WO2025106912A1 - Mousses liquides se dégradant à base de bulles de gaz pour administrer des acides nucléiques - Google Patents

Mousses liquides se dégradant à base de bulles de gaz pour administrer des acides nucléiques Download PDF

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WO2025106912A1
WO2025106912A1 PCT/US2024/056261 US2024056261W WO2025106912A1 WO 2025106912 A1 WO2025106912 A1 WO 2025106912A1 US 2024056261 W US2024056261 W US 2024056261W WO 2025106912 A1 WO2025106912 A1 WO 2025106912A1
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foam
gas
cell
bubble based
cells
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Matthias Stephan
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Fred Hutchinson Cancer Center
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Fred Hutchinson Cancer Center
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/70—Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7088—Compounds having three or more nucleosides or nucleotides
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/10—Dispersions; Emulsions
    • A61K9/12—Aerosols; Foams
    • A61K9/122—Foams; Dry foams

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  • the foams can also be used for administration of therapeutic nucleic acids to anatomical sites, such as cancer sites, through direct application at the site or through the use of edible or drinkable foams in the case of esophageal cancers, the use of rectally applied foams to treat rectal or colorectal cancer, or the use of intraperitoneally injected foam to treat widespread ovarian cancer.
  • anatomical sites such as cancer sites
  • the use of rectally applied foams to treat rectal or colorectal cancer or the use of intraperitoneally injected foam to treat widespread ovarian cancer.
  • the current disclosure provides gas-bubble based degrading liquid foams to deliver nucleic acids.
  • the disclosed foams ensure high-density exposure of target tissue to the nucleic acid. Because foam remains at application sites longer, delivery of nucleic acids to the intended cells is enhanced while minimizing unwanted off-target effects.
  • the higher nucleic acid density combined with longer contact time at an intended delivery site results in higher transfection rates and deeper tissue penetration.
  • the disclosed foam-based nucleic acid delivery can be used for a variety of research, diagnostic, and therapeutic purposes.
  • FIG. 1 Schematic explaining several advantages of foam as a nucleic acid delivery system in comparison to conventional liquid formulations.
  • (Panel A, Concentration) Foam is mostly gas, so embedded nucleic acid particles become heavily concentrated in the liquid F053-6000PCT/ 24-064-WO-PCT component, which ensures high-density exposure of target tissue to the nucleic acid vector.
  • (Panel B, Contact Time) Foam remains at application sites longer, thereby enhancing delivery of nucleic acids to the intended cells and minimizing unwanted off-target effects.
  • FIGs.2A-2D Microstructural characterization of LNP-loaded methylcellulose foam.
  • FIG. 2A High-resolution foam structure analysis using the Dynamic Foam Analyzer DFA100FSM. Representative images of three independently manufactured foam batches are shown at time points 0 hours, 5 hours and 10 hours. Histograms of bubble size distribution are shown below. Scale bars: 1 mm.
  • FIG.2B Confocal microscopy image of a liquid-filled foam lamella separating two gaseous bubbles.
  • FIG. 2C DiD intensities in the foam lamella were analyzed and their spatial distribution plotted in 3D. Data are representative of 20 independently characterized lamellae.
  • FIGs. 3A, 3B Self-expanding nucleic acid delivery foams.
  • FIG. 3A Expansion of methylcellulose/xanthan gum foam complemented with 3.75% H 2 O 2 and 0.015% Potassium Iodide (KI). The decomposition of H 2 O 2 into water and oxygen is catalyzed by the KI. Generated oxygen gas causes the methylcellulose/xanthan gum foam precursor to foam up and expand before degrading over time.
  • FIG. 3B Screening of various H 2 O 2 and KI concentration and associated foam expansion kinetics. The arrow indicates one formulation resulting in a ten-fold expansion of foam within 90 minutes.
  • FIGs. 4A-4E Nucleic acid delivering foam boosts transfection rates and permits precise payload delivery to defined locations. Screening of various foam vehicles to enhance topical nucleic acid delivery.
  • Lipid nanoparticles (LNPs) carrying firefly luciferase-encoding mRNA were mixed with foam precursor solutions composed of 0.8 wt % methylcellulose, sodium caseinate (Na caseinate), or albumin. Prepared foam was added on top of cultured HELA cells, or cells were transfected with an equal dose of LNPs suspended in PBS. The culture plates were incubated for 2 hours either horizontally or in a tilted position, before replenishing media and returning dishes into the incubator horizontally. Luciferase signals were quantified 24 hours later. (FIG.4A) In vitro bioluminescent imaging of cells exposed to LNP suspension or LNP foam.
  • FIG.4B Box plots summarizing luciferase signals from horizontal transfections.
  • FIG. 4C Box plots summarizing F053-6000PCT/ 24-064-WO-PCT luciferase signals from angled transfections.
  • FIG. 4D Quantification of viable (trypan blue- excluding) HELA cells following horizonal or angled transfections with PBS or methylcellulose foam. Pairwise differences between the groups were statistically analyzed using the unpaired, two-tailed Student’s t-test. P ⁇ 0.05 was considered significant (*). Ns., nonsignificant.
  • FIG.4E Photos and corresponding bioluminescence images of cell culture dishes seeded with HELA cells.
  • FIGs. 5A-5C Methylcellulose-based nucleic acid delivery foam is biocompatible. These panels summarize a pathology report prepared by a Comparative Pathologist at Fred Hutchinson Cancer Center. Two days after a bolus injection of methylcellulose foam or PBS into the peritoneal cavity of mice, various key organs close to the peritoneum and blood were isolated for a double- blinded analysis.
  • FIG. 5A Serum chemistry and blood counts.
  • FIG.5B Representative hematoxylin and eosin (H&E)-stained sections of the mesenteric fat from mice (4/10) that exhibited mild regional infiltrates of neutrophils and histiocytes in response to foam injection.
  • FIG. 5C Representative image of the marginal zone of a spleen 48 hours after intraperitoneal foam injection.
  • FIGs.6A, 6B Foam as a carrier system for nucleic acid vectors can improve in situ nucleic acid transfer.
  • FIG. 6A Representative sequential bioluminescence imaging of gene expression.
  • FIG.7A IVIS images of organs and tissues isolated from mice 24 hours following intraperitoneal administration of LNPs containing Luciferase mRNA. Injected LNPs were either suspended in PBS or incorporated into freshly prepared methylcellulose foam.
  • FIGs. 8A-8C Foam amplifies lentivirus-mediated nucleic acid transfer while limiting undesirable systemic exposure.
  • FIG. 8A Representative sequential bioluminescence imaging of gene expression.
  • FIG. 8B Box plots showing photon counts from luciferase activity.
  • N 10 biologically independent samples.
  • P ⁇ 0.05 was considered significant (*).
  • FIGs. 9A, 9B Foam boosts nucleic acid delivery into skin tissue. Following mechanical dermabrasion, 0.5 mL LNP suspension or LNP foam was topically applied to a shaved square area (1.5 ⁇ 1.5 cm) of the dorsal skin of C57BL/6 albino mice. To noninvasively track gene expression in vivo, LNPs were loaded with luciferase-encoding mRNA. All mice were single housed to prevent them from licking each other’s dorsal skin. (FIG.9A) Bioluminescence imaging of gene expression after 24 hours. (FIG. 9B) Box plots showing photon counts from luciferase activity.
  • FIG. 10 Schematic depicting targeted nucleic acid delivery foam.
  • a component of the foam starting solution here, Xanthan Gum
  • Xanthan Gum can be functionalized with antigen-specific antibody binding domains or other binding molecules. This can be accomplished using various conjugation techniques, including EDC/NHS coupling of antibody amine and carboxyl groups to xanthan gum carboxyl and amine groups. Targeted vectors can also be used.
  • FIGs.11A, 11B Schematic illustrations depicting how foams can be freshly prepared and applied to supply new genetic material or change existing DNA in cells. (FIG.
  • Nonviral or viral vector can be added to a foam precursor in a syringe connected to a second syringe filled with air.
  • the air and foam precursor can be mixed by vigorously drawing the syringe plungers back and forth, for example, 30 times, creating a microfoam consisting of gas bubbles separated by a network of interconnected lamellae.
  • Nucleic acid vectors are concentrated in this liquid phase as the foam matures.
  • FIG.12A-12C Schematic illustrations depicting an exemplary workflow for engineering cells using nucleic acid delivery foam.
  • Nonviral or viral vector is added to foam precursor in a syringe connected to a second syringe filled with air.
  • the air and foam precursor are mixed by vigorously drawing the syringe plungers back and forth, for example, at least 30 times, creating a microfoam consisting of gas bubbles separated by a network of interconnected lamellae which contain highly concentrated vector.
  • FIG. 12C Cultured cells are harvested, F053-6000PCT/ 24-064-WO-PCT resuspended in complete cell culture media, and externally introduced into foam lamellae using a short and gentle syringe mixing.
  • FIG. 13 Schematic illustration of an exemplary clinical workflow for generating and applying gene therapy foam to ovarian cancer patients.
  • FIGs. 14A-14E Embedding cells into lamellae of methylcellulose-based foam does not compromise viability or yield.
  • FIG. 14A Light microscopy image of freshly prepared methylcellulose-based foam with inserted human effector T cells. High magnification is shown on the left, lower magnification on the right. T cells are floating in the liquid-filled foam lamellae separating gaseous bubbles.
  • FIG. 14C Quantification of viable (trypan blue- excluding) T cells harvested after 24 hours from nucleic acid delivery foam versus suspension culture. Pairwise differences between the groups were statistically analyzed using the unpaired, two-tailed Student’s t-test. P ⁇ 0.05 was considered significant.
  • FIGs. 15A-15F Engineering human T cells in methylcellulose foam boosts nucleic acid transfer. Isolated human CD3+ T cells were stimulated with beads that were coated with antibodies against TCR/CD3 and co-stimulatory CD28 receptors.
  • FIG.15A-FIG.15D GFP-expressing mRNA lipid nanoparticles
  • FIG.15E- FIG. 15F lentivirus
  • cells were transfected/transduced with equal doses of vector in suspension.
  • Nucleic acid transfer was measured after 24 hours (mRNA LNPs) or 48 hours (lentivirus) by flow cytometry.
  • FIG.15A, FIG.15C, FIG.15E Representative flow cytometry plots showing nucleic acid transfer.
  • the graphs display CD3 ⁇ gated lymphocyte populations. The numbers within the graphs show the percentage of GFP+ T cells.
  • FIG.15A, FIG.15C, FIG.15F Comparison of T-cell transfection/transduction efficiencies achieved with foam versus suspension, based on 6 independent experiments. Central marks indicate the mean (FIG.15B, F053-6000PCT/ 24-064-WO-PCT FIG.15D, FIG.15F).
  • FIGs 16A-16C Testing foams made from methylcellulose derivatives for their ability to boost gene transfer into human T cells. Isolated human CD3+ T cells were stimulated with beads that were coated with antibodies against TCR/CD3 and co-stimulatory CD28 receptors.
  • T cells were mixed into foam containing GFP- expressing mRNA lipid nanoparticles (mRNA LNPs) or left untransfected.
  • Foams, containing mRNA LNPs were generated using syringe mixing, as illustrated in FIG.12A.
  • T cells were added to the gene therapy foams during the final 3 mixes, as illustrated in FIG 12B. More specifically, 1.6% solutions of methylcellulose or derivatives were prepared in CTS OpTmizer (Gibco) T cell expansion serum free media containing IL-2 (5 ng/mL) to make the foam precursor.
  • LNPs containing 50 ⁇ g GFP-encoding mRNA were added to 1 mL foam precursor and then mixed with 9 mL of air to produce foam.5 million activated T cells resuspended in 500 ⁇ L OpTmizer were then mixed into the foam and immediately dispensed into G-rex 24-well plates.
  • FIG.16B Summary bar graphs comparing T-cell transfection efficiencies achieved with various foams, based on 2 independent experiments. T-cell viabilities 24-hours post transfection are summarized on the right.
  • FIG.16C Chemical structures of Methylcellulose and Carboxymethyl cellulose are shown to illustrate a working hypothesis. Without being bound by theory, carboxymethyl cellulose can be more efficient in boosting gene transfer into cells compared to Methylcellulose, as its functional groups offer more potential for H-bonding, which could bring gene therapy vector (LNPs) and the cell membrane of the target cell close together.
  • FIGs. 17A-17F Methylcellulose foam increases nucleic acid transfer into stem cells.
  • HSCs Human hematopoietic CD34+ stem cells isolated from mobilized peripheral blood were mixed into foam containing GFP-expressing mRNA lipid nanoparticles (mRNA LNPs; FIG.17A- FIG.17C) or lentivirus (FIG.17D-FIG.17F). Alternatively, cells were transfected/transduced with equal doses of vector in suspension. Negative controls were left unmodified.
  • FIG.17A, FIG.17D Representative flow cytometry plots from three independent experiments showing nucleic acid transfer. (17B, 17E) Comparison of HSC transfection/transduction efficiencies achieved with foam versus suspension, based on three independent experiments.
