To accomplish oral delivery of siRNA to macrophages in mice, we targeted M cells in intestinal wall Peyer’s patches (
Supplementary Fig. 1) to transfer micrometre-sized β1,3-
d-glucan particles to the underlying gut-associated lymphatic tissue (GALT)
4. Phagocytosis by macrophages and dendritic cells in the GALT occurs by means of the dectin-1 (also known as CLEC7A) receptor and perhaps other β1,3-
d-glucan-receptor-mediated pathways
5. Evidence suggests that GALT macrophages may traffic away from the gut and infiltrate other reticuloendothelial system tissues, such that over time some of the total body macrophages contain ingested β1,3-
d-glucan particles
6. We prepared hollow, porous micrometre-sized shells composed primarily of β1,3-
d-glucan by treating baker’s yeast with a series of alkaline, acid and solvent extractions to remove cytoplasm and other cell wall polysaccharides
7 (). Such empty β1,3-
d-glucan shells are about 2–4 µm in diameter, and can be fluorescently labelled for tracking. The anionic siRNA within GeRPs is bound between cationic polyethylenimine (PEI) layers through electrostatic interactions in a pH-dependent manner. On phagocytosis of GeRPs by macrophages, the acidic pH in phagosomes promotes siRNA release through the porous GeRP wall.
Preliminary experiments using two siRNA oligonucleotides against Tnf-α within GeRPs showed extensive phagocytosis of GeRPs by the primary macrophages and gene silencing (
Supplementary Fig. 2c, d). We then screened in peritoneal exudate cell macrophages (PECs) for candidate intracellular signalling proteins that might control Tnf-α expression. One of these was the Map4k4, a germinal centre protein kinase that facilitates Tnf-α signalling itself
8–10. β1,3-
d-glucan shells derivatized with a green fluorescein probe were loaded with scrambled or
Map4k4 siRNA (oligo 1 in
Supplementary Table 1) coupled to a red Dy547 fluorescent probe and incubated with PECs (10:1 GeRP-to-cell ratio) for 12 h. Confocal microscopy showed that about 90% of the macrophages had internalized at least one fluorescein–GeRP (, left panels), whereas most cells had internalized multiple fluorescein–GeRPs (, right panels show two cells at × 100 magnification). Remarkably, a 70–80% knockdown of
Map4k4 mRNA was achieved in 10
6 PECs with as little as 40 pmoles siRNA within GeRPs (), whereas PBS, unloaded GeRPs or those containing scrambled siRNA had no effect ().
Lipopolysaccharide (LPS), a major structural component of the outer membrane of Gram-negative bacteria, activates monocytes and macrophages to produce inflammatory cytokines, such as Tnf-α and interleukin (Il)-1β
11. PECs (10
6) were incubated with 10
7 GeRPs containing 40 pmoles of scrambled or
Map4k4 siRNA for 48 h, and then treated with saline or LPS for an additional 6 h.
TnfmRNA levels were decreased by 40% in unstimulated cells treated with
Map4k4-siRNA-containing GeRPs compared to GeRPs containing scrambled siRNA ().
Map4k4 silencing inhibited the LPS-induced
Tnf expression by 50% () or more (
Supplementary Fig. 2b).
Map4k4 silencing in PECs also resulted in an average 30% decrease of LPS-induced Tnf-α protein secreted into the medium (). GeRPs with scrambled siRNA, unloaded GeRPs (GeRPs containing transfer RNA/PEI cores, but no siRNA) or phosphate buffered saline (PBS) failed to affect
Tnf expression () or secretion (
Supplementary Fig. 3), or expression of interferon response genes (
Supplementary Fig. 12).
To determine whether depletion of
Map4k4 mRNA in the GeRP-treated macrophages, as shown in , is mediated by an RNA interference (RNAi)-dependent gene-silencing mechanism, we performed rapid amplification of 5′ complementary DNA ends (5′ RACE) analysis to identify the cleavage sites of
Map4k4 mRNA
12. After treatment of PECs with GeRPs containing
Map4k4 siRNA, but not scrambled siRNA, a unique 5′ RACE product could be detected on agarose gels (). Sequence analysis of the cloned polymerase chain reaction (PCR) products revealed that 94 out of 100 products were derived from mRNA cleaved at the predicted cut site (ACTA/TGGC; not shown).
cJun N-terminal kinases 1 and 2 (JNK1 (also known as Mapk8) and JNK2 (Mapk9)), extracellular signal-related kinase 1 (Erk1) and 2 (Erk2) (also known as Mapk3 and Mapk1, respectively), p38 (Mapk14) mitogen-activated protein kinase (MAPK) and nuclear factor κB (NFκB) pathways regulate Tnf-α production in macrophages
13,14. Interestingly, we found that Map4k4 defines a proinflammatory pathway that activates Tnf-α expression independently of the JNK1/2, p38 and NFκB pathways () or Erk1/2 (not shown). These data demonstrate that Map4k4 is a new target for suppression of Tnf-α expression in LPS-induced macrophage inflammatory responses.
