Screening, Synthesis, and Applications of "Lipidoids", a Novel Class of Molecules Developed for the Delivery of RNAi Therapeutics by Michael Solomon Goldberg Hon. B.Sc. Biological Chemistry University of Toronto, 2003 M.Phil. BioScience Enteprise University of Cambridge, 2004 Submitted to the Department of Chemistry in Partial Fulfillment of the Requirements for the Degree of MASSACHU • 8 INS OF TEOHNOLOGY DOCTOR OF PHILOSOPHY IN CHEMISTRY JUN 10 2008 at the LIBRARIES MASSACHUSETTS INSTITUTE OF TECHNOLOGY ARCHNIEs June 2008 ) 2008 Massachusetts Institute of Technology. All rights reserved. Signature of Author Y Uep ill. t of C emnistry April 14, 2008 Certified by _ Robert Langer Institute Professor Thesis Supervisor Accepted by Robert W. Field Chairman Departmental Committee on Graduate Students THESIS COMMITTEE Certified by Alexander Klibanov Professor Department of Chemistry Committee Chair Certified by Robert Langer Institute Professor Thesis upervisor Certified by C t i b- Stu a rt L ic ht Assistant Professor Department of Chemistry Committee Member TABLE OF CONTENTS I. D edication .......................................................................................... 5 II. Acknowledgements............................................................6 III. Abstract............................................................................................ 7 IV. Chapter 1 (Introduction): Novel materials for delivery of RNAi therapeutics...........8 1.1 Introduction ............................................................... ............. a. Nucleic acid delivery ......... ......................... ...... ............ 8 b. RNA interference (RNAi) ............................... ....................8 c. Carriers for delivery of RNAi therapeutics ......................... 9........ 1.2 siRNA design and modification......................................................10 1.3 Classes of materials (carriers/vectors) .............................................. 11 a. Viral shRNA delivery.. .................... .. ............. 11 b. Non-viral siRNA delivery ........................................................12 i. Polymers................................................. 13 ii. Liposomes and lipoplexes ............................................ 13 iii. "Lipidoids".........................................14 iv. Peptides......................................... ....... ....... 15 v. Aptamers............................................... 16 1.4 Chemically-dynamic vectors ......... ................ .......................... 17 1.5 Conclusion and Future Directions ....................................................18 a. Targeting considerations............................. .... .............. 18 b. Combinatorial RNAi ........................................................... 19 c. MicroRNA.............................................................. .......... 19 d. Final thoughts ............................................................ ......20 1.6 References ........................................ ....................................... 22 V. Chapter 2: A combinatorial library of lipid-like materials for delivery of RNAi therapeutics........ .............................................................................. 34 2.1 Abstract ............................................................... ........ 34 2.2 Introduction ......................................................................... 34 2.3 Results and Discussion ............................................................... 35 a. Library synthesis and screening .............................................. 35 b. In vitro screening confirmed the ability of lipidoids to transfect several cell types................ ....................... .........................35 c. Lipidoid-formulated siRNA mediates target-specific knockdown in vivo.......................................................36 d. Lipidoids are efficacious and well tolerated in rats.......... ............ 37 e. Lipidoids can be employed for local delivery to non-hepatic cell types and for delivery of RNA therapeutics other than siRNA .................. 38 f. Lipidoids enable potent, specific, and durable knockdown in nonhuman primates ....................................................................... 38 2.4 Conclusion ..................................... .....................................39 2.5 Materials and Methods ................................................................ 40 46 2.6 Figures ............................................................. ...... 2.7 References.......................................................57 VI. Chapter 3: Formulation optimization of a highly-effective lipidoid carrier for the systemic delivery of RNAi therapeutics .................................... 59 3.1 Abstract .................................................................................. 59 3.2 Introduction............................ .......................... 59 3.3 Results and Discussion .............................................................. 60 a. Preliminary characterization................................................60 b. Formulation optimization .................................... ................. 61 c. The possibility of coding region-targeted siRNA-mediated transcriptional gene silencing .................................... . ....... .... 62 d. Dosing scheme influences knockdown ................................. 63 e. LNP01-formulated siRNA remains stable and active for several m onths............................................................................63 3.4 Conclusion .............................................................................. 64 3.5 Materials and Methods ....................................................... ....... 65 3.6 Figures ............................................................................ ......67 3.7 R eferences .............................................................................. 77 VII. Chapter 4: Identification of a convergence of structure among highly-efficient carriers of siRNA for the systemic delivery of RNAi therapeutics ....................... 80 4.1 A bstract ................................................................................. 80 4.2 Introduction ... ........................................................................ 80 4.3 Results and Discussion................................................................. 82 a. High-throughput lipidoid library screening: in vitro siRNA transfection ........ ................................................................ 82 b. In vivo administration of top-performing lipidoids induces potent knockdown ............................................. 83 c. Structure-activity relationships reveal a convergence of structure among the top-performing lipidoids ...................................... .....83 4.4 Conclusion......................................... ........................... 85 4.5 Materials and Methods................................................................86 4.6 Figures.............. .............................................................................. 89 4.7 References............................................................................95 VIII. Chapter 5: Conclusion.........................................................................99 IX. Curriculum Vitae ............................................................................... 100 DEDICATION I dedicate my thesis to my grandfather and best friend, Dave: my hero. ACKNOWLEDGEMENTS I would like to thank my family for their unending love and support: Karla, Dave, Zelda, Gary, Linda, Orli, Shira, Jonny, Adam, Eden, Ari, Carmel, and Judah. In particular, I would like to express my gratitude to my father for his passion and wisdom. I would like to thank my friends - in Toronto, London, and Boston - for being such wonderful people whom I admire and respect greatly. I would like to thank the entire Langer Lab for being so special. I have been very fortunate to interact with such capable, funny, intelligent, and sociable individuals. It is a real treat to come to lab everyday. I would like to thank all of my collaborators, but especially Elizaveta Leshchiner and Valentina Busini - two superlatively-talented visiting students - as well as Dr. Andreas Zumbuehl, chemist extraordinaire and esteemed officemate, and Dr. Akin Akinc, an extremely-talented alumnus of the lab and valued collaborator who now works at Alnylam Pharmaceuticals. Finally, I would like to thank my lab mentor Dr. Daniel Anderson and my supervisor Institute Professor Robert Langer. Dan demonstrated great confidence in me, and I am very grateful for his advice, guidance, and tutelage. Bob encouraged me to address important problems and to overcome the fear of failure, always offering words of encouragement and wisdom along the way. It has been such a pleasure and privilege to train under him, and I am extremely appreciative of the opportunities that he has graciously provided to me. Synthesis, Screening, and Applications of "Lipidoids", a Novel Class of Molecules Developed for the Delivery of RNAi Therapeutics by Michael Solomon Goldberg Submitted to the Department of Chemistry on April 14, 2008 in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy in Chemistry ABSTRACT RNAi therapeutics represent a fundamentally new way of treating disease, permitting the selective abrogation of protein production at the genetic level. As nucleic acids do not readily enter cells, carriers are utilized to enhance uptake. While viruses are extremely efficient, concerns about their safety has led to the desire to engineer novel synthetic vectors. We have developed chemical methods using a combinatorial approach that has resulted in the synthesis of a large library of structurally-diverse compounds (1,200 in total), termed "lipidoids", without the need to use solvents, catalysts, or protection/deprotection steps. The members of this library were screened for the ability to transfect mammalian cells in vitro. The top-performing compounds were formulated for in vivo administration and resulted in durable, potent, and specific knockdown of reporter and therapeuticallyrelevant genes in four distinct species, including non-human primates. Local and systemic administration effectively silenced target genes in three different tissue types. In addition to reducing protein expression by directing cleavage of target mRNA through delivery of siRNA, lipidoids were shown to mediate upregulation of proteins by derpressing miRNA targets through delivery of anti-miR. Finally, inspection of the chemical functional groups common to the top-performing lipidoids from the first library informed the synthesis of a second-generation library. The dramatic increase in percentage of effective materials from this second library (52% as opposed to 3%) confirmed that a convergence of structure has been identified. Thesis Supervisor: Robert Langer Title: Institute Professor CHAPTER 1: NOVEL MATERIALS FOR DELIVERY OF RNAI THERAPEUTICS INTRODUCTION Nucleic acid delivery Nucleic acid therapeutics afford the opportunity to treat disease at the genetic level. Unlike antibodies, which are typically restricted to extracellular targets, and small molecules, which often have off-target effects because their binding is based simply on the three-dimensional interactions between the drug and an active or allosteric site on a target enzyme or receptor, nucleic acids are inherently specific owing to the complementarity of Watson-Crick base pairing. Unfortunately, nucleic acids do not readily cross the cell membrane as the lipid bilayer is hydrophobic and the cell exterior has a negative charge, which repels the likecharged polyphosphate backbone of nucleic acids 1. Nucleic acid delivery can be facilitated by both viral and non-viral vectors. While extremely efficient, virus-mediated delivery poses safety concerns - including acute toxicity, the induction of cellular and humoral immune responses 2,oncogenicity due to insertional mutagenesis 3,and the risk of viral presence in germ-line cells 4 - which have led to the desire to engineer novel synthetic carriers. Some groups have attempted to engineer viruses to be safer, while others have elected to engineer safe materials to be more efficacious. In addition to being much safer and less expensive, non-viral vectors can generally be synthesized in large quantities, are amenable to rational design and diverse chemical modification, and afford much greater nucleic acid carrying capacity 5 Examples of non-viral nucleic acid delivery include physical manipulation of naked ilasmid DNA, using techniques such as electroporation, magnetofection, and ultrasound . Synthetic vectors have been created to improve both biostability and cellular uptake. Polycationic lipids 7,8 and polycationic polymers 9,10 electrostatically bind and condense nucleic acids to form nanometer-sized complexes, whose small size facilitate uptake 11 Delivery itself is insufficient to achieve therapeutic results. If the complex is taken up by the target cell via endocytosis then it should promote endosomolysis by means of a pH-responsive functionality in the carrier backbone, such as a "proton sponge" 12, 13, and the payload must dissociate from its carrier. In the case of DNA, the prodrug must further cross the nuclear membrane and be transcribed by host machinery. Nucleic acids can be used not only for gain-of-function, as in gene therapy, upon delivery of DNA but also for loss-of-function, as in RNA interference (RNAi), upon delivery of RNA. The field of RNA delivery, however, is much less mature than the field of DNA delivery. As a result, less is known about the pathways through which the uptake of RNA/carrier complexes is mediated. In theory, functional RNA delivery is a simpler endeavor than functional DNA delivery, as RNAi does not require nuclear translocation or transcription since the necessary cellular machinery resides in the cytosol. RNA interference (RNAi) The 2006 Nobel Prize in Physiology or Medicine was awarded to Dr. Andrew Fire and Dr. Craig Mello "for their discovery of RNA interference (RNAi) - gene silencing by double-stranded RNA." RNAi is a conserved defense mechanism evolved by eukaryotic cells against double-stranded RNA (dsRNA) introduced by invading viruses, transposons, and transgenes 14, 15. Specifically, RNAi refers to the entire process of posttranscriptional dsRNA-dependent gene silencing 16. Upon recognition, long dsRNAs are processed by the ribonuclease III-like enzyme Dicer into siRNAs 17, 18. These short dsRNA fragments - typically 21- to 23-base pairs in length, possessing two-nucleotide 3' overhangs as well as 5' phosphate and 3' hydroxyl termini 19, 20 - direct the sequencespecific degradation of single-stranded target mRNA via integration into the RNAinduced silencing complex (RISC) 21, 22. Once incorporated into RISC, the sense ("passenger") strand - determined by the decreased thermodynamic stability at its 3' end relative to its complementary strand 23 - is cleaved by Argonaute 2 ("Slicer") 24, priming Argonaute 2 to cleave target mRNA possessing the same sequence RNAi's utility as a potent tool for reverse genetic analysis - providing a link between sequence data and biological function 26, 27 - is surpassed only by its potential for use in gene-specific therapeutics 28-31. Chemically-synthesized siRNAs have been shown to induce post-transcriptional gene silencing in vitro in human cells, which are usually killed by longer dsRNA 32. Accordingly, such siRNAs might provide a means to regulate both exogenous and endogenous gene expression, particularly "undruggable" targets that are not amenable to conventional therapeutics 33. Specifically, small molecules are typically limited to the following molecular targets: G protein-coupled receptors, ion channels, nuclear hormone receptors, kinases, and proteases 34. RNAi, in contrast, can modulate the expression of any protein - by degrading the encoding mRNA - thereby affecting transcription factors, protein-protein interactions, and other proteinnucleic acid interactions. RNAi has the potential to become a new major class of drugs, as it represents a fundamentally new way of treating disease, which is generally caused by the inappropriate behavior of proteins, allowing for selectively-abrogated protein production 31 It can be used to address a broad range of unmet medical needs, as the pathway involved is present in all cell types and is indiscriminate to target mRNA sequence. The pathway is inherently potent owing to the fact that it is catalytic, whereas small molecules act in a stoichiometric manner. Furthermore, rather than antagonize aberrantlyfunctioning proteins once they have been produced, RNAi instructs the cell to block the production of disease-causing proteins before they are translated. Finally, RNAi therapeutics afford a greatly-simplified process of drug discovery and development. Rather than screen millions of compounds and optimize scale-up chemistries - which must be performed afresh for each candidate - scientists can determine appropriate siRNA sequences using computer algorithms by reverse translating a protein into its encoding primary sequence. Carriers for delivery of RNAi therapeutics The foremost obstacle to the widespread use of RNAi therapeutics is safe and efficient nucleic acid delivery 35 36. Standard in vitro siRNA transfection reagents are often ineffective or toxic in vivo, hence, alternative strategies and novel structures are being explored. Because siRNAs are large, charged, and susceptible to nuclease degradation, chemical modifications are often employed to enhance their lipophilicity and stability. Lipophilic moieties have also been conjugated to the ends of siRNAs in order to enhance their uptake. Still, the majority of efforts have focused on developing vectors to protect the payload, enhance its uptake, and improve its pharmacokinetic properties. Because viral vectors have significant drawbacks, which will be discussed, non-viral vectors are considered to be a promising alternative. These synthetic carriers are produced from a variety of materials, including polymers, liposomes, lipidoids, peptides, and aptamers. Excitingly, progress is beginning to be made in the development of chemically-dynamic and targeted vectors. This chapter will discuss the maturation of the field of siRNA delivery, placing emphasis on the materials used to achieve this feat. SIRNA DESIGN AND MODIFICATION Because many siRNAs can be utilized as templates to direct the cleavage of a given mRNA, design criteria are employed to maximize potency, specificity, and nuclease stability 37, 38. Positions 2-8 (the "seed region") on the antisense ("guide") strand are responsible for minimizing off-target silencing 39, 40, which can arise as a result of partial homology shared between the target and other genes. Interestingly, modifying position 2 alone is generally sufficient to stem the majority of off-targeting silencing 41 Positions 10 and 16 are also important for cleavage specificity, possibly owing to their contribution to helical structure . Computer algorithms have been developed to assist in the design of sequences that will minimize off-target effects 43, 44. In silico design is augmented by in vitro screening of the resultant lead candidates to maximize the specificity of sequences prior to in vivo testing. siRNAs have in vivo half-lives on the order of minutes 45, owing to the action of serum nucleases 46. To increase their biostability and pharmacokinetic properties, chemical modifications to the oligonucleotide bases, sugar, and backbone have been performed and evaluated 38. 2,4-difluorotoluyl ribonucleoside can be used as a noncanonical nucleoside mimetic, as it does not affect siRNA-mediated target mRNA cleavage despite increasing nuclease resistance 47. By enforcing the C3'-endo pucker conformation 48, the introduction of 4'-thioribose increases the stability of siRNA by 600 times 49. Protection against endonuclease-mediated and exonuclease-mediated degradation are conferred by 2' sugar modifications (2'-OMe or 2'-F) and the introduction of a phosphorothioate backbone linkage at the 3' end of the guide strand, respectively 50. The activity and stability of the resultant oligonucleotides depends on the number and position of the modifications and can be tuned through the judicious combination of these modifications. Chemical modifications can also be used to reduce stimulation of the innate immune system via activation of Toll-like receptor 7 in antigenpresenting cells 51, 52 An siRNA can be modified not only within its coding sequence but also at its termini. The first systematic study of lipophile-siRNA conjugates involved conjugating derivatives of cholesterol, lithocholic acid, or lauric acid to the 5' end of the guide strand, the passenger strand, or both using phosphoramidite chemistry 53. This work was extended to in vivo studies, wherein the conjugation of cholesterol to the 3' end of the passenger strand via a pyrrolidine linker was shown to result in enhanced cellular uptake and pharmacokinetic properties - presumably attributable to increased binding to serum proteins, such as albumin 46. While this work represented the first example of silencing of an endogenous target by systemic administration of modified siRNA using a conventional technique (low-pressure, intravenous injection), the dose required was very high (50 mg/kg, three administrations) and unsuitable for clinical applications. More recently, a collection of nine lipophiles - including cholesterol, bile acids, and long-chain fatty acids - were systemically conjugated to siRNAs at the 3' end of the passenger strand to demonstrate that efficient and selective uptake of these conjugates are governed by interactions with lipoprotein particles 54. Successful delivery requires the appropriate lipoprotein receptors to be expressed on the cells in the target organ as well as the mammalian homolog of the C. elegans transmembrane protein Sidl. This understanding of the uptake mechanism will likely facilitate the design of future lipophilic siRNA conjugates to maximize the efficiency and specificity of delivery. CLASSES OF MATERIALS (CARRIERS/VECTORS) In addition to direct modification of the nucleic acid, various approaches have been taken to address the unmet need of siRNA delivery, primarily in the form of novel vector design. Some groups are working to remove the virulence of viruses, while others prefer synthetic carriers. Component materials include polymers, liposomes, lipidoids, peptides, and aptamers. Such carriers can protect the payload from nucleases and facilitate siRNA delivery into target cells. The resulting increase in delivery efficiency can allow for lower doses, less frequent dosing, or both. Biocompatibility must, however, be considered when selecting these materials. While naturally-occuring biomolecules (small molecules, peptides, and antibodies) may also be used as conjugates to enhance delivery - particularly as a means of targeting - care must be taken to ensure that they do not perturb the normal physiological function of their endogenous targets. The inclusion of non-siRNA components renders large-scale manufacturing more complex 38; still, this increased complexity is highly acceptable if the carrier material potentiates siRNA delivery in vivo at levels and sites that would not be otherwise achievable. VIRAL SHRNA DELIVERY Viruses can deliver constructs that encode short hairpin RNAs (shRNAs) - noncoding RNA transcripts that contain the two complementary strands of an siRNA (separated by a non-complementary oligonucleotide linker that forms a short hairpin) that can be processed by Dicer upon entry into the cytoplasm, resulting in mature siRNAs 55 enabling regulated, sustained expression of RNAi therapeutics. This is advantageous for chronic diseases, such as cancer and neurodenegenerative diseases, that would otherwise require frequent dosing 56 Viral vectors must be selected to match their desired application. A major consideration is the choice between payload integration and episomal persistance within expression cassettes. Promoter strength and type constitutively and ubiquitously active versus drug inducible and spatiotemporally controlled 57- are other facets of great importance. Adenoviruses deliver double-stranded DNA and afford highly-robust shRNA expression. They are especially well suited for oncology treatments, owing to the ability to generate tumor-restricted variants that conditionally replicate in and subsequently lyse transformed cells 58. The disadvantages of adenoviruses include strong immunogenicity and short duration of shRNA expression 56. Lentiviruses are retroviruses that can infect dividing as well as non-dividing cells, including refractory cells such as human hematopoietic and embryonic stem cells 59. They are also capable of stable integration, rendering them desirable for the treatment of chronic diseases; however, integration into inappropriate sites results in insertional mutagenesis, and the use of lentiviruses is thus limited by the vector's inadequate safety profile. Adeno-associated viruses (AAV) mediate strong and stable shRNA expression 60 but integrate at much lower frequencies than the other two commonly-used classes of virus. Moreoever, because they can deliver a much greater shRNA copy number per infected cell than lentiviruses, they afford an expanded therapeutic window 61. While safer, the low integration efficiency of AAVs increases the dosing regimen, arguably forfeiting the advantage of viral vectors, whose inherent immunogenicity is already a concern. The most highly-explored applications of viral shRNA delivery have been local delivery to treat neurological and oncological diseases and systemic delivery to treat infectious diseases. Viral delivery to the nervous system has been reported using all three classes of virus. Examples include normalization of disease phenotypes, both behavioral and neuropathological, in animal models of Alzheimer's disease , amyotrophic lateral sclerosis 63 , and Huntington's disease 64. The selected shRNAs may not be well tolerated in humans, as the sequences studied have not distinguished between the mutant and wildtype genes 56; moreover, repeated intraspinal injections may not be tractable in patients. Viral delivery of shRNAs to xenografts via intratumoral injection have demonstrated efficacy in mouse models of adenocarcinoma 65, glioma 66, and prostate cancer 67, as evidenced by decreased tumor size. shRNAs can target cancers not only directly by silencing oncogenes, such as bcl-2 68, but also indirectly by reducing the expression of angiogenic factors, such as VEGF 69. Perhaps the most exciting target for RNAi therapeutics are viral infections themselves, as the viral nucleic acids represent sequences that are entirely exogenous and less likely to have endogenous homologous counterparts that might lead to off-target effects 29. The greatest successes thus far have been observed for the treatment of hepatitis B (using an AAV vector) 70 and HIV (using a lentiviral vector) 71 Unfortunately, while they afford the potentials to decrease dosing dramatically and target specific cell types through incorporation of appropriate glycoproteins, viral vectors are assoicated with several safety concerns, most notably immunogenicity and insertional mutagenesis. Of great significance was the finding that shRNA expression levels must be tightly controlled because excessive amounts of shRNA saturate the endogenous microRNA pathway, resulting in profound morbidity and mortality in mice 72. Viral delivery of RNAi therapeutics profoundly reduces the ability to control drug exposure, in terms of dose and timing, which is a critical aspect of medical treatment from the perspectives of both safety and efficacy 38 NON-VIRAL SIRNA DELIVERY While delivery of RNAi therapeutics can be facilitated by both viral and non-viral vectors, concerns about the safety of viruses have led to the desire to engineer novel synthetic carriers. Additionally, delivery of chemically-synthesized siRNAs