  • FIG.17C, FIG.17F Quantification F053-6000PCT/ 24-064-WO-PCT of viable (DAPI-negative) HSCs cells harvested after 24 hours (LNP transfection) or 48 hours (LV transduction) from nucleic acid delivery foam versus suspension culture. Central marks indicate the mean. Pairwise differences in nucleic acid transfer between the groups were statistically analyzed using the unpaired, two-tailed Student’s t-test. P ⁇ 0.05 was considered significant. [0024] FIGs.18A, 18B. CAR T-cells transduced in nucleic acid delivery foam are fully functional.
  • FIG.18A In vitro cell-killing assays conducted by adding escalating doses of untransduced (T cells exposed to vector-free suspension or foam) or CAR-transduced (T cells exposed to lentiviral vector in suspension or foam) into a culture of bioluminescent tumor targets.
  • a lentiviral vector encoding the CAR specific for the tumor antigen ROR1 Receptor tyrosine kinase-like orphan receptor 1
  • FIGs.19A-19E Nucleic acid delivery foam does not affect viability and function of HSCs or trigger differentiation.
  • FIG.19A Representative flow cytometry plots from three independent experiments showing phenotypical characterization of HSC-derived subpopulations after 2 days in culture. Cells were either transfected with GFP-expressing mRNA LNP in suspension or foam on day 1 or left unmodified. Gating is indicated in brackets on top of each column.
  • FIG.19C Summary bar graph showing mean frequencies ⁇ s.d.
  • FIG.20 Schematic of an exemplary clinical workflow for programming CAR T-cells in situ using an injectable nucleic acid delivery foam.
  • PBMCs peripheral blood mononuclear cells
  • density gradient F053-6000PCT/ 24-064-WO-PCT centrifugation such as LymphoprepTM or Ficoll-PaqueTM or alternative methods.
  • CAR-encoding nucleic acid vector e.g., lentivirus
  • methylcellulose-based foam prepared at bedside.
  • stimulatory antibodies such as anti-CD3/CD28
  • cytokines such as IL-2, IL-7, or IL-15
  • FIG.21 Schematic of an exemplary clinical workflow for bedside manufacturing of HSC- based gene therapy products. Bone marrow aspirate (liquid) is removed from a large bone (e.g., pelvic bone).
  • the liquid is used to make a concentrate, which is co-embedded with therapeutic nucleic acid vector within methylcellulose-based foam.
  • This foam is then directly re-injected into the marrow of the patient, where it matures and gradually releases genetically modified CD34+ HSCs. If medically necessary, this procedure could be repeated as it can be performed within one hour in an outpatient setting (no need for hospitalization) and only requires a small dose of nucleic acid vector.
  • An alternative version of the proposed strategy would be to harvest purified CD34+ HSCs from mobilized peripheral blood instead of using BMAC.
  • FIG.22 A three-dimensional model of perfused bone marrow.
  • FIG. 23 Schematic of an exemplary clinical workflow for applying nucleic acid delivery foam in esophageal cancer patients.
  • Lipid nanoparticles (LNPs) containing mRNA encoding genes that trigger tumor apoptosis can be embedded in freshly prepared methylcellulose/xanthan gum-based foam using a simple syringe mixing technique that creates a microfoam nucleic acid vector. This medication is then orally administered to the patient to coat the esophagus and form a local reservoir that slowly releases the gene therapy drug at the tumorous esophageal stricture. Nucleic acid delivery foam treatments could be repeated as medically necessary and combined with standard-of-care radiotherapy to further boost the cancer-killing effect. [0031] FIG.24.
  • FIG. 25 Experimental setup of ex vivo esophageal tumor model inside a tissue culture CO 2 incubator.
  • FIG. 26 Foam efficiently accumulates at the esophageal tumor constriction.
  • FIG. 27 Schematic of an exemplary clinical workflow for rectally applying nucleic acid delivery foam in patients with locally advanced rectal cancer.
  • DETAILED DESCRIPTION There are numerous conditions and diseases that can be treated by administering nucleic acids. However, therapies based on administering nucleic acids are costly to manufacture and rely on high dosing parameters at target tissues to achieve efficient nucleic acid transfer and therapeutic benefit.
  • the current disclosure provides gas-bubble based degrading liquid foams to deliver nucleic acids.
  • foam possesses unique qualities (illustrated in FIG.1) that give them superior potency and safety compared to the liquid formulations currently used as carriers in nucleic acid therapy applications.
  • Foams, as described herein, are a special kind of colloidal dispersion in which closely packed gas bubbles are separated by thin layers of continuous liquid, called lamellae (FIG. 1, panel A, right panel).
  • the gas bubbles occupy greater than 85%, greater than 90%, or greater than 95% of the actual foam volume
  • the large gas content and low fluid volume highly concentrates the nucleic acid to be delivered in the lamellae.
  • nucleic acid-based therapies which, as indicated, are costly to manufacture and rely on high dosing numbers at a target tissue to achieve efficient nucleic acid transfer and therapeutic benefit.
  • foam In contrast to liquid formulations that diffuse and drain away from the administration site in an unpredictable manner, foam is stable and remains at the application site (FIG.1, panel B) for a sufficient amount of time. This ensures that the delivered nucleic acid will stay in contact with the target tissue for an extended duration.
  • the foam matures according to a process F053-6000PCT/ 24-064-WO-PCT referred to as Ostwald ripening (FIG.1, panel B, right panel; Dreher, et al., Handbook of cosmetic science and technology, Edn. Fifth edition. (CRC Press, Boca Raton; 2022)).
  • Gas from smaller bubbles is transported to larger bubbles, causing the smaller air bubbles to dissolve and the larger bubbles to increase in size.
  • the liquid gradually drains through channels between the bubbles, ultimately forming a supersaturated layer at the foam/tissue interface.
  • FIGs. 11A and 11B depict an exemplary clinical workflow for generating and applying nucleic acid delivering foams.
  • a syringe filled with foam precursor solution and nucleic acid vector can be connected to a syringe containing a gas, such as air (FIG.11A).
  • the foaming liquid and gas can then be moved repeatedly back and forth through the constriction that connects the two syringes to generate a homogenous foam which contains substantially evenly distributed vector.
  • This foam-based medication can then be directly administered to a patient to form local reservoirs of foam that slowly release the nucleic acid (FIG.11B).
  • Particular embodiments can add sugar molecules to the foam precursor formulation to increase stability and delay foam clearance while at the same time prolonging the viability of embedded nucleic acid vectors.
  • Sucrose, trehalose, maltose and maltodextrin can be used to increase the viscosity of nucleic acid delivering foams, while preserving function and biocompatibility.
  • These sugars are currently used in food processing to add texture or as protective agents to preserve the quality of sensitive compounds.
  • Ozcelik & Kulozik The Role of Maltodextrin Concentration in Maintaining Storage Stability of Dried Fruit Foams Texturized Using Plant Protein-Polysaccharide Blends. Foods 12 (2023).
  • Sugars are also extensively used as cryoprotectants for nucleic acid vectors. Kim et al., Optimization of storage conditions for lipid nanoparticle-formulated self-replicating RNA vaccines.
  • Formulating foam with sugars therefore serves a dual purpose by (i) making the foam more stable and (ii) maintaining the biological activity and potency of an embedded vector (e.g., lipid nanoparticle (LNP) or virus).
  • an embedded vector e.g., lipid nanoparticle (LNP) or virus.
  • Lentivirus for instance, F053-6000PCT/ 24-064-WO-PCT has a half-life of only 8-9 hours at 37 ⁇ C, so it would be beneficial to formulate a foam carrier that helps vector remain viable for longer periods of time.
  • Particular embodiments include targeted nucleic acid foams. Targeted foams can further improve the efficiency and tissue-specificity of foam as a nucleic acid vehicle.
  • foam precursors can be functionalized with binding ligands (e.g., by covalently coupling antigen-specific antibody binding domains to xanthan gum in a starting solution) to direct nucleic acid transfer to specific cell types (FIG.10).
  • Targeted vectors e.g., LNPs and viral vectors
  • targeting foam might seem redundant as the foam is designed to stay in place at an application site and deliver its nucleic acid to cells in a spatially defined fashion.
  • exemplary methylcellulose-based foam formulations disclosed herein precisely transfect cells around the application site (FIG. 4E). However, many clinical scenarios would benefit from additional tissue-specific targeting.
  • One example includes treating disseminated tumors in a large body cavity (abdominal, pleural, gastrointestinal tract). In these circumstances, it is difficult or impossible to physically apply foam to each malignant lesion (which is often indistinguishable from healthy tissue). Instead, targeted foams disclosed herein allow the entire body cavity to be filled with tumor-targeted foam, which can gradually mature and aggregate around tumor sites.
  • a sugar within a precursor foam solution and/or a vector within a precursor foam solution include a targeting ligands that binds a cancer antigen.
  • Foams can also be used to deliver nucleic acids to anatomical sites having a clustered group of infected cells.
  • Targeted foams can allow more selective distribution and prolonged contact time at therapeutically relevant tissues.
  • Targeted foams can also be used in cell engineering.
  • T-cell targeted lentivirus or T-cell targeted LNPs can be used within a nucleic acid delivering foam.
  • Exemplary target antigens on T cells include CD3, CD4, CD5, CD7, and CD2.
  • vectors can include targeting ligands for CD90, CD34, and/or CD117.
  • Particular embodiments include self-expanding nucleic acid delivering foams.
  • the expanding properties of foam may be harnessed to actively penetrate anatomical sites, such as solid tumors, and deliver therapeutic nucleic acids more quickly and deeper into difficult to transfect tissues.
  • Rationales include that: (i) in situ expanding foam requires a substantially smaller injection volume to deliver nucleic acids to tissue compared to non-expanding foams, (ii) the positive pressure induced in situ by newly created bubbles can drive foam-embedded nucleic acids through the interstices deep into tissue, and (iii) oxygen gas, which is released as a byproduct of foam expansion, can boost, for example, transgene expression in hypoxic tissue.
  • the formulation of a self-expanding foam can include supplementing a methylcellulose/xanthan gum- based foam with 3.75% hydrogen peroxide and 0.015% potassium iodide. This formulation achieves a ten-fold expansion of foam within 90 minutes (FIGs.3A, 3B).
  • foam may not be suited for systemic infusion, its promise lies in the controlled and uniform delivery of nucleic acids to cells lining body cavities (oral, thoracic, abdominal, bladder), the intestinal tract, the female genital lumen, all injectable tissues (especially muscle for vaccine applications, bone marrow or lymph nodes), tumors (with a focus on oncolytic virus-based gene therapy) and the skin, which has emerged as a desirable organ for gene therapy.
  • body cavities oral, thoracic, abdominal, bladder
  • the intestinal tract the female genital lumen
  • all injectable tissues especially muscle for vaccine applications, bone marrow or lymph nodes
  • tumors with a focus on oncolytic virus-based gene therapy
  • the skin which has emerged as a desirable organ for gene therapy.
  • Foams disclosed herein can also be used in ex vivo cell engineering (e.g., lymphocytes, hematopoietic stem cells (HSCs), induced pluripotent stem cells (iPSCs)).
  • HSCs hematopoietic stem cells
  • iPSCs induced pluripotent stem cells
  • FIG.12C As foam lamellae form a network of liquid-filled tubes that contain highly concentrated nucleic acids (e.g., as a result of gas bubbles occupying more than 95% of the actual foam volume; see FIG.1), this creates the ideal space for cells to meet and be transfected with, for example, a nucleic acid vector. As foam matures, gravity slowly drains lamellae resulting in a continuous liquid flow through the capillary network of lamellae.
  • peripheral blood can be collected from a patient and peripheral blood mononuclear cells (PMBCs) maybe isolated. Isolated PMBCs may be mixed with a foam including nucleic acids for delivery to the PMBCs.
  • PMBCs peripheral blood mononuclear cells
  • the foams may also include F053-6000PCT/ 24-064-WO-PCT lymphocyte activating components.
  • the foam can be administered to a subject, either subcutaneously, intraperitoneally, or intratumorally. The entirely of the described process can occur at a patient’s bedside and in under an hour.
  • the foam can be (i) directly injected into the bone marrow of patients, (ii) mixed with bone marrow aspirate and directly injected back into patient marrow (while the needle is still in the patient’s bone marrow) (with HSCs and nucleic acid vector trapped within the foam lamellae), or (iii) admixed with ex vivo cultured HSCs, which are then re-infused into patients as part of a conventional stem cell transplantation.
  • cells can also be directly harvested from a patient’s bone marrow (e.g.
  • foams as disclosed herein are distinct from hydrogels. Hydrogels are three- dimensional network structures able to imbibe large amounts of water.