To evaluate GeRPs for oral delivery of siRNA-mediated gene silencing in vivo, mice were given Dy547-conjugated scrambled or Map4k4 siRNA (20 µg kg−1) contained within fluorescein–GeRPs (4 × 109 fluorescein–GeRPs per kg or about 108 GeRPs in 200 µl per mouse) by oral gavage once daily for 8 consecutive days (). Staining the PECs recovered from these mice with the macrophage-specific antibody F4/80 (Emr1)–AF633 (magenta) revealed that the fluorescein–GeRPs containing Dy547–siRNA were taken up by GALT macrophages, which then migrate out into peripheral tissues (). Co-localization of AlexaFluor633, fluorescein–GeRPs and Dy547 fluorescent signals in adherent macrophages was readily observed. Notably, Map4k4 mRNA expression was inhibited by 70% in PECs isolated from mice orally gavaged with Map4k4-siRNA-containing GeRPs compared to scrambled-siRNA-containing GeRPs (). This level of knockdown is much greater than the relatively lower number of macrophages that could be observed to contain GeRPs in , indicating possible degradation of the GeRPs and loss of detectable signal even though siRNA-mediated knockdown persists.
Map4k4 silencing was also analysed in macrophages that had migrated to other tissues on day 10 of the protocol. Significant depletions of about 50%, 80% and 40% in
Map4k4 mRNA levels were observed in macrophage-enriched cells isolated from spleen, liver and lung tissues, respectively, in mice treated with
Map4k4-siRNA-containing GeRPs compared to scrambled-siRNA-containing GeRPs (). In a parallel experiment, we could identify fluorescein–GeRP-containing macrophages isolated from spleen, liver and lung tissues of mice orally gavaged with fluorescently labelled GeRPs (, bottom panel). Only a small proportion of macrophages enriched from these tissues contained GeRPs when examined by confocal microscopy (not shown). Tissue sections analysed by fluorescence microscopy also revealed infiltration of spleen, liver and lung with macrophages containing fluorescein–glucan shells (
Supplementary Fig. 4b). Consistent with the lack of gene silencing in cells from skeletal muscle (), GeRP-containing macrophages were rare in this tissue (
Supplementary Fig. 4b). Taken together, these data indicate that macrophages in the GALT internalize orally absorbed GeRPs, undergo siRNA-mediated gene silencing and migrate into tissues throughout the body.
We confirmed that gene silencing by orally delivered GeRPs can be mediated by multiple siRNAs by using a different
Map4k4 siRNA or either of two
Tnf siRNA oligonucleotides previously found to be effective on macrophages
in vitro (
Supplementary Figs 2a, c and d and 5). We also found efficacy of
Map4k4-siRNA-containing GeRPs to silence
Map4k4 expression in macrophages after delivery by intraperitoneal (i.p.) injection (
Supplementary Fig. 6c). Gene-specific silencing following oral delivery of GeRPs containing siRNA directed against fatty acid binding protein 4, which had no effect on
Map4k4 or
Tnf expression, was also documented (data not shown). Importantly, oral gavage of GeRPs containing either siRNA or no siRNA (unloaded GeRPs) did not change interferon-γ levels in serum (), consistent with results
in vitro (
Supplementary Fig. 12). Serum levels of the liver enzymes, aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were within normal ranges (AST <255 IU l
−1; ALT <77 IU l
−1;
Supplementary Fig. 13). Initial experiments indicate that the gene silencing with unmodified siRNA lasted about 8 days after the termination of oral GeRPs administration (not shown). Thus, efficient knockdown of three genes with five different siRNA sequences using orally delivered GeRPs has been achieved (,
Supplementary Fig. 5, and data not shown).
