Periodic Reporting for period 1 - GETPolPhys (Gene Electro-Transfer Through the Lens of Polymer Physics)
Reporting period: 2021-06-01 to 2023-05-31
Gene therapies have so far relied on viruses to deliver the genes to cells. A major problem of virus based gene therapy is safety; administering viruses leads to severe toxicity [1]. Another major problem is the cost; a virus based gene therapy for treatment of Spinal Muscular Atrophy costs around 2 millions euros [2]. The exorbitant costs of such therapies prevents its widespread adoption, especially amongst the low and middle income countries. Delivering chemotherapeutics using electroporation has proven to be safe, effective and easy to use [3]. Moreover, production of DNA molecules used in gene-electrotransfer has only 1/3rd the cost of virus production [4]. However, gene-electrotransfer is limited by its efficiency [5]. Improving the efficiency of gene-electrotransfer by fundamentally understanding the barriers will unleash the full potential of gene therapy in the clinics, allow its wide-spread adoption owing to its low cost of administration and offer a safer route to gene therapy.
The overall objective of this action was to obtain a fundamental understanding of how DNA molecules overcome the barriers of (a) the extracellular space and (b) the cell membrane during gene electro-transfer using principles of polymer physics and statistical mechanics. The use of these principles are indispensable to understanding the mechanisms of gene-electrotransfer, and an understanding based on these principles will lead to enhancing the efficiency of gene electro-transfer from first principles as opposed to the current time and resource intensive approach of trial-and-error. A parallel goal of the action was to also develop the skills of the fellow in the field of pre-clinical research and clinical aspects of gene therapies and advance his career in translation of therapies towards clinics.
[1] Wilson, J. M., & Flotte, T. R., Genetic Engineering & Biotechnology News 2020, 40(8), 14-16. [2] Nuijten, M., Journal of Market Access & Health Policy 2022, 10(1), 2022353. [3] Cemazar, M., & Sersa, G., Bioelectricity 2019, 1(4), 204-213. [4] Ran, T., Eichmüller et al., International journal of cancer 2020, 147(12), 3438-3445. [5] Sachdev, S. et al., Bioelectrochemistry 2022, 144, 107994.
Throughout the action, the fellow indulged in training activities through WP4 that helped him develop from his chemical engineering background to pre-clinical research and clinical aspects of therapies. This also included work conducted at the Institute of Oncology Ljubljana, Slovenia (secondment) and completing an online course on cell therapies. WP5 comprised of management of the project and the dissemination of results obtained in the project.
Work conducted in this action is reported in: (1) a review article that highlights and details the barriers to gene electro-transfer, including a current understanding of how DNA molecules overcome these barriers; (2) forthcoming journal paper on how DNA migrates through extracellular barrier; (3) journal papers related to overcoming the cell membrane barrier.
The results of the action have also showed how DNA distributes in the tissue after injection, and what processes dominate the distribution of DNA in the tissue. Further, a method to control this distribution has also been demonstrated, which is an improvement over the current method of injecting DNA to tissues that leads to an uncontrolled distribution.
Further, gene electro-transfer has been achieved using electric field pulses of nano-second duration and an enhanced understanding of the forces that lead to DNA molecules coming in contact with the cell membrane has been developed. In addition, nano-channel gene electro-transfer has also been achieved using commercially available trans-well inserts that offer a cheaper alternative to expensive and difficult to manufacture devices used currently.
Impacts anticipated from the results of the action are enhanced understanding of the gene electro-transfer process which will yield efficient protocols in the clinics for patients and wider adoption of gene electro-transfer technique in research laboratories.