Numerous diseases are attributed to faulty genes - from genetic disorders such as in muscular dystrophy to accumulated mutations such as in cancer. Gene therapies span a wide range of indications to correct these faulty genes. These include the introduction of a functional gene to replace a faulty gene or combat a specific disease. More recently, genome and RNA editing introduced the possibility of correcting the patient's own genes or regulating their expression. However, the potential of these gene therapies is not yet fully realized due to limitations in current gene delivery technologies.
Viral vectors and lipid nanoparticles (LNP), such as those in the vaccines used to combat the SARS-CoV-2 pandemic, are currently used and are being developed for the delivery of gene therapies. Though proven to be highly effective, each of these have their own limitations. Viral vectors are limited by immunogenicity where patients may have or develop antibodies against the vector limiting their broad use and effectiveness. There is also the perceived danger of permanent integration of the gene therapy into the patient’s genome. Viral vectors can only carry limited gene lengths precluding the delivery of larger sized genes. LNPs are less immunogenic and have a higher gene length capacity compared to viral vectors. However, they are not readily targetable which is critical for gene therapies that require precise delivery to specific organs. Furthermore, LNP gene therapy delivery is inefficient due to the cargo often being trapped within endosomal compartments of the cell where they are unable to function. Our project developed a targeted gene therapy delivery vehicle that is neither viral or LNP-based and would provide advantages over these.
We worked on trypanosome-derived synthetic extracellular vesicles (EV), which we call nanoVAST. These nanoVAST vesicles have a dense protein coat consisting of a single variant surface glycoprotein (VSG), and we have shown that this unique coat provides unique opportunities for gene therapy delivery. We developed methods to produce, load, and attach targeting molecules to these vesicles. We focused on developing a modular targetable delivery vehicle as targeting as this would be a huge leap forward for gene therapy delivery. We designed nanoVAST to home in and deliver their therapeutic cargo to the intended organ. Doing so should lower dose, improve efficacy, and reduce side effects of gene therapies. Moreover, a precision delivery tool would unlock the therapeutic potential for more diseases than are currently considered druggable via gene therapy, including but not limited to many cancers and genetic disorders.