offers the advantage of bypassing the transport and processing steps of shRNAs. This ability to harness the natural pathway in a consistent and predictable fashion renders siRNA particularly attractive as a therapeutic molecule. For this reason, siRNAs are the class of RNAi therapeutics that is most advanced in preclinical and clinical studies 33. Several materials have been investigated for their ability to protect and deliver siRNA in a safe manner. This section will focus on the most robust systems reported to date. Polymers Polymers afford access to tremendous chemical diversity and are amenable to extensive modification. This property enables this class of materials to be tuned to specific applications 73. Cationic polymers can electrostatically condense the polyphosphate backbone of nucleic acids, yielding neutral or slightly-positively-charged nanoparticles that can be more-readily taken up by cells 74. Commonly used cationic polymers include poly(ethyleneimine) (PEI), poly(L-lysine), and imidazole-containing polymers 75, 76. In addition to having the highest charge density, PEI greatly enhances endosomal escape through its "proton sponge" capability 13,77 PEI has been used to deliver siRNA locally to the nervous system to reduce pain 78 and systemically to the lungs to reduce influenza infection 79. PEI-siRNA complexes have also been utilized in the treatment of cancer, inhibiting tumor growth in xenograft models of glioblastoma upon local administration 80 and of ovarian carcinoma upon systemic administration 8'. PEI can also be targeted to tumor vasculature by conjugating it to PEG-RGD, inhibiting angiogenesis and tumor growth rate 82. Unfortunately, PEI is extremely toxic at high doses, as it is not readily biodegradable 83, 84. Cytotoxicity has been shown to correlate with molecular weight and degree of branching 85. Groups are working to improve the safety profile of PEI by optimizing its structure 86, 7 and imparting biodegradable fiinctionalities to shorter analogs 88'89 Two naturally-derivecf:biopolymers have also 'demonstrated effective siRNA delivery. Atelocollagen (protease-treated collagen), a liquid at 40 C that gels at 370 C, has been shown to mediate-aiititumor effects in xenografts 90, 91 as well as in bone metastases 92. Chitosan-siRNA complexes has been successfully delivered to the lungs via intranasal administration 93 and to xenografts via intravenous administration 94. Efforts to employ poly(lactic-co-glycolic acid) and polyamidoamine as siRNA carriers in vivo are ongoing. Perhaps the most versatile polymeric siRNA delivery system is that of cyclodextrin-containing polycations, which can be readily functionalized to include targeting moieties, such as transferrin. This robust system was demonstrated to inhibit tumor growth in a murine model of metastatic Ewing's sarcoma, delivering siRNA effectively to transferrin receptor-expressing tumor cells .This delivery system was also shown to be well tolerated by non-human primates at lower doses, though no evidence of in vivo therapeutic silencing was shown 96 Liposomes and Lipoplexes Liposomes, discrete lipid bilayers that surround an aqueous core, improve the pharmacokinetic properties of drugs and decrease their toxicity 97. Nucleic acids can also be combined with lipids to forn amorphous particles known as lipoplexes 98. These systems generally contain multiple components, including cationic lipids to facilitate nucleic acid entrapment, polyethylene glycol to shield surface charges, cholesterol to increase particle stability, and fusogenic lipids to enhance endosomal release 33, 99 Local administration of siRNA-containing liposomes and lipoplexes have led to positive outcomes in the eye 00, 101, in the nervous system 10, and in tumors 104 Lipoplexed siRNA can also induce gene silencing following direct application to mucosal surfaces, such as the vagina 105, 106 and colon 106. This effective delivery route is very exciting because mucosa are entry sites for many viruses and afford easy access for subsequent treatment 33 Stable nucleic acid lipid particles (SNALPs) 51 have been shown to be effective for hepatic siRNA delivery in animal models of infection by HBV 107 and Ebola virus 108 In addition to the treatment of viral infections, SNALPs were used to silence an endogenous hepatocyte-expressed gene upon systemic delivery in rodents as well as nonhuman primates, resulting in a physiologically-relevant outcome (serum cholesterol reduction) 109. The treatment resulted in significant target gene silencing after a single administration, though transient increases in liver enzymes (an indication of mild toxicity) were noted. The duration of effect was observed for less than two weeks, however, so the utility of this platform for the treatment of chronic diseases remains unclear, as does the ability to use this formulation to deliver to tissues other than the liver. Systemic administration of other liposomal formulations has resulted in efficacious siRNA delivery in mice to the lungs 110 and kidney "1,conferring physiologic effects. Systemic administration of siRNA-containing liposomes has also led to improved outcomes for arthritis in knee joints 112 and for cancer in mouse models of solid tumors 113-115 and metastases 116. Biodistribution must be taken into account, though, as the structure of each lipid, particlarly as it relates to charge, affects cellular uptake patterns, tissue specificity, and toxicity 117, 118 "Lipidoids" While lipid-based formulations for systemic siRNA delivery constitute one of the most promising short-term opportunities for the development of RNAi therapeutics 33, the present collection of delivery materials and their diversity remain limited, in part due to their slow, multi-step syntheses. The yield is often poor, and the throughput is low, so alternative chemistries are attractive. Recently, chemical methods were developed based on a combinatorial approach that permit the simple and rapid synthesis of a large library containing over 1,200 structurally-diverse lipid-like materials (termed "lipidoids") 119. Whereas current chemistries used to synthesize cationic lipids involve several onerous steps - including protection, deprotection, solvent exchanges, and serial purification this innovative route enables high-throughput synthesis in a single step, increasing the number of lipofection materials studied to date by nearly two orders of magnitude. The conjugate addition of oligoamines to acrylates or acrylamides was employed to generate a large library of compounds that chemically resemble lipids and thus protect and enhance the uptake of their siRNA payload. The resultant unique, novel class of materials manifests as a hybrid structure between cationic lipids and first-generation dendrimers. Notably, unlike cationic lipids, which are typically composed of a discrete cationic head group and a hydrophobic tail, lipidoids are cationic owing to the presence of reversibly-protonatable backbone amines. Another interesting chemical property that renders lipidoids a distinct class of biomaterials is the inversion of its ester linkage with respect to the aliphatic chain when compared to natural lipids, such as triglycerides. The library members were screened for the ability to transfect mammalian cells both in vitro and in vivo, and the top-performing material was tested in four species, including non-human primates. Therapeutic efficacy was observed in liver, lung, and macrophages. Lipidoids were shown to be effective vectors in both local and systemic applications, as they facilitate durable, potent, and specific silencing of endogenous and exogenous gene transcripts when formulated with either double-stranded siRNA or single-stranded antisense oligoribonucleotides targeting microRNA 120. Importantly, the knockdown resulted in physiologically-relevant outcomes in disease models related to obesity and infectious disease. Lipidoids were also used recently to confirm that siRNA-mediated gene silencing does not interrupt the endogenous microRNA pathway - affecting neither the production of mature microRNAs nor their function - confirming the safety of siRNAs as a therapeutic molecule 121 Peptides Like cationic polymers and liposomes, cationic peptides can electrostatically bind to and condense siRNA to yield stable nanoparticles 22, facilitating the delivery of oligonucleotides into cells 123. For example, VEGF-targeting siRNA complexed with cholesteryl oligo-D-arginine (Chol-R9) resulted in tumour regression in a xenograft mouse model upon local administration 124. In addition to acting as a cationic entity that complexes siRNA, peptides can transport their cargo across cell membranes. Such cellpenetrating peptides (CPPs), or protein transduction domains (PTDs), have received notable attention 125 MPG, a short amphipathic peptide, forms non-covalent complexes with siRNA that, unlike most CPPs, enter cells independently of the endosomal pathway 126. It is the sole CPP demonstrated to induce siRNA-mediated gene silencing both in vitro and in vivo 127. Most CPPs include a nuclear localization sequence, causing them to transport their cargo into the nucleus. This feature allowed MPG to deliver promoter-targeted siRNA, resulting in transcriptional silencing via DNA methylation 128. MPG was shown to deliver siRNA upon injection into the inner cell mass of mouse blastocysts, silencing an early transcription factor and impairing cardiogenesis 129. An MPG variant has been isolated that delivers siRNA to the cytosol, where the RISC complex and target mRNA are situated, allowing for robust post-transcriptional gene silencing 130. Variants of other CPPs must be identified to restrict their delivery to the cytoplasm, as post-transcriptional silencing does not occur in the nucleus. This may prove challenging, as these basic residues essential for nuclear localization, which seem undesirable for this application, contribute to nucleic acid condensation and cell surface binding 131 While CPPs can condense siRNA through non-covalent interactions, they can also be conjugated to siRNA directly 132 or, more generally, via a disulfide bond that liberates the siRNA in the reducing environment of the cell 131. Unfortunately, while the advent of a soluble, monomeric siRNA-CPP conjugate would be desirable, only three reports involving this approach (all involving in vitro delivery) have been published, using TAT 133 and penetratin 134, 135. All three were published in 2004, and none has been reproduced. Toxicity was not evaluated, and the conjugates were not characterized sufficiently well to rule out the possibility that the actual mediators of delivery were noncovalent complexes. Membrane integrity is compromised when cultured cells experience prolonged exposure to CPP-siRNA complexes, and siRNA uptake was likely attributable to this membrane infidelity 131 Important considerations in the development of such well-defined conjugates which are difficult to synthesize because of the natural tendency of the opposite charges to interact electrostatically to yield complexes - are safety and purity. Neutralization of the CPP's positive charge abolishes its ability to affect cellular uptake 131. Though potentially exciting, CPPs face several challenges. Systemic administration of siRNACPP complexes or conjugates has yet to be reported, and cytotoxicity due to membrane disruption is a valid concern. Peptides can be used not only to enhance uptake into cells but also to target siRNA delivery to desired cell types when combined with other delivery systems 136 Arg-Gly-Asp (RGD) has been used to target siRNA delivery to tumor cells and their neovasculature 82, 137. Antibody-protamine fusions afford the ability to condense siRNA and to target specific cellular antigens. This platform was shown to deliver siRNA discriminately to HIV-infected primary CD4 T cells in vitro and to HIV-envelopeexpressing melanoma xenografts in vivo upon intratumoral or intravenous administration to mice, causing inhibition of tumor proliferation 38. It was also used to deliver siRNA selectively to breast cancer cells expressing the ErbB2 (HER2) receptor via a single chain antibody fragment-protamine fusion. A single chain antibody fragment-protamine fusion protein that targets the human integrin lymphocyte function-associated antigen-i has been demonstrated to induce siRNA-mediated silencing in leukocytes; notably, gene silencing can be limited to activated leukocytes when the construct is comprised of an antibody variant that preferentially recognizes activation-dependent conformational changes in the antigen 139. Production costs will be a major consideration in the commercialization of this technology. Peptides derived from parasitic organisms have also been explored to confer tissue targeting and facilitate cellular uptake. A 19-amino acid peptide from the Plasmodium protozoan that is responsible for malaria was attached to the distal end of a lipid-PEG conjugate to target the liver 140. More impressively, siRNA was transported transvascularly to the brain following complexation with a chimeric peptide comprising nine arginines and a 29-amino acid sequence from the rabies virus glycoprotein 14. Four intravenous injections of the formulation protected the majority of mice from fatal viral encephalitis for one month. The glycoprotein binds to the acetylcholine receptor expressed by microglia, astrocytes, endothelial cells, and neurons, so it is unclear which neuronal cells are transfected with siRNA. Furthermore, the peptide may not cross the blood-brain barrier to enter cells in the functional regions of the brain 142. Still, this approach represents an exciting step forward in the treatment of neuronal disease by systemically-administered RNAi therapeutics. Aptamers Aptamers are oligonucleotides (ssDNA or ssRNA, 20-40 base pairs in length) that bind to their targets with high specificity owing to their three-dimensional shapes that result from intramolecular base pairing 143. Huge libraries (>1014 sequences) can be screened by the systematic evolution of ligands by exponential enrichment (SELEX) 144 145 to isolate aptamers with high affinity and selectivity to virtually any molecule 146 These nucleic acid binding species are non-protein-based alternatives to antibodies 147 affording the advantages of nonimmunogenicity, simplified discovery, and abiological synthesis. They can be used not only as direct agonists or antagonists but also as targeting moieties 148. Notably, aptamers can be selected for based on the ability to bind both to known antigens and to a given cell type without a prioriknowledge of the molecular target 149 Two particularly-interesting accounts of aptamer-mediated siRNA delivery have been reported. In one study, the quadravalency of steptavidin was exploited to incorporate (on average) two biotin-conjugated PSMA-targeting aptamers and two biotinconjugated siRNA molecules per carrier 147. The resulting drug delivery system was readily taken up by PSMA-expressing cells, producing efficient gene silencing. The utility of this system for in vivo siRNA delivery, however, remains to be demonstrated. In the second study, an aptamer-siRNA chimeric RNA was utilized to deliver siRNA in vivo, eliciting tumor regression in a xenograft model of prostate cancer 150. The siRNA was annealed prior to conjugation, but one might envision synthesizing a single strand of RNA that, through Watson-Crick base pairing, spontaneously folds into an aptamer (targeting) segment and an shRNA (effector) segment. The shRNA could be cleaved by Dicer upon entry into the targeted cell to generate a functional siRNA. While the notion of a therapeutic comprised entirely of RNA is enticing, the commercial-scale synthesis of longer constructs (>50 nucleotides) may prove challenging. Furthermore, while shorter aptamer-siRNA conjugates are effective for local delivery in vivo, they can be cleared rapidly by the kidney and possess a half-life that is prohibitive for systemic administration unless they are incorporated into larger particles 33 CHEMICALLY-DYNAMIC VECTORS While efficient, safe, and targeted siRNA delivery are all major advances, the ability to design "smart" delivery systems is still highly desirable. Chemically-dynamic vectors contain bonds that are cleaved in the presence of physiological conditions, resulting in delivery specifically when exposed to particular stimuli 151. A common example of such a system is the use of masked endosomolytic agents, which trigger the vector's endosomolytic functionality - thereby facilitating endosomal escape - only upon degradation of a pH-labile bond by the acidic environment of the endosome 1 2. The ability to escape the endosome is of paramount importance because endocytosis is the main method by which cells uptake materials, and nucleic acids are membrane impermeable 151 The use of PEG as a pH-labile masking agent has garnered the most interest. PEG deshielding from amphiphilic methacrylate-containing solycations yields endosomolysis and intracellular oligonucleotide delivery in vitro . In addition to unmasking an endosomolytic agent, the liberation of PEG can also increase the transfection efficiency of polycationic polymers in vivo 154. The preferred linkages for these systems are acetal 155 and hydrazone 156 bonds. Notably, PEG can be reversibly linked directly to the siRNA payload - rather than to the polycationic carrier - and subsequently complexed with a polycationic carrier to enhance gene silencing in vitro 157 pH can trigger not only bond cleavage but also conformational changes that confer functional attributes. In particular, peptides that contain protonatable groups become more amphipathic and membrane active in acidic environments in a manner similar to antimicrobial agents and viruses 158, 159. Limiting the membrane activity of these materials to acidic vesicles minimizes effects on the plasma membrane and thereby cellular toxicity. The GALA peptide, for example, adopts the shape of a pore-forming transmembrane helix under acidic conditions to facilitate endosomal escape 160 Fusogenic peptides, derived from the influenza virus, similarly enhance the release of cargo into the cytosol and have been shown to improve siRNA-mediated silencing in vitro 161 The development of Dynamic PolyConjugates confirmed that chemicallydynamic vectors could be efficacious in vivo 162. Perhaps the most interesting chemicallydynamic vector for siRNA delivery reported to date, this multicomponent system includes a membrane-active polymer to which siRNA is conjugated via a reducible disulfide bond and PEG and galactose are conjugated via a maleamate-derived acid-labile bond. As the endosome acidifies, the PEG and galactose - which serve beneficial functions in the extracellular environment, namely shielding and targeting, respectively are detached. A single intravenous injection in mice resulted in the silencing of hepatocyte-expressed genes, yielding a physiological response. The modular design of these particles may enable other polymers, linkages, and targeting ligands to be incorporated, though this potential has not yet been realized. This system merits further investigation in non-human primates. Disulfide bonds, which are reduced within the cell to release cargo from its carrier, can also be used to trigger intracellular delivery. Examples employing this strategy include the return of function to a membrane pore-forming protein when separated from protamine 163, the enhanced transfection efficacy of disulfide-crosslinked PEI 164, and the separation of PEG from oligonucleotides 165. To increase transfection at specific tissue sites, PEG can be deshielded from vectors by incorporating a peptide linkage that is recognized by specific proteases. Such a system was demonstrated to enhance nucleic acid uptake in tumors expressing signature matrix metalloproteinases following systemic administration 166. While the great majority of these systems have focused on the delivery of plasmid DNA or antisense oligonucleotides, chemicallydynamic vectors represent a potentially exciting development in the advancement of "smart" siRNA delivery vehicles. CONCLUSION AND FUTURE DIRECTIONS Targeting considerations Targeted nucleic acid delivery can be achieved transcriptionally or transductionally. Transcriptional targeting refers to the use of genetic regulatory elements to restrict gene expression to specific cells or to delivery of an siRNA that interacts with an mRNA that is expressed specifically by a given subset of cells. Transductional targeting refers to the delivery of nucleic acid to specific cells using a targeting moiety that is attached to the vector but is unrelated to the nucleic acid sequence, such as small molecules, aptamers, peptides, or antibodies. Notably, the ability to identify materials from large libraries that inherently confer cell type-specific delivery owing to their structure would obviate the need to add such targeting moieties. The selection of appropriate target sequences can render transcriptional targeting intrinsic to siRNA delivery. In such cases, transductional targeting is only required to minimize the dose, thereby decreasing the cost of goods and the likelihood of side effects. siRNAs exhibit very high specificity for their intended molecular targets, so exposure of nontargeted tissues is only an issue if the target mRNA is expressed in these tissues and has an important role in normal cellular function within these tissues 38. In these cases, local delivery might circumvent undesired side effects caused by systemic delivery, and transductional targeting can be used if local delivery is impractical. By increasing the specificity of delivery, transductional targeting can enhance both efficacy and safety 136 Interestingly, compartmental modeling of trasferrin-mediated tumor targeting revealed that the efficacy of these targeted nanoparticles was attributable to increased cellular uptake by tumor cells rather than to increased overall tumor localization relative to nontargeted particles 167. This led the scientists to conclude that the optimization of internalization may be the critical step in the development of highly-effective, nanoparticle-based targeted therapeutics. Combinatorial RNAi Cellular processes are networked in a manner that incorporates redundancy and multifunctionality 168. For this reason, RNAi monotherapies may be limited. Perhaps most famously, the field of oncology has taken advantage of combination therapies to achieve great success 169. A second impetus for administering RNAi therapeutics against multiple targets is related to the regulation of exogenous genes in the treatment of infectious disease. Specifically, combinatorial RNAi (coRNAi) can be harnessed to address the natural diversity and rapid evolution of viruses. There is great genetic diversity within a given class of viruses, so the identification of a single conserved target sequence is nearly impossible. Furthermore, because of the specificity of RNAi, viruses need only accrue a single point mutation to develop resistance to an siRNA or shRNA 70. Several accounts of such behavior have already been reported 171, 172. The likelihood of a virus developing resistance is related to the number of coincidental mutations across the number of 21-mer sequences targeted, either genomic or transcribed RNA, so coRNAi offers an important means by which to maximize selection pressure and minimize viral escape 173. Additionally, it is becoming apparent that viruses interact with the endogenous RNAi pathway, having developed suppressors of RNAi silencing (SRSs) 174, a finding that might render RNAi monotherapies less effective. The majority of work in this young field has focused on the coexpression of multiple microRNAs or shRNAs either from individual promoters or in tandem from a single promoter. The hairpins can be designed to target various sequences within a single target or multiple targets (viral and/or host). coRNAi can also involve the delivery of RNAi therapeutics in concert with other RNA-based gene silencers, such as antisense oligonucleotides 17s or ribozymes 176, or with plasmids that encode therapeutic proteins 177. Though it has yet to be demonstrated in animal models of disease, coRNAi clearly represents an exciting advancement in the development of next-generation RNAi therapeutics. siRNA cocktails will likely receive enhanced interest in coming years, as viral delivery is associated with safety concerns and control over multiple promoters may prove challenging. MicroRNA In addition to siRNA, another class of small non-coding RNAs, termed microRNAs (miRNAs), has received considerable attention of-late. miRNAs are singlestranded RNAs of -22 nucleotides in length that are generated from endogenous hairpin- shaped transcripts 178. They function as guide molecules in post-transcriptional gene silencing by base pairing with target mRNAs, resulting in translational repression or mRNA cleavage ' . miRNAs are believed to constitute 1-4% of human genes and to regulate 30% of protein-encoding genes 180 As a large set of master regulators of gene expression, miRNAs represent a particularly interesting class of therapeutic targets 181. They are pleiotropic and effectively mediate systems biology at the molecular level, repressing the expression of multiple transcripts that encode proteins that interact in common biochemical pathways. miRNA misregulation has been implicated in several diseases, including cancer 182, heart failure 183, and metabolic disorders 184. The loss or gain of miRNA function can be generated by a single point mutation in either the miRNA or its target mRNA's 3' untranslated region or via epigenetic silencing of primary miRNA transcription units 185 miRNA function can theoretically be restored by administering miRNA mimics or precursors, while miRNA function can be inhibited by delivering antisense oligonucleotides (ASOs) 186, 187 "Antagomirs", single-stranded cholesterol- and 2'-Omethyl-modified ASOs, were shown to bind to complementary miRNAs, thereby derepressing their mRNA targets and yielding the expected physiological outcome in mice 188. 