Evidence map›Paper›PMID 33786376›Full record

ReviewBioengineering & translational medicine2021

Cytosolic delivery of nucleic acids: The case of ionizable lipid nanoparticles.

Michele Schlich, Roberto Palomba, Gabriella Costabile, Shoshy Mizrahy, Martina Pannuzzo, Dan Peer, Paolo Decuzzi

Abstract readReview
In one paragraph

Review in Bioengineering & translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

167 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Optimized Lipid Nanoparticles with Tail-Modified Ionizable Lipids for Safer mRNA Delivery.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  10. Review
  11. Review
  12. Localized NF-κB Inhibition Reduces Lipid Nanoparticle-Associated Inflammation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  13. Article
  14. Article
  15. Tissue-specific gene delivery approaches.Bioengineering & translational medicine · 2026
    Review
  16. Humanized extracellular vesicles for efficient RNA delivery.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Review

107 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michele SchlichFondazione Istituto Italiano di Tecnologia Laboratory of Nanotechnology for Precision Medicine Genoa Italy.ORCID https://orcid.org/0000-0002-7214-9045
Roberto PalombaFondazione Istituto Italiano di Tecnologia Laboratory of Nanotechnology for Precision Medicine Genoa Italy.
Gabriella CostabileFondazione Istituto Italiano di Tecnologia Laboratory of Nanotechnology for Precision Medicine Genoa Italy.
Shoshy MizrahyFondazione Istituto Italiano di Tecnologia Laboratory of Nanotechnology for Precision Medicine Genoa Italy.
Martina PannuzzoFondazione Istituto Italiano di Tecnologia Laboratory of Nanotechnology for Precision Medicine Genoa Italy.
Dan PeerLaboratory of Precision NanoMedicine, Shmunis School of Biomedicine and Cancer Research, George S. Wise Faculty of Life Sciences Tel Aviv University Tel Aviv Israel.
Paolo DecuzziFondazione Istituto Italiano di Tecnologia Laboratory of Nanotechnology for Precision Medicine Genoa Italy.ORCID https://orcid.org/0000-0001-6050-4188

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ionizable lipid nanoparticles (LNPs) are the most clinically advanced nano-delivery system for therapeutic nucleic acids. The great effort put in the development of ionizable lipids with increased in vivo potency brought LNPs from the laboratory benches to the FDA approval of patisiran in 2018 and the ongoing clinical trials for mRNA-based vaccines against SARS-CoV-2. Despite these success stories, several challenges remain in RNA delivery, including what is known as "endosomal escape." Reaching the cytosol is mandatory for unleashing the therapeutic activity of RNA molecules, as their accumulation in other intracellular compartments would simply result in efficacy loss. In LNPs, the ability of ionizable lipids to form destabilizing non-bilayer structures at acidic pH is recognized as the key for endosomal escape and RNA cytosolic delivery. This is motivating a surge in studies aiming at designing novel ionizable lipids with improved biodegradation and safety profiles. In this work, we describe the journey of RNA-loaded LNPs across multiple intracellular barriers, from the extracellular space to the cytosol. In silico molecular dynamics modeling, in vitro high-resolution microscopy analyses, and in vivo imaging data are systematically reviewed to distill out the regulating mechanisms underlying the endosomal escape of RNA. Finally, a comparison with strategies employed by enveloped viruses to deliver their genetic material into cells is also presented. The combination of a multidisciplinary analytical toolkit for endosomal escape quantification and a nature-inspired design could foster the development of future LNPs with improved cytosolic delivery of nucleic acids.

Indexed as

endosomal escapeintracellular deliveryionizable lipidsLNPsmRNARNA deliverysiRNA

Identifiers

PMID33786376
PMCPMC7995196

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.