Notably, an 80% decrease in
Tnf expression in PECs was observed in mice orally gavaged with GeRPs containing
Map4k4 siRNA versus scrambled siRNA (). This was accompanied by an equally marked 80% knockdown of the inflammatory cytokine Il-1β, but not Il-10 nor chemokine receptor 2 (Ccr2), known to be downregulated by LPS
15. We found no effect of oral gavage of empty β1,3-
d-glucan shells (
Supplementary Fig. 9), β1,3-
d-glucan shells containing tRNA and PEI, or GeRPs containing scrambled siRNA on serum Tnf-α levels before LPS treatment compared to PBS administration (
Supplementary Fig. 11). Importantly,
Tnf siRNA does not silence Il-1β, showing specificity of this broad anti-inflammatory response to Map4k4 knockdown (
Supplementary Fig. 7).
Consistent with previous reports
16, we found circulating Tnf-α levels are strongly increased 1.5 h after LPS/
d-galactosamine (
d-GalN) injection into mice and then decreased to basal levels after 4 h. Oral delivery of GeRPs containing
Map4k4 siRNA blocked the increase in serum Tnf-α protein () and Tnf-α levels in peritoneal fluid 1.5 h after LPS/
d-GalN injection (). Similarly, serum Tnf-α levels in response to LPS were decreased in mice orally gavaged with GeRPs containing other
Map4k4 or
Tnf siRNA oligonucleotides (
Supplementary Fig. 8a), but not with scrambled siRNA or unloaded GeRPs (
Supplementary Fig. 11a). These data demonstrate downregulation of the Tnf-α response to an inflammatory stimulus through oral delivery of
Map4k4-siRNA-containing GeRPs.
The lethality observed in LPS/
d-GalN-challenged animals is attributed to inflammatory cytokine toxicity and can be mimicked by administration of Tnf-α and Il-1β, which synergize with each other
17. We therefore tested whether
Map4k4-siRNA-containing GeRPs could protect against this toxicity. shows that 90% of the control mice orally gavaged with scrambled-siRNA-containing GeRPs before LPS/
d-GalN injection died between 4 h and 8 h after LPS/
d-GalN injection, whereas 50% of mice treated with
Map4k4-siRNA-containing GeRPs survived for 8 h and 40% survived the LPS challenge long term (
Supplementary Tables 2 and 3). Similarly, protection was obtained with the alternate
Map4k4 siRNA (oligo 2) and two
Tnf siRNA species (
Supplementary Fig. 8b). Hepatocyte apoptosis in response to LPS injection
18 was also attenuated by orally delivered
Map4k4-siRNA-containing GeRPs (
Supplementary Fig. 10), whereas serum insulin and glucose levels were unaffected (
Supplementary Fig. 14). Thus, oral gavage of
Map4k4-siRNA-containing GeRPs significantly protects mice from LPS/
d-GalN-induced lethality through inhibition of Tnf-α and Il-1β production in macrophages.
The
in vivo potency of 20 µg siRNA per kg in GeRPs to mediate gene silencing is 5 to 250 times greater than that in previous studies reporting systemic delivery. Intravenous injection of siRNA formulations requires doses ranging from 125 µg kg
−1 to 50 mg kg
−1 in mice
19–24 and 1 mg kg
−1 in nonhuman primates
25. For attenuation of LPS-induced lethality in mice by i.p. injection, 1.2 mg
Tnf siRNA per kg was required
26. The high potency of orally delivered siRNA within GeRPs (20 µg kg
−1) is even more surprising because unmodified siRNA was used in our studies. This high potency is probably due to protection of siRNA against nuclease degradation by PEI within GeRPs, low nonspecific binding of GeRPs en route to the gut, and high efficiency of GeRP uptake by phagocytic cells in the GALT. Furthermore, the siRNA loading capacity within β1,3-
d-glucan shells is far greater than we used here, and can potentially deliver combinations of siRNA, DNA, proteins and small molecules. We also cannot rule out the possibility that other cell types are also targeted by oral delivery of GeRPs.
Injectable anti-TNF-α protein therapeutics are successful commercial products for the treatment of rheumatoid arthritis, ankylosing spondylitis, Crohn’s disease and psoriasis
27. Macrophage-mediated pathogenesis is also well characterized in mouse models of obesity-associated insulin resistance
28 and atherosclerosis
29, whereas such autoimmune diseases as type 1 diabetes involve the deleterious actions of inflammatory cytokines
30. Further development of GeRP-mediated delivery of siRNA to attenuate inflammation for these and other human maladies will be a major focus of our future studies.