Recent Advances in Lipid Nanoparticles and Their Safety Concerns for mRNA Delivery

Vaccines (Basel). 2024 Oct 8;12(10):1148. doi: 10.3390/vaccines12101148.

Abstract

The advent of lipid nanoparticles (LNPs) as a delivery platform for mRNA therapeutics has revolutionized the biomedical field, particularly in treating infectious diseases, cancer, genetic disorders, and metabolic diseases. Recent Advances in Therapeutic LNPs: LNPs, composed of ionizable lipids, phospholipids, cholesterol, and polyethylene glycol (PEG) lipids, facilitate efficient cellular uptake and cytosolic release of mRNA while mitigating degradation by nucleases. However, as synthetic entities, LNPs face challenges that alter their therapeutic efficacy and safety concerns. Toxicity/Reactogenicity/Immunogenicity: This review provides a comprehensive overview of the latest advancements in LNP research, focusing on preclinical safety assessments encompassing toxicity, reactogenicity, and immunogenicity. Summary and Outlook: Additionally, it outlines potential strategies for addressing these challenges and offers insights into future research directions for enhancing the application of LNPs in mRNA therapeutics.

Keywords: endosomal escape; immunogenicity; lipid nanoparticle; reactogenicity; selective organ-targeting LNP; toxicity.

Publication types

  • Review

Grants and funding

We acknowledge financial support from the National Institute of Allergy and Infectious Diseases (R01 AI178125), the National Cancer Institute (U54 CA272688), and the start-up support from Cornell University, including the Robert Langer ’70 Family and Friends Professorship and the Cornell NEXT Nano Initiative.