  • Hydrogels do not typically dissolve due to chemical or physical cross-links and/or chain entanglements. They exist naturally in the form of polymer networks such as collagen or gelatin or can be made synthetically. Hydrogels are less likely to, and are not intended to, undergo Ostwald ripening. Within the present disclosure, Ostwald ripening is intended and advantageous because liquid gradually drains through channels between foam bubbles, ultimately forming a supersaturated layer of nucleic acids at a foam/tissue interface.
  • Foam precursors of the present disclosure have foaming properties that are suitable to deliver nucleic acid vectors to human cells, and are biocompatible with mammalian, and in particular human, tissue.
  • biocompatible which also can be referred to as "tissue compatible” generally refers to the inability of a material to F053-6000PCT/ 24-064-WO-PCT promote an adverse biological response in the body that outweighs the benefit of administration, within the sound judgment of an experienced medical professional.
  • a biocompatible material can be non-toxic, non-mutagenic, non-allergenic, non-carcinogenic, and/or non-irritating or substantially non-toxic, non-mutagenic, non-allergenic, non-carcinogenic, and/or non-irritating.
  • biocompatible foaming agents may be selected because they are generally regarded as safe (GRAS) by the United States Food and Drug Administration.
  • biocompatible foaming agents may be selected because they are manufactured in bulk. These features can ensure that the foams are biocompatible, scalable, and low-cost. Examples of biocompatible foaming agents with these properties include cellulose and cellulose derivatives, sodium caseinate, and albumin.
  • Cellulose is a molecule that contains carbon, hydrogen, and oxygen according to the formula (C 6 H 10 O 5 ) n , creating a chain of linked units.
  • Cellulose derivatives include cellulose with chemically modified hydroxyl groups, for example modified by esterification or etherification.
  • Exemplary cellulose derivatives include cellulose esters (e.g., cellulose acetate), cellulose ethers (e.g., methylcellulose, ethyl cellulose), cellulose sulfate, and cellulose nitrate
  • Methylcellulose is a plant-based food additive that is widely used as a foaming agent in foods like pudding, ice cream, or whipped toppings.
  • Carboxymethyl cellulose is a methylcellulose derivative formed through carboxymethylation. Additional examples of cellulose and methylcellulose derivatives include sodium carboxymethyl cellulose (SCMC), hydroxyethyl cellulose (HEC), hydroxypropyl cellulose (HPC), methyl hydroxyethyl cellulose (MHEC), hydroxypropylmethyl cellulose (HPMC), carboxymethylcellulose, hydroxyethyl methyl cellulose, hydroxypropyl methylcellulose, hydroxypropyl methylcellulose acetate succinate (HPMCAS), hydroxypropyl methylcellulose phthalate (HPMCP), hydroxypropyl methylcellulose succinate (HPMCS), hydroxypropyl methylcellulose trimellitate (HPMCT), hydroxypropyl methylcellulose acetate phthalate (HPMCAP), and hydroxypropyl methylcellulose acetate maleate (HPMCAM).
  • SCMC sodium carboxymethyl cellulose
  • HEC hydroxyethyl cellulose
  • HPC hydroxypropyl cellulose
  • a methylcellulose derivative with additional hydroxyl or carboxyl groups as compared to a reference methylcellulose is selected.
  • a reference methylcellulose has the same number as repeating units as the derivative to which it is compared.
  • a methylcellulose derivative with decreased methyl substitutions as compared to a reference methylcellulose is selected.
  • methylcellulose may enhance transfection efficiency by increasing cell—LNP contact through hydrogen bonding.
  • the extensive network of hydroxyl groups in methylcellulose present multiple hydrogen bonding sites which may bind both cell surface molecules and the PEG coating of LNPs, facilitating the interaction between the cell and F053-6000PCT/ 24-064-WO-PCT LNP.
  • methylcellulose such as (hydroxypropyl)methylcellulose
  • Other cellulose derivatives such as carboxymethylcellulose, have improved hydrogen bonding potential compared to methylcellulose, which may increase the probability of contact between the cell and LNP.
  • Sodium caseinate the sodium salt of casein (a milk protein) is used in foods and cosmetics for its foaming and thickening properties.
  • Human serum albumin is a globular protein that is routinely administered into patients with acute conditions such as trauma, cardiogenic shock, and sepsis, but it is also being explored by bioengineers for its foaming properties (Caironi et al., N Engl J Med 370, 1412-1421 (2014); Zhang et al., Dermatol Surg 46, 1030-1034 (2020)).
  • the biocompatible foaming agent may be selected from, methylcellulose, carboxymethyl cellulose, SCMC, HEC, HPC, MHEC, HPMC cellulose, carboxymethylcellulose, hydroxyethyl methyl cellulose, hydroxypropyl methylcellulose, HPMCAS, HPMCP, HPMCS, HPMCT, HPMCAP, HPMCAM hydroxypropyl methylcellulose, microcrystalline cellulose (cellulose gel), sodium caseinate, albumin (including human serum albumin, bovine serum albumin, and ovalbumin), gelatin, collagen, soybean extract, propylene glycol esters of fatty acids, glycyrrhizin, calcium glycyrrhizinate, disodium glycyrrhizinate, monoammonium glycyrrhizinate, potassium glycyrrhizinate, magnesium glycyrrhizinate, ammonium glycyrrhizinate pentahydrate, ammoni
  • Biocompatible foaming agents can be used alone, or in combination with others.
  • Gasses that can be used for generating foams include any biocompatible gas. Examples include air, oxygen (O 2 ), nitrogen (N 2 ), and inert gasses such as Argon (Ar), Neon (Ne), Radon (Ra), Helium (He), Krypton (Kr), Nitric oxide (NO), and mixtures thereof.
  • the composition of ambient environmental air is 78% nitrogen, 21% oxygen, 1% argon, with, in certain instances, trace percentages of other gases, such as carbon dioxide, neon, methane, helium, krypton, hydrogen, xenon, ozone, nitrogen dioxide, iodine, carbon monoxide, and ammonia.
  • gases such as carbon dioxide, neon, methane, helium, krypton, hydrogen, xenon, ozone, nitrogen dioxide, iodine, carbon monoxide, and ammonia.
  • Particular embodiments select a gas with particular characteristics for an intended use. For example, at a hypoxic tumor site, one may select a gas with a higher than average oxygen content. A gas with a higher than average oxygen content has more than 21% oxygen. For stem cell related applications, one may select a gas with a lower than average oxygen content.
  • a gas with a lower than average oxygen content has less than 21% oxygen.
  • Certain embodiments select a gas with a 1-5% oxygen concentration.
  • bone marrow has a 1-5% oxygen concentration, so a gas with a 1-5% oxygen concentration could be selected when injecting a foam into the bone marrow and during ex vivo stem cell engineering.
  • the foam may have an initial mean bubble count of 10/mm2 to 200/mm2, 20/mm2 to 180/mm2, 50/mm2 to 150/mm2, 60/mm2 to 130/mm2, 70/mm2 to 120/mm2, 80/mm2 to 110/mm2, 90/mm2 to 100/mm2, or 95/mm2.
  • the foam may have an initial mean bubble area of 500 ⁇ m2 to 20,000 ⁇ m2, 2,000 ⁇ m2 to 18,000 ⁇ m2, 5,000 ⁇ m2 to 15,000 ⁇ m2, 7,000 ⁇ m2 to 14,000 ⁇ m2, 8,000 ⁇ m2 to 13,000 ⁇ m2, 9,000 ⁇ m2 to 12,000 ⁇ m2, 10,000 ⁇ m2 to 11,000 ⁇ m2, or 10,528 ⁇ m2.
  • the foam after 10 hours at room temperature the foam may have a diffusion of air from smaller bubbles to larger bubbles resulting in a bubble count of 1/mm2 to 100/mm2, 1/mm2 to 50/mm2, 5/mm2 to 45/mm2, 10/mm2 to 40/mm2, 12/mm2 to 38/mm2, 15/mm2 to 35/mm2, 20/mm2 to 32/mm2, or 26/mm2 (25.7 ⁇ 6.7 /mm2).
  • the foam after 10 hours at room temperature the foam may have a mean bubble area of 5,000 ⁇ m2 to 80,000 ⁇ m2, 10,000 ⁇ m2 to 75,000 ⁇ m2, 15,000 ⁇ m2 to 70,000 ⁇ m2, 20,000 ⁇ m2 to 65,000 ⁇ m2, 25,000 ⁇ m2 to 60,000 ⁇ m2, 30,000 ⁇ m2 to 55,000 ⁇ m2, 32,000 ⁇ m2 to 52,000 ⁇ m2, or 41,597 ⁇ m2.
  • foam height total height – liquid height
  • homogenous dispersion of particles, such as LNPs or viral vectors, throughout the liquid lamellae include a 1.1 fold, 1 to 2 fold, 0.5 to 3 fold, or 0.1 to 5 fold increased concentration in centers compared to edges facing gas bubbles.
  • Edible or drinkable foams can include, for example, flavoring agents, sweeteners, nutritional additives, preservatives, pH modifiers, coloring agents, taste-masking agents, viscosity F053-6000PCT/ 24-064-WO-PCT modifiers, and thickeners. Foams that are edible require chewing before comfortable swallowing while foams that are drinkable can be comfortably swallowed without chewing.
  • Flavoring agents useful herein include any material or mixture of materials operable to enhance the taste of a nucleic acid delivering foam. Any orally acceptable natural or synthetic flavoring agents can be used, such as essential oils, various flavoring aldehydes, flavoring oils, esters, alcohols, similar materials, as well as sweeteners such as sodium saccharin, xylitol, D- mannose, and combinations thereof.
  • Essential oils can include: Ylang Ylang (Cananga odorata); Yarrow (Achillea millefolium); Violet (Viola odorata); Vetiver (Vetiveria zizanoides); Vanilla (Vanilla plantifolia); Tuberose (Polianthes tuberosa); Thyme (Thymus vulgaris L.); Tea Tree (Melaleuca altemifolia); Tangerine (Citrus reticulata); Spruce, Black (Picea mariana); Spruce (Tsuga Canadensis); Spikenard (Nardostachys jatamansi); Spearmint (Mentha spicata); Sandalwood (Santalum spicatum); Rosewood (Aniba rosaeodora); Rosemary Verbenone (Rosmarinus officinalis); Rosemary (Rosmarinus officinalis); Rose (Rosa damascena); Rose Geranium (Pe
  • Additional flavoring agents include, for example, vanillin, sage, marjoram, parsley oil, spearmint oil, cinnamon oil, oil of wintergreen (methylsalicylate), peppermint oil, clove oil, bay oil, anise oil, eucalyptus oil, citrus oils, fruit oils, and essences including those derived from lemon, orange, lime, grapefruit, apricot, banana, grape, apple, strawberry, cherry, pineapple, etc., bean- and nut-derived flavors such as coffee, cocoa, cola, peanut, almond, etc., adsorbed and encapsulated flavoring agents, and mixtures thereof.
  • Flavoring agents also include ingredients that provide fragrance and/or other sensory effect in the mouth, including cooling or warming effects.
  • Such ingredients include menthol, menthyl acetate, menthyl lactate, camphor, eucalyptus oil, eucalyptol, anethole, eugenol, cassia, oxanone, [ ⁇ ]-irisone, propenyl guaiethol, thymol, linalool, benzaldehyde, cinnamaldehyde, N-ethyl-p-menthan-3-carboxamme, N,2,3-trimethyl-2- isopropylbutanamide, 3-l-menthoxypropane-l,2-diol, cinnamaldehyde glycerol acetal (CGA), methane glycerol acetal (MGA) and mixtures thereof.
  • CGA cinnamaldehyde glycerol acetal
  • MCA methane glycerol acetal
  • the foam includes a lipophilic flavoring agent including menthol, vanillin or an essential oil (e.g., orange oil, lemon oil, clove oil, peppermint oil, spearmint oil or aniseed oil).
  • flavoring agents include lemon juice concentrate, tangerine flavor, tangerine concentrate, and/or apple juice concentrate.
  • flavoring agents include jasmine, rooibos, and/or peppermint tea.
  • Sweeteners include maltose, sucrose, glucose, fructose, invert sugars and mixtures thereof.
  • Fructose can be obtained or provided as liquid fructose, high fructose corn syrup (HFCS), dry fructose or fructose syrup.
  • HFCS high fructose corn syrup
  • High fructose corn syrup is commercially available as HFCS-42, HFCS-55 and HFCS-90, which include 42%, 55% and 90%, respectively, by weight of the sugar solids therein of fructose.
  • sweeteners can be provided to some extent by other components of the foam, such as by fruit juice, flavorants, and so forth.
  • F053-6000PCT/ 24-064-WO-PCT [0077]
  • Optional artificial or noncaloric sweeteners can be used alone or in combination with carbohydrate sweeteners in foams.
  • L-aspartyl-L-phenyalanine lower alkyl ester sweeteners e.g., aspartame
  • L- aspartyl-D-alanine amides disclosed in U.S. Pat. No.4,411,930 to Brennan et al. L-aspartyl-D- serine amides disclosed in U.S. Pat. No. 4,399,163 to Brennan et al., L-aspartyl-L-1- hydroxymethyl-alkaneamide sweeteners disclosed in U.S. Pat. No.
