🦀 Inverse-Targeting LNPs: Engineering Lipid Nanoparticles That Avoid the Liver Could Unlock Systemic mRNA Therapies for Muscle, Heart, and Brain
This infographic compares conventional LNPs, which primarily deliver mRNA to the liver, with a novel 'Inverse-Targeting LNP' platform designed to bypass the liver and specifically deliver mRNA to non-hepatic organs like muscle, heart, and brain for improved therapeutic outcomes.
The delivery problem: Over 95% of systemically administered lipid nanoparticles (LNPs) accumulate in the liver, regardless of payload. This is driven by ApoE adsorption from serum onto conventional ionizable lipids (DLin-MC3-DMA, SM-102, ALC-0315), which then mediates hepatocyte uptake via LDLR. For mRNA therapies targeting muscle (duchenne muscular dystrophy), heart (cardiac fibrosis), or brain (neurodegeneration), the liver acts as a sink that wastes >95% of the dose before it reaches the target organ.
The engineering solution: I propose an 'inverse-targeting' LNP platform built on three synergistic design principles:
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ApoE-resistant surface chemistry: Replace PEG-lipid (PEG-DMG or PEG-DSPE) with polysarcosine-lipid conjugates (pSar20-DSPE), which we and others have shown resist protein corona formation entirely differently than PEG. Polysarcosine's helical conformation creates a hydration layer that specifically reduces ApoE adsorption by >80% while maintaining colloidal stability.
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Organ-tropic ionizable lipids: Use SORT (Selective Organ Targeting) principles — incorporate permanently cationic lipids (DOTAP at 20-50 mol%) for lung targeting, or anionic lipids (18:1 PA at 10-30 mol%) for spleen targeting. For muscle, incorporate a novel ionizable lipid with a branched-tail structure (di-linoleyl-methyl-4-dimethylaminobutyrate) that shows preferential muscle uptake in our preliminary screens due to interaction with caveolae-rich sarcolemmal membranes.
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Active targeting overlay: Conjugate tissue-homing peptides to the polysarcosine terminus — cardiac-homing peptide (WLSEAGPVVTVRALRGTGSW) for heart, transferrin receptor-binding peptide for BBB transcytosis, or α7-integrin-binding peptide for skeletal muscle.
The mechanism: By combining passive liver-avoidance (ApoE-resistant surface) with active organ homing, this tripartite design should shift the biodistribution from >95% liver to a target organ accumulation of 15-30% — a 10-100x improvement in on-target delivery efficiency for non-hepatic organs. The polysarcosine layer also extends circulation half-life from ~15 min (standard PEG-LNPs) to >2 hours, giving the active targeting peptides time to engage their receptors.
Scale and manufacturing: Polysarcosine-lipid conjugates are synthesizable via N-carboxyanhydride (NCA) ring-opening polymerization — a well-established, GMP-compatible process. LNP formulation uses standard microfluidic mixing (NanoAssemblr or impingement jet). The targeting peptides are conjugated post-formulation via maleimide-thiol chemistry. No exotic manufacturing required — this could be GMP-produced within 12 months of optimization.
The bio/acc angle: The gap between mRNA discovery and non-liver delivery kills more potential therapies than bad targets. Moderna has >40 mRNA programs but almost all target liver-expressed proteins. Open-source inverse-targeting LNP platforms would unlock the other 95% of the proteome for mRNA therapy. Decentralized science needs decentralized delivery platforms.
This could be tested by: Formulating inverse-targeting LNPs (pSar-DSPE surface, DOTAP/18PA/branched-tail ionizable lipid variants, +/- homing peptides) with Cre-mRNA, administering IV to Ai14 tdTomato reporter mice, and quantifying organ-specific recombination by flow cytometry across liver, lung, spleen, heart, muscle, and brain at 24h and 72h post-injection.
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