2'-methoxyethyl-modified ASOs directed to the same miRNA demonstrated similar cellular and physiologic effects even in the absence of cholesterol conjugation, which facilitates hepatic targeting 189. Most recently, in vitro studies revealed the significant contribution of secondary structural elements - highly-structured, doublestranded flanking regions around the reverse complement core - to the potency of antimiRNAs 190 miRNA mimics and inhibitors are likely to become important molecules as the field of RNAi therapeutics matures. The delivery of these molecules will surely benefit from the efforts invested in siRNA delivery. Final thoughts RNAi, which has great potential as a therapeutic modality, is a platform technology. Delivery remains the principal obstacle to the realization of the broadest applications of RNAi therapeutics. An appropriate carrier must protect the payload, confer a good pharmacokinetic profile, enhance cellular uptake, and release its cargo into the cytosol. To this end, many different classes of materials have been used. Targeted and chemically-dynamic vectors represent some of the more-exciting and innovative recent developments in the field. It is unclear whether one vector may be applied to sundry diseases - as the carrier is presumably indiscriminate to the siRNA sequence - with the modular exchange of targeting moieties to direct the vector to the desired tissue or whether the entire delivery vehicle will have to be customized for each target cell type and disease state. While viruses have evolved over millions of years to deliver nucleic acids into cells efficiently, non-viral vectors have been developed over the short course of the past ten years. The amount of progress that has been made in this short period of time is astounding, combining the principles of rational design and the ability to learn from experiments in an incremental, empirical fashion. Ultimately, an improved understanding of the mechanisms of uptake and determining the critical physical properties that facilitate this uptake - to be derived from insightful structure-activity relationships - will hopefully enable the judicious design of next-generation vectors that display maximal efficacy and minimal toxicity. REFERENCES 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Akhtar, S. & Benter, I.F. Nonviral delivery of synthetic siRNAs in vivo. Journal of ClinicalInvestigation 117, 3623-3632 (2007). Zhou, H., Liu, D. & Liang, C. Challenges and strategies: The immune responses in gene therapy. Medicinal ResearchReviews 24, 748-761 (2004). Check, E. Gene therapy put on hold as third child develops cancer. Nature 433, 561 (2005). Boyce, N. Trial halted after gene shows up in semen. Nature 414, 677 (2001). Dincer, S., Turk, M. & Piskin, E. Intelligent polymers as nonviral vectors. Gene Ther 12, S139-S145 (2005). Wagner, E., Kircheis, R. & Walker, G.F. Targeted nucleic acid delivery into tumors: new avenues for cancer therapy. Biomedecine & Pharmacotherapy58, 152-161 (2004). Liu, F. & Huang, L. Development of non-viral vectors for systemic gene delivery. Journalof ControlledRelease 78, 259-266 (2002). Miller, A.D. Cationic liposomes for gene therapy. Angew. Chem., Int. Ed. Engl. 37, 1768-1785 (1998). Read, M.L. et al. A versatile reducible polycation-based system for efficient delivery of a broad range of nucleic acids. Nucl. Acids Res. 33, e86 (2005). Kabanov, A.V. & Kabanov, V.A. DNA complexes with polycations for the delivery of genetic material into cells. Bioconjugate Chem. 6, 7-20 (1995). Panyam, J. & Labhasetwar, V. Biodegradable nanoparticles for drug and gene delivery to cells and tissue. Advanced DrugDelivery Reviews 55, 329-347 (2003). Remy, J.S. et al. Gene transfer with lipospermines and polyethylenimines. Advanced DrugDelivery Reviews 30, 85-95 (1998). Boussif, O. et al. A versatile vector for gene and oligonucleotide transfer into cells in culture and in vivo: Polyethylenimine. Proceedingsof the NationalAcademy of Sciences 92, 7297-7301 (1995). Meister, G. & Tuschl, T. Mechanisms of gene silencing by double-stranded RNA. Nature 431, 343-349 (2004). Novina, C.D. & Sharp, P.A. The RNAi revolution. Nature 430, 161-164 (2004). Tuschl, T. in RNAi: A Guide to Gene Silencing. (ed. G.J. Hannon) (Cold Spring Harbor Laboratory Press, New York; 2003). Bernstein, E., Caudy, A.A., Hammond, S.M. & Hannon, G.J. Role for a bidentate ribonuclease in the initiation step of RNA interference. Nature 409, 363-366 (2001). MacRae, I.J. et al. Structural basis for double-stranded RNA processing by Dicer. Science 311, 195-198 (2006). Elbashir, S.M., Lendeckel, W. & Tuschl, T. RNA interference is mediated by 21and 22-nucleotide RNAs. Genes andDevelopment 15, 188-200 (2001). Zamore, P.D., Tuschl, T., Sharp, P.A. & Bartel, D.P. RNAi: Double-stranded RNA directs the ATP-dependent cleavage of mRNA at 21 to 23 nucleotide intervals. Cell 101, 25-33 (2000). Hammond, S.M., Bernstein, E., Beach, D. & Hannon, G.J. An RNA-directed nuclease mediates post-transcriptional gene silencing in Drosophila cells. Nature 404, 293-296 (2000). 22. 23. 24. 25. Martinez, J., Patkaniowska, A., Urlaub, H., Luhrmann, R. & Tuschl, T. Singlestranded antisense siRNAs guide target RNA cleavage in RNAi. Cell 110, 563574 (2002). Schwarz, D.S. et al. Asymmetry in the assembly of the RNAi enzyme complex. Cell 115, 199-208 (2003). Matranga, C., Tomari, Y., Shin, C., Bartel, D.P. & Zamore, P.D. Passenger-strand cleavage facilitates assembly of siRNA into Ago2-containing RNAi enzyme complexes. Cell 123, 607-620 (2005). Rand, T.A., Ginalski, K., Grishin, N.V. & Wang, X. Biochemical identification of Argonaute 2 as the sole protein required for RNA-induced silencing complex activity. Proceedings of the National Academy of Sciences 101, 14385-14389 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. (2004). Tuschl, T. & Borkhardt, A. Small interfering RNAs: A revolutionary tool for the analysis of gene function and gene therapy. Molecular Interventions 2, 158-167 (2002). Moffat, J. et al. A lentiviral RNAi library for human and mouse genes applied to an arrayed viral high-content screen. Cell 124, 1283-1298 (2006). Wall, N.R. & Shi, Y. Small RNA: Can RNA interference be exploited for therapy? The Lancet 362, 1401-1403 (2003). Leonard, J.N. & Schaffer, D.V. Antiviral RNAi therapy: Emerging approaches for hitting a moving target. Gene Therapy 13, 532-540 (2005). Uprichard, S.L. The therapeutic potential of RNA interference. FEBS Letters 579, 5996-6007 (2005). Dykxhoorn, D.M., Palliser, D. & Lieberman, J. The silent treatment: siRNAs as small molecule drugs. Gene Therapy 13, 541-552 (2006). Elbashir, S.M. et al. Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells. Nature 411, 494-498 (2001). de Fougerolles, A., Vornlocher, H.-P., Maraganore, J. & Lieberman, J. Interfering with disease: A progress report on siRNA-based therapeutics. Nature Reviews Drug Discovery6, 443-453 (2007). Weiss, W.A., Taylor, S.S. & Shokat, K.M. Recognizing and exploiting differences between RNAi and small-molecule inhibitors. Nature Chemical Biology 3, 739-744 (2007). Blow, N. Small RNAs: Delivering the future. Nature 450, 1117-1120 (2007). Li, C.X. et al. Delivery of RNA interference. Cell Cycle 5, 2103-2109 (2006). Manoharan, M. RNA interference and chemically modified small interfering RNAs. CurrentOpinion in ChemicalBiology 8, 570-579 (2004). 38. 39. 40. Bumcrot, D., Manoharan, M., Koteliansky, V. & Sah, D.W.Y. RNAi therapeutics: A potential new class of pharmaceutical drugs. Nature Chemical Biology 2, 711719 (2006). Lewis, B.P., Burge, C.B. & Bartel, D.P. Conserved seed pairing, often flanked by adenosines, indicates that thousands of human genes are microRNA targets. Cell 120, 15-20 (2005). Jackson, A.L. et al. Widespread siRNA "off-target" transcript silencing mediated by seed region sequence complementarity. RNA 12, 1179-1187 (2006). 41. 42. 43. 44. 45. 46. 47. 48. Jackson, A.L. et al. Position-specific chemical modification of siRNAs reduces "off-target" transcript silencing. RNA 12, 1197-1205 (2006). Schwarz, D.S. et al. Designing siRNA that distinguish between genes that differ by a single nucleotide. PLoS Genetics 2, 1307-1318 (2006). Yuan, B., Latek, R., Hossbach, M., Tuschl, T. & Lewitter, F. siRNA Selection Server: An automated siRNA oligonucleotide prediction server. Nucl. Acids Res. 32, W130-134 (2004). Reynolds, A. et al. Rational siRNA design for RNA interference. Nature Biotechnology 22, 326-330 (2004). Layzer, J.M. et al. In vivo activity of nuclease-resistant siRNAs. RNA 10, 766-771 (2004). Soutschek, J. et al. Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs. Nature432, 173-178 (2004). Xia, J. et al. Gene silencing activity of siRNAs with a ribo-difluorotoluyl nucleotide. ACS Chem. Biol. 1, 176-183 (2006). Haeberli, P., Berger, I., Pallan, P.S. & Egli, M. Syntheses of 4'thioribonucleosides and thermodynamic stability and crystal structure of RNA oligomers with incorporated 4'-thiocytosine. Nucl. Acids Res. 33, 3965-3975 (2005). 49. 50. Hoshika, S., Minakawa, N. & Matsuda, A. Synthesis and physical and physiological properties of 4'-thioRNA: Application to post-modification of RNA aptamer toward NF- {kappa} B. Nucl. Acids Res. 32, 3815-3825 (2004). Choung, S., Kim, Y.J., Kim, S., Park, H.-O. & Choi, Y.-C. Chemical modification of siRNAs to improve serum stability without loss of efficacy. Biochemical and BiophysicalResearch Communications342, 919-927 (2006). 51. 52. 53. 54. 55. 56. 57. 58. Judge, A.D. et al. Sequence-dependent stimulation of the mammalian innate immune response by synthetic siRNA. Nature Biotechnology23, 457-462 (2005). Hornung, V. et al. Sequence-specific potent induction of IFN-[alpha] by shorf interfering RNA in plasmacytoid dendritic cells through TLR7. Nature Medicine 11, 263-270 (2005). Lorenz, C., Hadwiger, P., John, M., Vomlocher, H.-P. & Unverzagt, C. Steroid and lipid conjugates of siRNAs to enhance cellular uptake and gene silencing in liver cells. Bioorganic& MedicinalChemistryLetters 14, 4975-4977 (2004). Wolfrum, C. et al. Mechanisms and optimization of in vivo delivery of lipophilic siRNAs. Nature Biotechnology 25, 1149-1157 (2007). Brumm•elkamp, T.R., Bernards, R. & Agami, R. A system for stable expression of short interfering RNAs in mammalian cells. Science 296, 550-553 (2002). Grimm, D. & Kay, M.A. RNAi and gene therapy: A mutual attraction. Hematology 2007, 473-481 (2007). Wiznerowicz, M., Szulc, J. & Trono, D. Tuning silence: conditional systems for RNA interference. Nature Methods 3, 682-688 (2006). Yoo, J.Y. et al. VEGF-specific short hairpin RNA-expressing oncolytic adenovirus elicits potentilnhibition of angiogenesis and tumor growth. Molecular Therapy 15, 295-302 (2007). 59. 60. 61. 62. 63. 64. Chang, A.H. & Sadelain, M. The genetic engineering of hematopoietic stem cells: The rise of lentiviral vectors, the conundrum of the LTR, and the promise of lineage-restricted vectors. Molecular Therapy 15, 445-456 (2007). Grimm, D., Pandey, K. & Kay, M.A. in Methods in Enzymology: RNA Interference, Edn. Volume 392. (ed. a.J.J.R. David R. Engelke) 381-405 (Academic Press, 2005). Grimm, D. & Kay, M.A. Therapeutic short hairpin RNA expression in the liver: viral targets and vectors. Gene Therapy 13, 563-575 (2006). Singer, O. et al. Targeting BACE1 with siRNAs ameliorates Alzheimer disease neuropathology in a transgenic model. NatureNeuroscience 8, 1343-1349 (2005). Ralph, G.S. et al. Silencing mutant SOD1 using RNAi protects against neurodegeneration and extends survival in an ALS model. Nature Medicine 11, 429-433 (2005). Harper, S.Q. et al. RNA interference improves motor and neuropathological abnormalities in a Huntington's disease mouse model. Proceedings of the NationalAcademy of Sciences 102, 5820-5825 (2005). 65. 66. 67. Gurzov, E.N. & Izquierdo, M. RNA interference against Hecl inhibits tumor growth in vivo. Gene Therapy 13, 1-7 (2005). Li, L. et al. Development of recombinant adeno-associated virus vectors carrying small interfering RNA (shHec 1)-mediated depletion of kinetochore Hec 1 protein in tumor cells. Gene Therapy 14, 814-827 (2007). Pulukuri, S.M. et al. RNA interference-directed knockdown of urokinase plasminogen activator and urokinase plasminogen activator receptor inhibits prostate cancer cell invasion, survival, and tumorigenicity in vivo. Journal of Biological Chemistry280, 36529-36540 (2005). 68. 69. 70. 71. 72. 73. 74. Kock, N., Kasmieh, R., Weissleder, R. & Shah, K. Tumor therapy mediated by lentiviral expression of shBcl-2 and S-TRAIL. Neoplasia 9, 435-442 (2007). Shen, H.-L. et al. Vector-based RNAi approach to isoform-specific downregulation of vascular endothelial growth factor (VEGF)165 expression in human leukemia cells. Leukemia Research 31, 515-521 (2007). Chen, C.-C. et al. Long-term inhibition of hepatitis B virus in transgenic mice by double-stranded adeno-associated virus 8-delivered short hairpin RNA. Gene Therapy14, 11-19 (2006). Sano, M., Li, H., Nakanishi, M. & Rossi, J.J. Expression of long anti-HIV-1 hairpin RNAs for the generation of multiple siRNAs: Advantages and limitations. Molecular Therapy16, 170-177 (2007). Grimm, D. et al. Fatality in mice due to oversaturation of cellular microRNA/short hairpin RNA pathways. Nature 441, 537-541 (2006). Gary, D.J., Puri, N. & Won, Y.-Y. Polymer-based siRNA delivery: Perspectives on the fundamental and phenomenological distinctions from polymer-based DNA delivery. Journalof ControlledRelease 121, 64-73 (2007). Bologna, J.-C., Dorn, G., Natt, F. & Weiler, J. Linear polyethylenimine as a tool for comparative studies of antisense and short double-stranded RNA oligonucleotides. Nucleosides, Nucleotides and Nucleic Acids 22, 1729 - 1731 (2003). 75. 76. 77. 78. 79. Merdan, T., Kopecek, J. & Kissel, T. Prospects for cationic polymers in gene and oligonucleotide therapy against cancer. Advanced Drug Delivery Reviews 54, 715-758 (2002). Read, M.L. et al. A versatile reducible polycation-based system for efficient delivery of a broad range of nucleic acids. Nucleic Acids Research 33, e86(2005). Sonawane, N.D., Szoka, F.C. & Verkman, A.S. Chloride accumulation and swelling in endosomes enhances DNA transfer by polyamine-DNA polyplexes. Journalof Biological Chemistry278, 44826-44831 (2003). Tan, P.-H., Yang, L.-C., Shih, H.-C., Lan, K.-C. & Cheng, J.-T. Gene knockdown with intrathecal siRNA of NMDA receptor NR2B subunit reduces formalininduced nociception in the rat. Gene Therapy 12, 59-66 (2004). Ge, Q. et al. Inhibition of influenza virus production in virus-infected mice by RNA interference. Proceedings of the NationalAcademy of Sciences 101, 867680. 81. 82. 83. 84. 85. 86. 8681 (2004). Grzelinski, M. et al. RNA interference-mediated gene silencing of pleiotrophin through polyethylenimine-complexed small interfering RNAs in vivo exerts antitumoral effects in glioblastoma xenografts. Human Gene Therapy 17, 751-766 (2006). Urban-Klein, B., Werth, S., Abuharbeid, S., Czubayko, F. & Aigner, A. RNAimediated gene-targeting through systemic application of polyethylenimine (PEI)complexed siRNA in vivo. Gene Therapy 12, 461-466 (2004). Schiffelers, R.M. et al. Cancer siRNA therapy by tumor selective delivery with ligand-targeted sterically stabilized nanoparticle. Nucleic Acids Research 32, e149- (2004). Choksakulnimitr, S., Masuda, S., Tokuda, H., Takakura, Y. & Hashida, M. In vitro cytotoxicity of macromolecules in different cell culture systems. Journalof ControlledRelease 34, 233-241 (1995). Godbey, W.T., Wu, K.K. & Mikos, A.G. Tracking the intracellular path of poly(ethylenimine)/DNA complexes for gene delivery. PNAS 96, 5177-5181 (1999). Neu, M., Fischer, D. & Kissel, T. Recent advances in rational gene transfer vector design based on poly(ethylene imine) and its derivatives. The Journal of Gene Medicine 7, 992-1009 (2005). Thomas, M. et al. Full deacylation of polyethylenimine dramatically boosts its gene delivery efficiency and specificity to mouse lung. Proceedings of the NationalAcademy of Sciences 102, 5679-5684 (2005). 87. 88. 89. Werth, S. et al. A low molecular weight fraction of polyethylenimine (PEI) displays increased transfection efficiency of DNA and siRNA in fresh or lyophilized complexes. Journalof ControlledRelease 112, 257-270 (2006). Forrest, M.L., Koerber, J.T. & Pack, D.W. A degradable polyethylenimine derivative with low toxicity for highly efficient gene delivery. Bioconjugate Chemistry 14, 934-940 (2003). Lee, Y. et al. Visualization of the degradation of a disulfide polymer, linear poly(ethylenimine sulfide), for gene delivery. Bioconjugate Chemistry 18, 13-18 (2007). 90. 91. 92. 93. 94. 95. 96. Takei, Y., Kadomatsu, K., Yuzawa, Y., Matsuo, S. & Muramatsu, T. A small interfering RNA targeting vascular endothelial growth factor as cancer therapeutics. CancerResearch64, 3365-3370 (2004). Minakuchi, Y. et al. Atelocollagen-mediated synthetic small interfering RNA delivery for effective gene silencing in vitro and in vivo. Nucleic Acids Research 32, e109- (2004). Takeshita, F. & Ochiya, T. Therapeutic potential of RNA interference against cancer. CancerScience 97, 689-696 (2006). Howard, K.A. et al. RNA interference in vitro and in vivo using a chitosan/siRNA nanoparticle system. Molecular Therapy 14, 476-484 (2006). Pille, J.-Y. et al. Intravenous delivery of anti-RhoA small interfering RNA loaded in nanoparticles of chitosan in mice: Safety and efficacy in xenografted aggressive breast cancer. Human Gene Therapy 17, 1019-1026 (2006). Hu-Lieskovan, S., Heidel, J.D., Bartlett, D.W., Davis, M.E. & Triche, T.J. Sequence-specific knockdown of EWS-FLIl by targeted, nonviral delivery of small interfering RNA inhibits tumor growth in a murine model of metastatic Ewing's sarcoma. CancerResearch 65, 8984-8992 (2005). Heidel, J.D. et al. Administration in non-human primates of escalating intravenous doses of targeted nanoparticles containing ribonucleotide reductase subunit M2 siRNA. Proceedingsof the NationalAcademy of Sciences 104, 571597. 98. 99. 100. 101. 102. 103. 104. 5721 (2007). Fenske, D.B. & Cullis, P.R. in Liposomes, Edn. Volume 391. (ed. N. Duzgunes) 7-40 (Academic Press, 2005). Dass, C.R. Lipoplex-mediated delivery of nucleic acids: Factors affecting in vivo transfection. Journalof MolecularMedicine 82, 579-591 (2004). Li, W. & Szoka, F. Lipid-based nanoparticles for nucleic acid delivery. PharmaceuticalResearch 24, 438-449 (2007). Reich, S.J. et al. Small interfering RNA (siRNA) targeting VEGF effectively inhibits ocular neovascularization in a mouse model. Molecular Vision 9, 210-216 (2003). Nakamura, H. et al. RNA interference targeting transforming growth factor-b type II receptor suppresses ocular inflammation and fibrosis. Molecular Vision 10, 703-711 (2004). Luo, M.-C. et al. An efficient intrathecal delivery of small interfering RNA to the spinal cord and peripheral neurons. MolecularPain 1, 29 (2005). Kumar, P., Lee, S.K., Shankar, P. & Manjunath, N. A single siRNA suppresses fatal encephalitis induced by two different flaviviruses. PLoS Medicine 3, e96 (2006). Niu, X.-Y., Peng, Z.-L., Duan, W.-Q., Wang, H. & Wang, P. Inhibition of HPV 16 E6 oncogene expression by RNA interference in vitro and in vivo. InternationalJournalof Gynecological Cancer16, 743-751 (2006). 105. 106. Palliser, D. et al. An siRNA-based microbicide protects mice from lethal herpes simplex virus 2 infection. Nature 439, 89-94 (2006). Zhang, Y. et al. Engineering mucosal RNA interference in vivo. Molecular Therapy 14, 336-342 (2006). 107. 108. 109. 110. Morrissey, D.V. et al. Potent and persistent in vivo anti-HBV activity of chemically modified siRNAs. Nature Biotechnology 23, 1002-1007 (2005). Geisbert, T. et al. Postexposure protection of guinea pigs against a lethal Ebola virus challenge is conferred by RNA interference. The Journal of Infectious Diseases193,' 1650-1657 (2006). Zimmermann, T.S. et al. RNAi-mediated gene silencing in non-human primates. Nature 441, 111-114 (2006). Miyawaki-Shimizu, K. et al. siRNA-induced caveolin-1 knockdown in mice increases lung vascular permeability via the junctional pathway. American Journal of Physiology: Lung Cellular and Molecular Physiology 290, L405-413 111. 112. 113. (2006). Hassan, A. et al. Small interfering RNA-mediated functional silencing of vasopressin V2 receptors in the mouse kidney. PhysiologicalGenomics 21, 382388 (2005). Khoury, M. et al. Efficient new cationic liposome formulation for systemic delivery of small interfering RNA silencing tumor necrosis factor-[alpha] in experimental arthritis. Arthritis & Rheumatism 54, 1867-1877 (2006). Landen, C.N., Jr. et al. Therapeutic EphA2 gene targeting in vivo using neutral liposomal small interfering RNA delivery. Cancer Research 65, 6910-6918 (2005). 114. 115. 116. 117. 118. 119. 120. 121. 122. Pal, A. et al. Systemic delivery of RafsiRNA using cationic cardiolipin liposomes silences Raf-1 expression and inhibits tumor growth in xenograft model of human prostate cancer. InternationalJournalof Oncology 4, 1087-1091 (2005). Santel, A. et al. RNA interference in the mouse vascular endothelium by systemic administration of siRNA-lipoplexes for cancer therapy. Gene Therapy 13, 13601370 (2006). Yano, J. et al. Antitumor activity of small interfering RNA/cationic liposome complex in mouse models of cancer. Clinical Cancer Research 10, 7721-7726 (2004). Miller, C.R., Bondurant, B., McLean, S.D., McGovern, K.A. & O'Brien, D.F. Liposome-cell interactions in vitro: Effect of liposome surface charge on the binding and endocytosis of conventional and sterically stabilized liposomes. Biochemistry37, 12875-12883 (1998). Spagnou, S., Miller, A.D. & Keller, M. Lipidic carriers of siRNA: Differences in the formulation, cellular uptake, and delivery with plasmid DNA. Biochemistry 43, 13348-13356 (2004). Akinc, A. et al. A combinatorial library of lipid-like materials for delivery of RNAi therapeutics. Nature Biotechnology(2008). Akinc, A. et al. A combinatorial library of lipid-like materials for delivery of RNAi therapeutics. Nature Biotechnology (In press) (2007). John, M. et al. Effective RNAi-mediated gene silencing without interruption of the endogenous microRNA pathway. Nature 449, 745-747 (2007). Juliano, R.L. Peptide-oligonucleotide conjugates for the delivery of antisense and siRNA. CurrentOpinion in Molecular Therapeutics7, 132-136 (2005). 123. Torchilin, V.P. Recent approaches to intracellular delivery of drugs and DNA and organelle targeting. Annual Review of BiomedicalEngineering8, 343-375 (2006). 124. Kim, W.J. et al. Cholesteryl oligoarginine delivering vascular endothelial growth factor siRNA effectively inhibits tumor growth in colon adenocarcinoma. Molecular Therapy 14, 343-350 (2006). 125. 126. El-Andaloussi, S., Holm, T. & Langel, U. Cell-penetrating peptides: Mechanisms and applications. CurrentPharmaceuticalDesign 11, 3597-3611 (2005). Crombez, L. et al. A non-covalent peptide-based strategy for siRNA delivery. BiochemicalSociety Transactions035, 44-46 (2007). 127. 128. 129. Deshayes, S., Morris, M., Heitz, F. & Divita, G. Delivery of proteins and nucleic acids using a non-covalent peptide-based strategy. Advanced Drug Delivery Reviews In Press (2007). Morris, K.V., Chan, S.W.-L., Jacobsen, S.E. & Looney, D.J. Small interfering RNA-induced transcriptional gene silencing in human cells. Science 305, 12891292 (2004). Zeineddine, D. et al. Oct-3/4 dose dependently regulates specification of embryonic stem cells toward a cardiac lineage and early heart development. Developmental Cell 11, 535-546 (2006). 130. 131. 132. Simeoni, F., Morris, M.C., Heitz, F. & Divita, G. Insight into the mechanism of the peptide-based gene delivery system MPG: Implications for delivery of siRNA into mammalian cells. Nucleic Acids Research 31, 2717-2724 (2003). Meade, B.R. & Dowdy, S.F. Exogenous siRNA delivery using peptide transduction domains/cell penetrating peptides. Advanced DrugDelivery Reviews 59, 134-140 (2007). Zatsepin, T.S., Turner, J.J., Oretskaya, T.S. & Gait, M.J. Conjugates of oligonucleotides and analogues with cell penetrating peptides as gene silencing agents. CurrentPharmaceuticalDesign 11, 3639-3654 (2005). 133. 134. 135. 136. 137. 138. 139. Chiu, Y.-L., Ali, A., Chu, C.-y., Cao, H. & Rana, T.M. Visualizing a correlation between siRNA localization, cellular uptake, and RNAi in living cells. Chemistry & Biology 11, 1165-1175 (2004). Muratovska, A. & Eccles, M.R. Conjugate for efficient delivery of short interfering RNA (siRNA) into mammalian cells. FEBS Letters 558, 63-68 (2004). Davidson, T.J. et al. Highly efficient small interfering RNA delivery to primary mammalian neurons induces microRNA-like effects before mRNA degradation. Journalof Neuroscience 24, 10040-10046 (2004). Ikeda, Y. & Taira, K. Ligand-targeted delivery of therapeutic siRNA. PharmaceuticalResearch 23, 1631-1640 (2006). Zitzmann, S., Ehemann, V. & Schwab, M. Arginine-glycine-aspartic acid (RGD)peptide binds to both tumor and tumor-endothelial cells in vivo. CancerResearch 62, 5139-5143 (2002). Song, E. et al. Antibody mediated in vivo delivery of small interfering RNAs via cell-surface receptors. Nature Biotechnology23, 709-717 (2005). Peer, D., Zhu, P., Carman, C.V., Lieberman, J. & Shimaoka, M. Selective gene silencing in activated leukocytes by targeting siRNAs to the integrin lymphocyte function-associated antigen-1. Proceedings of the NationalAcademy of Sciences 104, 4095-4100 (2007). 140. 141. 142. 143. 144. 145. 146. Longmuir, K., Robertson, R., Haynes, S., Baratta, J. & Waring, A. Effective targeting of liposomes to liver and hepatocytes in vivo by incorporation of a plasmodium amino acid sequence. PharmaceuticalResearch 23, 759-769 (2006). Kumar, P. et al. Transvascular delivery of small interfering RNA to the central nervous system. Nature 448, 39-43 (2007). Cantin, E.M. & Rossi, J.J. Molecular medicine: Entry granted. Nature 448, 33-34 (2007). Stoltenburg, R., Reinemann, C. & Strehlitz, B. SELEX -- A (r)evolutionary method to generate high-affinity nucleic acid ligands. BiomolecularEngineering 24, 381-403 (2007). Ellington, A.D. & Szostak, J.W. In vitro selection of RNA molecules that bind specific ligands. Nature 346, 818-822 (1990). Tuerk, C. & Gold, L. Systematic evolution of ligands by exponential enrichment: RNA ligands to bacteriophage T4 DNA polymerase. Science 249, 505-510 (1990). Nimjee, S.M., Rusconi, C.P. & Sullenger, B.A. Aptamers: An emerging class of therapeutics. Annual Review of Medicine 56, 555-583 (2005). 147. 148. 149. Chu, T.C., Twu, K.Y., Ellington, A.D. & Levy, M. Aptamer mediated siRNA delivery. Nucleic Acids Research 34, e73- (2006). Hicke, B.J. & Stephens, A.W. Escort aptamers: A delivery service for diagnosis and therapy. Journalof ClinicalInvestigation 106, 923-928 (2000). Daniels, D.A., Chen, H., Hicke, B.J., Swiderek, K.M. & Gold, L. A tenascin-C aptamer identified by tumor cell SELEX: Systematic evolution of ligands by exponential enrichment. Proceedings of the National Academy of Sciences 100, 150. 151. 152. 153. 154. 155. 156. 15416-15421 (2003). McNamara, J.O. et al. Cell type-specific delivery of siRNAs with aptamer-siRNA chimeras. Nature Biotechnology 24, 1005-1015 (2006). Wolff, J.A. & Rozema, D.B. Breaking the bonds: Non-viral vectors become chemically dynamic. Molecular Therapy Epub ahead of print (2007). Rozema, D.B., Ekena, K., Lewis, D.L., Loomis, A.G. & Wolff, J.A. Endosomolysis by masking of a membrane-active agent (EMMA) for cytoplasmic release of macromolecules. Bioconjugate Chemistry 14, 51-57 (2003). Murthy, N., Campbell, J., Fausto, N., Hoffman, A.S. & Stayton, P.S. Design and synthesis of pH-responsive polymeric carriers that target uptake and enhance the intracellular delivery of oligonucleotides. Journalof Controlled Release 89, 365374 (2003). Walker, G.F. et al. Toward synthetic viruses: Endosomal pH-triggered deshielding of targeted polyplexes greatly enhances gene transfer in vitro and in vivo. Molecular Therapy 11, 418-425 (2005). Knorr, V., Allmendinger, L., Walker, G.F., Paintner, F.F. & Wagner, E. An acetal-based PEGylation reagent for pH-sensitive shielding of DNA polyplexes. Bioconjugate Chemistry 18, 1218-1225 (2007). Xiong, M.P. et al. pH-responsive multi-PEGylated dual cationic nanoparticles enable charge modulations for safe gene delivery. ChemMedChem 2, 1321-1327 (2007). 157. 158. 159. Oishi, M., Nagasaki, Y., Itaka, K., Nishiyama, N. & Kataoka, K. Lactosylated poly(ethylene glycol)-siRNA conjugate through acid-labile beta-thiopropionate linkage to construct pH-sensitive polyion complex micelles achieving enhanced gene silencing in hepatoma cells. Journalof the American Chemical Society 127, 1624-1625 (2005). Plank, C., Zauner, W. & Wagner, E. Application of membrane-active peptides for drug and gene delivery across cellular membranes. Advanced Drug Delivery Reviews 34, 21-35 (1998). Sitaram, N. & Nagaraj, R. Interaction of antimicrobial peptides with biological and model membranes: Structural and charge requirements for activity. Biochimicaet Biophysica Acta 1462, 29-54 (1999). 160. 161. 162. Li, W., Nicol, F. & Szoka, F.C. GALA: a designed synthetic pH-responsive amphipathic peptide with applications in drug and gene delivery. Advanced Drug DeliveryReviews 56, 967-985 (2004). Oliveira, S., van Rooy, I., Kranenburg, O., Storm, G. & Schiffelers, R.M. Fusogenic peptides enhance endosomal escape improving siRNA-induced silencing of oncogenes. InternationalJournal of Pharmaceutics331, 211-214 (2007). Rozema, D.B. et al. Dynamic PolyConjugates for targeted in vivo delivery of siRNA to hepatocytes. Proceedings of the National Academy of Sciences 104; 163. 164. 165. 166. 167. 12982-12987 (2007). Saito, G., Amidon, G.L. & Lee, K.-D. Enhanced cytosolic delivery of plasmid DNA by a sulfhydryl-activatable listeriolysin O-protamine conjugate utilizing cellular reducing potential. Gene Therapy10, 72-83 (2003). Carlisle, R.C. et al. Polymer-coated polyethylenimine/DNA complexes designed for triggered activation by intracellular reduction. The Journal of Gene Medicine 6, 337-344 (2004). Oishi, M. et al. Supramolecular assemblies for the cytoplasmic delivery of antisense oligodeoxynucleotide: Polyion complex (PIC) micelles based on poly(ethylene glycol)-SS-oligodeoxynucleotide conjugate. Biomacromolecules 6, 2449-2454 (2005). Hatakeyama, H. et al. Development of a novel systemic gene delivery system for cancer therapy with a tumor-specific cleavable PEG-lipid. Gene Therapy 14, 6877 (2006). Bartlett, D.W., Su, H., Hildebrandt, I.J., Weber, W.A. & Davis, M.E. Impact of tumor-specific targeting on the biodistribution and efficacy of siRNA nanoparticles measured by multimodality in vivo imaging. Proceedings of the NationalAcademy of Sciences 104, 15549-15554 (2007). 