Conspectus
The field of gene therapy, which
aims to treat patients by modulating
gene expression, has come to fruition and has landed several landmark
FDA approvals. Most gene therapies currently rely on viral vectors
to deliver nucleic acid cargo into cells, but there is significant
interest in moving toward chemical-based methods, such as polymer-based
vectors, due to their low cost, immunocompatibility, and tunability.
The full potential of polymer-based delivery systems has yet to be
realized, however, because most polymeric transfection reagents are
either too inefficient or too toxic for use in the clinic. In this
Account, we describe developments in carbohydrate-based cationic polymers,
termed glycopolymers, for enhanced nonviral gene delivery. As ubiquitous
components of biological systems, carbohydrates are a rich class of
compounds that can be harnessed to improve the biocompatibility of
non-native polymers, such as linear polyamines used for promoting
transfection. Reineke et al. developed a new class of carbohydrate-based
polymers called poly(glycoamidoamine)s (PGAAs) by step-growth polymerization
of linear monosaccharides with linear ethyleneamines. These glycopolymers
were shown to be both efficient and biocompatible transfection reagents.
Systematic modifications of the structural components of the PGAA
system revealed structure–activity relationships important
to its function, including its ability to degrade in situ.
Expanding upon the development of step-growth glycopolymers,
monosaccharides,
such as glucose, were functionalized as vinyl-based monomers for the
formation of diblock copolymers via radical addition–fragmentation
chain-transfer (RAFT) polymerization. Upon complexation with plasmid
DNA, the glucose-containing block creates a hydrophilic shell that
promotes colloidal stability as effectively as PEG functionalization.
An N-acetyl-d-galactosamine variant of this
diblock polymer yields colloidally stable particles that show increased
receptor-mediated uptake by liver hepatocytes in vitro and promotes liver targeting in mice. Finally, the disaccharide
trehalose was incorporated into polycationic structures using both
step-growth and RAFT techniques. It was shown that these trehalose-based
copolymers imparted increased colloidal stability and yielded plasmid
and siRNA polyplexes that resist aggregation upon lyophilization and
reconstitution in water. The aforementioned series of glycopolymers
use carbohydrates to promote effective and safe delivery of nucleic
acid cargo into a variety of human cells types by promoting vehicle
degradation, tissue-targeting, colloidal stabilization, and stability
toward lyophilization to extend shelf life. Work is currently underway
to translate the use of glycopolymers for safe and efficient delivery
of nucleic acid cargo for gene therapy and gene editing applications.