  • Nutritional additives include essential oils, vitamins, minerals, and amino acids.
  • Vitamins include Vitamin A, vitamin B1, vitamin B2, vitamin B3, vitamin B12, vitamin C, vitamin E, vitamin D, niacin (vitamin PP), biotin (vitamin H), menadione (vitamin K), folic acid, and pyridoxine (B6).
  • Minerals include iron, zinc, calcium, phosphorus, potassium, magnesium, and fluoride.
  • Amino acids include lysine, histidine, isoleucine, leucine, methionine, phenylalanine, threonine, tryptophan, and valine.
  • Exemplary nutritional additives can be found in Roberts et al., Nutraceuticals: The Complete Encyclopedia of Supplements, Herbs, Vitamins, and healing Foods (American Nutraceutical Association, 2001); in Physicians' Desk Reference for Nutritional Supplements, 1st Ed. (2001); and in The Physicians' Desk Reference for Herbal Medicines, 1st Ed. (2001).
  • taste-masking agents include sodium bicarbonate, ion-exchange resins, cyclodextrin inclusion compounds, adsorbates, and the like.
  • foams can include transduction enhancers.
  • Transduction enhancers are compounds that increase the efficiency of nucleic acid transfer into cells. They are particularly useful in gene therapy, where efficient delivery of nucleic acids is crucial for achieving desired outcomes. Examples of transduction enhancers include dimethyl sulfoxide (DMSO), polybrene, and protamine sulfate.
  • DMSO dimethyl sulfoxide
  • polybrene polybrene
  • protamine sulfate examples include sodium bicarbonate, ion-exchange resins, cyclodextrin inclusion compounds, adsorbates, and the like.
  • foams can include transduction enhancers.
  • Transduction enhancers are compounds that increase the efficiency of nucleic acid transfer into cells. They are particularly useful in gene therapy, where efficient delivery of nucleic acids is crucial for
  • sugars include saccharides, such as monosaccharides, disaccharides, and oligosaccharides. Suitable sugars also include sugar alcohols, such as erythritol, maltitol, mannitol, sorbitol, xylitol, hydrogenated starch hydrolysates, isomalt, and glycosides, such as steviol glycosides, rebaudiosides, and mogrosides.
  • Particular embodiments of the foams disclosed herein include sucrose, maltose, maltodextrin, and/or trehalose.
  • Trehalose is a disaccharide that also has anti-cancer effects (Del Bello, et al., Cancer Cell Int, 22, 232, 2022, Takashi Kudo, et al., International Scholarly Research Notices, vol.2012, Article ID 968493, 9 pages, 2012), so in particular embodiments, a trehalose- functionalized foam could have multiple desirable effects such as stabilization of the foam, protection of the nucleic acid vector, and weakening of the tumor.
  • Particular embodiments include xanthum gum and/or guar gum.
  • Nucleic Acids According to the current disclosure, foams are used to deliver nucleic acids. Nucleic acids and their equivalents refer to molecules that include a nitrogenous base, a sugar, and a phosphate group. A nucleotide is a monomer of DNA or RNA. A nucleotide, for instance, is a chemical structure. Nucleic acids refer to linked monomers of DNA or RNA. [0086] DNA refers to a polymer of nucleotides (also referred to as “nucleobases”) including deoxyribose. The nucleotides in DNA include cytosine (C), guanine (G), adenine (A), and thymine (T).
  • C cytosine
  • G guanine
  • A adenine
  • T thymine
  • Each DNA nucleotide includes a deoxyribose and a phosphate group.
  • An example single- stranded DNA (ssDNA) molecule includes a chain of covalently bonded DNA nucleotides.
  • the phosphate group of the mth nucleotide is covalently bonded to the deoxyribose of the (m-1)th nucleotide, wherein m is a positive integer greater than 2 and less than or equal to the number of DNA nucleotides in the chain.
  • DNA is double- stranded and includes two ssDNA molecules that are complementary to one another and coiled around each other in a double helix form.
  • RNA refers to a polymer of nucleotides containing ribose.
  • the nucleotides in RNA include cytosine (C), guanine (G), adenine (A), and uracil (U).
  • Each RNA nucleotide includes a ribose and a phosphate group.
  • RNA molecule the phosphate group of the nth nucleotide is covalently bonded to the ribose of the (n-1)th nucleotide, wherein n is a positive integer greater than 2 and less than or equal to the number of RNA nucleotides in the chain.
  • Messenger RNA is a type of RNA molecule that is synthesized (or “transcribed”) by RNA polymerase to be complementary to a gene encoded in a DNA sequence and is also used by a ribosome to synthesize a polypeptide or protein.
  • mRNA is therefore an example of a “coding RNA.”
  • MicroRNA are single-stranded RNA molecules that perform post-transcriptional gene F053-6000PCT/ 24-064-WO-PCT expression regulation.
  • a miRNA may bind to a complementary mRNA molecule, thereby cleaving, destabilizing, or otherwise preventing the mRNA molecule from being translated into a polypeptide or protein by a ribosome.
  • a miRNA has a length in a range of 21 to 23 RNA nucleotides.
  • non-coding RNA may refer to a type of RNA that is not translated into a protein.
  • non-coding RNA examples include miRNA, transfer RNA (tRNA), and ribosomal RNA (rRNA).
  • the term “functional RNA,” and its equivalents, may refer to any RNA molecule that impacts a biological process.
  • functional RNA may include mRNA, miRNA, tRNA, and rRNA.
  • Particular embodiments utilize as a nucleic acid plasmid DNA, minicircle DNA, self- replicating RNA, in vitro transcribed RNA, circular RNA, doggybone DNA (dbDNA), siRNA, or any kind of genome editing sequence (examples described elsewhere herein).
  • nucleic acids are delivered to cells through the use of a lipid nanoparticle or a viral vector. Also in preferred embodiments, the nucleic acids provide a therapeutic effect. In particular embodiments, the nucleic acid provides a direct effect to the cell. In particular embodiments, the nucleic acid encodes a molecule that, when expressed, has an effect on the cell. [0090] In particular embodiments, a delivered nucleic acid provides a beneficial effect to a cell to which it is delivered. For example, the cell may lack expression of a particular molecule or have reduced expression of a particular molecule. The delivered nucleic acid can increase the expression of the particular molecule, providing a therapeutic effect to the cell.
  • the nucleic acid could encode a functioning receptor, a functioning ion channel, a functioning enzyme, or a functioning transcription factor.
  • a delivered nucleic acid encodes a chimeric antigen receptor (CAR), engineered T cell receptor (eTCR), cytokine, or cytokine receptor.
  • CAR refers to a recombinant protein including several distinct subcomponents that allow a genetically modified immune cell (e.g., T cell) to recognize and kill unwanted cell types, such as cancer cells, infected cells, or autoimmune cells.
  • the subcomponents include at least an extracellular component and an intracellular component.
  • the extracellular component includes a binding domain that specifically binds a marker (e.g., an antigen) that is preferentially present on the surface of unwanted cells.
  • a marker e.g., an antigen
  • the intracellular component signals the immune cell (e.g., T cell) to destroy the bound cell.
  • CAR can additionally include a transmembrane domain that can link the extracellular component to the intracellular component.
  • Binding domains generally include scFv that bind a target antigen, as described elsewhere herein. F053-6000PCT/ 24-064-WO-PCT [0093] Other subcomponents that can increase a CAR’s function can also be included.
  • An eTCR refers to a recombinant protein that includes an engineered binding domain linked to the C ⁇ and/or C ⁇ chains of a T cell receptor (TCR).
  • TCR T cell receptor
  • a TCR is a heterodimeric fusion protein that typically includes an ⁇ and ⁇ chain. Each chain includes a variable region (V ⁇ and V ⁇ ) and a constant region (C ⁇ and C ⁇ ).
  • an eTCR does not include the native TCR variable region but does include the native TCR constant region.
  • eTCR include a C ⁇ and/or C ⁇ chain sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, at least 99.5%, or 100% identical to an amino acid sequence of a known or identified TCR C ⁇ or C ⁇ .
  • Cytokines are small proteins that are important in cell signaling.
  • Cytokines can be, for example, chemokines, interferons, interleukins, lymphokines, and/or tumor necrosis factor.
  • Exemplary cytokines include Acylation stimulating protein, Adipokine, Albinterferon, CCL1, CCL11, CCL12, CCL13, CCL14, CCL15, CCL16, CCL17, CCL18, CCL19, CCL2, CCL20, CCL21, CCL22, CCL23, CCL24, CCL25, CCL26, CCL27, CCL28, CCL3, CCL5, CCL6, CCL7, CCL8, CCL9, Colony-stimulating factor, CX3CL1, CX3CR1, CXCL1, CXCL10, CXCL11, CXCL13, CXCL14, CXCL15, CXCL16, CXCL17, CXCL2, CXCL3, CXCL5, CXCL6, CXCL7, CXCL9, Erythropoiet
  • a delivered nucleic acid provides a cytotoxic effect to a cell.
  • a delivered nucleic acid encodes a vaccine antigen.
  • Vaccines include compounds and preparations that are capable of providing immunity against one or more conditions related to infectious diseases and so may include nucleic acids encoding infectious disease-derived antigens and/or epitopes. Vaccines also include compounds F053-6000PCT/ 24-064-WO-PCT and preparations that direct an immune response against cancer cells and can include nucleic acids encoding tumor cell derived antigens, epitopes, and/or neoepitopes.
  • the antigenic peptides or proteins may be pathogenic antigens, tumor antigens, allergenic antigens or autoimmune self-antigens.
  • pathogenic antigens may be those derived from pathogenic organisms, in particular bacterial, viral or protozoological (multicellular) pathogenic organisms, which evoke an immunological reaction in a mammalian subject, such as a human.
  • Pathogenic antigens may be surface antigens, for example proteins or fragments thereof, located at the surface of the virus or the bacterial or protozoological organism.
  • the nucleic acids encode for an antigen from an infectious agent.
  • Pathogenic antigens of interest may include those derived from one or more of: Acinetobacter baumannii, Anaplasma genus, Anaplasma phagocytophilum, Ancylo stoma braziliense, Ancylo stoma duodenale, Area nobacteri urn haemo lyticum, Ascaris lumbricoides, Aspergillus genus, Astroviridae, Babesia genus, Bacillus anthracis, Bacillus cereus, Bartonella henselae, BK virus, Blastocysts hominis, Blastomyces dermatitidis, Bordetella pertussis, Borrelia burgdorferi, Borrelia genus, Borrelia spp, Brucella genus, Brugia malayi, Bunyaviridae family, Burkholderia cepacia and other Burkholderia species, Burkholderia mallei
  • relevant antigens may be derived from the pathogens selected from: Severe Acute Respiratory Syndrome (SARS), Severe Acute Respiratory Syndrome Coronavirus and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-1 and SARS- CoV-2), Influenza virus, respiratory syncytial virus (RSV), Herpes simplex virus (HSV), human Papilloma virus (HPV), Human immunodeficiency virus (HIV), Plasmodium, Staphylococcus aureus, Dengue virus, Chlamydia trachomatis, Cytomegalovirus (CMV), Hepatitis B virus (HBV), Mycobacterium tuberculosis, Rabies virus, and Yellow Fever Virus.
  • SARS Severe Acute Respiratory Syndrome
  • Coronavirus 2 Severe Acute Respiratory Syndrome Coronavirus 2
  • SARS-CoV-1 and SARS- CoV-2 Severe Acute Respiratory Syndrome Coronavirus 2
  • Influenza virus sy
  • the nucleic acid may have a coding region encoding at least one antigenic peptide or protein derived from hemagglutinin (HA), neuraminidase (NA), nucleoprotein (NP), matrix protein 1 (Ml), matrix protein 2 (M2), non- structural protein 1 (NS1), non-structural protein 2 (NS2), nuclear export protein (NEP), F053-6000PCT/ 24-064-WO-PCT polymerase acidic protein (PA), polymerase basic protein PB1, PB1-F2, or polymerase basic protein 2 (PB2) of an influenza virus or a fragment or variant thereof.
  • HA hemagglutinin
  • NA nucleoprotein
  • NP nucleoprotein
  • Ml matrix protein 1
  • M2 matrix protein 2
  • NEP nuclear export protein
  • PA nuclear export protein
  • PA polymerase acidic protein
  • PB1-F2 polymerase basic protein 2
  • PB2 polymerase basic protein 2
  • the coding region encodes at least one antigenic peptide or protein derived from hemagglutinin (HA) and/or neuraminidase (NA) of an influenza virus or a fragment or variant thereof.
  • the HA and/or NA may, independently, be derived from an influenza A virus or an influenza B virus or a fragment of either.
  • the nucleic acid may have a coding region encoding at least one antigenic peptide or protein derived from Spike (S) protein.