168. 169. 170. Fitzgerald, J.B., Schoeberl, B., Nielsen, U.B. & Sorger, P.K. Systems biology and combination therapy in the quest for clinical efficacy. Nature Chemical Biology 2, 458-466 (2006). Geyer, C.E. et al. Lapatinib plus capecitabine for HER2-positive advanced breast cancer. New EnglandJournalof Medicine 355, 2733-2743 (2006). Grimm, D. & Kay, M.A. Combinatorial RNAi: A winning strategy for the race against evolving targets? Molecular Therapy 15, 878-888 (2007). 171. 172. 173. Gitlin, L., Karelsky, S. & Andino, R. Short interfering RNA confers intracellular antiviral immunity in human cells. Nature 418, 430-434 (2002). Westerhout, E.M., Ooms, M., Vink, M., Das, A.T. & Berkhout, B. HIV-1 can escape from RNA interference by evolving an alternative structure in its RNA genome. Nucleic Acids Research 33, 796-804 (2005). Leonard, J.N. & Schaffer, D.V. Computational design of antiviral RNA interference strategies that resist Human Immunodeficiency Virus escape. Journal of Virology 79, 1645-1654 (2005). 174. 175. 176. 177. 178. Schutz, S. & Samow, P. Interaction of viruses with the mammalian RNA interference pathway. Virology 344, 151-157 (2006). Hemmings-Mieszczak, M., Dorn, G., Natt, F.J., Hall, J. & Wishart, W.L. Independent combinatorial effect of antisense oligonucleotides and RNAimediated specific inhibition of the recombinant Rat P2X3 receptor. Nucleic Acids Research 31, 2117-2126 (2003). Jarczak, D., Korf, M., Beger, C., Manns, M.P. & Kruger, M. Hairpin ribozymes in combination with siRNAs against highly conserved hepatitis C virus sequence inhibit RNA replication and protein translation from hepatitis C virus subgenomic replicons. FEBS Journal272, 5910-5922 (2005). Samakoglu, S. et al. A genetic strategy to treat sickle cell anemia by coregulating globin transgene expression and RNA interference. Nature Biotechnology 24, 8994 (2006). Kim, V.N. MicroRNA biogenesis: Coordinated cropping and dicing. Nature Reviews Molecular Cell Biology 6, 376-385 (2005). 179. 180. Filipowicz, W., Bhattacharyya, S.N. & Sonenberg, N. Mechanisms of posttranscriptional regulation by microRNAs: Are the answers in sight? Nature Reviews Genetics 9, 102-114 (2008). Leung, A.K.L. & Sharp, P.A. Function and localization of microRNAs in mammalian cells. Cold Spring HarborSymposia on QuantitativeBiology 71, 29181. 182. 183. 184. 185. 186. 187. 188. 38 (2006). Jeyaseelan, K., Herath, W.B. & Armugam, A. MicroRNAs as therapeutic targets in human diseases. Expert Opinion on Therapeutic Targets 11, 1119-1129 (2007). He, L. et al. A microRNA polycistron as a potential human oncogene. Nature435, 828-833 (2005). van Rooij, E. et al. Control of stress-dependent cardiac growth and gene expression by a microRNA. Science 316, 575-579 (2007). Krutzfeldt, J. & Stoffel, M. MicroRNAs: A new class of regulatory genes affecting metabolism. Cell Metabolism4, 9-12 (2006). Soifer, H.S., Rossi, J.J. & Saetrom, P. MicroRNAs in disease and potential therapeutic applications. Molecular Therapy 15, 2070-2079 (2007). Davis, S., Lollo, B., Freier, S. & Esau, C. Improved targeting of miRNA with antisense oligonucleotides. Nucleic Acids Research 34, 2294-2304 (2006). Orom, U.A., Kauppinen, S. & Lund, A.H. LNA-modified oligonucleotides mediate specific inhibition of microRNA function. Gene 372, 137-141 (2006). Krutzfeldt, J. et al. Silencing of microRNAs in vivo with 'antagomirs'. Nature 438, 685-689 (2005). 189. 190. Esau, C. et al. miR-122 regulation of lipid metabolism revealed by in vivo antisense targeting. Cell Metabolism 3, 87-98 (2006). Vermeulen, A. et al. Double-stranded regions are essential design components of potent inhibitors of RISC function. RNA 13, 723-730 (2007). CHAPTER 2: A COMBINATORIAL LIBRARY OF LIPID-LIKE MATERIALS FOR DELIVERY OF RNAI THERAPEUTICS ABSTRACT The safe and effective delivery of RNAi therapeutics remains the central challenge to its clinical development. The current collection of delivery materials and their diversity remains limited, in part due to their slow, multi-step syntheses. Here, we describe a new class of lipid-like delivery molecules, which we term "lipidoids", as delivery agents for RNAi therapeutics. Chemical methods were developed to allow the rapid synthesis of a large library of over 1,200 structurally-diverse lipidoids. From this library, lipidoids were identified that facilitate high levels of specific silencing of endogenous gene transcripts when formulated with either double-stranded small interfering RNA (siRNA) or single-stranded antisense 2'-O-methyl (2'-OMe) oligoribonucleotides targeting microRNA (miRNA). The safety and efficacy of lipidoids were studied in three animal models - mice, rats, and non-human primates. The studies reported herein suggest these new materials could potentially have broad utility for both local and systemic delivery of RNA therapeutics. INTRODUCTION The specific reduction, or "silencing", of gene expression through RNAi has tremendous potential to create a new class of therapeutics that address previouslyuntreatable diseases 1,2. High doses of cholesterol-modified siRNA. 3 and cholesterolmodified 2'-OMe oligoribonucleotides ("antagomirs") 4 have been demonstrated to reduce gene expression specifically in vivo in liver and other tissues. Certain viruses, such as Respiratory Syncytial Virus (RSV) can be inhibited locally following administration of naked siRNA 5,6. Recently, systemic delivery of siRNA to the liver of mice and non-human primates was demonstrated using a lipid formulation 7,8. Despite these advances, to our knowledge there are few ublished reports demonstrating efficacy of systemically delivered siRNA in primates 9. While significant efforts have been dedicated to cationic lipid delivery systems, the development of safe and effective methods both in vitro and in vivo has proven challenging. To date, the delivery of siRNA has been mediated by direct conjugation of delivery agents 3,10-12; formulation using lipid- 7,, 13-16, polymer- 9,17-20, or peptide-based delivery systems 21-23; and, more recently, complexation with antibody fusion proteins 24, 25. A key barrier to the larger exploration of delivery material space is the difficulty of new material synthesis. Conventional lipid synthesis typically requires individuallyoptimized, multiple-step synthesis, including time-intensive procedures such as chemical protection and deprotection, the use of and removal of catalysts, solvent exchanges, and purification 26 The customization of each synthetic reaction and the multiple steps required limit throughput and, correspondingly, ability to generate significant library size and diversity. To address these problems, we have developed, to our knowledge, the first chemical methods capable of rapid, parallel production of lipid-like molecules (Fig. 1). RESULTS AND DISCUSSION Library synthesis The synthetic scheme employed is based upon the conjugate addition of alkylacrylates or alkyl-acrylamides to primary or secondary amines (Fig. lb). This particular chemistry - unlike many traditional lipid synthesis chemistries - allows for reactions in the absence of solvent or catalysts, results only in lipidoid product, and thereby eliminates the need for protection/deprotection steps, purification, or concentration steps. Using these methods, we first synthesized a pilot library of more than 700 lipidoid members, in which a number of parameters were systematically varied, including 1) alkyl chain length from C10 to C18, 2) linkage between the alkyl chain and the amine through the degradable ester bond or the more stable amide bond, 3) primary R group on the amine, and 4) the post-synthetic introduction of a constitutive positive charge to the acrylate-derived lipidoids by quaternization of the amine with the alkylating agent methyl iodide. Characterization of representative lipidoids demonstrated nearly-complete conjugation for acrylate-based lipidoids under conditions used (Materials and Methods). Acrylamide conjugation was slower, but the majority of material was conjugated after one week at elevated temperature. This combinatorial approach has the advantages of both simple and rapid synthesis as well as the potential to generate a large and diverse collection of materials. In vitro screening confirmed the ability of h'pidoids to transfect several cell types Once synthesized, this first library was screened for the ability to deliver siRNA to the human cervical cancer cell line HeLa (Fig. 2a). A HeLa cell line was created that stably expresses both Firefly luciferase and Renilla luciferase. Efficacy of siRNA delivery by lipidoids was determined by treating these cells with siRNA-lipidoid complexes, prepared using a Firefly luciferase-targeting siRNA (siLuc), and then measuring the ratio of Firefly to Renilla luciferase expression. In this assay, toxic or other non-specific effects result in reduction of expression of both luciferase proteins, while non-cytotoxic, specific silencing results in reduction of only Firefly luciferase. To facilitate screening throughput, siRNA-lipid complexes were formed by simple mixing of siRNA-lipidoid solutions in microtiter plates. Analysis of these results revealed several trends in lipidoids capable of delivering siRNA to HeLa cells. Overall, enhanced delivery performance was achieved using lipidoids containing more than two amines per head unit (e.g. monomers 61-64, 95-103). Furthermore, effective materials often had either two long amide tails (e.g. 64N16) or several smaller amide tails (e.g. 98N 12). Based on this data set, we synthesized a second generation library of 500 lipidoids, expanding the structures tested based on these trends. In particular, we hypothesized that a number of these design features could enrich the library with effective materials. Specifically, we expanded the library to include lipidoids with even shorter amide tails (e.g N9, Ni1 ) and more head units with two or more amines (e.g. monomers 109-117). Since many of these head units have the potential for more than two tails, lipidoids were resynthesized with varied reaction stoichiometry to generate lipidoids with varying numbers of tails. The ratio of delivery material to nucleic acid is known to affect delivery potential of formulations. Therefore, this second generation library of 500 lipidoids was screened in quadruplicate, as above, for delivery to HeLa cells at four different lipidoid:siRNA ratios. Using these screening methods, we identified a total of 56 lipidoids capable of inducing gene silencing at levels similar to or better than the commercially-available in vitro transfection agent LipofectamineTM 2000 (Fig. 2b). Notably, the top performing lipidoids in this second library contained several structural similarities: 1) amide linkages, 2) more than two alkyl tails, 3) tail length in the range of 8-12 carbons, and 4) one tail short of total substitution of the amine reactants, therefore containing one secondary amine. These relatively short tails are surprising in comparison to typical gene deliver cationic lipids such as DOTAP and DOTMA, which contain 18 aliphatic carbon atoms Interestingly, many of the effective lipidoids (e.g. 100N 9) are structurally unlike both conventional lipids and cationic polymers. This novel set of effective siRNA delivery materials significantly expands the collection and chemical diversity of materials known to facilitate siRNA delivery to cells. To examine in vitro performance more closely, a collection of purified lipidoids selected from those showing efficacy in HeLa cells, was tested at different doses, with three cell types: HeLa, human hepatocellular liver carcinoma cell line HepG2, and primary bone marrow-derived murine macrophages (Fig. 2c-e). In vitro analysis confirmed that, in general, both lipidoids and commercial lipids are relatively noncytotoxic at the concentration ranges in which they are efficacious (data not shown). Notably, these lipidoids performed differently in the different cell types. While all materials were able to facilitate good silencing at the highest siRNA levels, the commercial reagents LipofectamineTM RNAiMAX and LipofectamineTM 2000 were able to facilitate greater silencing at the lowest siRNA levels in HeLa and HepG2 cells. In contrast, with primary bone marrow-derived macrophages, lipidoids were more effective delivery vehicles at low siRNA concentrations. Dose-dependant silencing of GFP expression was observed for 6 of the 7 lipidoids tested with 50% silencing observed even at a 1 nM siRNA concentration (Fig. 2e). In contrast, LipofectamineTM 2000 and Lipofectamine TM RNAiMAX were not effective at silencing GFP expression even at the highest siRNA concentration used (Fig. 2e). Lipidoid-formulated siRNA mediates target-specific knockdown in vivo To examine the utility of this library, we first attempted to mine the lipidoids as novel materials for the in vivo systemic delivery of siRNA to liver. The liver represents an attractive organ for therapeutic intervention both because of the number of potential hepatic targets as well as the highly-perfused nature of the organ, which may render it more amenable to delivery of exogenous siRNAs. Using a liver-directed in vivo screen of the lipidoid library, we identified a series of compounds that facilitate high levels of siRNA-mediated gene silencing in hepatocytes, the cells comprising the liver parenchyma. Factor VII, a blood clotting factor, is an ideal target gene for assaying functional siRNA delivery to liver. It is produced specifically in hepatocytes; therefore, gene silencing indicates successful delivery to parenchyma, as opposed to delivery solely to the cells of the reticuloendothelial system (e.g. Kupffer cells). Furthermore, Factor VII is a secreted protein that can be readily measured in serum, obviating the need to sacrifice animals. Finally, owing to its short half-life (2-5 hours), silencing at the mRNA level is manifest as silencing at the protein level with minimal lag. A number of top performing lipidoids, identified through the in vitro screens, were screened in vivo, and several lipidoid formulations were identified that mediated significant reduction of serum Factor VII protein levels, with the largest reduction observed for 98N 12 (>90%) (Fig. 3a). Variants of 98N 12 with different tail numbers were purified and tested individually (data not shown). 98N 12-5 (i.e. 5-tailed) was found to be optimal for in vivo delivery. To verify the specificity of gene silencing, liver mRNA levels were measured for both Factor VII and another hepatocyte-expressed gene, apolipoprotein B (Apob) (Fig. 3b). In animals treated with formulations containing Factor VII-specific siRNA (siFVII), only silencing of the Factor VII mRNA was observed. Conversely, in animals treated with formulations containing Apob-specific siRNA (siApoB), only silencing of the Apob mRNA was observed. Further, administration of a lipidoid-formulated 1:1 (wt:wt) mixture of the two siRNAs resulted in silencing of both Factor VII and Apob genes with no detectable loss in potency or competition between siRNAs. No silencing of Factor VII was observed when a mismatch Factor VII siRNA was used (data not shown). These data indicate that the observed gene silencing is a direct result of the specific effects of lipidoid-siRNA on mRNA levels in the liver and that these effects are applicable to multiple hepatocyte-expressed genes. Lipidoids are efficacious and well tolerated in rats To explore further the in vivo activity of 98N 12-5 observed in mice, we conducted efficacy and tolerability studies in rats. Rats were given a single i.v. injection of siFVII formulated in 98N 12-5 at doses of 1.25, 2.5, 5, and 10 mg/kg. Significant, dose-dependent reductions in liver Factor VII mRNA levels were observed, with 40%, 80%, and greater than 90% silencing at 1.25, 2.5, and 5 mg/kg, respectively (Fig. 3c). No silencing was observed using a formulated control siRNA (siCont), demonstrating specificity of silencing. The reduction in liver Factor VII mRNA levels produced a concomitant dosedependent reduction in serum Factor VII protein levels, with nearly complete silencing at the highest dose levels (Fig. 3d). As would be expected, significantly-reduced serum Factor VII levels produced a phenotypic effect in the treated animals. Because Factor VII is part of the extrinsic coagulation pathway, treated animals had impaired clotting through this pathway, as measured by prolongation in prothrombin time (PT) (Fig. 3e). The phenotypic effect was found to be specific and not attributable to the delivery vehicle, with the formulated control group demonstrating no perturbations in PT. The resultant gene silencing was highly durable. Single injections of 98N 12-5-formulated siFVII were capable of mediating silencing persisting for nearly 4 weeks (Fig. 30). Next, the tolerability of the lipidoid formulation was investigated in rats. Animals received 4 once-per-week i.v. bolus injections of a formulated siRNA at doses as high as 10 mg/kg/week. The non-physiological siRNA siCont was used in order to control for any potential target silencing-related toxicities. The formulation was generally welltolerated at the dose levels tested, as determined by cage-side observations and measures of clinical chemistry and hematology parameters (data not shown). However, enlargement of the spleen--a major clearance organ for nanoparticles--was observed at the highest doses. The appearance and weights of all other organs were normal. Lipidoids can be employed for local delivery to non-hepatic cell types and for delivery of RNA therapeutics other than siRNA To explore the versatility of the lipidoid approach, an additional disease model was examined next. Specifically, local siRNA delivery to lung after intranasal administration in a mouse model of Respiratory Syncytial Virus infection 5 was tested (Fig. 4a). In separate experiments, the absence of gene silencing in the liver and kidney after local pulmonary administration of the formulation was confirmed (data not shown). While "naked" siRNA provided roughly one log reduction in viral plaques, 98N 12-5formulated siRNA at the same dose provided greater than two log reduction in viral plaques. Importantly, these data demonstrate that lipidoids can be used in non-systemic applications of RNAi technology and are capable of delivering siRNA to non-hepatic cell types. The macrophage is a cell type frequently implicated in the pathology of inflammatory diseases. Following our success in transfecting siRNAs into primary macrophages in cultures in vitro (Fig 2e.), we tested whether lipidoid-formulated siRNAs could mediate silencing in macrophages in vivo. Mice were injected intraperitoneally with thioglycollate as a sterile inflammation stimulus, followed by injection of 98N12 -5formulated siCD45. A 65% reduction of CD45 protein expression was observed in the peritoneal macrophage population (Fig. 4b). While the intraperitoneal administration circumvents some of the challenges associated with systemic delivery to macrophages, these results indicate that lipidoid formulations can potentially be employed for the delivery of siRNA to macrophages in vivo. To examine the utility of lipidoid materials in the delivery of other nucleic acid therapeutic drugs, we tested the potential of 98N 12-5 to facilitate the delivery of singlestranded 2'-O-Me oligoribonucleotides targeting miRNAs ("anti-miRs"). In vivo delivery of anti-miR results in specific target miRNA silencing, and, consequently, the specific upregulation of genes regulated by the target miRNA 4. 98N 12-5-formulated anti-miR122 dosed at 5 mg/kg on three consecutive days in mice resulted in greater miR-122 repression than the cholesterol-conjugated version of the same oligoribonucleotide (antagomirl22) dosed at 80 mg/kg on three consecutive days (Fig. 4c). Further, this effect was shown to be specific, as mismatched control anti-miR122 (mm-anti-miR122) did not result in appreciable effects on miR-122. Consistent with miR-122 downmodulation, gene targets of miR-122 were shown to be derepressed in anti-miR122treated mice relative to mismatched controls (Fig. 4d). Lipidoids enable potent, specific, and durable knockdown in non-human primates To determine the effects of 98N 12-5 lipidoid in a third animal species, we initiated studies in non-human primates. Cynomolgus monkeys were treated with a single i.v. injection of lipidoid-formulated siApoB at siRNA doses of 2.5 and 6.25 mg/kg. Separate control animals were treated with either saline or lipidoid-formulated siCont. Serum samples were taken from animals for up to 30 days post-administration to determine both extent and duration of serum ApoB protein silencing. Silencing of ApoB was observed in a dose-dependant manner, with maximal serum ApoB reduction of up to 75% relative to pre-dose levels (Fig. 5a). In contrast, no significant silencing was observed in the saline or formulated control groups, indicating specific activity of the formulated ApoB siRNA. Silencing was remarkably persistent for animals in the high dose group after a single i.v. bolus injection, with nadir levels of ApoB achieved rapidly by day 3, >50% silencing still maintained at 2 weeks, and full recovery achieved only a full month later. The data herein regarding durability for ApoB silencing thereby extends the previous reports for systemic RNAi in non-human primates reported by Zimmermann et al. 8, in which the study was terminated at 11 days. Consistent with ApoB silencing, therapeutic efficacy, as measured by specific and persistent reductions in LDL-C of up to 60%, was also observed (data not shown). A subsequent primate study was performed with a next-generation 98N 12-5 lipidoid-based formulation in cynomolgus monkeys. This newer formulation was optimized in part by maximizing the siRNA loading in the lipidoid formulation. Interestingly, the total mass of delivery material relative to siRNA in this formulation is roughly 1/3 that of the previously published SNALP delivery system 8. Also, unlike the previously-published SNALP system, this formulation contains fewer total components (three different agents plus siRNA instead of four). Animals were treated with formulated ApoB siRNA at siRNA doses of 2.5 and 6.25 mg/kg or formulated control siRNA at 2.5 mg/kg administered via single i.v. injection. Tissues were harvested 48 h postadministration for liver mRNA determination. Silencing of Apob liver mRNA of up to 85% was observed (Fig. 5b), corresponding to a maximal reduction in serum ApoB protein of up to 74% (Fig. 5c). As early as 2 days post administration, LDL-C was reduced by greater than 50% (Fig. 5d). Toxicological analysis indicated that the formulations were well tolerated at the dose levels tested, with no observed treatmentrelated changes in appearance or behavior. No clinically-relevant changes in coagulation or hematological parameters were observed other than a mild reduction in platelets at the highest dose. No significant changes in clinical chemistry parameters were observed, except for a slight increase in ALT and AST. These elevations were less than those observed with the previously-published SNALP formulations . CONCLUSION RNAi technology is poised to form the basis for the next major class of pharmaceutical drugs. However, effective delivery of RNAi therapeutics remains the key hurdle for advancement of this technology. We believe the development of lipidoids could extend the scale and diversity of available delivery solutions. Lipidoid formulations of siRNA and anti-miR demonstrated potent, specific, and durable effects on gene expression in three distinct species, including non-human primates. Therapeutic efficacy was observed in vivo in liver, lung, and peritoneal macrophages. Further studies are warranted to investigate lipidoid formulations of siRNA for delivery to additional tissues and to extend this technology for the broadest applications of RNAi therapy and drug delivery. MATERIALS AND METHODS Library synthesis. Lipidoids were synthesized by addition of acrylamides or acrylates to amines. Amines were purchased from Sigma-Aldrich (St. Louis, MO) and TCI America (Portland, OR). Acrylates were purchased from Sigma-Aldrich (St. Louis, MO), Dajac Monomer-Polymer (Feasterville, PA), Hampford Research (Stratford, CT), Scientific Polymer (Ontario, NY), and TCI America (Portland, OR). Acrylamides were synthesized by the drop-wise addition of acryloyl chloride to the appropriate alkylamine (see below for details). The ester portion of the lipidoid library was synthesized at a ratio of 2:1 acrylate:amine, with no solvent, unless otherwise specified. The amide portion of the lipidoid library was synthesized at the maximal ratio of acylamide:amine for each amine (e.g. 6 acrylamide:amine for amine monomer 98). All library reactions were carried out in 5 mL Teflon-lined glass screw-top vials. 200 mg of amine was added to the corresponding amount of acrylate or acrylamide. The mixture was stirred at 90 OC for 1 or 7 days for acrylate or acrylamide monomers, respectively. After cooling, the lipid mixtures were used without purification unless otherwise specified. Acrylamide synthesis. Acrylamides were synthesized by the drop-wise addition of acryloyl chloride to the appropriate 1-aminoalkane in dry tetrahydrofuran at -150 C with stirring for several hours. Excess triethylamine was added to neutralize the hydrochloric acid that was generated. The product was extracted in ethyl acetate, the organic phase was dried over Na2SO4, and the solvent was evaporated under reduced pressure. The product was resuspended in petroleum ether, and the solution was filtered over charcoal to remove impurities. The crude material was purified using silica gel column chromatography, running a solvent gradient (petrol ether:ethyl acetate = 1:0; 3:1; 1:1; 0:1). Library purification and characterization. Representative library members were purified and characterized. Chromatographic purification was performed by flash chromatography using Merck Silica Gel 60. Mixtures of dichloromethane (75%), methanol (22%), and ammonium hydroxide (3%) with varying amounts of additional dichloromethane (depending on the lipid) yielded pure products. Solvent removal was performed by evaporation on a Biichi rotavapor, with heating to 40 OC. TLC was performed on Merck Silica Gel 60 F254 TLC glass plates and visualized with ninhydrin stain or UV 254. IR spectra were recorded on a Nicolet Magna-IR 550 spectrometer using polyethylene sheets or ATR technology. NMR spectra were recorded on Varian Mercury-300 or Varian Inova-500 spectrometers with the internal signal of the deuterated solvent as standard. Fast Atom Bombardment analysis and Positive-ion Electrospray analysis was carried out by M-Scan (West Chester, PA) on a VG Analytical ZAB 2-SE high field mass spectrometer and a Micromass Q-Tof API US hybrid quadrupole/time of flight mass spectrometer. Synthesis of PEG-DMG lipid. PEG-DMG was synthesized from (S)-1,2-di-Otetradecyl-snglycerol and 1-methoxy-PEG2000-amine (mPEG2000-NH2). Treatment of (S)-1,2-di-Otetradecyl-sn-glycerol with N,N'-disuccinimidyl carbonate in the presence of triethylamine in dichloromethane under argon atmosphere and subsequent reaction of the intermediate formed with mPEG2000-NH2 in the presence of pyridine in dichloromethane afforded the desired compound (R)-3-[(1-methoxy-PEG2000carbamoyl)]-1,2-di-O-tetradecyl-sn-glyceride (PEGDMG) in 90 % yield. Nucleic acids. All siRNAs and 2'-O-Me oligoribonucleotides were synthesized by Alnylam. Oligonucleotides were characterized by ESMS and anion-exchange HPLC. The sequences for the sense and antisense strands of siRNAs are as follows: siLuc sense: 5'-CUUACGCUGAGUACUUCGATT-3', antisense: 5'-UCGAAGUACUCAGCGUAAGTT-3'. siFVII sense: 5'-GGAucAucucAAGucuuAcT*T-3', antisense: 5'-GuAAGAcuuGAGAuGAuccT*T-3'. siApoB sense: 5'-GGAAUCuuAuAuuuGAUCcA*A-3', antisense: 5'-uuGGAUcAAAuAuAAGAuUCc*c*U-3'. siCont sense: 5'-cuuAcGcuGAGuAcuucGAT*T-3', antisense: 5'-UCGAAGuACUcAGCGuAAGT*T-3'. siGFP sense: 5'-CcAcAuGAAGcAGcACGACu*U-3' antisense: 5'-AAGUCGUGCUGCUUCAUGUGg*u*C-3'. siCD45 sense: 5'-cuGGcuGAAuuucAGAGcAT*T-3', antisense: 5'-UGCUCUGAAAUUcAGCcAGT*T-3'. mm-siRSV sense: 5'-CGAUUAUAUUACAGGAUGAT*T-3', antisense: 5'- UCAUCCUGUAAUAUAAUCGT*T-3'. siRSV sense: 5'- UCCUAGAAUCAAUAAAGGGTT-3', antisense: 5'- CCCUUUAUUGAUUCUAGGATT-3'. 