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Nucleotide Modifications for Improved Messenger RNA Expression Anton P. McCaffrey1, Richard I Hogrefe1, Krist Azizian1, Alexandre Lebedev1, Dongwon Shin1, Julie R. Escamilla-Powers1, Brea Midthune1, Hiroko Yokoe2, Jonathan Kirschman3, Philip Santangelo3 and Joel Jessee2 1 TriLink BioTechnologies, San Diego CA 92121, USA, 2Molecular Transfer, Gaithersburg MD 20877, USA. 3Georgia Institute of Technology and Emory University Atlanta, GA 30332, USA. EGFP Limitations • Innate immune response to unmodified mRNA Solutions • Chemical modification of mRNA can prevent innate immune stimulation • Pseudouridine or 5-methylcytidine/pseudouridine are current industry standard Luciferase Activity 10 30 20 1.0×10 6 10 0 oU T W 5m o N 5m RN A oU 0 5m T A eC W RN o 40 2.0×10 6 0 N 50 3.0×10 6 PKR +/+ MEFs Light Units 100000 PKR -/- ME Fs 10000 1000 100 10 1 Mock AdMSC HDF HeLa HuVec NSC SY5Y 35,000,000 Relative Light Unites 30,000,000 5moU 5moC/5moU EGFP % Cells Transfected 100 25,000,000 20,000,000 PKR -/- ME Fs 10 15,000,000 1 PKR +/+ MEFs PKR -/- ME Fs 1000000 100000 5moU 10,000,000 EGFP Mean Fluorescence 10000000 PKR +/+ MEFs Fluorescence Units Some Modifications Had No Activity - 5fC - 5hoC - N6-Methyl-ATP - N6-Me-2-amino-ATP - N4-Methyl-CTP 1000000 % Cell Transfected Cell Culture Evaluation of Modified mRNA 5moC/5moU 5moU 5moC/5moU 5,000,000 me1Ψ 5moU Ψ 5hmC 5camU 5meC 5moC wild type 30000 20000 10000 0 AdMSC HDF HeLa HuVEC NSC SY5Y 5 Ψ 5m me eC C /Ψ 5 Ψ 5m me eC C /Ψ 5 Ψ 5m me eC C /Ψ 5 Ψ 5m m e eC C /Ψ 5 Ψ 5m me eC C /Ψ 40000 5 Ψ 5m me eC C /Ψ 0 50000 Figure 5: Combinations of Modifications are not Superior to Any Single Modification for EGFP mRNA Sequence Context Conclusion By comparing Figures 4 and 5 with Figures 6 and 7 it is evident that sequence context influences which modifications are optimal. 35000 AdMSC HDF HeLa HuVec NSC SY5Y wild type 25000 20000 15000 5meC 5-hydroxycytidine (5hoC) Fluorescence 30000 5-formylcytidine (5fC) 10000 5-hydroxymethylcytidine 5-methoxycytidine 5-methylcytidine N4-methylcytidine thienoguanosine 5-carboxymethylesteruridine (5hmC) (5moC) (5meC) (me4C) (thG) (5camU) Stress granules are dense aggregates of RNP complexes that are indicative of stalled translation. control 45000 40000 N6-methyl-2-aminoadenosine N6-methyladenosine 5-carboxycytidine (me6DAP) (me6A) (5caC) Figure 8a: Modification of mRNA Can Attenuate Stress Granuales DAPI Figure 1: Modified Bases Assessed 5000 5-methoxyuridine (5moU) N1-methylpseudouridine 5-methyluridine (me1Ψ) (5meU) pseudouridine (Ψ) 5 Ψ 5m me eC C /Ψ 5 Ψ 5m me eC C /Ψ 5 Ψ 5m me eC C /Ψ 5 Ψ 5m m e eC C /Ψ 5 Ψ 5m me eC C /Ψ 5 Ψ 5m me eC C /Ψ Ψ 0 5-hydroxymethyluridine (5hmU) 20 % Stress Granule 4.0×10 6 • Several modified nucleotides enhance translation in a rabbit reticulocyte lysate in vitro translation system • In the six cell types tested, several modifications had comparable or superior activity relative to pseudouridine • Primary sequence influences activity of some modified mRNAs • In most cases, adding a second modified nucleotide did not increase activity over single modification To identify novel patterns of chemical modifications for optimal mRNA based therapeutics. • Reduce innate immune responses and toxicity • Maximize extent and duration of expression 5-formyluridine (5fU) 30 Figure 7: Combination of PseudoU/5meC Can Be Superior to PseudoU Alone in the FLuc Sequence Context Objectives diaminopurine (DAP) 40 Luciferase - Product of Molecular Transfer Inc. - Cationic lipophilic nanoparticle - Transfects a variety of cell lines with as little as 2 pg/cell of mRNA Fluorescence Applications • Genome editing (Transposons, Cre, ZFNs, TALENs and CRISPR/ Cas9) • Gene replacement • Vaccines 50 Figure 9: Activity of Modified EGFP and Luciferase mRNAs in PKR Knockout MEFs Figure 3: mRNA-In™ Transfection Reagent Cell Lines Tested - Adipose mesenchymal cells (AdMSC) - Adult human dermal fibroblast cells (HDF) - Human cervical carcinoma cells (HeLa)/ - Human umbilical vein endothelial cells (HuVEC) - Human neural stem cells (NSC) - Human