertson Life Sciences Building, Oregon State University, Portland, OR, 97201, USA. FAU - Mukherjee, Anindit AU - Mukherjee A AD - Department of Pharmaceutical Sciences, College of Pharmacy, Robertson Life Sciences Building, Oregon State University, Portland, OR, 97201, USA. FAU - Nelson, Dylan AU - Nelson D AD - Department of Pharmaceutical Sciences, College of Pharmacy, Robertson Life Sciences Building, Oregon State University, Portland, OR, 97201, USA. AD - High-Throughput Screening Services Laboratory, College of Pharmacy, Oregon State University, Corvallis, OR, 97331, USA. FAU - Chiem, Kevin AU - Chiem K AD - Disease Prevention and Intervention, and Population Health Programs, Texas Biomedical Research Institute, San Antonio, TX, 78227, USA. FAU - Khan, Md Siddiqur Rahman AU - Khan MSR AD - Disease Prevention and Intervention, and Population Health Programs, Texas Biomedical Research Institute, San Antonio, TX, 78227, USA. FAU - Torrelles, Jordi B AU - Torrelles JB AUID- ORCID: 0000-0001-7702-5941 AD - Disease Prevention and Intervention, and Population Health Programs, Texas Biomedical Research Institute, San Antonio, TX, 78227, USA. FAU - Martinez-Sobrido, Luis AU - Martinez-Sobrido L AUID- ORCID: 0000-0001-7084-0804 AD - Disease Prevention and Intervention, and Population Health Programs, Texas Biomedical Research Institute, San Antonio, TX, 78227, USA. FAU - Sahay, Gaurav AU - Sahay G AUID- ORCID: 0000-0003-1071-0500 AD - Department of Pharmaceutical Sciences, College of Pharmacy, Robertson Life Sciences Building, Oregon State University, Portland, OR, 97201, USA. AD - Department of Biomedical Engineering, Robertson Life Sciences Building, Oregon Health & Science University, Portland, OR, 97201, USA. AD - Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, OR, 97239, USA. LA - eng GR - R01 HL146736/HL/NHLBI NIH HHS/United States GR - 1R01HL146736-01 (G.S)/National Heart Lung and Blood Institute (NHLBI)/ GR - SAHAY19XX0/Cystic Fibrosis Foundation/ GR - SAHAY18G0 (G.S)/Cystic Fibrosis Foundation/ PT - Journal Article DEP - 20221010 PL - Germany TA - Adv Sci (Weinh) JT - Advanced science (Weinheim, Baden-Wurttemberg, Germany) JID - 101664569 RN - EC 3.4.17.23 (Angiotensin-Converting Enzyme 2) RN - 0 (spike protein, SARS-CoV-2) RN - 0 (RNA, Messenger) RN - 0 (Lipid Nanoparticles) SB - IM UOF - bioRxiv. 2020 Jul 25;:. PMID: 32743574 MH - Humans MH - *Angiotensin-Converting Enzyme 2/biosynthesis/blood/genetics MH - *COVID-19/therapy MH - *SARS-CoV-2/enzymology MH - *RNA, Messenger/administration & dosage/genetics PMC - PMC9762296 OTO - NOTNLM OT - COVID-19 OT - gene therapy OT - human soluble ACE2 OT - lipid nanoparticles OT - messenger RNA COIS- G.S. is a coinventor in patent application US20200129445A1 that details LNP-Sito. G.S. is a cofounder of EnterX Bio and RNAvax Bio, and has an advisory role to Saliogen Therapeutics Inc., Rare Air Inc., and Sanofi. EDAT- 2022/10/11 06:00 MHDA- 2022/12/22 06:00 PMCR- 2022/10/10 CRDT- 2022/10/10 21:42 PHST- 2022/09/19 00:00 [revised] PHST- 2022/05/06 00:00 [received] PHST- 2022/10/11 06:00 [pubmed] PHST- 2022/12/22 06:00 [medline] PHST- 2022/10/10 21:42 [entrez] PHST- 2022/10/10 00:00 [pmc-release] AID - ADVS4640 [pii] AID - 10.1002/advs.202202556 [doi] PST - ppublish SO - Adv Sci (Weinh). 2022 Dec;9(35):e2202556. doi: 10.1002/advs.202202556. Epub 2022 Oct 10.