2'-O-Me oligoribonucleotides: antagomirl22: 5'-a*c*aaacaccauugucacacu*c*c*a-Cholesterol-3' mm-antagomirl22: 5'- a*c*acacaacacugucacauu*c*c*a-Cholesterol-3' anti-miR122: 5'-a*c*aaacaccauugucacacu*c*c*a-3' mm-anti-miR122: 5'- a*c*acacaacacugucacauu*c*c*a-3' 2'-O-Me modified nucleotides are in lower case, 2'-Fluoro modified nucleotides are in bold lower case, and phosphorothioate linkages are represented by asterisks. siRNAs were generated by annealing equimolar amounts of complementary sense and antisense strands. In vitro siRNA transfection assay. The protocol was adapted from Anderson, D.G., et aL 27. HeLa cells, stably expressing Firefly luciferase and Renilla luciferase were seeded (14,000 cells/well) into each well of an opaque white 96-well plate (Coming-Costar, Kennebunk, ME) and allowed to attach overnight in growth medium. Growth medium was composed of 90% phenol red-free DMEM, 10% fetal bovine serum, 100 units/mL penicillin, 100 .tg/mL streptomycin (Invitrogen, Carlsbad, CA). Cells were transfected with 50 ng of Firefly-specific siLuc complexed with lipidoid at lipidoid:siRNA ratios of 2.5:1, 5:1, 10:1, and 15:1 (wt:wt) to determine the optimum for transfection efficiency. Transfections were performed in quadruplicate. Working dilutions of each lipid were prepared (at concentrations necessary to yield the different lipid/siRNA weight ratios) in 25 mM sodium acetate buffer (pH 5.2). 25 gIL of the diluted lipid was added to 25 gL of 60 jtg/mL siRNA in a well of a 96-well plate. The mixtures were incubated for 20 min to allow for complex formation, and then 30 jiL of each of the lipidoid/siRNA solutions was added to 200 tL of media in 96-well polystyrene plates. The growth medium was removed from the cells using a 12-channel aspirating wand (V&P Scientific, San Diego, CA) after which 150 pLL of the DMEM/lipidoid/siRNA solution was immediately added. Cells were allowed to grow for 1 day at 37 oC, 5% CO 2 and were then analyzed for luciferase expression. Control experiments were performed with Lipofectamine TM 2000, as described by the vendor (Invitrogen, Carlsbad, CA). Firefly and Renilla luciferase expression was analyzed using Dual-Glo assay kits (Promega, Madison, WI). Luminescence was measured using a Victor3TM luminometer (Perkin Elmer, Wellesley, MA). A standard curve for luciferase was generated by titration of luciferase enzyme (Promega, Madison, WI) into growth medium in an opaque white 96-well plate. Bone marrow-derived macrophage transfection. Murine bone marrow-derived macrophages were cultures according to standard protocol 28. C57B1/6 mice expressing GFP under the control of the RAGE locus promoter where used as a source of bone marrow 29. Cells were cultured in 12-well dishes for 5 days in the presence of 8 ng/mL of M-CSF. The optimal siRNA to lipidoid ratio was determined for each lipidoid (a ratio of either 5 or 10 wt:wt was used). Mixtures siGFP or control siCD45 with lipidoids were prepared as described above. LipofectamineTM 2000 and Lipofectamine TM RNAiMAX (Invitrogen, Carlsbad, CA) were complexed with siRNA according to manufacturer's instruction. siRNA-lipidoid mixtures were added to macrophage cultures at the desired concentrations for 6 hr. Media was exchanged and GFP expression was analyzed by flow cytometry 5 days later. Lipidoid-siRNA Formulation. Lipidoid-based siRNA formulations comprised lipidoid, cholesterol, poly(ethylene glycol)-lipid (PEG-lipid), and siRNA. Formulations were prepared using a protocol similar to that described by Semple and colleagues 30, 31. Stock solutions of 98N12-5(1)-4HCI MW 1489, mPEG2000-Ceramide C16 (Avanti Polar Lipids, Alabaster, AL) MW 2634 or mPEG2000-DMG MW 2660 (synthesized by Alnylam, see Supplementary Information), and cholesterol MW 387 (Sigma-Aldrich, St. Louis, MO) were prepared in ethanol and mixed to yield a molar ratio of 42:10:48. Mixed lipids were added to 125 mM sodium acetate buffer (pH 5.2) to yield a solution containing 35% ethanol, resulting in spontaneous formation of empty lipidoid nanoparticles. The resultant nanoparticles were extruded twice through a 0.08 pmn membrane (Sterlitech, Kent, WA) using a LIPEXTM Extruder (Northern Lipids, Burnaby, BC, Canada). siRNA 50 mM sodium acetate (pH 5.2) and 35% ethanol was added to the nanoparticles at 1:7.5 (wt:wt) siRNA:total lipids and incubated at 37 'C for 30 min. Ethanol removal and buffer exchange of siRNA-containing lipidoid nanoparticles was achieved by tangential flow filtration against phosphate-buffered saline (PBS) using a 100,000 MWCO membrane. Finally, the formulation was filtered through a 0.2 pm sterile filter (Pall, Ann Arbor, MI). Particle size was determined using a Malvern Zetasizer NanoZS (Malvern, UK). siRNA content was determined by UV absorption at 260 nm, and siRNA entrapment efficiency was determined by the Quant-iTTM RiboGreen@ RNA assay (Invitrogen, Carlsbad, CA) 32. Resulting particles had a mean particle diameter of approximately 50 nm, with peak width of 20 nm, and siRNA entrapment efficiency of >95%. Formulation of lyophilized materials for use in vivo. For acrylate-based lipidoids, 15 mg of lipidoid, 0.8 mg of cholesterol, and 7 mg of mPEG2000-ceramideCl6 (Avanti Polar Lipids, Alabaster, AL) were dissolved in 2 mL of 25 mM sodium acetate in a 15 mL conical tube with vortexing for 5-10 minutes. For acrylamide based lipidoids, 15 mg of lipidoid and 0.8 mg of cholesterol were first dissolved in 0.8 mL of ethanol. 7 mg of mPEG2000-ceramideC16 and 1.2 mL of 25 mM sodium acetate were added subsequently with continued vortexing. 20 mg of sucrose was added with vortexing. 0.1 mL of 10 mg/mL siRNA solution was added to 1.9 mL of 25 mM sodium acetate. This solution was added to the solution containing the complexes and vortexed for an additional 20 min. The solution was extruded 11 times through 400 nm polycarbonate membranes (Whatman, Florham Park, NJ) and .11 times through 200 nm polycarbonate membranes. An additional 10 mg/mL of sucrose was added to the extruded samples. The samiples were then frozen at -80 "C for 2 h and lyophilized overnight. Determination of entrapment efficiency. A modified RiboGreen@ (Invitrogen, Carlsbad, CA) assay was used to quantify entrapment of siRNA. Samples were diluted 1:200 in TE buffer and mixed with Quant-iTTM RiboGreen® RNA reagent (1:200 in TE buffer) at 37 "C for 30 minutes in the presence or absence of 0.5 % final w/v Triton X100'. Entrapment efficiency of siRNA in lipidoid complexes was determined by comparing the fluorescent signal of the lipidoid-siRNA sample in the presence (total siRNA) and absence (free siRNA) of Triton X-100 detergent. Signal in the absence of detergent yields the "free" or accessible siRNA fraction, while signal in the presence of detergent yields the total siRNA content. siRNA quantification by UV absorption. Formulated siRNA samples were diluted 1:10 in PBS (200 pL). 800 gtL of a 2.5:1 mixture of methanol:chloroform was added to the diluted siRNA sample and mixed, resulting in a single clear phase. The absorbance at 260 nm was measured on a UV. spectrophotometer. siRNA was quantified based on an experimentally-determined extinction coefficient for the duplex siRNA. In vivo rodent Factor VII and Apob silencing experiments. All procedures used in animal studies conducted at Alnylam Pharmaceuticals were approved by the Institutional Animal Care and Use Committee (IACUC) and were consistent with local, state, and federal regulations as applicable. C57BL/6 mice (Charles River Labs, Wilmington, MA) and Sprague-Dawley rats (Charles River Labs, Wilmington, MA) received either saline or siRNA in lipidoid formulations via tail-vein injection at a volume of 0.01 mL/g.' Serum levels of Factor VII protein were determined in samples collected by retroorbital bleed using a chromogenic assay (Coaset Factor VII, DiaPharma Group, West Chester, OH or Biophen FVII, Aniara Corporation, Mason, OH). Liver mRNA levels of Factor VII and Apob were determined using a branched-DNA assay (QuantiGene Assay, Panomics, Fremont, CA) 8 In vivo mouse RSV silencing experiments. BALB/c mice (Harlan Sprague-Dawley Laboratories, Indianapolis, IN) were anesthetized by intraperitoneal (i.p.) administration of 2,2,2-tribromoethanol (Avertin) and instilled intranasally (i.n.) with lipidoid-siRNA formulations in a total volume of 50 pL. At 4 h post-siRNA instillation, the mice were anesthetized and infected i.n. with 106 PFU of RSV/A2 or RSV/B1. Prior to removal of lungs at day 4 post-infection, anesthetized mice were exsanguinated by severing the right caudal artery. Lung tissue was collected on ice in PBS to determine virus titers. RSV titers from lungs were measured by immunostaining plaque assay. Lungs were homogenized with a hand-held Tissumiser homogenizer (Fisher Scientific, Pittsburgh, PA). The lung homogenates were placed on ice for 5-10 minutes to allow debris to settle. Clarified lung lysates were diluted 10-fold in serum-free DMEM, added to 95% confluent Vero E6 cells cultured in DMEM in 24-well plates, and incubated for 1 h at 37 'C, followed by 2% methylcellulose overlay. At 5 days post-infection, the media was removed, and the cells were fixed with acetone:methanol (60:40) and immunostained. Plaques were counted and log (10) pfu/g lung versus PBS or siRNA mismatch control was determined. Silencing in peritoneal macrophages. C57B1/6J mice (Jackson Labs, Bar Harbor, ME) were injected intraperitoneally with 1 mL of 4% Brewers Thioglycollate medium (Difco, Franklin Lakes, NJ) 3 days prior to injecting 10 mg/kg of siCD45 or siGFP i.p (4 mice per group). Peritoneal lavage was collected 4 days later and stained with fluorophore conjugated antibodies to CD lb, Grl, and CD45 (BD Biosciences, Franklin Lakes, NJ). Flow cytometry samples were run on a LSRII flowcytometer (BD Biosciences, Franklin Lakes, NJ), and FlowJo software (Tree Star, Ashland, OR) was used to identify the CD1 lbhighGrllow macrophage population and quantify CD45 expression. In vivo miRNA silencing experiments. C57BL/6NCRL mice (Charles River Labs, Sulzfeld, Germany) received lipidoid formulations of antagomir or anti-miR via tail-vein injection at 5 mg/kg (0.5 mg/mL) on 3 consecutive days. Livers were taken at day 4, and expression levels of miR-122 were determined. Liver tissue was dissolved in Proteinase K-containing Tissue and Cell Lysis Buffer (Epicentre, Madison, WI) and subjected to sonication. Total RNA was extracted with TE-saturated phenol (Roth, Karlsruhe, Germany) and subsequently precipitated in ethanol. Synthetic DNA probes complementary to mouse miR-122 as well as mouse U6 RNA were 5'-end labeled using polynucleotide kinase (New England Biolabs, Ipswich, MA) and y-32P ATP (GE Healthcare, Munich, Germany). Probe sequences were: miR-122, 5'AAACACCATTGTCACACTCCACAGCTCTCTCTTCT -3'; U6, 5' CACGAATTTGCGTGTCATCCTTGCGCAGGGGCCATGTTCTTCTTCTTCTTC- 3. Total liver RNA was simultaneously hybridized in solution to a miR-122-specific probe and the U6 probe. The hybridization conditions allowed detection of U6 RNA and mature miRNA but not pre-miRNA. Following treatment with S1 nuclease, samples were loaded on denaturing 10% acrylamide gels. Gels were exposed to a phosphoimager screen and analyzed on a Typhoon 9200 instrument (GE Healthcare, Munich, Germany). Relative signal intensities of miR-122 versus U6 were calculated for each sample. Expression level analysis of miR-122 target genes by branched DNA assay. The assay was performed as described previously 4. Briefly, 30-50 mg of frozen liver tissue was lysed in 1 mL Tissue and Cell Lysis Buffer (Epicentre, Madison, WI) by sonication. 1040 jiL lysate was used for the branched-DNA assay, depending on signal strength of the target gene. Probe sets were designed using QuantiGene ProbeDesigner software. Target gene expression was assayed according to QuantiGene Assay (Panomics, Fremont, CA) recommendations and normalized to corresponding GAPDH housekeeper expression from the same liver tissue lysate. In vivo non-human primate experiments. All procedures using cynomolgus monkeys were conducted by a certified contract research organization using protocols consistent with local, state, and federal regulations as applicable and approved by the Institutional Animal Care and Use Committee (IACUC). Cynomolgus monkeys (6 animals per group) received either 5 mL/kg phosphate-buffered saline, 2.5 mg/kg formulated siCont (1.25 mL/kg), 2.5 mg/kg (1.25 mL/kg) formulated siApoB, or 6.25 mg/kg (3.125 mL/kg) formulated siApoB as bolus i.v. injections via the brachial vein. For apoB-100 protein measurements, serum was collected pre-dose and at 0.5, 1, 2, 3, 4, 6, 8, 11, 14, 17, 20, 23, 26, and 30 days post-administration. In a subsequent experiment, cynomolgus monkeys (3 animals per group) received either 2.5 mg/kg formulated siCont or 2.5 or 6.25 mg/kg of formulated siApoB as bolus i.v. injections via the saphenous vein. For apoB-100 protein measurements, serum was collected pre-dose and at 12, 24, and 48 h postadministration. ApoB-100 protein was determined using an ELISA assay as previously described 8. Clinical chemistries were analyzed at pre-dose and 24 and 48 h postadministration. Hematology and coagulation parameters were analyzed at pre-dose and 48 h post-administration. Animals were sacrificed at 48 h. Liver Apob mRNA levels were determined in liver samples using a branched-DNA assay (QuantiGene Assay, Panomics, Fremont, CA) 8 FIGURES Figure 1. Synthesis of Lipidoids. a) Alkyl-acrylate, alkyl-acrylamide, and amino molecules were used to synthesize a combinatorial library of lipidoids. b) Synthesis occurs through the conjugate addition of amines to an acrylate or acrylamide. Depending on the number of addition sites in the amino monomer, lipidoids can be formed with anywhere from 1 to 7 tails. Amino groups in the lipidoid can be quaternized by treatment with methyl iodide. For ease of nomenclature, lipidoids are named as follows: (amine number)(acrylate or acrylamide name)-(number of tails)("+" if quaternized). Figure 2. In vitro screening of siRNA delivery, a) HeLa cells expressing both Firefly and Renilla luciferase were treated with Firefly luciferase-targeting siRNA-lipidoid complexes. The average % reduction in Firefly luciferase activity following treatment with siRNA-lipidoid complexes at a 5:1 w/w ratio in quadruplicate is shown. For ease of analysis, data is presented grouped as follows: (no test), 0-20% knockdown, 20-40%, 4060%, 60-80%, 80-100%. b) Optimized in vitro knockdown by lipidoids in HeLa cells. Lipidoids were optimized for delivery using four lipidoid:siRNA ratios, 2.5:1, 5:1, 10:1, and 15:1. Materials were tested in quadruplicate. Data are presented for the optimal siRNA/lipidoid w/w ratio for each lipidoid, including standard deviation. This data set includes only lipidoids with no significant cytoxicity, as assessed by no significant change in Renilla luciferase expression relative to untreated cells. c) Dose response of silencing in HeLa, d) HepG2, and e) primary macrophage cultures. Data were generated in quadruplicate, as a function of siRNA molarity, at a lipidoid:siRNA ratio of 5:1 w/w, including standard deviation. Day 5 GFP-expressing bone marrow-derived macrophage cultures were incubated with siRNA-lipidoid complexes composed of the indicated lipidoids or commercial transfection reagents (LipofectamineTM 2000 and LipofectamineTM RNAiMAX) and siGFP or siCD45 for 6 hours. GFP expression was quantified by flow cytometry. Silencing is expressed as the % of untreated cultures performed in parallel. Figure 3. In vivo delivery in rodents. a) Mice (n = 3) received 2 daily i.v. injections of different lipidoid formulations of siRNA at a dose of 2.5 mg/kg. Factor VII protein levels were quantified 24 h after the second administration. b) Simultaneous silencing of 2 genes in vivo in mice. Mice (n = 3) received a single i.v. bolus injection of a 98N 12-5(1)formulated 1:1 wt:wt mixture of siFVII and siApoB at 10, 6, or 4 mg/kg (5, 3, or 2 mg/kg of each siRNA). For comparison, control animals received PBS or lipidoid-formulated siFVII alone or lipidoid-formulated siApoB alone at 5, 3, or 2 mg/kg. 48 h after administration, animals were sacrificed, and livers were harvested. Liver mRNA levels of Factor VII or ApoB (normalized to GAPDH) were determined by branched-DNA assay. c-e) Rats (n = 4) were injected with lipidoid-formulated siRNA at 1.25, 2.5, 5, and 10 mg/kg. Animals were bled and sacrificed 48 h after administration. c) Liver mRNA levels. d) Serum Factor VII protein levels. e) Prothrombin time. f)Durability of silencing in rats. Rats (n = 5) received a single i.v. administration of lipidoid-formulated siRNA at 5 mg/kg. Animals were bled at various time points post-administration, and serum Factor VII protein levels were quantified. Data points represent group mean ± s.d. Data points marked with asterisks are statistically significant relative to control-treated groups (* p < 0.05, ** p < 0.005, ***p < 0.001; t-test, single-tailed). Figure 4. a) Inhibition of RSV/A2 in Balb/c mouse lungs. Mice (n = 5) were intranasally administered "naked" siRNA or lipidoid-siRNA (siRSV or mm-siRSV) formulation at a dose of 2 mg/kg. Lungs were harvested at day 4 post-infection and assayed by immunostaining plaque assay. b) Inhibition of CD45 protein in thioglycollate-elicited mouse peritoneal macrophages. Mice (n = 4) were injected with thioglycollate (i.p.) 3 days prior to treatment with 10 mg/kg of lipodoid-formulated siCD45 or siGFP administered via i.p. injection. 4 days post-administration, CD45 expression on macrophages was analyzed by flow cytometry. Macrophage cells were gated, and median fluorescence intensity of the CD45 staining is plotted. c) Lipidoid delivery of antimiR122 in vivo. Nuclease protection assay and miRNA detection. Liver RNA samples of 3 representative animals per treatment group are shown. The U6 signal serves as RNA input control. Animals treated with antagomirl22 show a marked decrease of miR-122 signal (lanes 7-9). Even further reduction of miR-122 signal is observed for lipidoidformulated anti-miR122 treated animals (lanes 10-12). The mismatched control antagomir and anti-miR had little effect on miR-122 signals (lanes 4-6 and 13-15). d) Derepression of miR-122 target genes following miR-122 inhibition in mice. Mice (n = 6) received i.v. injections of either lipidoid-anti-miR122 (black bars) or lipidoid-mm-antimiR122 (gray bars) at a daily dose of 5 mg/kg for 3 consecutive days. 24 h after the last injection, expression levels of 7 reported miR-122 target genes were analyzed. Data points represent group mean ± s.d. Data points marked with asterisks are statistically significant relative to control-treated groups (* p < 0.05, ** p < 0.005, *** p < 0.001; ttest, single-tailed). Figure 5. In vivo delivery in primates, a) Extent and duration of serum ApoB- 100 protein reduction in cynomolgus monkeys following single bolus i.v. administration of lipidoidformulated siRNA. For all groups except saline control, n = 6 for data points up to and including 2 d, and n = 3 for data points beyond 2 d. For saline control, n = 4 for data points up to and including 2 d, and n = 2 for data points beyond 2 d. Data points represent group mean ± s.d. No error bars are shown for saline group where n = 2. b-d) Animals (n = 3) were treated with either formulated control siRNA at 2.5 mg/kg, formulated Apobtargeting siRNA at 2.5 mg/kg, or formulated Apob-targeting siRNA at 6.25 mg/kg. b) Liver Apob mRNA levels normalized to GAPDH mRNA 48 h post-administration. c) Serum ApoB-100 protein reduction at 12, 24, and 48 h post-administration as % of predose levels. d) LDL-C and HDL-C levels at 48 h post-administration, normalized to predose levels. Data points represent group mean ± s.d. Data points marked with asterisks are statistically significant relative to control-treated groups (* p < 0.05, ** p < 0.005, "** p < 0.001; t-test, single-tailed). Disclosure: While the author performed synthesis, screening, purification, characterization, and formulation, the animal studies and non-hepatocyte-targeted delivery efforts were conducted by his collaborators at Alnylam. Figure la. O 1 6 0.-.NH2 33 HO- NH2 .O• 34 J HO HO.NH2 36 HO 38 HO 7 >(OrNH 0 woc 10 ,O 11 013 •'NH 2 OvNHz 13 82 60 NH2 0 17 0 20 HO•'- 21 XNH 0NH L- 25 HO Ho 63 Sv vvvv-N' H N 64 91 H NH, '-N ON NH, N." 94HN-NH H 2 N 111 H H N H H 113 H 114 ,,N-NH H2N F -N 96 "HN 98 H2N--- H NH2 116 NH NH2 99 26 H 28 HO 77 HO,->.K6H NH H2N,-NNH2 NH , 2 79 N75 31 H HO0 32 HO N O"NH2 -'ý 100 H f ' NV I NH2 .Nv-. 80 /N NH2 81 N NH HON-_N-•-OH H 117 NH, 103 H H 109 H•-N•J-nH I,·- NH2 N H2 H O Figure lb. 0 1 o Rj-O ký + H 2 N-R AT 0 R1-O 2 N-R 2 Mel . R 1-O R-O O O O0 R 1 N-N H + H2N NH2 - N-R, H R1-N AT ,- H H HR R1-N NH, H2 N NH2 2 76 CN -,NH2 2 NH NH H0 NH NH, N 115 95 H N-'NNH2 75 HN H 112 H NH91 12H, \ 94N H N 90QON---NH2 -N H NH2 110 H2N NH2 70 HN,__NH O N16 - /- - HO HO 2 NH 2 0 HO,, N N H 2 NH2 HOv ZNH ~~Nkl 87 93 .- OH 22 ,,- NH 2 H HO'N NH2 H SN, N H 61 o H 86 -NH2 HO NH2 H 15 -0O • CN -- NH, 90 2 -0 -NH NH2 0N-R, O Figure 2a. 010 01013 01015 01N1214N145NsN1 10 Q Q13 NO TEST 0-20 20-40 40-60 10 60-80 11 4 18 1 6 7 80-100 13 15 17 20 21 22 24 25 26 28 31 32 33 34 36 38 60 61 62 63 64 70 75 77 79 80 81 82 8 87 91 93 94 95 96 98 103 109 Figure 2b. 100 90 80 70 60 50 40 30 20 10 0 ~·,zt ~ Aa·~~~~t:P"~~~~~~~~~ 5,·.ýNN umNA NV N"NN'Vj NN~~3rZ Figure 2c. 140 0 0.0 nM M0.4nM M1.1 nM S3.3 nM E10 nM 5 30 nM 090 nM 98N12 110N9 111N9 112N9 114N9 115N9 LF2000 RNAi MAX Figure 2d. O 0.0nM E 0.4 nM N 1.1nM * 3.3 nM 10 nM 1 30 nM 090 nM 98N12 110N9 111N9 112N9 114N9 115N9 LF2000 RNAi MAX Figure 2e. 120 1 10080- * 0.4 nM 0 1.1 nM E 3.3 nM l0 nM 98N12 110N9 111N9 112N9 114N9 115N9 LF2000 RNAi MAX Figure 3a. 2.0 1.8 1.6 C Z 1.4 1.2 S1.0 U. 0.8 Z 0.6 0.4 0.2 0.0 0.0 (o o 3b.aFigure D, ~ (Z o0 oC ~m0090~~0 'V 0 • Z 0 0 , 0 0 0 o I "- Figure 3b. 2.0 1.8 w 1.6 E m 1.4 - 1.2 Q 1.0 0.8 S0.6 c 0.4 0.2 0.0 5 mg/kg 3 mg/kg 2 mg/kg 5 mg/kg 3 mg/kg 2 mg/kg 10 mg/kg 6 mg/kg 4 mg/kg 1.6 1.4 ES1.2 > 1.0 ...J 0.8 0.6 ** S0.4 iC * = <0.05 **= <0.005 0.2 0.0 5 mglkg 3mg/kg 2 mg/kg 5 mglkg 3mg/kg 2 mg/kg 10 mg/kg 6 mg/kg 4 mg/kg Figure 3c. 1.4 <t 1.2 z ~ E 1.0 S LL. "Q) 0.8 > :J Q) > 0.6 '';:; ~ Q) ~ 0.4 ** = <0.005 *** = <0.001 0.2 0.0 PBS siCont siFVII siFVII siFVII siFVII 10mg/kg 10mg/kg 5mg/kg 2.5mg/kg 1.25mg/kg Figure 3d. 1.4 1.2 - 1.0 S LL. 0.8 t: 'ai 0 0- "- * Q) > '';:; ~ 0.6 Q) ~ 0.4 0.2 * = <0.05 = <0.001 *** *** 0.0 PBS siCont siFVII 10mg/kg 10mg/kg siFVII 5mg/kg siFVII siFVII 2.5mg/kg 1.25mg/kg 52 Figure 3e. 40 35 - 30 E S25 T E 20 2 1r 1 15 1- 10 PBS siCont siF VII siFVII siFVII siFVII **= <0.005 0 PBS siCont siFVII siFVII siFVII siFVII 10mglkg 10mglkg 5mg/kg 2.5mglkg 1.25mglkg Figure 3f. I.0 1.4 1.2 0 1.0 > 0.8 0) 0.6 0.4 0.2 0.0 0 5 10 15 Time (d) 20 25 30 Figure 4a. * *, * I 6 I __. I *** Cm 5, c I 7 40 U. .3- o1 0L * = <0.001 v Saline mm-siRSV siRSV 98N1 2 5- mm-siRSV 98N 12 5siRSV Figure 4b. 150- , 100- U, O 10 1000 100 CD45 P9 4 Figure 4c. t-I.Cli1 PBS MM-Antagomirl22 AntagomirI22 2 3 4 5 6 7 8 9 98N12-5 Anti-miR122 98N12-5 MM-Anti-miR122 10 11 12 13 14 15 ]U6 miRI22 S4 SS SS A4 A5 A86 4 B5 B6 C4 CS CS D4 D5 D6 animal # Figure 4d. 3.5 - SMM-Anti-mirl22 ** U ** Anti-mirl 22 3.0 0 t- 2.5 - I C) x 2.0 w I- T I - 1.5 1.0* = <0.05 ** = <0.005 -- r- Gpx7 Hfe2 -- "r-- ---'r-- ___ Lass6 Ir "---r- -r Sic35a4 Tmed3 Tmem50Ob AldoA Figure 5a. 160 140 -0-- PBS -- siCont 2.5 mglkg -- U- siApoB 2.5 mg/kg --- siApoB 6.25 mg/kg 120 100 80 60 40 0 5 10 15 20 Time Post-dose (Days) 25 Figure 5b. 1.2 z LL E 0.8 0.6 i -J 0, .s (FI *= <0.05 ***= <0.001 4) 0ý siCont 2.5 mg/kg siApoB 6.25 mg/kg siApoB 2.5 mg/kg Figure 5c. 140120r--L- 100- 12 h 24 h fT 48 h 8060T *: 40- I 20- I 0siCont 2.5 mg/kg I siApoB 2.5 mg/kg I I * = <0.05 L siApoB 6.25 mg/kg Figure 5d. 1.4 m LDL m HDL 1.2 1.0 I 0.8- I 0.60.40.20n."' +- siCont 2.5 mg/kg siApoB 2.5 mg/kg siApoB 6.25 mg/kg REFERENCES 1. de Fougerolles, A., Vornlocher, H.P., Maraganore, J. & Lieberman, J. Interfering with disease: a progress report on siRNA-based therapeutics. Nat Rev Drug Discov6, 443-453 (2007). 2. 3. 4. Novina, C.D. & Sharp, P.A. The RNAi revolution. Nature 430, 161-164 (2004). Soutschek, J. et al. Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs. Nature 432, 173-178 (2004). Krutzfeldt, J. et al. Silencing of microRNAs in vivo with 'antagomirs'. Nature 438, 685-689 (2005). 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Bitko, V., Musiyenko, A., Shulyayeva, O. & Barik, S. Inhibition of respiratory viruses by nasally administered siRNA. Nat Med 11, 50-55 (2005). Li, B.J. et al. Using siRNA in prophylactic and therapeutic regimens against SARS coronavirus in Rhesus macaque. Nat Med 11, 944-951 (2005). Morrissey, D.V. et al. Potent and persistent in vivo anti-HBV activity of chemically modified siRNAs. Nat Biotechnol23, 1002-1007 (2005). Zimmermann, T.S. et al. RNAi-mediated gene silencing in non-human primates. Nature 441, 111-114 (2006). Heidel, J.D. et al. Administration in non-human primates of escalating intravenous doses of targeted nanoparticles containing ribonucleotide reductase subunit M2 siRNA. ProcNatl Acad Sci US A 104, 5715-5721 (2007). Chu, T.C., Twu, K.Y., Ellington, A.D. & Levy, M. Aptamer mediated siRNA delivery. Nucleic Acids Res 34, e73 (2006). McNamara, J.O., 2nd et al. Cell type-specific delivery of siRNAs with aptamersiRNA chimeras. Nat Biotechnol 24, 1005-1015 (2006). Muratovska, A. & Eccles, M.R. Conjugate for efficient delivery of short interfering RNA (siRNA) into mammalian cells. FEBS Lett 558, 63-68 (2004). Pal, A. et al. Systemic delivery of RafsiRNA using cationic cardiolipin liposomes silences Raf-1 expression and inhibits tumor growth in xenograft model of human prostate cancer. Int J Oncol26, 1087-1091 (2005). Palliser, D. et al. An siRNA-based microbicide protects mice from lethal herpes simplex virus 2 infection. Nature439, 89-94 (2006). Sorensen, D.R., Leirdal, M. & Sioud, M. Gene silencing by systemic delivery of synthetic siRNAs in adult mice. JMol Biol 327, 761-766 (2003). Zhang, Y. et al. Engineering mucosal RNA interference in vivo. Mol Ther 14, 336-342 (2006). Ge, Q. et al. Inhibition of influenza virus production in virus-infected mice by RNA interference. ProcNatl Acad Sci USA 101, 8676-8681 (2004). Howard, K.A. et al. RNA interference in vitro and in vivo using a novel chitosan/siRNA nanoparticle system. Mol Ther 14, 476-484 (2006). Takei, Y., Kadomatsu, K., Yuzawa, Y., Matsuo, S. & Muramatsu, T. A small interfering RNA targeting vascular endothelial growth factor as cancer therapeutics. CancerRes 64, 3365-3370 (2004). Urban-Klein, B., Werth, S., Abuharbeid, S., Czubayko, F. & Aigner, A. RNAimediated gene-targeting through systemic application of polyethylenimine (PEI)complexed siRNA in vivo. Gene Ther 12, 461-466 (2005). 