Trimannose-coupled antimiR-21 for macrophage-targeted inhalation treatment of acute inflammatory lung damage
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Trimannose-coupled antimiR-21 for macrophage-targeted inhalation treatment of acute inflammatory lung damage. / Beck, Christina; Ramanujam, Deepak; Vaccarello, Paula; Widenmeyer, Florenc; Feuerherd, Martin; Cheng, Cho-Chin; Bomhard, Anton; Abikeeva, Tatiana; Schädler, Julia; Sperhake, Jan-Peter; Graw, Matthias; Safi, Seyer; Hoffmann, Hans; Staab-Weijnitz, Claudia A; Rad, Roland; Protzer, Ulrike; Frischmuth, Thomas; Engelhardt, Stefan.
In: NAT COMMUN, Vol. 14, No. 1, 4564, 28.07.2023.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Trimannose-coupled antimiR-21 for macrophage-targeted inhalation treatment of acute inflammatory lung damage
AU - Beck, Christina
AU - Ramanujam, Deepak
AU - Vaccarello, Paula
AU - Widenmeyer, Florenc
AU - Feuerherd, Martin
AU - Cheng, Cho-Chin
AU - Bomhard, Anton
AU - Abikeeva, Tatiana
AU - Schädler, Julia
AU - Sperhake, Jan-Peter
AU - Graw, Matthias
AU - Safi, Seyer
AU - Hoffmann, Hans
AU - Staab-Weijnitz, Claudia A
AU - Rad, Roland
AU - Protzer, Ulrike
AU - Frischmuth, Thomas
AU - Engelhardt, Stefan
N1 - © 2023. The Author(s).
PY - 2023/7/28
Y1 - 2023/7/28
N2 - Recent studies of severe acute inflammatory lung disease including COVID-19 identify macrophages to drive pulmonary hyperinflammation and long-term damage such as fibrosis. Here, we report on the development of a first-in-class, carbohydrate-coupled inhibitor of microRNA-21 (RCS-21), as a therapeutic means against pulmonary hyperinflammation and fibrosis. MicroRNA-21 is among the strongest upregulated microRNAs in human COVID-19 and in mice with acute inflammatory lung damage, and it is the strongest expressed microRNA in pulmonary macrophages. Chemical linkage of a microRNA-21 inhibitor to trimannose achieves rapid and specific delivery to macrophages upon inhalation in mice. RCS-21 reverses pathological activation of macrophages and prevents pulmonary dysfunction and fibrosis after acute lung damage in mice. In human lung tissue infected with SARS-CoV-2 ex vivo, RCS-21 effectively prevents the exaggerated inflammatory response. Our data imply trimannose-coupling for effective and selective delivery of inhaled oligonucleotides to pulmonary macrophages and report on a first mannose-coupled candidate therapeutic for COVID-19.
AB - Recent studies of severe acute inflammatory lung disease including COVID-19 identify macrophages to drive pulmonary hyperinflammation and long-term damage such as fibrosis. Here, we report on the development of a first-in-class, carbohydrate-coupled inhibitor of microRNA-21 (RCS-21), as a therapeutic means against pulmonary hyperinflammation and fibrosis. MicroRNA-21 is among the strongest upregulated microRNAs in human COVID-19 and in mice with acute inflammatory lung damage, and it is the strongest expressed microRNA in pulmonary macrophages. Chemical linkage of a microRNA-21 inhibitor to trimannose achieves rapid and specific delivery to macrophages upon inhalation in mice. RCS-21 reverses pathological activation of macrophages and prevents pulmonary dysfunction and fibrosis after acute lung damage in mice. In human lung tissue infected with SARS-CoV-2 ex vivo, RCS-21 effectively prevents the exaggerated inflammatory response. Our data imply trimannose-coupling for effective and selective delivery of inhaled oligonucleotides to pulmonary macrophages and report on a first mannose-coupled candidate therapeutic for COVID-19.
KW - Mice
KW - Humans
KW - Animals
KW - COVID-19/pathology
KW - SARS-CoV-2
KW - Lung/pathology
KW - Macrophages
KW - Pneumonia/pathology
KW - MicroRNAs/genetics
KW - Fibrosis
U2 - 10.1038/s41467-023-40185-1
DO - 10.1038/s41467-023-40185-1
M3 - SCORING: Journal article
C2 - 37507393
VL - 14
JO - NAT COMMUN
JF - NAT COMMUN
SN - 2041-1723
IS - 1
M1 - 4564
ER -