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Table 2 An overview regarding potential applications, strengths, and weaknesses of recent studies

From: Steering the course of CAR T cell therapy with lipid nanoparticles

Sr

Author

Year

LNP/mRNA modifications

Methodological strategy

Applications

Strengths

Weakness

References

1.

Veiga et al.

2018

Modified mRNA loaded LNPs combined with ASSET

Precision protein expression strategy in Ly6c+ inflammatory leukocytes

Targeted expression of interleukin 10 in Ly6c+ inflammatory leukocytes in IBD induced mice

Therapeutic alteration of gene expression in vivo

Cell specificity remains a challenge; limited to inflammatory leukocytes

[57]

2.

Di et al.

2022

Firefly luciferase encoding mRNA loaded LNPs

Biodistribution and Luciferase expression levels by bioluminescence imaging and enzyme activity assays

Size dependent biodistribution of LNPs

Transgene expression was most prominent in the liver

Accumulation of large sized LNPs in liver; variable transfection efficiency in different organs; limited biodistribution data beyond liver and spleen

[58]

3.

Álvarez‐Benedicto et al.

2023

SORT LNPs

In situ transfection

Simplified CAR T cell production

Increases overall survival in B-cell lymphoma models; reduces tumor metastasis to liver

No long-term safety profiling; off-target effects of LNPs

[59]

4.

Patel et al.

2022

Substitution of 25% and 50% 7α-hydroxycholesterol for cholesterol into LNPs

Engineering a library of LNPs incorporating hydroxycholesterols

Describes an impact on mRNA delivery to T cells by leveraging endosomal trafficking mechanisms

Enhancing mRNA delivery to T cells, increased late endosome production, reduced presence of recycling endosome

No long-term effects or clinical scalability have been described

[60]

5.

Qiu et al.

2021

Combinatorial synthetic LNPs with distinct chemical structures and properties

Development of bioreducible and biodegradable LNPs using Michael addition reaction

Vaccination, cancer immunotherapy, protein replacement therapy, genome editing

Successful clinical approval of mRNA vaccines and siRNA drug (ONPATTRO) by FDA

Need for specific, efficient, and safe delivery systems; challenges in clinical translation of mRNA-based therapies

[61]

6.

Patel et al.

2024

Bile acid-containing LNPs

Incorporation of bile acids (cholic acid) without cholesterol

Gastrointestinal or immune cell delivery

Generalizability of cholic acid replacement

Optimization needed for large-scale production

[62]

7.

Billingsley et al.

2020

Ionizable LNPs

Screening of a library of 24 ionizable LNPs, selection of top-performing LNP formulation (C14-4)

Potential enhancement of mRNA-based CAR T cell engineering, reduction of cytotoxicity compared to electroporation

LNPs deliver mRNA efficiently to primary human T cells and induce functional protein expression

Further investigations warranted on long-term effects, scalability, and efficiency

[63]

8.

Zhang et al.

2024

One-component ionizable cationic LNPs

Standalone carriers, rational design of cationic lipids rich in secondary amines

Targeted mRNA delivery to spleen and T cells

Efficient mRNA delivery in vitro and in vivo

Investigation of long-term safety and efficacy are warranted

[64]

9.

Wang et al.

2023

Comirnaty®

Biodistribution of PEGylated LNPs and blood clearance

Understanding immune responses to LNPs

Demonstrates time- and dose-dependency of LNP-induced anti-PEG antibodies

Limited to animal model, may not fully reflect human response. Need for human studies

[65]

10.

Wang et al.

2023

Noncationic thiourea LNPs

Strong hydrogen bond interaction between thiourea groups of noncationic thiourea LNPs and phosphate groups of mRNAs

Potential for future mRNA delivery with good inflammatory safety profiles, high gene transfection efficiency, and spleen-targeting delivery for disease treatments

Simplified preparation technology, negligible inflammatory and cytotoxicity side effects, higher gene transfection efficiency in vitro and in vivo, spleen-targeting delivery ability

Further investigation warranted for long-term safety, scalability, and broader applicability beyond spleen targeting

[66]

  1. ASSET: anchored secondary scFv enabling targeting; IBD: inflammatory bowel disease; SORT: Selective ORgan Targeted