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. Davidson, T.J. et al. Highly efficient small interfering RNA delivery to primary mammalian neurons induces MicroRNA-like effects before mRNA degradation. J Neurosci24, 10040-10046 (2004). Kim, W.J. et al. Cholesteryl oligoarginine delivering vascular endothelial growth factor siRNA effectively inhibits tumor growth in colon adenocarcinoma. Mol Ther 14, 343-350 (2006). Simeoni, F., Morris, M.C., Heitz, F. & Divita, G. Insight into the mechanism of the peptide-based gene delivery system MPG: implications for delivery of siRNA into mammalian cells. Nucleic Acids Res 31, 2717-2724 (2003). Peer, D., Zhu, P., Carman, C.V., Lieberman, J. & Shimaoka, M. Selective gene silencing in activated leukocytes by targeting siRNAs to the integrin lymphocyte function-associated antigen- 1. ProcNatl Acad Sci U S A 104, 4095-4100 (2007). Song, E. et al. Antibody mediated in vivo delivery of small interfering RNAs via cell-surface receptors. Nat Biotechnol 23, 709-717 (2005). Miller, A. Cationic Liposomes for Gene Therapy. Angewandte Chemie InternationalEdition 37, 1769-1785 (1998). Anderson, D.G., Akinc, A., Hossain, N. & Langer, R. Structure/property studies of polymeric gene delivery using a library of poly(beta-amino esters). Mol Ther 11, 426-434 (2005). Cunnick, J., Kaur, P., Cho, Y., Groffen, J. & Heisterkamp, N. Use of bone marrow-derived macrophages to model murine innate immune responses. J Immunol Methods 311, 96-105 (2006). Constien, R. et al. Characterization of a novel EGFP reporter mouse to monitor Cre recombination as demonstrated by a Tie2 Cre mouse line. Genesis 30, 36-44 (2001). Maurer, N. et al. Spontaneous entrapment of polynucleotides upon electrostatic interaction with ethanol-destabilized cationic liposomes. Biophys J180, 2310-2326 (2001). Semple, S.C. et al. Efficient encapsulation of antisense oligonucleotides in lipid vesicles using ionizable aminolipids: formation of novel small multilamellar vesicle structures. Biochim Biophys Acta 1510, 152-166 (2001). Heyes, J., Palmer, L., Bremner, K. & Maclachlan, I. Cationic lipid saturation influences intracellular delivery of encapsulated nucleic acids. J ControlRelease (2005). CHAPTER 3: FORMULATION OPTIMIZATION OF A HIGHLY-EFFECTIVE LIPIDOID CARRIER FOR THE SYSTEMIC DELIVERY OF RNAI THERAPEUTICS ABSTRACT RNAi therapeutics afford the potential to silence target gene expression specifically, preventing the accumulation of disease-causing proteins. Safe and effective systemic siRNA delivery in vivo remains an obstacle. Cationic liposomes are currently the most widely-validated means for systemic delivery of siRNA to the liver, having been demonstrated in several animal models, including non-human primates. Recently, we described the synthesis and screening of a novel combinatorial lipidoid library and the identification of novel highly-effective vector for siRNA delivery, 98N 12-5(1). Here, we depict the process of formulation optimization for this lipidoid to maximize its efficacy and minimize its toxicity in murine models. The relative amount of formulation constituents as well as differences as little as one methylene group in PEG-lipid length greatly affect extent of silencing, weight gain, and clearance time. Optimally-formulated siRNA remains stable in solution at 4 OC, 25 OC, and 37 'C for over five months and retains in vivo activity after six months of storage at 4 OC. INTRODUCTION The emergence of genetic therapies will potentially enable physicians to replace defective genes and modulate their expression specifically '. The primary impediment to the prevalent administration of RNAi therapeutics is efficient and safe nucleic acid delivery into mammalian cells in vivo 2. Because virus-mediated delivery poses vast safety concerns 3., non-viral nucleic acid delivery has attracted a great deal of interest s In addition to the physical manipulation of naked nucleic acids 6, synthetic vectors have been created to improve biostability 7. Specifically, polycationic lipids can electrostatically bind and condense nucleic acids to form nanometer-sized complexes 8, whose small size enhance their cellular uptake 9. Identified by Fire and Mello 10, RNA interference offers a powerful platform for functional genomics, in vivo target validation, and gene-specific medicines ". This catalytic natural pathway, found in all eukaryotic cells, is inherently potent. Unlike small molecules, which are generally limited to binding to and blocking ion channels, receptors, and enzymes, siRNAs can conceivably be used to modulate the expression of any gene transcript - endogenous or exogenous - in a highly-specific manner Clearly, with only a limited number of examples of systemic siRNA administration published to date 12-24, the development of additional carriers is desirable. Many in vitro siRNA transfection reagents are ineffective or toxic in vivo. Cationic liposomes are currently the most widely-validated means for systemic delivery of siRNA to the liver, whose cells are accessible through fenestrated endothelium (100-150 nm) by nanoparticles that are engineered to be less than 100nm in diameter. In addition to protecting nucleic acids from degradation in serum, such particles inhibit renal clearance and excretion. Liposomes are believed to enter cells by endocytosis 25, 26. thus, "proton sponge"-mediated endosomal escape enhances payload delivery into the cytoplasm 27. In addition to promoting delivery by lipid mixing (fusion) with endosomal membranes, standard cationic lipids are thought to destabilize endosomes by interacting with anionic lipids in the endosomal membrane 28. Excessive positive charge can, however, have negative consequences in vivo, including non-specific interactions with biological surfaces, increased protein binding, opsonization, rapid clearance by the reticuloendothelial system, hemolysis, and cytotoxicity 29. For this reason, formulations must be tailored to discover the optimal balance of components. The synthesis and screening of a novel combinatorial cationic lipidoid library has led to the identification of a new non-toxic, non-viral vector that is able to transfect mammalian cells in vivo following systemic administration 30. Efficacy has been demonstrated in multiple animal species, including non-human primates, and more than 10 genes have been silenced. To maximize efficacy and minimize toxicity, siRNA and lipidoid were combined with varying amounts of cholesterol and PEG-lipid. Here, we depict the formulation optimization for this top-performing lipidoid, 98N 12-5(1). RESULTS AND DISCUSSION A combinatorial lipidoid library was synthesized and screened for the ability to transfect mammalian cells with siRNA in vitro 30. The top 20-performing lipidoids were subsequently administered to mice systemically by intravenous injection. While several lipidoids yielded respectable levels (>50%) of mRNA and protein knockdown in vivo, 98N 12 -5(1) conferred drastic (>99%) post-transcriptional gene silencing in the absence of associated toxicity. Importantly, administration of 98NI 2-5(1) has resulted in delivery to three tissue types in four distinct species following a single injection 30. Here, we describe the process of formulation optimization for the in vivo systemic administration of 98N1 2 - 5(1). Preliminarycharacterization Introductory experiments examined the relative efficacies and toxicities of laurylaminopropionate (acrylamide N12 ) and triethylenetetramine (amine 98) when combined in various stoichiometric ratios. The sole product that induced appreciable knockdown was the one synthesized at the maximal ratio of 6:1. Because triethylenetetramine comprises four nitrogen atoms - two primary and two secondary amines - there were several possible structures for the active component. Extensive purification procedures based on flash chromatography resulted in the isolation of the variously-substituted products. The pure products were tested in vivo and further characterized. One product generated the greatest knockdown and least toxicity. Matrix-assisted laser desorption/ionization mass spectrometry confirmed that the active species contained five laurylaminopropionate units or tails 30. Nuclear magnetic resonance studies distinguished that the isomer with one unsubstituted internal amine (isomer 1) is more efficacious than the isomer with one unsubstituted terminal amine (isomer 2), achieving >99% protein knockdown (Fig. 1). Target gene silencing was determined by inspecting serum levels of Factor VII in mice following a single tail-vein injection. Factor VII, a protease involved in the bloodclotting cascade ", was used as a reporter protein because it has the shortest plasma half- life (2-5 hours) among the clotting factors 32. Thus, silencing at the mRNA level is manifest as silencing at the protein level with minimal lag. Prior to injection, nanoparticles containing Factor VII-specific siRNA were analyzed to determine their size, percent siRNA encapsulation, and concentration. Formulationoptimization The first formulations comprised lipidoid, cholesterol, PEG-lipid, sucrose, and siRNA in varying ratios. Initially, the formulations were extruded through 200 nm filters 11 times, but much material was lost on the membranes. The minimal solubility of lipidoid and cholesterol in 25 mM sodium acetate buffer (pH 5.2) proved to be a great hindrance. This buffer was used because it was the solvent used for the in vitro studies, as the acidity promoted protonation of the amine backbone, which resulted in spontaneous electrostatic condensation of the siRNA. The rre-dissolution of lipid in 100% ethanol was a major breakthrough, decreasing (comprising up to 35% of the total volume) material loss and extrusion pass number. The ethanol was removed post-extrusion by dialyzing against phosphate-buffered saline for 90 minutes at room temperature. Originally, sucrose was subsequently added as a cryoprotectant, as the samples were lyophilized for storage prior to injection. Once it was determined that the formulations retained activity after months of storage in solution, lyophilization was discontinued. Cholesterol was added to increase circulation time and drug retention 34. PEG is known to solubilize the carrier, to prevent non-specific fusion of liposomes with cell membranes, to shield electrostatic charge, to minimize immunogenicity, and to hinder renal excretion 35, 36. The use of other co-lipids, such as dipalmitoylphosphatidyl-choline (DPPC) and distearoylphosphatidylcholine (DSPC), resulted in decreased efficacy when used in conjuction with 98N 12-5(1). Many PEG-lipid conjugates - with PEG molecular weights ranging from 750 to 5000 and lipid components including phophoethanolamine and sphingosine - purchased from Avanti Polar Lipids Inc. (Alabaster, AL), were used in the formulation of the siRNA-containing nanoparticles. Ultimately, N-palmitoylsphingosine-l-[succinyl(methoxy polyethylene glycol) 2000] (mPEG2000-Ceramide C16) and mPEG2000-Glyceride C14 (synthesized by Alnylam) were found to induce the greatest knockdown and least toxicity. Titrations were performed to determine the optimal composition of the nanoparticles. For each of the four components, the amounts of three were held fixed while the fourth was varied. Specifically, initial studies using a wide range of PEG-lipid and cholesterol masses indicated that 7 mg of PEG and 5 mg of cholesterol granted the best ratio of efficacy-to-toxicity ratio when added to 15 mg of 98N 12-5(1) in a total of 4 mL formulation volume (65% 200 mM sodium acetate, 35% ethanol). Adding fewer than 7 mg of PEG-lipid resulted in significant weight loss, as did adding more than 10 mg of cholesterol. Weight loss is used as a surrogate for tolerability as it is sensitive to and correlates well with observed toxicology parameters, including detectable changes in hematology (PLT reduction) and clinical chemistry (ALT elevation). The percent knockdown increased as the amount of cholesterol approached 5 mg. A cholesterol titration up to 5 mg was performed to confirm that 5 mg was the optimal amount to maximize the efficacy-to-toxicity ratio (Fig. 2). This titration was performed using 15 mg of 98NI 2-5(1) and 7 mg of either mPEG2000-lipid or mPEG5000-lipid to determine the effect of PEG chain length on efficacy. mPEG2000-lipid was shown to induce greater knockdown. The therapeutic index can be improved not only by optimizing the component ratios but also by optimizing the structure of the PEG-lipid, while keeping all other structures fixed. The lipid portion of the PEG-lipid conjugate enables PEG to be physically, rather than covalently, incorporated into the liposomes, allowing the deshielding rate to be controlled by varying the lipid anchor length. PEGylation has a significant effect on particle properties, altering the particles' pharmacokinetics and biodistribution. Additionally, it impacts liposomal interaction with cells, biological matrices, and blood components, which, in turn, impact efficacy and toxicity. Since PEG2000 was demonstrated to be most effective, the length of the lipid component was subsequently investigated. A glycerol backbone was derivatized with one PEG chain and two alkyl chains of various lengths, ranging from C10-C16. These PEGlipids were incorporated into the formulation, and efficacy and tolerability were compared in mice (Fig. 3a). A serial dilution dose-response study was performed from 20 mg/kg to 1.25 mg/kg, and C14-C16 were confirmed to maximize the therapeutic index. As mentioned, increasing the lipid anchor length is believed to control rate of disassociation of PEG-lipid from liposome. The data confirm that increasing PEG shielding improves tolerability but decreases efficacy. PEG deshielding can also be achieved by reducing the molar percent of the PEG-lipid in the formulation; however, this results in larger particles, which may explain why they are less efficacious in delivery to hepatocytes. The improvement in tolerability and decrease in efficacy appear more pronounced in rats as PEG-lipid anchor length increases (Fig. 3b). Once the optimal amounts of cholesterol and PEG-lipid - as well as length and type of PEG-lipid - were determined, an RNA titration was performed. Maintaining the molar ratio of lipidoid:cholesterol:PEG-lipid at 42:48:10, the weight-to-weight ratio of the lipids to siRNA was systematically varied (Fig. 4). The data suggest that formulation tolerability is increased as the lipid:siRNA ratio is reduced and that a ratio of total lipids to siRNA of -7.5:1 (w/w) maximizes the loading of siRNA to saturation, thereby imparting the greatest efficacy-to-toxicity ratio. Accordingly, through sequential titrations of the various formulation components, the optimal weight-to-weight ratios of constituents was determined to be 98N 12-5(1):cholesterol:mPEG2000-Glyceride C14:siRNA = 15:5:7:3.5. Having determined its ability to induce potent knockdown in the absence of toxicity, we elected to examine the biodistribution, dosing, stability, and size of this optimized formulation, LNPO1. The formulation is cleared from the plasma very rapidly, with a plasma half-life in cannulated rats of less than 15 minutes, and is almostimmediately accumulated in entirety in the liver (the maximal accumulation in the lung or kidney is less than 0.1%). The signal of fluorophore-labeled siRNA attenuates in the liver with a half-life of -1.5 hours (Fig. 5a). The possibility of coding region-targeted siRNA-mediated transcriptional gene silencing Remarkably, silencing persists for more than three weeks after a single bolus intravenous injection in non-human primates 30 and in mice at doses as low as 5 mg/kg (Fig. 5b). Owing to protein turnover and siRNA degradation, Ago2-mediated cleavage of target mRNA may no longer a factor at such later time points - although the half-life of holo-RISC is unknown, RISC has been shown to reload after 9-12 h in the presence of surplus siRNA 37 - SO this observation reveals the principal possibility of gene silencing at the transcriptional level. While the role of RNAi in heterochromatin formation has been studied primarily in A. thaliana,S. pombe, and D. melanogaster3 8, 39 , it is certainly possible that siRNA mediates epigenetic changes in trans. Thus, while some antisense ("guide") strands remain in the cytoplasm as components of activated RISC, other molecules may be trafficked to the nucleus to silence gene expression in a manner similar to that recently reported for endogenous antisense transcripts o Such migration of small RNAs that initiate RNAi in the cytoplasm into the nucleus, where they induce methylation of homologous DNA, has been observed in plant cells 41. Moreover, the ability of mammalian cells to translocate small RNAs from the cytoplasm to the nucleus has been confirmed by the presence of mature miRNAs - which are produced in the cytoplasm - in nuclear cellular fractions in addition to cytoplasmic fractions 42. siRNAs may also interact with DNA when the nuclear envelope breaks down during mitosis. Transcriptional gene silencing (TGS) owing to DNA methylation 43 or histone methylation 44 has been observed upon administration of promoter-targeted siRNA, confirming that siRNA-directed transcriptional silencing is conserved in mammals. The observation of RNA-directed DNA methylation in mammalian cells is consistent with the fact that these cells possess homologs of most of the enzymes required by plants to perform this operation 45. Excitingly, the histone (H3K9 and H3K27) methylation was determined to be mediated by the siRNA guide strand 44, as suggested above. Notably, TGS in human cells does not require both forms of epigenetic control; it has been realized in the absence of DNA methylation 46 or histone modification 47. While the mechanism by which siRNA-mediated TGS is achieved is poorly understood, the process appears to involve communication between Ago2 and Agol 47 as well as Polycomb-based silencing 48. Unlike all reports of siRNA-induced TGS to date, our study does not employ promoter-targeted siRNA. Thus, further studies are required to confirm our hypothesis of potential coding region-targeted siRNA-mediated TGS. Dosing scheme influences knockdown Interestingly, dosing scheme also has a dramatic effect on efficacy. Multiple dosings were compared to a single administration, and the data indicate that dividing the dosage over multiple days is not equivalent to a single bolus administration of the same dose (Fig. 6a). Dose additivity in mice was further investigated. The results suggest a clear time dependence on dose additivity. Specifically, doses are roughly additive up to a 30-minute interval between dosings, whereas two doses at 1.5 mg/kg are not significantly more efficacious than a single 1.5 mg/kg dose for intervals greater than 30 minutes between dosings (Fig. 6b). LNPO1-formulated siRNA remains stable and active for several months Finally, the physical properties of the formulated particles were observed to be very important to their function. The formulation provides stability to siRNA in serum, increasing the half-life of full-length product from -15 minutes for unformulated material to over 24 hours (Fig. 7a). The particles remain stable, as determined by particle size and percent siRNA entrapment, for over five months (Fig. 7b). They have a mean diameter of -50 nm (Fig. 8a), and smaller particle size improves efficacy and tolerability (Fig. 8b). The formulation has minimal positive charge (+2-4 mV, as measured by Zeta potential), which facilitates interaction with the negative surfaces of cells but is insufficient to induce non-specific toxicity. CONCLUSION RNAi has the potential to become a new major class of drugs, as it represents a fundamentally new way of treating disease. Specifically, disease is generally caused by the inappropriate behavior of proteins, and RNAi allows protein production to be inhibited selectively. RNAi therapeutics can be used to address a broad range of unmet medical needs. Thus, the introduction of a novel, effective, and safe vector for siRNA delivery offers tremendous opportunities. Because RNAi is a platform technology, one vector can potentially be applied to sundry diseases, as the lipidoid is presumably indiscriminate to siRNA sequence. Potential therapeutic applications include Alzheimer's disease, amyotrophic lateral sclerosis, cirrhosis, coronary heart disease, diabetes, influenza, cancer, and pain. Hopefully, LNP01 will enable scientists and physicians to address some of these diseases. This formulation has been used successfully to silence multiple (>10) genes in multiple species (mouse, rat, hamster, monkey). Efficacy is observed in the range of 2-5 mg/kg for a numerous hepatic targets. This study demonstrates the importance of formulation optimization to maximize the therapeutic index of novel treatments. MATERIALS AND METHODS 98N 12-5(1) Synthesis, Purification, and Characterization. Chemicals were purchased from Aldrich (Milwuakee, WI). Laurylaminopropionate (acrylamide N12) was synthesized by the drop-wise addition of 3 molar equivalents of acryloyl chloride to dodecylamine in dry THF at 0 oC in the presence of 4 molar equivalents of triethylamine with stirring for 12 h. The reaction mixture was dissolved in ethyl acetate and washed with 5% hydrocloric acid and water three times. The organic phase was dried using Na2 SO 4 , and the solvent was evaporated under reduced pressure. The product was recrystallized from hexanes. The crude material was then purified using silica gel column chromatography, running a solvent gradient (hexane:ethyl acetate= 1:0; 3:1; 1:1; 1:3; 0:1). The structures of the pure products were confirmed by 1H NMR, FTIR, MALDITOF-MS. Six equivalents of laurylaminopropionate were added to one equivalent of triethylenetetramine. The solvent-free reaction mixture was stirred for 7 days at 90 IC under nitrogen. The reaction does not go to completion under these conditions. Chromatographic purification was performed by flash chromatography using Merck Silica Gel 60. A mixture of dichloromethane (75%), methanol (22%), and ammonium hydroxide (3%) was combined with a gradient of increasing additional dichloromethane to yield good separation of the variously-substituted triethylenetetramine products. TLC was performed on Merck Silica Gel 60 F254 TLC glass plates, and the isomers were visualized with ninhydrin stain. Solvent removal was performed by evaporation on a Biichi rotavapor with heating to 40 oC. siRNA Synthesis. Synthesized by Alnylam, the siRNA was characterized by ESMS and anion-exchange HPLC. siFVII sense: 5'-GGAucAucucAAGucuuAcT*T-3', antisense: 5'-GuAAGAcuuGAGAuGAuccT*T-3'. 2'-O-Me modified nucleotides are in lower case, 2'-Fluoro modified nucleotides are in bold lower case, and phosphorothioate linkages are represented by asterisks. siRNAs were generated by annealing equimolar amounts of complementary sense and antisense strands. Lipidoid-siRNA Formulation. Lipidoid-based siRNA formulations comprised lipidoid, cholesterol, poly(ethylene glycol)-lipid (PEG-lipid), and siRNA. Formulations were prepared using a protocol similar to that described by Semple and colleagues 30,31. Stock solutions of 98N 12-5(1)-4HCl MW 1489, mPEG2000-Ceramide C16 (Avanti Polar Lipids, Alabaster, AL) MW 2634 or mPEG 20oo-Glyceride C14 MW 2660 (Alnylam, Cambridge, MA), and cholesterol MW 387 (Sigma-Aldrich, St. Louis, MO) were prepared in ethanol and mixed to yield a molar ratio of' 42:10:48. Mixed lipids were added to 125 mM sodium acetate buffer (pH 5.2) to yield a solution containing 35% ethanol, resulting in spontaneous formation of empty lipidoid nanoparticles. The resultant nanoparticles were extruded twice through a 0.08 inm membrane (Sterlitech, Kent, WA) using a LIPEXTM Extruder (Northern Lipids, Burnaby, BC, Canada). siRNA in 50 mM sodium acetate (pH 5.2) and 35% ethanol was added to the nanoparticles at 1:7.5 (wt:wt) siRNA:total lipids and incubated at 37 'C for 30 min. Ethanol removal and buffer exchange of siRNA-containing lipidoid nanoparticles was achieved by tangential flow filtration against phosphate buffered saline using a 100,000 MWCO membrane. Finally, the formulation was filtered through a 0.2 gIm sterile filter. Particle size was determined using a Malvern Zetasizer NanoZS (Malvern, UK). siRNA content was determined by UV absorption at 260 nm, and siRNA entrapment efficiency was determined by the Quant-iTTM RiboGreen® RNA assay (Invitrogen, Carlsbad, CA). The particles had a mean particle diameter of approximately 50 nm, with peak width of 20 nm, and siRNA entrapment efficiency of>95%. Determination of entrapment efficiency. A modified RiboGreen@ (Invitrogen, Carlsbad, CA) assay was used to quantify entrapment of siRNA. Samples were diluted 1:200 in TE buffer and mixed with Quant-iTTM RiboGreen® RNA reagent (1:200 in TE buffer) at 37 OC for 30 minutes in the presence or absence of 0.5 % final w/v Triton X100. Entrapment efficiency of siRNA in lipidoid complexes was determined by comparing the fluorescent signal of the lipidoid-siRNA sample in the presence (total siRNA) and absence (free siRNA) of Triton X-100 detergent. Signal in the absence of detergent yields the "free" or accessible siRNA fraction, while signal in the presence of detergent yields the total siRNA content. In vivo rodent Factor VII silencing experiments. All procedures used in animal studies conducted at Alnylam were approved by the Institutional Animal Care and Use Committee (IACUC) and were consistent with local, state, and federal regulations, as applicable. C57BL/6 mice (Charles River Labs, Wilmington, MA) and Sprague-Dawley rats (Charles River Labs, Wilmington, MA) received either saline or siRNA in lipidoid formulations via tail vein injection at a volume of 0.01 mL/g. Serum levels of Factor VII protein were determined in samples collected by retroorbital bleed after 24 or 48 hours using an activity-based chromogenic assay (Coaset Factor VII, DiaPharma Group, West Chester, OH or Biophen FVII, Aniara Corporation, Mason, OH). All experiments were performed in triplicate. FIGURES Figure 1. a) Five-tailed triethylenetetramine-laurylaminopropionate (98N12) with free internal amine (isomer 1) and free terminal amine (isomer 2). b) Both five-tailed isomers of 98N 12 were administered (3.0 mg/kg does) via a single tail-vein injection. Relative plasma level protein is shown after 24 h. Each experiment was performed in triplicate. Figure 2. A cholesterol titration using a) mPEG2000-Ceramide C16 and b) mPEG5000Ceramide C16. Relative plasma level protein, 24 h after a single tail-vein injection, is shown by the bars with y-axis on the left-hand side. Average weight gain (g) is represented by * with y-axis on the right-hand side. Cholesterol mass and dosing concentration are indicated. The same effect is observed at different doses. Maximal knockdown is achieved using 5 mg cholesterol per 15 mg of lipidoid. While the trend continues with increasing amounts of cholesterol, toxicity is observed with these higher amounts (data not shown). Each experiment was performed in triplicate. Figure 3. The optimal alkyl chain length for the PEG-lipid was determined to be between C14-C16. a) C57BL/6 mice (n = 3) were treated with a single bolus intravenous injection of siRNA formulated with 98N 12-5(1), cholesterol, and PEG-glyceride with alkyl chain lengths ranging from C10-C16 at either 20 mg/kg or 2.5 mg/kg. Relative serum Factor VII levels and body weights were measured after 48 h. b) Based on these results, Sprague-Dawley rats (n = 5) were treated with a single bolus intravenous injection of siRNA formulated with 98N 12-5(1), cholesterol, and PEG-glyceride with alkyl chain lengths ranging from C14-C16. Serum Factor VII levels relative to PBS control were measured after 48 h. Figure 4. a) The RiboGreen® RNA Assay (performed in quadruplicate) revealed that total lipids:siRNA (w/w) of 5:1 contains excess siRNA. Excess siRNA was removed by ultrafiltration through 100,000 MWCO hollow-fiber cartridge. Saturation is achieved at total lipids:siRNA (w/w) -7.5:1. b) Lipid nanoparticles (LNP) prepared with an initial excess of siRNA that is removed by ultrafiltration is efficacious. c) Animal weight gain after a single 10 mg/kg injection. No appreciable weight changes were observed at 3 mg/kg, 2 mg/kg, or 1.5 mg/kg). Each experiment was performed in triplicate. Figure 5. a) Kinetics of liver distribution of Cy3-labeled siRNA formulated in LNP01 in C57BL/6 mice at a dose of 2.5 mg/kg. b) Silencing is potent and durable. C57BL/6 mice (n = 5) were treated with a single bolus intravenous injection of LNP01-formulated siRNA at a dose of 5 mg/kg. Figure 6. Cmax is critical for efficacy. a) C57BL/6 mice received either a single injection of 1.5 mg/kg, 3.0 mg/kg, or 4.5 mg/kg or a dose of 0.5 mg/kg, 1.0 mg/kg, or 1.5 mg/kg for three consecutive days. Serum factor VII levels were measured 96 h after the first injection. b) Formulated siRNA was administered to C57BL/6 mice as two consecutive 1.5 mg/kg doses with different times in between the two doses (15 min, 30 min, 1 h, 2 h, and 4 h). Single doses of 3 mg/kg and 1.5 mg/kg were included for comparison. Serum Factor VII levels were measured 48 h after the first injection. Each experiment was performed in triplicate. Figure 7. a) Unformulated and formulated siRNAs incubated in human serum at 37 oC. The percent of full-length product was determined by HPLC. b) Formulations are stable in solution. These particles maintain in vivo activity after 6 months of storage at 40 C. Figure 8. Hepatocyte delivery requires particles with a mean diameter <100 nm. a) The optimal formulation has a reproducible mean diameter -50 nm, as determined by dynamic light scattering. b) Smaller particle size improves efficacy and tolerability. Relative serum Factor VII levels and weight gains were determined following a single bolus intravenous injection in C57BL/6 mice. Each experiment was performed in triplicate. Disclosure: While the principal formulation optimization was performed by the author, the subsequent studies (determination of optimal PEG alkyl chain length, optimal dosing, and optimal particle size) were conducted by his collaborators at Alnylam. Figure la. Isomer 1 H H H H N H Isomer 2 H H O O O NNNH N H 0 NH N0 H Figure lb. 12.. " - 1 0.8 0.6 - 0.4 0.2 - 0- -I PBS 98N12 5(1) 98N12 5(1+2) , 'I 98N12 5(2) I Figure 2a. r, ------ 1.2 1 0.8 0.6 0.4 0.2 0 PBS control 98N12 Omg 2mg/kg 98N12 98N12 1mg 2.5mg 2mg/kg 2mg/kg 98N12 5mg 2mg/kg 98N12 98N12 Omg 1mg lmg/kg lmg/kg 98N12 2.5mg lmg/kg 98N12 5mg lmg/kg Figure 2b. 1.4 1.2 0.8 0.6 0.4 0.2 0 PBS control 98N12 98N12 98N12 98N12 98N12 98N12 98N12 98N12 0mg 1mg 2.5mg 5mg Omg 1mg 2.5mg 5mg 1.5mg/kg 1.5mg/kg 1.5mg/kg 1.5mg/kg 0.5mg/kg 0.5mg/kg 0.5mg/kg 0.5mg/kg Figure 3a. Relative FVII Protein Efficacy Body Weight Gain-glerability 1.8 1.6 - - 1.4 .. . 