Evidence map›Paper›PMID 33868782›Full record

ArticleMolecular therapy. Nucleic acids2021

Functionalized lipid nanoparticles for subcutaneous administration of mRNA to achieve systemic exposures of a therapeutic protein.

Nigel Davies, Daniel Hovdal, Nicholas Edmunds, Peter Nordberg, Anders Dahlén, Aleksandra Dabkowska, Marianna Yanez Arteta, Aurel Radulescu, Tomas Kjellman, Andreas Höijer and 14 more

Open access · goldAbstract read
In one paragraph

Article in Molecular therapy. Nucleic acids, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
5.1field-weighted citation impact, top 3% of its field
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

53 citing papers in PubMed, 86 citations in OpenAlex.

  1. Bioactive lipid-derived nanoparticles for RNA delivery.Materials today (Kidlington, England) · 2026
    Article
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  7. Review
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  11. The strategies and advances of mRNA translation booster.Asian journal of pharmaceutical sciences · 2025
    Review
  12. Rational design of lipid nanoparticles for enabling gene therapies.Molecular therapy. Methods & clinical development · 2025
    Review
  13. Harnessing mRNA-lipid nanoparticles as innovative therapies for autoimmune diseases.Molecular therapy. Methods & clinical development · 2025
    Review
  14. Review
  15. Article
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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

24 authors at 4 institutions in 4 countries.

Nigel DaviesPharmaceutical Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Daniel HovdalResearch and Early Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Nicholas EdmundsClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, Cambridge SG8 6HB, UK.
Peter NordbergResearch and Early Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Anders DahlénResearch and Early Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Aleksandra DabkowskaPharmaceutical Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Marianna Yanez ArtetaPharmaceutical Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Aurel RadulescuForschungszentrum Jülich GmbH, Jülich Centre for Neutron Science at Maier-Leibnitz Zentrum, 85748 Garching, Germany.
Tomas KjellmanPharmaceutical Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Andreas HöijerPharmaceutical Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Frank SeeligerClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Elin HolmedalClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Elisabeth AndihnGlobal Project and Portfolio Management, AstraZeneca, 43183 Gothenburg, Sweden.
Nils BergenhemAlliance Management, BioPharmaceuticals R&D, AstraZeneca, Boston, MA 02451, USA.
Ann-Sofie SandingeResearch and Early Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Camilla JohanssonClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Leif HultinClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Marie JohanssonClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Johnny LindqvistClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Liselotte BjörssonClinical Pharmacology and Safety Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Yujia JingPharmaceutical Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Stefano BartesaghiResearch and Early Development, Cardiovascular, Renal and Metabolism, BioPharmaceuticals R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Lennart LindforsPharmaceutical Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden.
Shalini AnderssonOligonucleotide Discovery, Discovery Sciences, BioPharmaceuticals R&D, AstraZeneca, 43183 Gothenburg, Sweden.
AstraZeneca (Sweden) · SEAstraZeneca (United Kingdom) · GBAstraZeneca (United States) · USForschungszentrum Jülich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lipid nanoparticles (LNPs) are the most clinically advanced delivery system for RNA-based drugs but have predominantly been investigated for intravenous and intramuscular administration. Subcutaneous administration opens the possibility of patient self-administration and hence long-term chronic treatment that could enable messenger RNA (mRNA) to be used as a novel modality for protein replacement or regenerative therapies. In this study, we show that subcutaneous administration of mRNA formulated within LNPs can result in measurable plasma exposure of a secreted protein. However, subcutaneous administration of mRNA formulated within LNPs was observed to be associated with dose-limiting inflammatory responses. To overcome this limitation, we investigated the concept of incorporating aliphatic ester prodrugs of anti-inflammatory steroids within LNPs, i.e., functionalized LNPs to suppress the inflammatory response. We show that the effectiveness of this approach depends on the alkyl chain length of the ester prodrug, which determines its retention at the site of administration. An unexpected additional benefit to this approach is the prolongation observed in the duration of protein expression. Our results demonstrate that subcutaneous administration of mRNA formulated in functionalized LNPs is a viable approach to achieving systemic levels of therapeutic proteins, which has the added benefits of being amenable to self-administration when chronic treatment is required.

Indexed as

FGF21LNPmRNAsteroid prodrugsubcutaneous deliverytolerability

Identifiers

PMID33868782
PMCPMC8039535
OpenAlexW3136166831

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.