  • the nucleic acid can encode for an antigen associated with a cancer of a subject or identified from a cancer cell of a subject.
  • nucleic acid may encode for an antigen determined from a subject's own cancer cell to provide a personalized cancer vaccine.
  • nucleic acids can include mRNA.
  • a delivered nucleic acid encodes a genome editing agent, a cytosolic protein (e.g., a transcription factor or suicide gene, such as herpes simplex virus thymidine kinase, cytosine deaminase, diphtheria toxin, cytochrome P450, deoxycytidine kinase, or tumor necrosis factor), a transmembrane protein (e.g., a TCR, CAR, cytokine receptor, costimulatory ligand, death receptor such as TNF-related apoptosis-inducing ligand (TRAIL- R1/DR4, TRAIL-R2/DR5), or a “don’t eat me” signal), or a secreted protein (e.
  • a cytosolic protein e.g.,
  • Multispecific binding molecules wherein one binding domain activates an immune cell include those which bind both an immune cell (e.g., T-cell or NK-cells) activating epitope and a targeted antigen, with the goal of bringing immune cells to the targeted antigen-expressing cells to destroy them. See, for example, US 2008/0145362.
  • multi-domain immune cell engaging molecules include those which bind both an immune cell (e.g., T-cell or NK-cells) activating epitope and ROR1, with the goal of bringing immune cells to ROR1-expressing cells to destroy them. See, for example, US 2008/0145362.
  • Such molecules can be referred to herein as immune-activating multi-specifics or I-AMS.
  • I-AMS BiTEs® (Amgen, Thousand Oaks, CA) or bispecific T cell engagers are a form of I-AMS.
  • Immune cells that can be targeted for localized activation by I-AMS within the current disclosure include, for example, B-cells, T-cells, natural killer (NK) cells, and macrophages which are discussed in more detail herein.
  • NK natural killer
  • F053-6000PCT/ 24-064-WO-PCT [0111] I-AMS can target any T-cell activating epitope that upon binding induces T-cell activation.
  • T-cell activating epitopes are on T-cell markers including CD2, CD3, CD7, CD27, CD28, CD30, CD40, CD83, 4-1BB (CD137), OX40, lymphocyte function-associated antigen-1 (LFA-1), LIGHT, NKG2C, and B7-H3.
  • the CD3 binding domain e.g., scFv
  • the OKT3 antibody the same as the one utilized in blinatumomab
  • otelixizumab the same as the one utilized in blinatumomab
  • teplizumab teplizumab
  • visilizumab 20G6-F3, 4B4-D7, 4E7-C9, 18F5-H10, or TR66.
  • the OKT3 binding domain includes a variable light chain of QIVLTQSPAIMSASPGEKVTMTCSASSSVSYMNWYQQKSGTSPKRWIYDTSKLASGVPAHFR GSGSGTSYSLTISGMEAEDAATYYCQQWSSNPFTFGSGTKLEINR (SEQ ID NO: 84) and a variable heavy chain of QVQLQQSGAELARPGASVKMSCKASGYTFTRYTMHWVKQRPGQGLEWIGYINPSRGYTNYN QKFKDKATLTTDKSSSTAYMQLSSLTSEDSAVYYCARYYDDHYCLDYWGQGTTLTVSSAKTTA PSVYPLAPVCGDTTGSSVTLGCLVKGYFPEPVTLTWNSGSLSSGVHTFPAVLQSDLYTLSSSV TVTSS (SEQ ID NO: 85).
  • the binding domain includes a variable light chain including a CDRL1 sequence including SASSSVSYMN (SEQ ID NO: 86), a CDRL2 sequence including DTSKLAS (SEQ ID NO: 87), a CDRL3 sequence including QQWSSNPFTF (SEQ ID NO: 88), a CDRH1 sequence including RYTMH (SEQ ID NO: 89), a CDRH2 sequence including YINPSRGYTNYNQKFKD (SEQ ID NO: 90), and a CDRH3 sequence including YYDDHYCL (SEQ ID NO: 91).
  • the binding domain is human or humanized. For more information regarding binding domains that bind CD3, see U.S. Pat.
  • a binding domain is “derived from” a reference antibody when the binding domain includes the CDRs of the reference antibody, according to a known numbering scheme (e.g., Kabat, Chothia, Martin, or others).
  • CD28 binds to B7-1 (CD80) and B7-2 (CD86) and is the most potent of the known co- stimulatory molecules (June et al., Immunol. Today 15:321, 1994; Linsley et al., Ann. Rev. Immunol. 11:191, 1993).
  • the CD28 binding domain is derived from TGN1412, CD80, CD86 or the 9D7 antibody. Additional antibodies that bind CD28 include 9.3, KOLT-2, 15E8, 248.23.2, and EX5.3D10. [0117] In particular embodiments, the binding domain that binds CD28 is derived from TGN-1412 and/or theralizumab.
  • the binding domain includes a variable light chain including a CDRL1 sequence including HASQNIYVWLN (SEQ ID NO: 94), a CDRL2 sequence including KASNLHT (SEQ ID NO: 95), a CDRL3 sequence including QQGQTYPYT (SEQ ID NO: 96), a CDRH1 sequence including SYYIH (SEQ ID NO: 97), a CDRH2 sequence including CIYPGNVNTNYNEKFKD (SEQ ID NO: 98), and a CDRH3 sequence including SHYGLDWNFDV (SEQ ID NO: 99).
  • the binding domain is human or humanized. For more information regarding binding domains that bind CD28, see U.S. Pat. No.
  • the 4-1BB binding domain includes a variable light chain including a CDRL1 sequence including RASQSVS (SEQ ID NO: 100), a CDRL2 sequence including ASNRAT (SEQ ID NO: 102), and a CDRL3 sequence including QRSNWPPALT (SEQ ID NO: 103) and a variable heavy chain including a CDRH1 sequence including YYWS (SEQ ID NO: 104), a CDRH2 sequence including INH, and a CDRH3 sequence including YGPGNYDWYFDL (SEQ ID NO: 105).
  • CD8 binding domain e.g., scFv
  • the CD8 binding domain is derived from the OKT8 antibody.
  • natural killer cells also known as NK-cells, K-cells, and killer cells
  • NK cells can induce apoptosis or cell lysis by releasing granules that disrupt cellular membranes and can secrete cytokines to recruit other immune cells.
  • Examples of commercially available antibodies that bind to an NK cell receptor and induce and/or enhance activation of NK cells include: 5C6 and 1D11, which bind and activate NKG2D (available from BioLegend® San Diego, CA); mAb 33, which binds and activates KIR2DL4 (available from BioLegend®); P44-8, which binds and activates NKp44 (available from BioLegend®); SK1, which binds and activates CD8; and 3G8 which binds and activates CD16.
  • Binding domains of I-AMS and other engineered formats described herein may be joined through a linker.
  • a linker is an amino acid sequence which can provide flexibility and room for F053-6000PCT/ 24-064-WO-PCT conformational movement between the binding domains of a I-AM. Any appropriate linker may be used.
  • a delivered nucleic acid results in expression of genes that make tumors more susceptible to chemotherapy or radiation therapy, chemoattractants, cytokines, or immune costimulatory genes.
  • Chemoattractants are chemicals or proteins released by various cells in the body that signal other cells to migrate to the location of the chemoattractants. Many cancer cells have commonly overexpressed receptors for certain chemoattractants, which help them migrate to new parts of a subject's body.
  • one or more chemoattractants are cancer cell chemoattractants.
  • Common growth factors i.e., chemoattractants
  • EGF EGF
  • VEGF vascular endothelial growth factor
  • ILGF-1 ILGF-1
  • HGF vascular endothelial growth factor-1
  • CXCR4 EpCAM
  • directing migration of fibroblasts away from the tumor mass is possible.
  • EGF, VEGF, ILGF-1, and/or HGF may be utilized as chemoattractants for breast cancer cells; VEGF, ILGF-1 , and/or CXCL-12 may be utilized as chemoattractants for pancreatic cancer cells; VEGF may be utilized as a chemoattractant for brain cancer cells; EGF, VEGF, and/or HGF may be utilized as chemoattractants for lung cancer cells; and ILGF-1 may be utilized as a chemoattractant for melanoma cells.
  • CCL-21, CCL-19, SDF-1, VEGF, and IL-4 are also examples of chemoattractants.
  • a delivered nucleic acid results in expression of a bacterial toxin, such as Pseudomonas exotoxin A.
  • Bacterial toxins derived from Neisseria meningitidis, Escherichia coli (E.coli), Pseudomonas, Proteus, Enterobacter, or Klebsiella can also be used.
  • a delivered nucleic acid results in overexpression of IRF5 in tumor-associated macrophages, P53 tumor suppression gene therapy, delivery of an oncolytic virus, genome editing (e.g.
  • a delivered nucleic acid introduces or alters a gene to treat an immune-mediated condition, an inherited genetic defect, a blood disorder, a lysosomal storage disorder, a hyperproliferative disease, or an infectious disease.
  • the introduced or altered gene can be selected from ABCD1, ABCA3, ABLI, ADA, AKT1, APC, APP, ARSA, ARSB, BCL11A, BLC1, BLC6, BRCA1, BRCA2, BRIP1, C9ORF72, C46 CAS9, C-CAM, CBFAI, CBL, CCR5, CD4, CD19, CD40, CDA, CFTR, CLN3, C-MYC, CRE, CSCR4, CSFIR, CTLA, CTS-I, CYB5R3, DCC, DHFR, DKC1, DLL1, DMD, EGFR, ERBA, ERBB, EBRB2, ETSI, ETS2, ETV6, F8, F9, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, FasL, FCC, FGR, FOX, FUS, FUSI, FYN, GALNS, GATA1, GLB1, GNS
  • a delivered nucleic acid treats an inflammatory bowel disease such ulcerative colitis, with IL-10 gene therapy or by delivering siRNA targeting GATA4.
  • a delivered nucleic acid encodes IL-10 to treat rheumatoid arthritis.
  • LNP Lipid Nanoparticles.
  • Exemplary LNP include liposomes (microscopic vesicles including at least one concentric lipid bilayer surrounding an aqueous core), liposomal nanoparticles (a liposome structure used to encapsulate another smaller nanoparticle within its core); and lipid-like nanoparticles (liposome- like structures that lack the continuous lipid bilayer characteristic of liposomes).
  • An LNP may include any lipid capable of forming a particle to which the one or more nucleic acid molecules can be attached or encapsulated.
  • lipid refers to a group of organic compounds that are derivatives of fatty acids (e.g., esters) and are generally characterized by being insoluble in water but soluble in many organic solvents.
  • Lipids are usually divided in at least three classes: (1) “simple lipids” which include fats and oils as well as waxes; (2) “compound lipids” which include phospholipids and glycolipids; and (3) “derived lipids” such as steroids. F053-6000PCT/ 24-064-WO-PCT [0133]
  • the LNP includes one or more cationic lipids.
  • the cationic lipid can be cationisable, i.e., it becomes protonated as the pH is lowered below the pKa of the ionizable group of the lipid but is progressively more neutral at higher pH values. When positively charged, the lipid is then able to associate with negatively charged nucleic acids.
  • the cationic lipid includes a zwitterionic lipid that assumes a positive charge on pH decrease.
  • the LNP may include any lipid capable of forming a particle to which the one or more nucleic acid molecules are attached, or in which the one or more nucleic acid molecules are encapsulated.
  • the LNP may include any further cationic or cationisable lipid, i.e., any of a number of lipid species which carry a net positive charge at a selective pH, such as physiological pH.
  • Such lipids include N,N-dioleyl-N,N-dimethylammonium chloride (DODAC); N- (2,3-dioleyloxy)propyl)-N,N,N-trimethylammonium chloride (DOTMA); N,N-distearyl-N,N- dimethylammonium bromide (DDAB); N-(2,3dioleoyloxy)propyl)-N,N,N-trimethylammonium chloride (DOTAP); 3-(N—(N′,N′dimethylaminoethane)-carbamoyl)cholesterol (DC-Chol), N-(1- (2,3-dioleoyloxy)propyl)N-2-(sperminecarboxamido)ethyl)-N,N-dimethylammonium trifluoracetate (DOSPA), dioctadecylamidoglycyl carboxyspermine (DOGS), 1,2-dioleo
  • cationic lipids are available which can be used in the present invention. These include, for example, LIPOFECTIN® (commercially available cationic liposomes including DOTMA and 1,2-dioleoyl-sn-3phosphoethanolamine (DOPE), from GIBCO/BRL, Grand Island, N.Y.); LIPOFECTAMINE® (commercially available cationic liposomes including N-(1-(2,3dioleyloxy)propyl)-N-(2-(sperminecarboxamido)ethyl)-N,N- dimethylammonium trifluoroacetate (DOSPA) and (DOPE), from GIBCO/BRL); and TRANSFECTAM® (commercially available cationic lipids including dioctadecylamidoglycyl carboxyspermine (DOGS) in ethanol from Promega Corp., Madison, Wis.).