20 mg/kg t-.-.. -2.5 mg/kg 1.2 10 0.8 0.60.4 0.2. 0.0 " PBS PEG- PEG- PEG- PEG- PEG- PEG- PEG0 1C C1 1 C12 C13 C14 C15 C16 36. Figure I.2 1.0 0.8 0.6 0.4 0.2 0.0 10 7.5 5 Dose mg/kg) 3.5 Figure 4a. I1 I ''nI-------1 L.•. 0.8 4... tw ORi-____ 0 * 0.4 U- 0.2 0.0 ~~~1~ LNP 5:1 LNP 5:1 LNP10:1 post UF LNP15:1 LNP20:1 LNP30:1 Figure 4b. I.U 0.9 S0.8 0.7 S10 mg/kg 0.6 S3 m g/kg 0.5 0.4 m0.3 0.2 O 2 mg/kg 0 1.5 mg/kg 0.1 0.0 LNP 5:1 post UF LNP10:1 LNP15:1 LNP20:1 LNP 30:1 Figure 4c. L.UU 1.00 0.00 .- -1.00 f= -2.00 -3.00 -4.00 -5.00 EDayl 1 Day2 I· a 2 Figure 5a. 30 mins 1.5 hours -- 7 hours 3 hours 24 hours 24 hours PBS V - Central Vein Figure 5b. I .70 80% 60% 40% 20% 0% 5 10 15 Time post administration (d) 20 25 Figure 6a. 1.2 - ------------ r 1.0 = 0.8 > 0.6 I 0.4 -i T L. --- F---~----- -4 --- 0.2 I 0.0 4.5 mg/kg PBS 3 mg/kg 1.5 mglkg 3X 1.5 mg/kg 3X 1 mg/kg 3X 0.5 mg/kg Figure 6b. -------------~--II~ 1.2 I 1.0 T- 0.8 L. -----F----- - -------------- -t----~-~-~--~ ! & 0.4 --- T I 0.2 -I 0.0 PBS 1.5 mg/kg 3 mg/kg ] 1.5 mg/kg 2X 1.5 mg/kg 2X 1.5 mg/kg 2X 1.5 mglkg 2X 1.5 mg/kg 2X 15 min 30 min 1h 2h 4h I Figure 7a. Unformulated Formulated ND-3110 in HSS ND98-3110 inHSS 120 100 80 120 100 c 80 60 * S 40 S20 0 60 S40 P 0 0.25 0.50 1 3 6 15 24 20 0 PBS- 0 0.25 0.50 1 3 6 24h Timepoint [h] Timepoint [h] *lsense-FLP Iantisense FLP ssense-FLP gantisense-FLP T112 > 24 h T112 ~ 15 min Figure 7b. 4C Time (d) (nm) 25 C eak idth ntrap- d ent (nm) (nm) (%) 37 C eak ntrapidth ment (nm) (nm) (%) eak idth ntrapent (nm) (%) S 61 20 7 1 0 0 8 59 19 98 1 20 7 6 1 19 7 59 1 6 59 20 6 10 1 19 7 1 0 7 0 20 8 17 1 0 6 60 20 97 1 20 5 37 2 1 8 63 19 8 9 21 9 59 58 1 8 57 1 98 59 20 98 80 1 19 8 58 21 8 0 20 8 115 6 20 7 3 23 6 57 10 7 164 6 19 7 61 4 96 6 21 7 15 24 PBS24h Figure 8a. Figure 8a. Size Distribution by Volume 251 20 E, 15 - E 0 10 5 0 ! ..- . 0.1 P.. 1 10 100 1000 10000 Size (d.nm) Overlay of 3 independent runs Record 5: LNFO1-1955 post filter Record 7: LNP01-1955 post filter Record 6: LNF01-1955 post filter Figure 8b. Efficacy at 3 mg/kg Tolerability 1.0 1.50 1.0 1.00 5 080.8 .0.50 U> 0.6 M TE 2 00.4 0.00 -0.50 0.2 n0 . PBS 150 nm 85nm 60nm 50nm nfl REFERENCES 1. de Fougerolles, A., Vornlocher, H.-P., Maraganore, J. & Lieberman, J. Interfering with disease: A progress report on siRNA-based therapeutics. Nature Reviews DrugDiscovery6, 443-453 (2007). 2. 3. 4. 5. 6. 7. Novina, C.D. & Sharp, P.A. The RNAi revolution. Nature430, 161-164 (2004). Check, E. Gene therapy put on hold as third child develops cancer. Nature 433, 561 (2005). Boyce, N. Trial halted after gene shows up in semen. Nature 414, 677 (2001). Zhang, S., Zhao, B., Jiang, H., Wang, B. & Ma, B. Cationic lipids and polymers mediated vectors for delivery of siRNA. Journalof ControlledRelease 123, 1-10 (2007). Wagner, E., Kircheis, R. & Walker, G.F. Targeted nucleic acid delivery into tumors: new avenues for cancer therapy. Biomedecine & Pharmacotherapy58, 152-161 (2004). Liu, F. & Huang, L. Development of non-viral vectors for systemic gene delivery. Journalof ControlledRelease 78, 259-266 (2002). 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Li, W. & Szoka, F. Lipid-based nanoparticles for nucleic acid delivery. PharmaceuticalResearch 24, 438-449 (2007). Panyam, J. & Labhasetwar, V. Biodegradable nanoparticles for drug and gene delivery to cells and tissue. Advanced Drug DeliveryReviews 55, 329-347 (2003). Fire, A. et al. Potent and specific genetic interference by double-stranded RNA in Caenorhabditis elegans. Nature 391, 806-811 (1998). Dickins, R.A. et al. Tissue-specific and reversible RNA interference in transgenic mice. Nature Genetics 39, 914-921 (2007). Soutschek, J. et al. Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs. Nature 432, 173-178 (2004). Zimmermann, T.S. et al. RNAi-mediated gene silencing in non-human primates. Nature441, 111-114 (2006). Song, E. et al. RNA interference targeting Fas protects mice from fulminant hepatitis. Nature Medicine9, 347-351 (2003). Song, E. et al. Antibody mediated in vivo delivery of small interfering RNAs via cell-surface receptors. NatureBiotechnology 23, 709-717 (2005). Morrissey, D.V. et al. Potent and persistent in vivo anti-HBV activity of chemically modified siRNAs. Nature Biotechnology23, 1002-1007 (2005). Kim, S.I. et al. Systemic and specific delivery of small interfering RNAs to the liver mediated by apolipoprotein A-I. Molecular Therapy15, 1145-1152 (2007). Baigude, H., McCarroll, J., Yang, C.-s., Swain, P.M. & Rana, T.M. Design and creation of new nanomaterials for therapeutic RNAi. ACS Chem. Biol. 2, 237-241 (2007). Santel, A. et al. A novel siRNA-lipoplex technology for RNA interference in the mouse vascular endothelium. Gene Therapy 13, 1222-1234 (2006). Hu-Lieskovan, S., Heidel, J.D., Bartlett, D.W., Davis, M.E. & Triche, T.J. Sequence-specific knockdown of EWS-FLI1 by targeted, nonviral delivery of small interfering RNA inhibits tumor growth in a murine model of metastatic Ewing's sarcoma. CancerRes 65, 8984-8992 (2005). 21. 22. Takeshita, F. et al. Efficient delivery of small interfering RNA to bone-metastatic tumors by using atelocollagen in vivo. Proceedings of the National Academy of Sciences 102, 12177-12182 (2005). Rozema, D.B. et al. Dynamic PolyConjugates for targeted in vivo delivery of siRNA to hepatocytes. Proceedings of the National Academy of Sciences 104, 23. 24. 25. 26. 27. 28. 29. 30. 31. 12982-12987 (2007). Peer, D., Park, E.J., Morishita, Y., Carman, C.V. & Shimaoka, M. Systemic leukocyte-directed siRNA delivery revealing Cyclin D1 as an anti-inflammatory target. Science 319, 627-630 (2008). Wolfrum, C. et al. Mechanisms and optimization of in vivo delivery of lipophilic siRNAs. NatureBiotechnology 25, 1149-1157 (2007). Medina-Kauwe, L.K., Xie, J. & Hamm-Alvarez, S. Intracellular trafficking of nonviral vectors. Gene Therapy 12, 1734-1751 (2005). Wattiaux, R., Laurent, N., Wattiaux-De Coninck, S. & Jadot, M. Endosomes, lysosomes: Their implication in gene transfer. Advanced Drug Delivery Reviews 41, 201-208 (2000). Boussif, O. et al. A versatile vector for gene and oligonucleotide transfer into cells in culture and in vivo: Polyethylenimine. Proceedingsof the NationalAcademy of Sciences 92, 7297-7301 (1995). Mui, B., Ahkong, Q.F., Chow, L. & Hope, M.J. Membrane perturbation and the mechanism of lipid-mediated transfer of DNA into cells. Biochimica et Biophysica Acta (BBA) 1467, 281-292 (2000). Satija, J., Gupta, U. & Jain, N.K. Pharmaceutical and biomedical potential of surface engineered dendrimers. Crit Rev Ther Drug CarrierSyst 24, 257-306 (2007). Akinc, A. et al. A combinatorial library of lipid-like materials for delivery of RNAi therapeutics. Nature Biotechnology (2008). Eigenbrot, C. Structure, Function, and Activation of Coagulation Factor VII. CurrentProtein and PeptideScience 3, 287-299 (2002). 32. 33. 34. 35. Bjorkman, S. & Berntorp, E. Pharmacokinetics of coagulation factors: clinical relevance for patients with haemophilia. Clin Pharmacokinet.40, 815-832 (2001). Mui, B., Chow, L. & Hope, M.J. in Liposomes, Part A, Edn. Volume 367. (ed. N. Duzgunes) 3-14 (Academic Press, 2003). Fenske, D.B. & Cullis, P.R. in Liposomes, Edn. Volume 391. (ed. N. Duzgunes) 7-40 (Academic Press, 2005). Veronese, F.M. & Pasut, G. PEGylation, successful approach to drug delivery. DrugDiscovery Today 10, 1451-1458 (2005). 36. 37. 38. 39. Gref, R. et al. Biodegradable Long-Circulating Polymeric Nanospheres. Science 263, 1600-1603 (1994). Vickers, T.A., Lima, W.F., Nichols, J.G. & Crooke, S.T. Reduced levels of Ago2 expression result in increased siRNA competition in mammalian cells. Nucl. Acids Res. 35, 6598-6610 (2007). Wassenegger, M. The role of the RNAi machinery in heterochromatin formation. Cell 122, 13-16 (2005). Grewal, S.I.S. & Elgin, S.C.R. Transcription and RNA interference in the formation of heterochromatin. Nature 447, 399-406 (2007). 40. 41. 42. 43. 44. 45. Yu, W. et al. Epigenetic silencing of tumour suppressor gene p15 by its antisense RNA. Nature451, 202-206 (2008). Jones, L. et al. RNA-DNA interactions and DNA methylation in posttranscriptional gene silencing. PlantCell 11, 2291-2302 (1999). Meister, G. et al. Human Argonaute2 mediates RNA cleavage targeted by miRNAs and siRNAs. Molecular Cell 15, 185-197 (2004). Morris, K.V., Chan, S.W.-L., Jacobsen, S.E. & Looney, D.J. Small interfering RNA-induced transcriptional gene silencing in human cells. Science 305, 12891292 (2004). Weinberg, M.S. et al. The antisense strand of small interfering RNAs directs histone methylation and transcriptional gene silencing in human cells. RNA 12, 256-262 (2006). Matzke, M.A. & Birchler, J.A. RNAi-mediated pathways in the nucleus. Nature Reviews Genetics 6, 24-35 (2005). 46. 47. 48. Ting, A.H., Schuebel, K.E., Herman, J.G. & Baylin, S.B. Short double-stranded RNA induces transcriptional gene silencing in human cancer cells in the absence of DNA methylation. Nature Genetics37, 906-910 (2005). Janowski, B.A. et al. Involvement of AGO1 and AGO2 in mammalian transcriptional silencing. Nature Structural & Molecular Biology 13, 787-792 (2006). Kim, D.H., Villeneuve, L.M., Morris, K.V. & Rossi, J.J. Argonaute-1 directs siRNA-mediated transcriptional gene silencing in human cells. Nature Structural & MolecularBiology 13, 793-797 (2006). CHAPTER 4: IDENTIFICATION OF A CONVERGENCE OF STRUCTURE AMONG HIGHLY-EFFICIENT CARRIERS OF SIRNA FOR THE SYSTEMIC DELIVERY OF RNAI THERAPEUTICS ABSTRACT A combinatorial library of lipid-like molecules, termed "lipidoids", was synthesized using a Michael-type conjugate addition of amines to acrylates or acrylamides to yield hundreds of degradable and non-degradable cationic lipids, respectively. The library members were tested for their ability to transfect mammalian cells with siRNA both in vitro and in vivo. Preliminary screening revealed nine lipidoids that afforded greater siRNA transfection levels than the commercially-available transfection reagent LipofectamineTM 2000, as determined by their ability to knockdown Firefly luciferase protein expression; however, the top-100 performing compounds were further screened at multiple lipidoid:siRNA weight-to-weight (w/w) ratios to yield 25 materials that outperformed LipofectamineTM 2000. The top-20 performing lipidoids were subsequently formulated for systemic administration. siRNA delivery using a member of the library, 98N 12-5(1), resulted in >95% target protein knockdown following a single intravenous injection in mice. Finally, analysis of structures-activity relationships revealed critical chemical functionalities that impart good siRNA transfection ability upon lipidoids. A second-generation combinatorial lipidoid library was synthesized and screened for the ability to transfect mammalian cells with siRNA in vitro, and a convergence of structure was observed. Whereas only 3% (25/761) of the first-generation library was able to induce greater knockdown than LipofectamineTM 2000 in vitro, more than 50% (25/48) of the second-generation library was able to achieve this feat. Furthermore, a member of the second-generation library, 110N9-5, was shown to induce >99% target protein knockdown following a single intravenous injection of formulated siRNA in mice. INTRODUCTION The advent of RNAi therapeutics, which confer highly-specific gene silencing, has the potential to revolutionize the field of medicine. Efficient and safe nucleic acid delivery into mammalian cells in vivo remains a critical obstacle to the widespread use of RNAi therapeutics '. Nucleic acid delivery can be achieved using viral or non-viral vectors. Viruses are able to induce foreign gene expression with high proficiency and specificity; hence, viruses would be theoretically-ideal vectors if their pathogenic genes were to be replaced by therapeutic nucleic acids. However, while extremely efficient, virus-mediated delivery poses safety concerns, including acute toxicity, the induction of cellular and humoral immune responses 2, oncogenicity due to insertional mutagenesis 3, and the risk of viral presence in germ-line cells 4. In addition to being generally safer and less expensive to produce, non-viral vectors can typically be synthesized reproducibly in large quantities, are amenable to rational design and diverse chemical modification, and afford much greater nucleic acid carrying capacity 5.Synthetic vectors have been created to improve bio-stability and cellular uptake. Polycationic lipids 6, 7and polycationic polymers 8,9 can electrostatically bind and condense nucleic acids to form nanometer-sized complexes, whose small size facilitate uptake 1o Identified by Fire, Mello et al. ", RNA interference offers a powerful platform for functional genomics, in vivo target validation, and gene-specific medicines. RNAi is a defense mechanism evolved by eukaryotic cells against double-stranded RNA (dsRNA) introduced by invading viruses, transposons, and transgenes 1,12. Specifically, RNAi refers to the entire process of post-transcriptional dsRNA-dependent gene silencing 13 Upon recognition, long dsRNAs are processed by the ribonuclease III-like enzyme Dicer into siRNAs 14, 15. These short dsRNA fragments - typically 21- to 23-base pairs in length, possessing two-nucleotide 3' overhangs as well as 5' phosphate and 3' hydroxyl termini 16,17 - direct the sequence-specific degradation of single-stranded target mRNA via integration into the RNA-induced silencing complex (RISC) 18, 19. RNAi's utility as a potent tool for reverse genetic analysis - providing a link between sequence data and biological function 20, 21 - is bested only by its potential for use in gene-specific therapeutics 22-24 Chemically-synthesized siRNAs have been shown to induce post-transcriptional gene silencing in vitro in human cells, which stimulate interferon synthesis in response to the presence of longer dsRNA 25, 26. Accordingly, such siRNAs might provide a means to regulate both exogenous and endogenous gene expression, particularly "non-druggable" targets that are not amenable to conventional therapeutics 27. siRNAs have been effectively utilized to inhibit virus propagation via local - vaginal 28 and intranasal 29-31 _ and systemic 32, 33 delivery in mice, with one example of a therapy targeted to infected cells via cell-surface receptors 34.. The expression of endogenous genes has also been moderated. Notably, RNAi has been employed to treat murine models of cancer 35,36 and hypercholesterolemia 27 via systemic siRNA administration. RNAi has also been realized in vivo in non-human primates 37. The successful use of siRNA to treat chronic myeloid leukaemia in a human patient has been reported 38, but long-term safety has yet to be demonstrated. The use of RNAi therapeutics as a potential new class of pharmaceutical drugs is reviewed particularly well by de Fougerolles et al. 39, Kim et al. 40 ,Bumcrot et al.4 ,and Dykxhoorn et al. 4 Clearly, given the limited number of examples of systemic siRNA administration published to date, the development of additional carriers is desirable. Many in vitro siRNA transfection agents are ineffective or toxic in vivo. By synthesizing and screening a novel combinatorial cationic lipidoid library, a new non-toxic, non-viral vector that is able to transfect mammalian cells, for use in systemic siRNA delivery, has been identified 43. This article depicts the identification of the critical chemical functionalities that impart good transfection ability upon cationic lipidoids. A second-generation library was synthesized and screened for the ability to transfect mammalian cells in vitro to support the authors' hypothesis that a convergence of structure had been discovered, and the data confirmed that oligoamines separated by ethyl or. propyl groups in the lipidoid backbone confer maximal transfection. RESULTS AND DISCUSSION Cationic liposomes provide protection against chemical degradation and facilitate cellular uptake of negatively-charged nucleic acids 44. Despite the clear benefits of a lipid-based carrier for nucleic acid delivery, the rational design of such a system is an onerous task 45. This work was designed to generate a broad library from which a robust candidate could be identified. In addition to its simplicity, the reaction scheme - the conjugate addition of a nucleophile to an a,3-unsaturated system - offers several benefits: commercially-available starting reagents, no by-products, and potential for highthroughput synthesis. The library's starting reagents provide extensive chemical diversity (Fig. la), covering much of the available space of commercially-available amine reagents. Also, many of the amines were shown to impart good transfection ability upon members of a poly(P-amino ester) library that was synthesized previously for applications in nucleic acid delivery 46. The reaction scheme is depicted in Fig. lb. Amines were conjugated to acrylates or acrylamides to yield a degradable and non-degradable series of lipidoids, respectively. Conjugation of amines to acrylates reaches quantitative conversion overnight; acrylamides are less reactive, and these reaction mixtures were stirred at 90 OC for one week. Lipidoids exhibit several interesting chemical properties that render them a unique class of biomaterials. The ester linkage has an inverted orientation with respect to the aliphatic chain when compared to natural lipids, such as triglycerides. Additionally, whereas standard cationic lipids are typically composed of a constitutively-cationic head group, owing to a quartemized amine, lipidoids are transiently cationic due to the presence of environmentally-dependent, reversibly-protonatable amines situated in the backbone of the molecules. Furthermore, cationic lipids are amphipathic, with welldefined cationic heads and hydrophobic tails; in contrast, lipidoids have hydrophobic tails emanating from a central backbone and, thus, structurally resemble first-generation dendrimers as much as they resemble lipids. The effect of charge on the efficacy of a lipidoid was investigated by synthesizing quaternized analogues of degradable and non-degradable lipids. For this purpose, methyl iodide was used, and quaternization gave quantitative yields. In total, 230 non-degradable lipidoids, 267 degradable lipidoids, and 264 of their quaternized analogues were synthesized, yielding 761 compounds in the first generation library. High-throughput lipidoid library screening: in vitro siRNA transfection The entire library was assayed for siRNA transfection ability at a lipidoid:siRNA w/w ratio of 5:1, yielding only nine hits. The top-100 performing lipidoids were further screened at lipidoid:siRNA. w/w ratios of 2.5, 5, 10, and 15 (Fig. 2a). 25 lipidoids achieved superior transfection levels to the commercially-available transfection reagent LipofectamineTM 2000 (Fig. 2b), with no apparent toxicity, as determined by specific knockdown of the reporter protein Firefly luciferase in the absence of off-target Renilla luciferase knockdown. The data obtained are extremely important, as only a modest number of siRNA delivery systems have been developed to date, and many of them are toxic in vivo. This work demonstrates the possibility of synthesizing a number of efficient siRNA delivery vectors of comparable magnitude to all reported examples in the literature of this field. The chemical functionalities present in a lipidoid's backbone correlate strongly with the material's transfection ability. Lipidoids derived from oligoamines separated by ethyl and propyl groups were the most efficient subset of structures. Ether-containing lipidoids did not exhibit high efficacy, with few exceptions (those derived from amine 31). Similarly, lipidoids derived from monoamines without hydroxyl groups or from cyclic amines displayed poor transfection ability. Surprisingly, only a few of the lipidoids containing hydroxyl groups - a functionality that is common to effective DNA transfection reagents 47were found among the top-performing siRNA delivery agents. Quaternized lipidoids were generally not efficient siRNA vectors, likely owing to their inability to act as "proton sponges" 48, a feat that would facilitate endosomal escape. The type and length of their hydrophobic tails also influenced the effectiveness of lipidoid-mediated siRNA transfection. Specifically, lipidoids derived from the shortest acrylamides, N 12 and N 14, were most effective; in contrast, lipidoids derived from longer acrylates, especially O16, were the most effective. Surprisingly, this optimal length of 12-16 carbons is less than the average tail of commonly-used lipids, which typically comprise 18 carbons. Interestingly, only two of the top-25 lipidoids possessed an odd-numbered alkyl chain. The number of degradable lipidoids roughly equaled the number of non-degradable lipidoids among the most efficient materials. In vivo administration of top-performing lipidoids induces potent knockdown Because the ultimate aim of this work was to identify a carrier that will enable the treatment of human disease, the top-20 performing lipidoids from the first-generation library were tested for siRNA delivery ability in vivo. The formulations comprised lipidoid, cholesterol, poly(ethylene glycol) (PEG), and siRNA, and were administered to female C57BL/6 mice systemically by intravenous injection at doses ranging from 0.1-5 mg of siRNA per kg of mouse mass (Materials and Methods). Factor VII was used as a reporter protein because it has the shortest plasma halflife (2-5 hours) among the clotting factors 49. Thus, silencing at the mRNA level is manifest as silencing at the protein level with minimal lag time. Prior to injection, liposomes containing Factor VII-specific siRNA were analyzed to determine percent siRNA encapsulation and sample concentration. Several lipidoids enabled mRNA and protein knockdown levels of greater than 50% 43. The greatest efficacy was achieved using 98N 12-5(1) - of the two possible fivetailed isomers of 98N1 2 , this molecule has an internal secondary amine (Fig. 3a) - as an siRNA carrier, affording >95% knockdown without apparent toxicity (weight loss). As shown in Fig. 3b, the knockdown levels were highly dose dependent, which is an important feature for therapeutics. Structure-activity relationships reveal a convergence of structure among the topperforming lipidoids Analysis of the most efficacious materials from the original lipidoid library provided insights into the structures that are best-able to transport siRNAs across the cell membrane of mammalian cells. Concentrating on these structures - specifically 98N1 2 we synthesized a second-generation library (Fig. 4a) that is composed of structures with slight chemical modifications that were intended to yield novel lipidoids with even greater efficacy (enabling lower doses to be administered) and even less toxicity (enabling higher doses to be administered). Lessons from the results obtained for the first-generation library were taken into account in the design of the second-generation library. Because the top-performing in vivo lipidoids were derived from acrylamides 43 and the objective was to identify improved vectors for in vivo delivery, the second-generation library focused on nondegradable lipidoids. In particular, shorter acrylamide units were incorporated into the second-generation library, as the best results from acrylamide-derived first-generation lipidoids were observed for the shortest member of the library, dodecylacrylamide (N1 2)The backbones of the second-generation library included some of the top-performing members of the first-generation library (amines 95-109) as well as additional ones that closely resemble triethylenetetramine (amine 98). The results validated these decisions in a compelling manner. 