A new method can deliver DNA into immune cells with minimal stress on these cells, which could solve a problem with a current immunotherapy technique, researchers report.
Immunotherapy is a promising cancer treatment that uses genetically modified immune cells to fight cancer. It can be useful as primary treatment or in combination with other treatments such as radiation and chemotherapy to slow down or stop the growth of cancer cells and prevent them from spreading to other parts of the body.
Chimeric Antigen Receptor (CAR)-T cell therapy, for instance, is a FDA-approved treatment for some cancers such as lymphoma and leukaemia. It involves collecting T cells (a type of immune cell) from a patient’s blood sample and then genetically modifying them in the laboratory and infusing these immune cells back into the patient. The genetically engineered immune cells will then locate and kill cancer cells.
However, the process to generate genetically engineered immune cells in the laboratory, known as transfection, has poor efficiency and may have serious side effects. Scientists are therefore looking for strategies to improve the overall efficiency and to reduce the side effects of cancer immunotherapy.
“We feel anxious when we experience a late and inefficient courier delivery. Similarly, the cells in our body get ‘uncomfortable’ when DNA is not delivered to them effectively,” explains Andy Tay, an biomedical engineering researcher at the National University of Singapore who is currently doing his postdoctoral training at Stanford University.
“This is especially true for sensitive immune cells which have to be genetically engineered with DNA to transform into ‘super-soldiers’ for cancer immunotherapy. When immune cells do not function properly, they may trigger undesirable medical complications, too,”
This new technique is expected to boost DNA-based cancer immunotherapy by significantly improving the process of generating high-quality genetically modified immune cells.
Viruses, biochemicals, and bulk electroporation (where an electric field is applied to cells to make the cell membrane more permeable, so that scientists can introduce chemicals, drugs, or DNA into the cell) are the conventional methods to deliver DNA into immune cells. However, these methods are inefficient and have recently been shown to induce high cell stress, hence compromising the effectiveness of immunotherapy.
The technique Tay developed, called nano-electro-injection, works by applying localized electric fields through nanotubes (about 5,000 times smaller than a grain of rice) to open small pores on cell membrane. As DNA gets a charge, electrical forces draw it into cells through the pores.
Compared to viruses, biochemicals, and bulk electroporation, the nano-electro-injection technique delivers DNA material to cells two to three times more efficiently, based on the gene expressions that the DNA is supposed to code for.
Additionally, cells treated with nano-electro-injection grew healthily like control untreated cells, unlike other methods where cells took 20 to 40% longer time to multiply. This is good news for immunotherapy as a large number of cells are necessary for treatments, and growing cells is one of the most time-consuming and expensive steps.
Making use of RNA and bioinformatics analyses, Tay also discovered that unlike bulk electroporation, the nano-electro-injection treatment did not significantly change the expressions of any immune genes. This is a strong advantage as toxic immune responses such as cytokine release syndrome can be deadly and, as of now, scientists do not know the effects of transfection on the expressions of immune genes.
“This work found new alternatives for a critical step within the pipeline for expensive new cancer therapies. Dr. Tay’s work also highlighted how different processing steps can affect not only the efficiency of the process, but overall cell health, and thus increasing the likelihood the cells will perform as desired after treatment,” says Nicholas Melosh, a professor of materials science and engineering at Stanford University, who supervised Tay’s research.
Tay is currently working on an even better technique to deliver DNA into primary immune T cells by integrating the nano-electro-injection platform with magnetic forces. His aim is to create the FedEx and UPS equivalent of DNA delivery to achieve highly efficient transfection with minimal stresses to cells.
A patent has been filed for Tay’s invention. A US-based start-up has licensed the technology for commercialization.
The research appears in Advanced Therapeutics.
Source: National University of Singapore