Lipid nanoparticle-mediated delivery of mRNA for IL-21 achieves
clearance of hepatitis B virus in mouse models
Abstract
Chronic hepatitis B virus (HBV) infection causes hepatitis, liver
cirrhosis and hepatocellular carcinoma. Covalently closed circular DNA
(cccDNA) is the transcription template for HBV RNAs and not affected by
current treatment options. Effective therapeutics with ability to remove
cccDNA need to be developed. Previously, we established an HBV
persistence mouse model via hydrodynamic injection of a clinical isolate
(BPS) and identified IL-21 as a potent inducer of viral clearance. Here,
we aimed to explore the anti-HBV effects of IL-21 messenger RNA (mRNA)
delivered by lipid nanoparticle (LNP-IL-21) system. First, LNP-IL-21 was
prepared and analyzed for its safety, expression, biodistribution and
stability in vitro and in vivo. Next, LNP-IL-21 was
injected into two HBV persistence mouse models based on BPS and
recombinant cccDNA (rcccDNA) respectively. LNP-IL-21 administration
successfully cleared HBV serum markers, and more importantly, BPS
replicons and rcccDNA in livers, which was associated with activation of
viral specific immune responses. Notably, transfer of peripheral blood
mononuclear cells from BPS persistence mice stimulated ex vivo
with LNP-IL-21 and viral antigen could induce HBV clearance in recipient
mice. These findings suggested that both LNP-IL-21-based gene and
cellular therapies provided novel therapeutic strategies against chronic
HBV infection.