25 of the 48 (52%) second-generation lipidoids achieved greater transfection efficiency than LipofectamineTM 2000 (Fig. 4b). This clearly confirms the great potential for identifying improved structures through rational library design. Understanding the lipidoids' mechanism of action will further enable scientists to devise future-generation lipofection agents deliberately. The top-performing lipidoids in the second-generation library had several common characteristics. Firstly, these lipidoids were able to transfect efficiently at lower lipidoid:siRNA w/w ratios. Specifically, 14 out of the top-18 lipidoids from the secondgeneration library transfected optimally at w/w ratios of 2.5 and 5, whereas only 5 out of the top-18 lipidoids from the first-generation library transfected optimally below a w/w of 10. An increase in the proportion of lower optimal w/w ratios is important because it indicates greater efficiency of siRNA binding, demanding less lipidoid for complexation - translating to reduced cost of goods and potential side effects upon in vivo administration. Four out of the top-five lipidoids from the first-generation library also possessed this hallmark, suggesting that it is favorable for good transfection ability. Secondly, the reduction of alkyl chain length improved transfection ability. Six of the top-seven lipidoids from the second-generation library were derived from N9, the shortest acrylamide used. Thirdly, of the top-15 lipidoids, three contained each of the following backbone amines: 110, 113, and 115. Unsurprisingly, all three are N-alkyl derivatives of diethylenetriamine, an abridged version of amine 98, triethylenetetramine. This finding is highly supportive of a discovered convergence of structure. Specifically, these backbones are all oligoethylene imines. Their larger counterpart, polyethylene imine (PEI), is a well-known nucleic acid delivery vehicle. In addition to having an extremely-high charge density, PEI greatly enhances endosomal escape through its pH-responsive "proton sponge" capacity 48, 50. PEI has been used to deliver siRNA to the lungs to reduce influenza infection 51. Unfortunately, PEI is extremely toxic at high doses, as it is not readily biodegradable 52, 53. Cytotoxicity has been shown to correlate with molecular weight and degree of branching 54. Efforts are being made to improve the safety profile of PEI by optimizing its structure 55, 56 and by imparting biodegradable functionalities - reducible disulfide crosslinks 57, 58 or hydrolysable diacrylates 59, 60 - to liberate smaller PEIs. Excitingly, the lipidoids described, which are essentially shorter analogs with lipophilic tails, are extremely efficacious and appear to confer an improved safety profile. In particular, 110N 9-5 (Fig. 5a) affords >99% target gene knockdown of the reporter protein Factor VII following a single tail-vein injection in mice (Fig.5b). CONCLUSION RNAi has the potential to become a new major class of drugs, as it represents a fundamentally new way of treating disease. Specifically, disease is generally caused by the inappropriate behavior of proteins, and RNAi allows protein production to be selectively inhibited. RNAi-based therapeutics can be used to address a broad range of unmet medical needs. Thus, the development of a novel, effective, and safe vector for siRNA delivery offers vast opportunities. Because RNAi is a platform technology, one vector may be applied to sundry diseases, as the lipidoid is presumably indiscriminate to siRNA sequence. Potential therapeutic applications include Alzheimer's disease, amyotrophic lateral sclerosis, cirrhosis, coronary heart disease, diabetes, influenza, cancer, and pain. This work offers several important findings. The synthetic scheme afforded the discovery of many siRNA delivery vectors that are efficient in vitro with no apparent cytotoxicity. While vectors for DNA delivery have been investigated for some time and many promising vectors already exist, this one study on siRNA delivery yielded a number of effective compounds that is comparable by number to all of those known in the literature for this field. Furthermore, in vivo transfection and mRNA and protein knockdown were achieved. Hopefully, 98N 12-5(1) and 110N 9-5 will enable scientists and physicians to address some of the aforementioned diseases. In summary, the combinatorial library approach imparts the ability to determine structure-activity relationships, which may be used for further improvement of lipidoid structures. In this work, the synthesis of a second-generation library demonstrated the principal possibility of the rational design of functional siRNA delivery agents and enabled the identification of a convergence of structure among such top-performing materials to be confirmed. MATERIALS AND METHODS Materials. Amines were purchased from Sigma-Aldrich (St. Louis, MO) and TCI America (Portland, OR). Acrylates were purchased from Sigma-Aldrich (St. Louis, MO), Dajac Monomer-Polymer (Feasterville, PA), Hampford Research (Stratford, CT), Scientific Polymer (Ontario, NY), and TCI America (Portland, OR). Alkylamines were purchased from Sigma-Aldrich (St. Louis, MO) and TCI America (Portland, OR). All library reactions were carried out in 5 mL Teflon-lined screw-top vials with fresh stirbars. All solvents were ACS grade. Chromatographic purification was performed as flash chromatography using Merck Silica 60. Solvent removal was performed by evaporation on a Biichi rotavapor with heating to 40 'C. TLC was performed on Merck Silica Gel 60 F254 TLC glass plates and visualized with UV 254 and ninhydrin stain. Acrylamide Synthesis. Acrylamides were synthesized by the drop-wise addition of 3 molar equivalents of acryloyl chloride to the appropriate solution of alkylamine and 4 molar equivalents of triethylamine in dry tetrahydrofuran (0.5 M) at -15 'C with stirring for several hours. The product was extracted in ethyl acetate, the organic phase was dried over Na2 SO 4, and the solvent was evaporated under reduced pressure. The crude material was purified using silica gel column chromatography, running a solvent gradient (petrol ether:ethyl acetate = 1:0; 3:1; 1:1; 0:1). Library Synthesis. The ester portion of the lipidoid library was synthesized at a molar ratio of 2:1 acrylate:amine, with no solvent, unless otherwise specified. The amide portion of the lipidoid library was synthesized at the maximal ratio of acylamide:amine for each amine (e.g. 6 acrylamide:amine for amine monomer 98). 200 mg of amine was added to the corresponding amount of acrylate or acrylamide. The mixture was stirred at 90 oC overnight (for acrylate monomers) or for 7 days (for acrylamide monomers). After cooling, the lipid mixtures were used further without any purification unless otherwise specified. Library Purification and Characterization. The top-performing lipidoids were synthesized at larger scales and purified into their constituent components: maximal substitution (e.g. 6 tails for amine monomer 98) and sub-maximal substitution (e.g. 5 tails for amine monomer 98) for in vivo administration. Chromatographic purification was performed by flash chromatography using Merck Silica Gel 60. A mixture of dichloromethane (75%), methanol (22%), and ammonium hydroxide (3%) was combined with a gradient of increasing additional dichloromethane to yield pure products. siRNA Transfection Assay. The protocol was adapted from Anderson, D.G., et al. 61 Dual HeLa cells, stably expressing Firefly luciferase and Renilla luciferase were seeded (14,000 cells/well) into each well of an opaque white 96-well plate (Corning-Costar, Kennebunk, ME, USA) and allowed to attach overnight in growth medium. Growth medium was composed of 90% phenol red-free DMEM, 10% fetal bovine serum, 100 units/mL penicillin, and 100 jtg/mL streptomycin (Invitrogen, Carlsbad, CA). Cells were transfected with 50 ng of Firefly-specific siRNA [Sense: CUUACGCUGAGUACUUCGATT, Antisense: UCGAAGUACUCAGCGUAAGTT)] complexed with lipidoid at lipidoid:RNA ratios of 2.5:1, 5:1, 10:1, 15:1 (wt:wt) to determine the optimal ratio for transfection efficiency. Transfections were performed in quadruplicate. Working dilutions of each lipid were prepared (at concentrations necessary to yield the different lipidoid:RNA w/w ratios) in 25 mM sodium acetate buffer (pH 5.2). 25 gll of the diluted lipid was added to 25 tlof 60 gpg/mL siRNA in a well of a 96-well plate. The mixtures were incubated for 20 min to allow for complex formation, and then 30 gl of each of the lipidoid/RNA solutions was added to 200 il of media in 96-well polystyrene plates. The growth medium was removed from the cells using a 12-channel aspirating wand (V&P Scientific, San Diego, CA), after which 150 [l of the DMEM/lipidoid/RNA solution was immediately added. Cells were allowed to grow for 24 h at 370 C, 5% CO 2 and were then analyzed for luciferase expression. Control experiments were performed with LipofectamineTM 2000, as described by the vendor (Invitrogen, Carlsbad, CA). Firefly and Renilla luciferase expression were analyzed using the Dual-Glo Luciferase Assay System (Promega, Madison, WI). Luminescence was measured using a Victor3TM luminometer (Perkin Elmer, Wellesley, MA). A standard curve for luciferase was generated by titration of luciferase enzyme (Promega, Madison, WI) into growth medium in an opaque white 96-well plate. A decrease in Firefly luciferase signal alone signified sequence-specific knockdown. A decrease in both luciferase signals signified toxicity. Lipidoid-siRNA Formulation. Lipidoid-based siRNA formulations comprised lipidoid, cholesterol, poly(ethylene glycol)-lipid (PEG-lipid), and siRNA. Stock solutions of 98N12-5(1) MW 1273, mPEG2000-Ceramide C16 (Avanti Polar Lipids, Alabaster, AL) MW 2634, and cholesterol MW 387 (Sigma-Aldrich, St. Louis, MO) were prepared in ethanol and mixed to yield a molar ratio of 42:10:48. Mixed lipids were added to 200 mM sodium acetate buffer (pH 5.2) to yield a solution containing 35% ethanol, resulting in the spontaneous formation of empty lipidoid nanoparticles. The resultant nanoparticles were extruded three times through two 0.08 gtm membranes (Sterlitech, Kent, WA) using a LIPEXTM Extruder (Northern Lipids, Burnaby, BC, Canada). siRNA in 50 mM sodium acetate (pH 5.2) and 35% ethanol was added to the nanoparticles at 1:7.5 (wt:wt) siRNA:total lipids and incubated at 37 'C for 30 min. Ethanol removal and buffer exchange of siRNA-containing lipidoid nanoparticles was achieved by dialysis against phosphate-buffered saline using a 3,500 MWCO membrane (Pierce Biotechnology, Rockford, IL). Particle size was determined using a ZetaPALS dynamic light scattering detector (Brookhaven Instruments, Holtsville, NY). Resulting particles had a mean particle diameter of approximately 70 nm and siRNA entrapment efficiency of >95%. Determination of entrapment efficiency. A modified RiboGreen® (Invitrogen, Carlsbad, CA) assay was used to quantify entrapment of siRNA. Samples were diluted 1:200 in TE buffer and mixed with Quant-iTTM RiboGreen® RNA reagent (1:200 in TE buffer) at 37 °C for 30 min in the presence or absence of 0.5% final w/v Triton X-100. Entrapment efficiency of siRNA in lipidoid nanoparticles was determined by comparing the fluorescent signal of the lipidoid-siRNA sample in the presence (total siRNA) and absence (free siRNA) of Triton X-100 detergent. Signal in the absence of detergent yields the "free" or accessible siRNA fraction, while signal in the presence of detergent yields the total siRNA content. In vivo murine Factor VII silencing experiments. All procedures used in animal studies conducted at Alnylam were approved by the Institutional Animal Care and Use Committee (IACUC) and were consistent with local, state, and federal regulations, as applicable. C57BL/6 mice (Charles River Labs, Wilmington, MA) received either saline or siRNA in lipidoid formulations via tail-vein injection at a volume of 0.01 mL/g. Serum levels of Factor VII protein were determined in samples collected by retroorbital bleed using an activity-based chromogenic assay (Coaset Factor VII, DiaPharma Group, West Chester, OH or Biophen FVII, Aniara Corporation, Mason, OH). All experiments were performed in triplicate. FIGURES Figure 1. a) A first-generation combinatorial lipidoid library was synthesized by reacting amines with alkyl-acrylates (0) or alkyl-acrylamides (N). b) The Michael-type reaction scheme proceeds via the conjugate addition of amines to an acrylate or acrylamide. Treatment vyith methyl iodide yields quarternized amino groups (O+). Figure 2. a) Percent Firefly luciferase knockdown for the top-100 members of the firstgeneration lipidoid library. b) 25 lipids achieved greater siRNA transfection levels than LipofectamineTM 2000, as determined by their ability to knockdown Firefly luciferase expression. Data are shown for the optimal lipidoid:siRNA weight-to-weight ratio for each lipidoid (2.5:1, , , 15:1). Figure 3. a) The structure of 98NI2-5(1), a five-tailed isomer of triethylenetetramine with one secondary internal amine. b) Serum Factor VII levels 24 h after a single bolus injection of 98N 12-5(1)-formulated siRNA in mice (n = 3). Data points represent group mean ± s.d. Data points marked with asterisks are statistically significant relative to the control-treated group (*** p< 0.0001, ** p= 0.0005, * p< 0.05; unpaired t-test). Figure 4. a) A second-generation combinatorial library was synthesized using amines with similar structures to 98, the backbone of the top-performing lipidoid in vivo from the first-generation library. b) 25 out of 48 tested lipidoids from the second-generation library achieved greater siRNA transfection levels than LipofectamineTM 2000, as determined by their ability to knockdown Firefly luciferase expression. Data are shown for the optimal lipidoid:siRNA weight-to-weight ratio for each lipidoid (2.5:1, , 10: , 15:1). The nomenclature for the second-generation library includes a number following the lipidoid (e.g. 112N 9-5 as opposed to simply 98N 12 for the members of the firstgeneration library). This number, which indicates the molar ratio of acrylamide to amine (in this case 5:1) at which the compound was synthesized, indicates the maximal number of tails that can be conjugated to the amine backbone. Figure 5. a) The structure of 110N 9-5. b) Serum Factor VII levels 48 h after a single bolus injection of 110N 9-5-formulated siRNA in mice (n = 3). Data points represent group mean ± s.d. The asterisk indicates statistical significance relative to the controltreated groups (*** p< 0.0001; unpaired t-test). Figure la. 28 HO2 / 31 31 HO 32 HO' 33 HO KNH2 34 HO~\H NHO5 36 HO HOO>QH 38 HO 20 HO H & 21 0 010 22 .j, .•NH2 N 22 _ ___ _ _ HO, 24 'O O13 0 _ _O__ NH2 NH, 26 , NH 2 NH, _ _ O0 N-v 018 NH2 O/•NH, HH HO 0 014 NH, OH __ 012 ^NH2 Monoamines with hydroxyl groups 0 N12 H N14 HýN H 7,0 8-.N, N_ H 0 H 9 0 H H NH2 9(i ýN 98 HZN"" 99 HN5 -NH- ' 100 H2N 86 HO 87 HO, HO O0 NHH NN 91 H O0 ___/N ,NHz NH2 NH z - H >N^VNH, -, NNH7 93 Q 94 HN NH 103 HO,_- H N H 109 HN 2 NIN N-/-NH2 HO N N15 -N H N 95 NH2 N-/ H HC •- NH2 i .N H -N,,•N H H 0 k, 0 OH H CNH, N\ H Oligoamines NH2 'N-- Figure lb. 0 R1-0 R 0 ,0, R,-OA + H 2N-R , AT Mel N-R 2 2 R1-O O 0 R1-N H AT H2 NH2 R-- N ' H H R1-N. OH Oligoamines with hydroxyl groups H N-R1 0 Figure. 2a. Percent Knockdown (Firefly Luciferase) 100 90 8C 7( 6( 5 4 Figure 2b. IUU.U 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 N-OO·_2:~21 N rc~OO~ ~ oL2~G. o\OoQ~2C.I2·~ 2 ~~\~~cO,2!C j~~ Figure 3a. H H 0 H 0 N O H N H O Figure 3b. 1.2 1.0 0.8 T . 0.6 ,, , 0.4 0.2 - 0.0 II PBS L---~-- 0.75 mg/kg 1.5 mg/kg 3 mg/kg Figure 4a. O Ng H O N11 H O N12 H O N13 H N H NH2 HN- H 110 H2N ' NH2 NHg2 N 115 NH2 NH2 111 ~ HzN H NH2 H NN'N H NH NH2 H Hz N -,,NH NH2 HH HO H2NH2N *, N-NH2 N H H N" oH 113 H2N N 114 H2N N ,H H N H2 NH2 H2 117 Figure 4b. I~f·r r\ I UU.U 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 p 2' C3'2'~3NN Figure 5a. s p 2' Pa , aE\". , pb~;Lq NNNNNn 2 N~I3` Figure 5b. 1.4 1.2 2 0.8 0. 6 0.6 e 0.4 0.2 a 0ý 0 0 PBS 110N9-5, 2.5 mg/kg REFERENCES Novina, C.D. & Sharp, P.A. The RNAi revolution. Nature 430, 161-164 (2004). 1. 2. Zhou, H., Liu, D. & Liang, C. Challenges and strategies: The immune responses in gene therapy. MedicinalResearch Reviews 24, 748-761 (2004). 3. Check, E. Gene therapy put on hold as third child develops cancer. Nature 433, 561 (2005). 4. 5. 6. Boyce, N. Trial halted after gene shows up in semen. Nature 414, 677 (2001). Dincer, S., Turk, M. & Piskin, E. Intelligent polymers as nonviral vectors. Gene Ther 12, S139-S145 (2005). Liu, F. & Huang, L. Development of non-viral vectors for systemic gene delivery. Journalof ControlledRelease 78, 259-266 (2002). 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Miller, A.D. Cationic liposomes for gene therapy. Angew. Chem., Int. Ed. Engl. 37, 1768-1785 (1998). Read, M.L. et al. A versatile reducible polycation-based system for efficient delivery of a broad range of nucleic acids. Nucl. Acids Res. 33, e86 (2005). Kabanov, A.V. & Kabanov, V.A. DNA complexes with polycations for the delivery of genetic material into cells. Bioconjugate Chem. 6, 7-20 (1995). Panyam, J. & Labhasetwar, V. Biodegradable nanoparticles for drug and gene delivery to cells and tissue. Advanced DrugDelivery Reviews 55, 329-347 (2003). Fire, A. et al. Potent and specific genetic interference by double-stranded RNA in Caenorhabditis elegans. Nature 391, 806-811 (1998). Meister, G. & Tuschl, T. Mechanisms of gene silencing by double-stranded RNA. Nature 431, 343-349 (2004). Tuschl, T. in RNAi: A Guide to Gene Silencing. (ed. G.J. Hannon) (Cold Spring Harbor Laboratory Press, New York; 2003). Bernstein, E., Caudy, A.A., Hammond, S.M. & Hannon, G.J. Role for a bidentate ribonuclease in the initiation step of RNA interference. Nature 409, 363-366 (2001). MacRae, I.J. et al. Structural basis for double-stranded RNA processing by Dicer. Science 311, 195-198 (2006). Elbashir, S.M., Lendeckel, W. & Tuschl, T. RNA interference is mediated by 21and 22-nucleotide RNAs. Genes and Development 15, 188-200 (2001). Zamore, P.D., Tuschl, T., Sharp, P.A. & Bartel, D.P. RNAi: Double-stranded RNA directs the ATP-dependent cleavage of mRNA at 21 to 23 nucleotide intervals. Cell 101, 25-33 (2000). Hammond, S.M., Bernstein, E., Beach, D. & Hannon, G.J. An RNA-directed nuclease mediates post-transcriptional gene silencing in Drosophila cells. Nature 404, 293-296 (2000). Martinez, J., Patkaniowska, A., Urlaub, H., Luhrmann, R. & Tuschl, T. Singlestranded antisense siRNAs guide target RNA cleavage in RNAi. Cell 110, 563574 (2002). Tuschl, T. & Borkhardt, A. Small interfering RNAs: A revolutionary tool for the analysis of gene function and gene therapy. Molecular Interventions 2, 158-167 (2002). Moffat, J. et al. A lentiviral RNAi library for human and mouse genes applied to an arrayed viral high-content screen. Cell 124, 1283-1298 (2006). 22. 23. 24. 25. 26. 27. 28. 29. 30. Wall, N.R. & Shi, Y. Small RNA: Can RNA interference be exploited for therapy? The Lancet 362, 1401-1403 (2003). Leonard, J.N. & Schaffer, D.V. Antiviral RNAi therapy: Emerging approaches for hitting a moving target. Gene Therapy 13, 532-540 (2005). Uprichard, S.L. The therapeutic potential of RNA interference. FEBS Letters 579, 5996-6007 (2005). Elbashir, S.M. et al. Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells. Nature 411, 494-498 (2001). Morris, K.V., Chan, S.W.L., Jacobsen, S.E. & Looney, D.J. Small interfering RNA-induced transcriptional gene silencing in human cells. Science 305, 12891292 (2004). Soutschek, J. et al. Therapeutic silencing of an endogenous gene by systemic administration of modified siRNAs. Nature 432, 173-178 (2004). Palliser, D. et al. An siRNA-based microbicide protects mice from lethal herpes simplex virus 2 infection. Nature 439, 89-94 (2006). Bitko, V., Musiyenko, A., Shulyayeva, O. & Barik, S. Inhibition of respiratory viruses by nasally administered siRNA. Nature Medicine 11, 50-55 (2005). Zhang, W. et al. Inhibition of respiratory syncytial virus infection with intranasal siRNA nanoparticles targeting the viral NS1 gene. Nature Medicine 11, 56-62 (2005). 31. 32. 33. 34. 35. 36. 37. 38. Tompkins, S.M., Lo, C.-Y., Tumpey, T.M. & Epstein, S.L. Protection against lethal influenza virus challenge by RNA interference in vivo. Proceedings of the NationalAcademy of Sciences 101, 8682-8686 (2004). Song, E. et al. RNA interference targeting Fas protects mice from fulminant hepatitis. NatureMedicine 9, 347-351 (2003). Morrissey, D.V. et al. Potent and persistent in vivo anti-HBV activity of chemically modified siRNAs. Nature Biotechnology23, 1002-1007 (2005). Song, E. et al. Antibody mediated in vivo delivery of small interfering RNAs via cell-surface receptors. Nature Biotechnology23, 709-717 (2005). Schiffelers, R.M. et al. Cancer siRNA therapy by tumor selective delivery with ligand-targeted sterically stabilized nanoparticle. Nucleic Acids Research 32, e149- (2004). Hu-Lieskovan, S., Heidel, J.D., Bartlett, D.W., Davis, M.E. & Triche, T.J. Sequence-specific knockdown of EWS-FLIl by targeted, nonviral delivery of small interfering RNA inhibits tumor growth in a murine model of metastatic Ewing's sarcoma. CancerResearch 65, 8984-8992 (2005). Zimmermann, T.S. et al. RNAi-mediated gene silencing in non-human primates. 441, 111-114 (2006). Koldehoff, M., Steckel, N., Beelen, D. & Elmaagacli, A. Therapeutic application of small interfering RNA directed against bcr-abl transcripts to a patient with imatinib-resistant chronic myeloid leukaemia. Clinical and Experimental Medicine 7, 47-55 (2007). 39. de Fougerolles, A., Vornlocher, H.-P., Maraganore, J. & Lieberman, J. Interfering with disease: A progress report on siRNA-based therapeutics. Nature Reviews Drug Discovery 6, 443-453 (2007). 40. 41. 42. 43. 44. Kim, D.H. & Rossi, J.J. Strategies for silencing human disease using RNA interference. Nature Reviews Genetics 8, 173-184 (2007). Bumcrot, D., Manoharan, M., Koteliansky, V. & Sah, D.W.Y. RNAi therapeutics: A potential new class of pharmaceutical drugs. Nature Chemical Biology 2, 711719 (2006). Dykxhoom, D.M., Palliser, D. & Lieberman, J. The silent treatment: siRNAs as small molecule drugs. Gene Therapy 13, 541-552 (2006). Akinc, A. et al. A combinatorial library of lipid-like materials for delivery of RNAi therapeutics. Nature Biotechnology(2008). Simoes, S. et al. Cationic liposomes for gene delivery. Expert Opinion on Drug Delivery2, 237-254 (2005). 45. 46. 47. 48. 49. 50. 51. Dass, C.R. Lipoplex-mediated delivery of nucleic acids: Factors affecting in vivo transfection. JournalofMolecularMedicine82, 579-591 (2004). Anderson, D.G., Lynn, D.M. & Langer, R. Semi-Automated Synthesis and Screening of a Large Library of Degradable Cationic Polymers for Gene Delivery. Angew Chem Int Ed Engl. 42, 3153-3158 (2003). Akinc, A., Lynn, D.M., Anderson, D.G. & Langer, R. Parallel synthesis and biophysical characterization of a degradable polymer library for gene delivery. J. Am. Chem. Soc. 125, 5316-5323 (2003). Boussif, O. et al. A versatile vector for gene and oligonucleotide transfer into cells in culture and in vivo: Polyethylenimine. Proceedingsof the NationalAcademy of Sciences 92, 7297-7301 (1995). Bjorkman, S. & Berntorp, E. Pharmacokinetics of coagulation factors: clinical relevance for patients with haemophilia. Clin Pharmacokinet.40, 815-832 (2001). Sonawane, N.D., Szoka, F.C. & Verkman, A.S. Chloride accumulation and swelling in endosomes enhances DNA transfer by polyamine-DNA polyplexes. Journalof Biological Chemistry278, 44826-44831 (2003). Ge, Q. et al. Inhibition of influenza virus production in virus-infected mice by RNA interference. Proceedings of the National Academy of Sciences 101, 867652. 8681 (2004). Choksakulnimitr, S., Masuda, S., Tokuda, H., Takakura, Y. & Hashida, M. In vitro cytotoxicity of macromolecules in different cell culture systems. Journalof ControlledRelease 34, 233-241 (1995). 53. 54. Godbey, W.T., Wu, K.K. & Mikos, A.G. Tracking the intracellular path of poly(ethylenimine)/DNA complexes for gene delivery. PNAS 96, 5177-5181 (1999). Neu, M., Fischer, D. & Kissel, T. Recent advances in rational gene transfer vector design based on poly(ethylene imine) and its derivatives. The Journal of Gene Medicine 7, 992-1009 (2005). 55. Thomas, M. et al. Full deacylation of polyethylenimine dramatically boosts its gene delivery efficiency and specificity to mouse lung. Proceedings of the NationalAcademy of Sciences 102, 5679-5684 (2005). 56. Werth, S. et al. A low molecular weight fraction of polyethylenimine (PEI) displays increased transfection efficiency of DNA and siRNA in fresh or lyophilized complexes. Journalof ControlledRelease 112, 257-270 (2006). 57. 58. 59. 60. 61. Gosselin, M.A., Guo, W. & Lee, R.J. Efficient gene transfer using reversibly cross-linked low molecular weight polyethylenimine. Bioconjugate Chem. 12, 989-994 (2001). Lee, Y. et al. Visualization of the degradation of a disulfide polymer, linear poly(ethylenimine sulfide), for gene delivery. Bioconjugate Chemistry 18, 13-18 (2007). Thomas, M., Lu, J., Zhang, C., Chen, J. & Klibanov, A. Identification of novel superior polycationic vectors for gene delivery by high-throughput synthesis and screening of a combinatorial library. PharmaceuticalResearch 24, 1564-1571 (2007). Forrest, M.L., Koerber, J.T. & Pack, D.W. A degradable polyethylenimine derivative with low toxicity for highly efficient gene delivery. Bioconjugate Chemistry 14, 934-940 (2003). Anderson, D.G., Akinc, A., Hossain, N. & Langer, R. Structure/property studies of polymeric gene delivery using a library of poly([beta]-amino esters). Molecular Therapy 11, 426-434 (2005). CHAPTER 5: CONCLUSION RNAi therapeutics afford the possibility of treating disease specifically at the genetic level. Delivery remains the primary obstacle to the realization of this novel class of therapy. To address the paucity and general uniformity of current delivery materials, a combinatorial library comprising diverse chemical functionalities was synthesized using a Michael-type addition. This reaction scheme obviates the need to use standard steps including protection, deprotection, solvent exchanges, and serial purification - rendering high-throughput synthesis plausible. More than 1,200 lipid-like materials, termed "lipidoids", were synthesized and screened for the ability to transfect mammalian cells in vitro. This work represents an increase in the number of lipofection materials studied to date by nearly two orders of magnitude. The top-performing materials from the initial screen were formulated for local and systemic delivery in vivo. Lipidoids conferred potent, specific, and durable silencing of target gene expression in three cell types and four species. More recently, the potential to translate these molecules into the clinic was validated. Of great importance, this delivery platform was used to demonstrate the safety of RNAi therapeutics, confirming that siRNA-mediated gene knockdown does not interfere with the endogenous microRNA pathway '. Specifically, lipidoid-formulated siRNA did not affect the levels of mature miRNAs or their function in the liver, as indicated by unchanged levels of their target mRNAs and the proteins that these mRNAs encode. Additionally, repeat administration in hamsters maintained long-term gene silencing without altering the levels of the liver-specific miRNA miR-122. Lipidoid-formulated siRNA was also shown to prevent malarial infection in mice when administered prophylatically 2. A single intravenous injection recapitulated the phenotype of heme-oxygenase-l (HO-1) knockout mice. HO-1 is required for the establishment of malaria infection and is significantly upregulated in hepatocytes following infection by Plasmodium. The reduction of HO-1 leads to increased levels of inflammatory chemokines and cytokines known to be involved in liver infection control. Mice treated with HO-i-targeting siRNA did not develop blood-stage infection after infection with P. bergheisporozoites, while all infected mice treated with control siRNA developed patent parasitemia.. Clearly, lipidoids have great potential to contribute to medicine, particularly in the delivery of RNAi therapeutics. Thank you for taking the time to read my thesis. I hope that you enjoyed reading about my research as much as I enjoyed conducting it. © REFERENCES 1. 2. John, M. et al. Effective RNAi-mediated gene silencing without interruption of the endogenous microRNA pathway. Nature 449, 745-747 (2007). Epiphanio, S. et al. Induction of HO-1 during Plasmodium liver infection protects infected hepatocytes by modulating the inflammatory response. Cell Host & Microbe, Submitted (2008). MICHAEL GOLDBERG EDUCATION MASSACHUSETTS INSTITUTE OF TECHNOLOGY Graduate Education in Medical Sciences, Harvard-MIT Health Sciences and Technology Ph.D.: BiologicalChemistry Supervisor:Institute ProfessorRobertLanger Cambridge, MA 2004-2008 * Thesis: "Synthesis, Screening, and Applications of "Lipidoids", a Novel Class of Molecules Developed for the Delivery of RNAi-based Therapeutics" * Co-inventor of two licensed patents and one provisional patent * Member of founding GEMS class, sponsored by the Howard Hughes Medical Institute to encourage translational research via classroom-based and clinical instruction at Harvard Medical School * Nominated for Faculty Appreciation Day Award by students * Awarded Morse Travel Grant * Student Ambassador UNIVERSITY OF CAMBRIDGE Cambridge-MIT Institute M.Phil.: BioScience Enterprise * * Cambridge, UK 2003-2004 Thesis: "Critical Factors in the Development of a Successful Biotechnology Cluster" Focused on biotechnology, technology transfer, and entrepreneurship UNIVERSITY OF TORONTO Hon. B.Sc. (Summa Cum Laude): BiologicalChemistry Speciabst Toronto, Canada 1999-2003 * Named "Leader of Tomorrow" in convocation literature * University of Toronto Alumni Association Scholar: Highest honor awarded to graduates * Gordon Cressy Student Leadership Award: Recognized by Faculty of Arts and Sciences for outstanding extracurricular contributions * President, Global Knowledge Foundation: Organized premier GreatMinds at UofT: The University ProfessorsLecture.Series: designed proposal, presented it to the Dean, invited and scheduled speakers, acquired sponsorship, coordinated detailed plan for implementation, motivated fellow students, prepared publicity releases, and edited resulting book (ISBN 0-7727-5200-1) * University College Merit Award * President, Mulock House * 7 other scholarships/awards for excellence in coursework and research ACADEMIC ACHIEVEMENTS Perfect Score: Analytical Section, GRE (2002) 9 9 th Percentile: Physical Sciences Section, MCAT (2001) 9 5 th Percentile: Biological Sciences Section, MCAT (2001) RESEARCH EXPERIENCE Gained experience in varied fields by conducting research in world-renowned labs since high school: Biochemistry, drug delivery, materials chemistry, microbiology, oncology, and tissue engineering 100