  • LIPOFECTIN® commercially available cationic liposomes including DOTMA and 1,2-
  • Representative amino lipids include 1,2- dilinoleyoxy-3-(dimethylamino)acetoxypropane (DLin-DAC), 1,2-dilinoleyoxy- 3morpholinopropane (DLin-MA), 1,2-dilinoleoyl-3-dimethylaminopropane (DLinDAP), 1,2- dilinoleylthio-3-dimethylaminopropane (DLin-S-DMA), 1-linoleoyl-2-linoleyloxy- F053-6000PCT/ 24-064-WO-PCT 3dimethylaminopropane (DLin-2-DMAP), 1,2-dilinoleyloxy-3-trimethylaminopropane chloride salt (DLin-TMA.Cl), 1,2-dilinoleoyl-3-trimethylaminopropane chloride salt (DLin-TAP.Cl), 1,2- dilinoleyloxy-3-(N-methylpiperazino)prop
  • Particular embodiments utilize an amino lipid selected from 2-(Di((9Z,12Z)-octadeca-9,12-dien-1-yl)amino)ethan-1-ol Dinonyl 8,8'-((2-hydroxyethyl)azanediyl)dioctanoate
  • Nonyl 8-((2-hydroxyethyl)((9Z,12Z)-octadeca-9,12-dien-1-yl)amino)octanoate F053-6000PCT/ 24-064-WO-PCT
  • the cationic lipid has a Formula (I), (II) or (III): F053-6000PCT/ 24-064-WO-PCT or stereoisomer thereof, wherein R 1a , R 1b , R 2a , R 2b , R 3a , R 3b , R 4a , R 4b , R 5 , R 6 , R 7 , R 8 , R 9 , L 1 , L 2 , a, b, c, d and e are as defined herein; or a prodrug or stereoisomer thereof, wherein R 1a , R 1b , R 2a , R 2b , R 3a , R 3b , R 4a , R 4b , R 5 , R 6 , R 7 , R 8 , R 9 , L 1 , L 2 , G 1 , G 2 , G3, a, b, c and d are as defined F053-6000PC
  • the LNP includes one or more cationic lipids and one or more stabilizing lipids.
  • Stabilizing lipids include neutral lipids and pegylated lipids.
  • LNP include a cationic lipid and one or more excipient selected from neutral lipids, charged lipids, steroids and polymer conjugated lipids.
  • LNP include a phospholipid.
  • the phospholipid includes 1,2-dilinoleoyl-sn-glycero-3-phosphocholine (DLPC), 1,2-dimyristoyl-sn- glycero-phosphocholine (DMPC), 1,2-dioleoyl-sn-glycero-3-phosphocholine (DOPC), 1,2- dipalmitoyl-sn-glycero-3-phosphocholine (DPPC), 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC), 1,2-diundecanoyl-sn-glycero-phosphocholine (DUPC), 1-palmitoyl-2-oleoyl-sn-glycero- 3-phosphocholine (POPC), 1,2-di-O-octadecenyl-sn-glycero-3-phosphocholine (18:0 Diether PC), 1-oleoyl-2-cholesterylhemisuccinoyl-sn-glycero-3-phospho
  • the phospholipid includes 1-myristoyl-2-palmitoyl-sn-glycero-3- phosphocholine (14:0-16:0 PC, MPPC), 1-myristoyl-2-stearoyl-sn-glycero-3-phosphocholine (14:0-18:0 PC, MSPC), 1-palmitoyl-2-acetyl-sn-glycero-3-phosphocholine (16:0-02:0 PC), 1- palmitoyl-2-myristoyl-sn-glycero-3-phosphocholine (16:0-14:0 PC, PMPC), 1-palmitoyl-2- stearoyl-sn-glycero-3-phosphocholine (16:0-18:0 PC, PSPC), 1-palmitoyl-2-oleoyl-sn-glycero-3- phosphocholine (16:0-18:1 PC, POPC), 1-palmitoyl-2-linoleoyl-sn-glycero-3- phosphocholine (16:
  • the LNP include a structural lipid.
  • the structural lipid is cholesterol, fecosterol, sitosterol, ergosterol, campesterol, stigmasterol, brassicasterol, tomatidine, ursolic acid, alpha-tocopherol, or mixtures thereof.
  • the LNP include a PEG lipid.
  • the PEG lipid is a PEG-modified phosphatidylethanolamine, a PEG-modified phosphatidic acid, a PEG- modified ceramide, a PEG-modified dialkylamine, a PEG-modified diacylglycerol, a PEG-modified dialkylglycerol, or mixtures thereof.
  • the LNP include an ionizable lipid selected from 3- (didodecylamino)-N1,N1,4-tridodecyl-1-piperazineethanamine (KL10), N1-[2- (didodecylamino)ethyl]-N1,N4,N4-tridodecyl-1,4-piperazinediethanamine (KL22), 14,25- ditridecyl-15,18,21,24-tetraaza-octatriacontane (KL25), 1,2-dilinoleyloxy-N,N- dimethylaminopropane (DLin-DMA), 2,2-dilinoleyl-4-dimethylaminomethyl-[1,3]-dioxolane (DLin- K-DMA), heptatriaconta-6,9,28,31-tetraen-19-yl 4-(dimethyl amino)butanoate (DLin-MC)
  • the LNP include a quaternary amine compound.
  • the quaternary amine compound includes 1,2-dioleoyl-3-trimethylammonium- propane (DOTAP), N-[1-(2,3-dioleoyloxy)propyl]-N,N,N-trimethylammonium chloride (DOTMA), 1-[2-(oleoyloxy)ethyl]-2-oleyl-3-(2-hydroxyethyl)imidazolinium chloride (DOTIM), 2,3-dioleyloxy- F053-6000PCT/ 24-064-WO-PCT N-[2(sperminecarboxamido)ethyl]-N,N-dimethyl-1-propanaminium trifluoroacetate (DOSPA), N,N-distearyl-N,N-dimethylammonium bromide (DDAB), N-(1,2-dimyristyloxyprop-3-yl)-
  • DOSPA 1,2-diole
  • LNP include liposomes and lipids are selected to achieve a specified degree of fluidity or rigidity of the final complex.
  • liposomes provide a lipid composition that is an outer layer surrounding a particle.
  • PC phosphatidylcholine
  • PE phosphatidylethanolamine
  • PI phosphatidylinositol
  • SM sphingomyelin
  • DOPE dioleoylphosphatidylethanolamine
  • lipids capable of producing a stable liposome are phospholipids, such as hydrogenated soy phosphatidylcholine (HSPC), lecithin, phosphatidylethanolamine, lysolecithin, lysophosphatidylethanolamine, phosphatidylserine, phosphatidylinositol, sphingomyelin, cephalin, cardiolipin, phosphatidic acid, cerebro sides, distearoylphosphatidylethanolamine (DSPE), dioleoylphosphatidylcholine (DOPC), dipalmitoylphosphatidylcholine (DPPC), palmitoyloleoylphosphatidylcholine (POPC), palmitoyloleoylphosphatidylethanolamine (POPE) and dioleoylphosphatidylethanolamine 4-(N-maleimido-methyl)cyclohexane-1
  • HSPC hydrogenated soy phosphati
  • Additional non-phosphorous containing lipids that can become incorporated into liposomes include stearylamine, dodecylamine, hexadecylamine, isopropyl myristate, triethanolamine-lauryl sulfate, alkyl-aryl sulfate, acetyl palmitate, glycerol ricinoleate, hexadecyl stereate, amphoteric acrylic polymers, polyethyloxylated fatty acid amides, and the cationic lipids mentioned above (DDAB, DODAC, DMRIE, DMTAP, DOGS, DOTAP (DOTMA), DOSPA, DPTAP, DSTAP, DC-Chol).
  • DDAB DODAC
  • DMRIE DMTAP
  • DOGS DOGS
  • DOTAP DOTMA
  • DOSPA DPTAP
  • DSTAP DC-Chol
  • Negatively charged lipids include phosphatidic acid (PA), dipalmitoylphosphatidylglycerol (DPPG), dioleoylphosphatidylglycerol and (DOPG), F053-6000PCT/ 24-064-WO-PCT dicetylphosphate that are able to form vesicles.
  • lipids used to create liposomes disclosed herein include cholesterol, hydrogenated soy phosphatidylcholine (HSPC) and, the derivatized vesicle-forming lipid PEG-DSPE.
  • LNP are not restricted to any particular morphology, and should be interpreted as to include any morphology generated when a cationic lipid and optionally one or more further lipids are combined, e.g., in an aqueous environment and/or in the presence of a nucleic acid compound.
  • a liposome, a lipid complex, a lipoplex and the like are within the scope of an LNP.
  • the size of LNP can vary over a wide range and can be measured in different ways. For example, LNP can have a minimum dimension of 100 nm.
  • the LNP of the present disclosure can also have a minimum dimension of equal to or less than 500 nm, less than 150 nm, less than 100 nm, less than 90 nm, less than 80 nm, less than 70 nm, less than 60 nm, less than 50 nm, less than 40 nm, less than 30 nm, less than 20 nm, or less than 10 nm.
  • the LNP can have a minimum dimension ranging between 5 nm and 500 nm, between 10 nm and 100 nm, between 20 nm and 90 nm, between 30 nm and 80 nm, between 40 nm and 70 nm, and between 40 nm and 60 nm.
  • the dimension is the diameter of the LNP.
  • a population of LNP can have a mean minimum dimension of equal to or less than 500 nm, less than 100 nm, less than 90 nm, less than 80 nm, less than 70 nm, less than 60 nm, less than 50 nm, less than 40 nm, less than 30 nm, less than 20 nm, or less than 10 nm.
  • a population of LNP in a foam can have a mean diameter ranging between 5 nm and 500 nm, between 10 nm and 100 nm, between 20 nm and 90 nm, between 30 nm and 80 nm, between 40 nm and 70 nm, and between 40 nm and 60 nm.
  • the LNP have a mean diameter of from 30 nm to 150 nm, from 40 nm to 150 nm, from 50 nm to 150 nm, from 60 nm to 130 nm, from 70 nm to 110 nm, from 70 nm to 100 nm, from 80 nm to 100 nm, from 90 nm to 100 nm, from 70 to 90 nm, from 80 nm to 90 nm, from 70 nm to 80 nm, or 30 nm, 35 nm, 40 nm, 45 nm, 50 nm, 55 nm, 60 nm, 65 nm, 70 nm, 75 nm, 80 nm, 85 nm, 90 nm, 95 nm, 100 nm, 105 nm, 110 nm, 115 nm, 120 nm, 125 nm, 130 nm, 135 nm, 140 nm
  • the nucleic acid when present in the LNP, is resistant in aqueous solution to degradation with a nuclease.
  • Dimensions of the LNP can be determined using, e.g., conventional techniques, such F053-6000PCT/ 24-064-WO-PCT as dynamic light scattering and/or electron microscopy.
  • the mean diameter may be represented by the z-average as determined by dynamic light scattering.
  • the nucleic acid or a portion thereof is encapsulated in the lipid portion of the LNP or an aqueous space enveloped by some or all of the lipid portion of the LNP, thereby protecting it from enzymatic degradation or other undesirable effects induced by the mechanisms of the host organism or cells e.g., an adverse immune response.
  • the nucleic acid or a portion thereof is associated with the LNP.
  • a "vector" is a nucleic acid molecule that is capable of transporting another nucleic acid.
  • Vectors may be, e.g., viruses, phage, a DNA vector, an RNA vector, a viral vector, a bacterial vector, a plasmid vector, a cosmid vector, and an artificial chromosome vector.
  • An "expression vector” is any type of vector that is capable of directing the expression of a protein encoded by one or more genes carried by the vector when it is present in the appropriate environment.
  • Viral vectors are usually non-replicating or replication-impaired vectors, which means that the viral vector cannot replicate to any significant extent in normal cells (e.g., normal human cells), as measured by conventional means (e.g., via measuring DNA synthesis and/or viral titer).
  • Non- replicating or replication-impaired vectors may have become so naturally (i.e., they have been isolated as such from nature) or artificially (e.g., by breeding in vitro or by genetic manipulation). There will generally be at least one cell-type in which the replication-impaired viral vector can be grown--for example, modified vaccinia Ankara (MVA) can be grown in CEF cells. Typically, viral vectors are incapable of causing a significant infection in a subject, typically in a mammalian subject.
  • Retroviral vectors see Miller, et al., 1993, Meth. Enzymol.217:581-599) can be used.
  • a retroviral vector includes all of the cis-acting sequences necessary for the packaging and integration of the viral genome, i.e., (a) a long terminal repeat (LTR), or portions thereof, at each end of the vector; (b) primer binding sites for negative and positive strand DNA synthesis; and (c) a packaging signal, necessary for the incorporation of genomic RNA into virions. More detail about retroviral vectors can be found in Boesen, et al., 1994, Biotherapy 6:291-302; Clowes, et al., 1994, J. Clin.