neuroblastoma cells (SY5Y) Activity % Stress Granule 1.1×10 6 1.0×10 6 9.0×10 5 8.0×10 5 7.0×10 5 6.0×10 5 5.0×10 55 4.0×10 3.0×10 5 2.0×10 5 1.0×10 5 0 5m Fluorescence Intensity RLU (Ffluc:Rluc) 0 Figure 4: EGFP Fluorescence with Singly Modified mRNAs • Does not have a risk of insertional mutagenesis • Can transfect difficult cells such as non-dividing cells • Is transient Luciferase Activity 10 Background mRNA is a popular new tool for gene expression because it: Figure 8b: Primary Sequence Influences Stress Granule Formation eC 20 Figure 6: Single Modifications in Luciferase Have Different Activities Than in the EGFP Sequence Context % Stress Granule Previously, a significant barrier to mRNA-based gene therapy had been mRNA induced innate immune responses in transfected cells. However, Kariko et al. showed that substitution of mRNAs with pseudouridine and 5-methylcytidine dramatically reduces innate mRNA immune recognition and highlighted the potential for modified mRNA in the clinic. Activity and immunogenicity of mRNA likely depends on the chemical modification pattern, route of delivery, cell type/tissue transfected and possibly RNA structure. Here we investigate a series of base modifications in a variety of combinations in both EGFP and Firefly Luciferase mRNA. After assessing incorporation of each nucleotide by T7 RNA polymerase, we tested the translation potential of each modified mRNA in rabbit reticulocyte lysates. The activity was further evaluated in primary and immortalized cell lines transfected with mRNA-In™. Though we observed some general trends, we noted several instances where cell type influenced expression levels. To determine the degree of innate immune stimulation, we then assessed stress granule formation. Interestingly, for some modifications, the primary sequence was an important determinant of activity and stress granule formation. Finally, to determine if protein kinase R (PKR) is important for the innate response to modified mRNAs, expression levels were measured in PKR deficient mouse embryonic fibroblasts. This investigation expands our knowledge of the optimal chemical modifications for maximum mRNA expression in different cell types Figure 2: In Vitro Translation of Modified mRNA in Rabbit Reticulocytes % Stress Granule In the last several years, in vitro transcribed mRNA has gained traction as a potential new therapeutic agent to deliver genetic information. mRNA provides several inherent benefits over traditional plasmid- and virus-based methods for gene therapy. One benefit is that mRNA is expressed in the cytoplasm and need only cross one membrane. This facilitates higher transfection rates and thus may be particularly useful for improving gene expression in difficult to transfect, non-dividing cells. Additionally, in contrast to plasmid or viral vectors, there is no risk of insertional mutagenesis or subsequent oncogenesis upon mRNA transfection. Finally, the transient nature of mRNA is desirable for a number of applications, including cellular reprogramming, genome editing (ZFNs, TALENs and CRISPR/Cas9) and vaccines. 5h m m Ψ C e1 /5 Ψ 5m hm eC U / 5m Ψ 5m o oC 5m U 5h / e m 5m C C e /m U w e1 ild Ψ ty 5m p eC 5hm e /m C e 5m 1Ψ 5c oC 5m am eC U 5m /5 5 c fC 5h oC am m /m U C e1 /5 Ψ m o 5c U a 5h C oC th ne G m ga 6A tiv e 5 5mcon fU t 5m eC rol eC / thG /5 fU Abstract GFP G3BP Merge • Pseudouridine modified RNAs produced the fewest stress granules • Modifications that do not cause stress granules may still activate PKR Future Directions • Test remaining modified RNAs in PKR -/- MEFs • Test modifications in a Cas9 sequence context • Assess whether HPLC purification influences performance • Perform toxicity, dose response and cytokine measurements • Conduct timecourse of expression to examine mRNA stability • Assess structure/activity relationship studies to improve NTP design • Conduct single molecule mRNA/protein interaction studies to determine interaction with innate immune sensors TLR7, MDA5, RIGI Contact Dr. Anton McCaffrey, [email protected] The Modified Nucleic Acid Experts www.trilinkbiotech.com ™