“I had been working with adenoviruses to deliver DNA, and I was running into some problems with using them,” says Sawicki. “The problem with viruses is that they can produce a serious immune response in the host, which can be lethal.”
After reading about the nanoparticles, Sawicki contacted Anderson and Langer, an MIT Institute Professor and chemical engineer, to inquire about launching a gene therapy project with the nanoparticles. “I thought they would be perfect for what I was trying to do,” she recalls. The resulting collaboration has led to a promising potential treatment for ovarian cancer, one of the deadliest forms of cancer. This summer, the two laboratories reported that the nanoparticle-delivered gene therapy successfully suppressed ovarian tumor growth in mice.
The nanoparticles, made of biodegradable polymers, offer a chance to overcome one of the biggest obstacles to realizing the promise of gene therapy: The viruses often used to carry genes into the body can endanger patients. Furthermore, the particles created at MIT now rival viruses’ efficiency at delivering their DNA payload.
More tests are needed to confirm the particles’ safety in humans, but because they are synthetic, there is less chance that they will provoke a harmful immune response, says Anderson, a biomedical engineer at the David H. Koch Institute for Integrative Cancer Research.
An artificial virus
There are nearly 1,000 clinical trials under way in the United States involving gene therapy, for diseases including cancer, cardiovascular disease and neurological disorders. However, no gene therapy treatments have been approved in the United States.
Viruses, the most commonly used gene-delivery vehicle, are a logical choice, since viruses are built to inject their own genetic material into host cells. However, serious clinical side effects, including the 1999 death of a high school student enrolled in a gene therapy trial at the University of Pennsylvania, have motivated some researchers to develop fully synthetic non-viral carriers.
Anderson started the nanoparticle project in Langer’s lab about 10 years ago, shortly after finishing his PhD in bacterial DNA repair. Though Anderson found his thesis topic “scientifically interesting, it didn’t have a sense of immediate impact for me. I wanted to see if I could get closer to medicine.”
Anderson and chemist David Lynn, then a postdoctoral fellow in Langer’s lab and now a professor at the University of Wisconsin, developed a large collection of different biodegradable polymers (large molecules composed of repeating subunits) known as poly(beta-amino esters).
When these synthetic polymers are mixed with DNA, they spontaneously assemble to form nanoparticles. These nanoparticles can travel through the body to the target cells, where they are taken up by a process known as endocytosis, the equivalent of cellular eating. Once “eaten” by the cells, the nanoparticles release their DNA payload inside of the cell, where it can then be activated by the cellular machinery. In some ways, these polymer-DNA nanoparticles can act like an artificial virus, delivering functional DNA when injected into or near the targeted tissue.
There are infinite possible sequences for such polymers, and small variations can make a polymer more or less efficient at delivering DNA. Anderson and Langer's group have developed a way to automate both the production of vast numbers of particles with slight variations and the screening techniques used to determine the particles’ effectiveness.
“Instead of trying to make one perfect polymer, we make thousands,” says Anderson. That increases the odds that the researchers will hit on a nanoparticle that does what they want.
“If you can try one or two things every six months, it might take a while to find something that works. But if you can try tens of thousands of things, your chances of success are much greater, and that’s true for any venue,” says Langer.
One drawback to non-viral vectors is that they are not as efficient as viruses at integrating their DNA payload into the target cell’s genome, says Leaf Huang, professor in the School of Pharmacy at the University of North Carolina. However, in the past several years, advances by Anderson and others have improved that efficiency by several orders of magnitude.
“Non-viral vectors are now comparable to viral vectors, in some cases,” says Huang, whose research focuses on delivering genes surrounded by a fatty membrane. “They have come a long way compared to 10 years ago.”
Both viral and non-viral methods could eventually prove useful and safe, says gene therapy researcher Katherine High, who is part of a team that recently used viral gene therapy to restore some sight to children suffering from a congenital retinal disease.
“It’s been a slow road,” says High, a professor at the University of Pennsylvania Medical School, but over the past 20 years scientists have made much progress in managing the safety issues posed by viral vectors.
The ovarian cancer treatment developed at MIT and the Lankenau Institute has been successful in animal studies but is not yet ready for clinical trials. Such trials could get under way in a year or two, says Anderson, where their performance would be studied for several years. Meanwhile, the MIT researchers are exploring other uses for their nanoparticles. Last month, they reported using the particles to boost stem cells’ ability to regenerate vascular tissue (such as blood vessels) by equipping them with genes that produce extra growth factors.
“We’ve had success with gene delivery using these nanoparticles, so we thought they might be a safer, temporary way to modify stem cells,” says Anderson.