  • LTR long terminal repeat
  • Adenoviruses can also be used.
  • AAV adeno-associated viruses
  • alphaviruses can also be used.
  • Gammaretroviruses refers to a genus of the retroviridae family. Exemplary gammaretroviruses include mouse stem cell virus, murine leukemia virus, feline leukemia virus, feline sarcoma virus, and avian reticuloendotheliosis viruses.
  • Widely used retroviral vectors include those based upon murine leukemia virus (MuLV), gibbon ape leukemia virus (GaLV), simian immunodeficiency virus (SIV), human immunodeficiency virus (HIV), and combinations thereof (see, e.g., Buchscher et al., J. Virol. 66:2731-2739, 1992; Johann et al., J. Virol.66:1635-1640, 1992; Sommerfelt et al., Virol.176:58- 59, 1990; Wilson et al., J. Virol.63:2374-2378, 1989; Miller et al., J.
  • MiLV murine leukemia virus
  • GaLV gibbon ape leukemia virus
  • SIV simian immunodeficiency virus
  • HAV human immunodeficiency virus
  • lentiviral vectors refers to a genus of retroviruses that are capable of infecting dividing and non-dividing cells and typically produce high viral titers. Lentiviral vectors have been employed in gene therapy for a number of diseases. For example, hematopoietic gene therapies using lentiviral vectors or gamma retroviral vectors have been used for x-linked adrenoleukodystrophy and beta thalassaemia. See, e.g., Kohn et al., Clin. Immunol.
  • HIV human immunodeficiency virus: including HIV type 1, and HIV type 2
  • equine infectious anemia virus feline immunodeficiency virus (FIV); bovine immune deficiency virus (BIV); and simian immunodeficiency virus (SIV).
  • retroviral vectors can be used in the practice of the methods of the disclosure.
  • FVes Foamy viruses
  • FVes are the largest retroviruses known today and are widespread among different mammals, including all non-human primate species, however are absent in humans. This complete apathogenicity qualifies FV vectors as ideal nucleic acid transfer vehicles for genetic therapies in humans and clearly distinguishes FV vectors as gene delivery system from HIV -derived and also gammaretrovirus-derived vectors.
  • FV vectors are suitable for gene therapy applications because they can (1) accommodate large transgenes (> 9kb), (2) transduce slowly dividing cells efficiently, and (3) integrate as a provirus into the genome of target cells, thus enabling stable long-term expression of the transgene(s).
  • FV vectors do need cell division for the pre-integration complex to enter the nucleus, however the complex is stable for at least 30 days and still infective.
  • the intracellular half-life of the FV pre-integration complex is comparable to the one of lentiviruses and significantly higher than for gammaretroviruses, therefore FV are also, similar to LV vectors, able to transduce rarely dividing cells.
  • FV vectors are natural self-inactivating vectors and characterized by the fact that they seem to have hardly any potential to activate neighboring genes. In addition, FV vectors can enter any cells known (although the receptor is not identified yet) and infectious vector particles can be concentrated 100-fold without loss of infectivity due to a stable envelope protein. FV vectors achieve high transduction efficiency in pluripotent hematopoietic stem cells and have been used in animal models to correct monogenetic diseases such as leukocyte adhesion deficiency (LAD) in dogs and Fanconi anemia in mice. FV vectors are also used in preclinical studies of ⁇ -thalassemia.
  • LAD leukocyte adhesion deficiency
  • viral vectors include those derived from adenoviruses (e.g., adenovirus 5 (Ad5), adenovirus 35 (Ad35), adenovirus 11 (Ad11), adenovirus 26 (Ad26), adenovirus 48 (Ad48) or adenovirus 50 (Ad50)), adeno-associated virus (AAV; see, e.g., U.S. Pat. No.5,604,090; Kay et al., Nat.
  • adenoviruses e.g., adenovirus 5 (Ad5), adenovirus 35 (Ad35), adenovirus 11 (Ad11), adenovirus 26 (Ad26), adenovirus 48 (Ad48) or adenovirus 50 (Ad50)
  • Ad5 adeno-associated virus
  • Ad50 adeno-associated virus
  • alphaviruses cytomegaloviruses (CMV), flaviviruses, herpes viruses (e.g., herpes simplex), influenza viruses, papilloma viruses (e.g., human and bovine papilloma virus; see, e.g., U.S. Pat. No. 5,719,054), poxviruses, vaccinia viruses, etc.
  • CMV cytomegaloviruses
  • flaviviruses e.g., herpes simplex
  • influenza viruses e.g., papilloma viruses (e.g., human and bovine papilloma virus; see, e.g., U.S. Pat. No. 5,719,054)
  • poxviruses vaccinia viruses, etc.
  • avipox vectors such as a fowlpox vectors (e.g., FP9) or canarypox vectors (e.g., ALVAC and strains derived therefrom).
  • avipox vectors such as a fowlpox vectors (e.g., FP9) or canarypox vectors (e.g., ALVAC and strains derived therefrom).
  • Oncolytic viruses are replication- competent viruses that infect and preferentially lyse tumor cells while leaving non-neoplastic cells intact. OVs can be selected from native viral species on the basis of their innate ability to induce immunogenic cell death (ICD) in cancer cells, although they can also be genetically engineered to enhance tumor selectivity, promote replication competence, limit pathogenicity and increase immunogenicity.
  • ICD immunogenic cell death
  • Engineered OV can be manipulated by the deletion or modification of viral genes F053-6000PCT/ 24-064-WO-PCT or, in viruses with larger genomes, eukaryotic transgenes can be included as an additional ‘payload’ usually for the purpose of increasing the extent of tumor cell death or promoting antitumor immunity.
  • Both DNA and RNA viruses capable of oncolytic activity in mammalian cells are available (Shalhout, S.Z., et al., Nat Rev Clin Oncol 20, 160–177, 2023).
  • Particular OV can include an adenovirus, reovirus, measles, herpes simplex, Newcastle disease virus, senecavirus, or vaccinia virus.
  • OV can be derived from clinical isolates.
  • the OV is a herpes simplex virus.
  • Such strains can be isolated from infected individuals, such as those with recurrent cold sores. Clinical isolates may be screened for a desired ability or characteristic such as enhanced replication in tumor and/or other cells in vitro and/or in vivo in comparison to standard laboratory strains, as described in U.S. Pat. Nos.7,063,835 and 7,223,593.
  • the herpes simplex virus is a clinical isolate from a recurrent cold sore.
  • Particular embodiments utilize Herpes simplex virus 1 (HSV-1).
  • Appropriate HSV-1 strains include strain JS1, strain 17+, strain F, strain KOS, and strain Patton.
  • the HSV-1 may be modified such that it lacks functional ICP34.5 genes and/or lacks a functional ICP47 gene.
  • ICP34.5 acts as a virulence factor during HSV infection, limits replication in non-dividing cells and renders the virus non-pathogenic.
  • ICP47 down-regulates major histocompatibility complex (MHC) class I expression on the surface of infected host cells and MHC Class I binding to transporter associated with antigen presentation (TAP).
  • MHC major histocompatibility complex
  • TAP antigen presentation
  • HSV gene that can be modified is ICP6, the large subunit of ribonucleotide reductase, involved in nucleotide metabolism and viral DNA synthesis in non-dividing cells but not in dividing cells.
  • Thymidine kinase responsible for phosphorylating acyclovir to acyclovir- monophosphate
  • virion trans-activator protein vmw65 glycoprotein H, vhs, ICP43
  • immediate early genes encoding ICP4, ICP27, ICP22 and/or ICP0 may also be modified.
  • Herpes virus strains and how to make such strains are also described in U.S. Pat. Nos.
  • the OV is talimogene laherparepvec (IMLYGIC®), derived from a clinical strain (HSV-1 strain JS1) deposited at the European collection of cell cultures (ECAAC) under accession number 01010209.
  • HSV-1 strain JS1 a clinical strain deposited at the European collection of cell cultures
  • ECAAC European collection of cell cultures
  • the HSV-1 viral genes F053-6000PCT/ 24-064-WO-PCT encoding ICP34.5 and ICP47 have been functionally deleted. Functional deletion of ICP47 leads to earlier expression of US11, a gene that promotes virus growth in tumor cells without decreasing tumor selectivity.
  • the OV is a herpes simplex 2 virus (HSV-2).
  • HSV-2 herpes simplex 2 virus
  • Additional embodiments can include inter-type recombinants containing DNA from HSV-1 and HSV-2 strains. Such inter-type recombinants are described in, for example Thompson et al., (1998) Virus Genes 1(3); 275286, and Meignier et al., (1998) J. Infect. Dis.159; 602614.
  • OV based on HSV-1 or HSV-2 include: G207, an oncolytic HSV-1 derived from wild-type HSV-1 strain F having deletions in both copies of the major determinant of HSV neurovirulence, the ICP 34.5 gene, and an inactivating insertion of the E. coli lacZ gene in UL39, which encodes the infected-cell protein 6 (ICP6), see Mineta et al.
  • NV1020 a herpes simplex virus with the joint region of the long (L) and short (S) regions is deleted, including one copy of ICP34.5, UL24, and UL56.34,35.
  • the deleted region was replaced with a fragment of HSV-2 US DNA (US2, US3 (PK), gJ, and gG), see Todo, et al.
  • ImmunoVEX HSV2 is a herpes simplex virus (HSV-2) having functional deletions of the genes encoding vhs, ICP47, ICP34.5, UL43 and US5; and
  • OncoVEXGALV/CD is also derived from HSV-1 strain JS1 with the genes encoding ICP34.5 and ICP47 having been functionally deleted and the gene encoding cytosine deaminase and gibbon ape leukemia fusogenic glycoprotein inserted into the viral genome in place of the ICP34.5 genes.
  • the OV may be selected from Oncorine (H101) a genetically modified (E1B-deletion) adenovirus, Rigvir (Riga virus) an oncolytic Enteric Cytopathogenic Human Orphan type 7 echovirus (ECHO-7), Teserpaturev a third generation (triple-mutated) recombinant oncolytic herpes simplex virus type 1, and talimogene laherparepvec (T-VEC, IMLYGIC®).
  • Oncorine H101
  • Rigvir Rigvir
  • ECHO-7 oncolytic Enteric Cytopathogenic Human Orphan type 7 echovirus
  • Teserpaturev a third generation (triple-mutated) recombinant oncolytic herpes simplex virus type 1
  • T-VEC IMLYGIC®
  • OV include RP1 (HSV-1/ICP34.5 ⁇ /ICP47 ⁇ /GM-CSF/GALV-GP R( ⁇ ); RP2 (HSV-1/ICP34.5 ⁇ /ICP47 ⁇ /GM-CSF/GALV-GP R( ⁇ )/anti-CTLA-4 binder; and RP3 (HSV- 1/ICP34.5 ⁇ /ICP47 ⁇ /GM-CSF/GALV-GP R( ⁇ )/anti-CTLA-4 binder/co-stimulatory ligands (e.g., CD40L, 4-1BBL, GITRL, OX40L, ICOSL)).
  • RP1 HV-1/ICP34.5 ⁇ /ICP47 ⁇ /GM-CSF/GALV-GP R( ⁇ )
  • RP2 HV-1/ICP34.5 ⁇ /ICP47 ⁇ /GM-CSF/GALV-GP R( ⁇ )/anti-CTLA-4 binder
  • RP3 HSV- 1/ICP34.5 ⁇ /ICP47 ⁇ /GM-
  • GALV gigape leukemia virus
  • GALV-GP R( ⁇ ) a specific deletion of the R-peptide
  • Such oncolytic viruses are described in WO2017118864, WO2017118865, WO2017118866, WO2017118867, and WO2018127713A1.
  • OV include NSC-733972, HF-10, BV-2711, JX-594, Myb34.5, AE- 618, BrainwelTM, and HeapwelTM, Cavatak® (coxsackievirus, CVA21), HF-10, Seprehvir®, Reolysin®, enadenotucirev, ONCR-177, and those described in U.S. Pat. No. 10,105,404, WO2018006005, WO2018026872A1, and WO2017181420.
  • Vectors, including OV may be modified to include one or more heterologous genes in addition to a nucleic acid as otherwise described herein.
  • Heterologous genes refer to a gene to be introduced to the genome of a virus, wherein that gene is not normally found in the virus' genome or is a homolog of a gene expressed in the virus from a different species which has a different nucleic acid sequence and acts via a different biochemical mechanism.
  • the heterologous genes may encode one or more proteins, for example, a cytotoxin, an immunomodulatory protein (i.e., a protein that either enhances or suppresses a host immune response to an antigen), a tumor antigen, prodrug activator, a tumor suppressor, a prodrug converting enzyme, proteins capable of causing cell to cell fusion, a TAP inhibitor antisense RNA molecule, or a ribozyme.
  • immunomodulatory proteins include, for example, cytokines.
  • Cytokines include an interleukins, such as IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, IL-12, IL-13, IL- 14, IL-15, IL-16, IL-17, IL-18, IL-20; ⁇ , ⁇ or ⁇ -interferons, tumor necrosis factor alpha (TNF ⁇ ), CD40L, granulocyte macrophage colony stimulating factor (GM-CSF), macrophage colony stimulating factor (M-CSF), and granulocyte colony stimulating factor (G-CSF), chemokines (such as neutrophil activating protein (NAP), macrophage chemoattractant and activating factor (MCAF), RANTES, and macrophage inflammatory peptides MIP-1a and MIP-1b), complement components and their receptors, immune system accessory molecules (e.g.,
  • Tumor antigens include the E6 and E7 antigens of human papillomavirus, EBV-derived proteins, mucins, such as MUC1, melanoma tyrosinase, and MZ2-E.
  • Pro-drug activators include nitroeductase and cytochrome p450, tumour suppressors include p53.
  • a prodrug converting enzymes include cytosine deaminase.
  • Proteins capable of causing cell to cell fusion include gibbon ape leukaemia fusogenic glycoprotein.
  • TAP inhibitors include the bovine herpesvirus (BHV) UL49.5 polypeptide.
  • RNA molecules that can be used to block expression of a cellular or pathogen mRNA.
  • RNA molecules that can be a ribozyme e.g., a hammerhead or a hairpin-based ribozyme
  • Other methods of gene delivery include use of artificial chromosome vectors such as mammalian artificial chromosomes (Vos, 1998, Curr. Op. Genet. Dev. 8:351-359) and yeast artificial chromosomes (YAC).
  • YAC are typically used when the inserted nucleic acids are too large for more conventional vectors (e.g., greater than 12 kb).
  • viral vectors suitable within the current disclosure, including those identified for human gene therapy applications (see Pfeifer and Verma, 2001, Ann. Rev. Genomics Hum. Genet. 2:177). Methods of using retroviral and lentiviral viral vectors and packaging cells for transducing mammalian host cells with viral particles including CAR transgenes are described in, e.g., US 8,119,772; Walchli, et al., 2011, PLoS One 6:327930; Zhao, et al., 2005, J.
  • Retroviral and lentiviral vector constructs and expression systems are also commercially available.
  • Particular embodiments utilize DNA constructs (e.g., chimeric genes, expression cassettes, expression vectors, recombination vectors, etc.) including a nucleic acid sequence encoding the protein or proteins of interest operatively linked to appropriate regulatory sequences.
  • DNA constructs are not naturally occurring DNA molecules and are useful for introducing DNA into host-cells to express selected proteins of interest.
  • the term “gene” refers to a nucleic acid sequence that encodes and results in expression of a molecule (e.g., a therapeutic molecule). This definition includes various sequence polymorphisms, mutations, and/or sequence variants wherein such alterations do not substantially affect the function of the encoded genetic construct.
  • the term “gene” may include not only coding sequences but also regulatory regions such as promoters, enhancers, and termination regions. Gene sequences encoding the molecule can be DNA or RNA.
  • nucleic acid sequences may be a DNA strand sequence that is transcribed into RNA or an RNA sequence that is translated into protein.
  • the nucleic acid sequences include both the full-length nucleic acid sequences as well as non-full-length sequences derived from the full-length protein.
  • the sequences can also include degenerate codons of the native sequence or sequences that may be introduced to provide codon preference in a specific cell type. Portions of complete gene sequences are referenced throughout the disclosure as is understood by one of ordinary skill in the art.
  • Encoding refers to the property of specific sequences of nucleotides in a gene, such as a cDNA, or an mRNA, to serve as templates for synthesis of other macromolecules such as a defined sequence of amino acids.
  • a gene codes for a protein if transcription and translation of mRNA corresponding to that gene produces the protein in a cell or other biological system.
  • a "gene sequence encoding a protein” includes all nucleotide sequences that are degenerate versions of each other and that code for the same amino acid sequence or amino acid sequences of substantially similar form and function.
  • Gene sequences encoding therapeutic molecules are provided herein and can also be readily prepared by synthetic or recombinant methods from the relevant amino acid sequences and other description provided herein.
  • the gene sequence encoding any of these sequences can also have one or more restriction enzyme sites at the 5' and/or 3' ends of the coding sequence in order to provide for easy excision and replacement of the gene sequence encoding the sequence with another gene sequence encoding a different sequence.
  • the gene sequence encoding the sequences can be codon optimized for expression in mammalian cells.
  • Nucleic acid sequences encoding a molecule can be operably linked to relevant regulatory sequences.
  • a functional linkage between a regulatory sequence and an exogenous nucleic acid sequence resulting in expression of the latter can be a functional linkage between a regulatory sequence and an exogenous nucleic acid sequence resulting in expression of the latter.
  • a first nucleic acid sequence can be operably linked with a second nucleic acid sequence when the first nucleic acid sequence is placed in a functional relationship with the second nucleic acid sequence.
  • a promoter is operably linked to a coding sequence if the promoter affects the transcription or expression of the coding sequence.
  • operably linked DNA sequences are contiguous and, where necessary or helpful, can join multiple coding regions, into the same reading frame.
  • Operatively linked refers to the linking of DNA sequences (including the order of the sequences, the orientation of the sequences, and the relative spacing of the various sequences) in such a manner that the encoded protein is expressed.
  • Methods of operatively linking expression control sequences to coding sequences are well known in the art. See, e.g., Maniatis et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor, N. Y., 1982; and Green and Sambrook, Molecular Cloning: A Laboratory Manual, 4 th Edition, 2012.
  • Expression control or regulatory sequences are DNA sequences involved in any way in the control of transcription or translation. Suitable expression control sequences and methods of making and using them are well known in the art.
  • Expression control sequences generally include a promoter.
  • the promoter may be inducible or constitutive. It may be naturally occurring, may be F053-6000PCT/ 24-064-WO-PCT composed of portions of various naturally occurring promoters, or may be partially or totally synthetic. Guidance for the design of promoters is provided by studies of promoter structure, such as that of Harley and Reynolds, Nucleic Acids Res., 15, 2343-2361, 1987. Also, the location of the promoter relative to the transcription start may be optimized. See, e.g., Roberts et al., Proc. Natl. Acad. Sci. USA, 76:760-764, 1979. [0185] The promoter may include, or be modified to include, one or more enhancer elements.
  • the promoter will include a plurality of enhancer elements. Promoters including enhancer elements can provide for higher levels of transcription as compared to promoters that do not include them.
  • the coding sequences can be operatively linked to a 3' untranslated sequence.
  • the 3' untranslated sequence can include a transcription termination sequence and a polyadenylation sequence.
  • the 3' untranslated region can be obtained, for example, from the flanking regions of genes.
  • a 5' untranslated leader sequence can also be employed. The 5' untranslated leader sequence is the portion of an mRNA that extends from the 5' CAP site to the translation initiation codon.
  • the nucleic acid is stably integrated into the genome of a cell. In particular embodiments, the nucleic acid is stably maintained in a cell as a separate, episomal segment.
  • Targeting ligands include binding domains that result in binding of the targeting ligand to a targeted antigen.
  • Targeted antigens can include antigens expressed by any cell type. Examples include cells that line body cavities (oral, thoracic or abdominal), cells that line the intestinal tract, cells that line the female genital lumen, cells within injectable tissues (especially muscle for vaccine applications, bone marrow or lymph nodes), cells within tumors, and skin cells.
  • a targeted antigen should be preferentially expressed by the cell type to which a nucleic acid is intended for delivery. “Preferentially expressed” means that a targeted antigen is found at higher levels on the cell type to which a nucleic acid is intended for delivery as compared to other cell types. In some instances, the antigen is only expressed by the cell type to which a nucleic acid is intended for delivery. In other instances, the targeted antigen is expressed on the cell type to which a nucleic acid is intended for delivery at least 25%, 35%, 45%, 55%, 65%, 75%, 85%, 95%, 96%, 97%, 98%, 99%, or 100% more than on cells not targeted for nucleic acid delivery.
  • cancer cell antigens are preferentially expressed by cancer cells.
  • Exemplary antigens preferentially expressed by cancer cells include A33; BAGE; Bcl-2; ⁇ -catenin; CA125; CA19-9; CD5; CD19; CD20; CD21; CD22; CD33; CD37; CD45; CD123; F053-6000PCT/ 24-064-WO-PCT CEA; c-Met; CS-1; cyclin B1; DAGE; EBNA; EGFR; ephrinB2; estrogen receptor; FAP; ferritin; folate-binding protein; GAGE; G250; GD-2; GM2; gp75, gp100 (Pmel 17); HER-2/neu; HPV E6; HPV E7; Ki-67; LRP; mesothelin, p53, PRAME; progesterone receptor; PSA; PSMA; MAGE; MART; mesothelin; MUC;
  • Targeted Cancer Cancer Antigens g Foams of the disclosure can also be used to target and kill infected cells that are clustered at an anatomical site.
  • Exemplary viruses include adenoviruses, arenaviruses, bunyaviruses, coronavirusess, flavirviruses, hantaviruses, hepadnaviruses, herpesviruses, papilomaviruses, paramyxoviruses, parvoviruses, picornaviruses, poxviruses, orthomyxoviruses, retroviruses, reoviruses, rhabdoviruses, rotaviruses, spongiform viruses or togaviruses.
  • adenoviruses include adenoviruses, arenaviruses, bunyaviruses, coronavirusess, flavirviruses, hantaviruses, hepadnaviruses, herpesviruses, papilomaviruses, paramyxoviruses, parvoviruses, picornaviruses, poxviruses,
  • viral targeted antigens include peptides expressed by CMV, cold viruses, Epstein-Barr, flu viruses, hepatitis A, B, and C viruses, herpes simplex, HIV, influenza, Japanese encephalitis, measles, polio, rabies, respiratory syncytial, rubella, smallpox, varicella zoster or West Nile virus.
  • coronavirus antigen includes the spike protein
  • cytomegaloviral antigens include envelope glycoprotein B and CMV pp65
  • Epstein-Barr antigens include EBV EBNAI, EBV P18, and EBV P23
  • hepatitis antigens include the S, M, and L proteins F053-6000PCT/ 24-064-WO-PCT of hepatitis B virus, the pre-S antigen of hepatitis B virus, HBCAG DELTA, HBV HBE, hepatitis C viral RNA, HCV NS3 and HCV NS4
  • herpes simplex viral antigens include immediate early proteins and glycoprotein D
  • HIV antigens include gene products of the gag, pol, and env genes such as HIV gp32, HIV gp41, HIV gp120, HIV gp160, HIV P17/24, HIV P24, HIV P55 GAG, HIV P66 POL, HIV TAT, HIV GP36, the Nef protein
  • Additional particular exemplary viral antigen sequences include: Source Sequence SEQ ID NO. See Fundamental Virology, Second Edition, eds. Fields, B. N. and Knipe, D. M. (Raven Press, New York, 1991) for additional examples of viral antigens.
  • the targeting agent targets HIV gag protein, gp120 or the Hepatitis B envelope protein (S domain).
  • targeted antigens are expressed by cells associated with bacterial infections.
  • Exemplary bacteria include anthrax; gram-negative bacilli, chlamydia, diptheria, haemophilus influenza, Helicobacter pylori, malaria, Mycobacterium tuberculosis, pertussis toxin, pneumococcus, rickettsiae, staphylococcus, streptococcus and tetanus.
  • anthrax antigens include anthrax protective antigen; gram-negative bacilli antigens include lipopolysaccharides; haemophilus influenza antigens include capsular polysaccharides; diptheria antigens include diptheria toxin; Mycobacterium tuberculosis antigens include mycolic acid, heat shock protein 65 (HSP65), the 30 kDa major secreted protein and antigen 85A; pertussis toxin antigens include hemagglutinin, F053-6000PCT/ 24-064-WO-PCT pertactin, FIM2, FIM3 and adenylate cyclase; pneumococcal antigens include pneumolysin and pneumococcal capsular polysaccharides; rickettsiae antigens include rompA; streptococcal antigens include M proteins; and tetanus antigens include
  • targeted antigens are expressed by cells associated with fungal infections.
  • fungi include candida, coccidiodes, cryptococcus, histoplasma, leishmania, plasmodium, protozoa, parasites, schistosomae, tinea, toxoplasma, and trypanosoma cruzi.
  • coccidiodes antigens include spherule antigens; cryptococcal antigens include capsular polysaccharides; histoplasma antigens include heat shock protein 60 (HSP60); leishmania antigens include gp63 and lipophosphoglycan; plasmodium falciparum antigens include merozoite surface antigens, sporozoite surface antigens, circumsporozoite antigens, gametocyte/gamete surface antigens, protozoal and other parasitic antigens including the blood-stage antigen pf 155/RESA; schistosomae antigens include glutathione-S-transferase and paramyosin; tinea fungal antigens include trichophytin; toxoplasma antigens include SAG-1 and p30; and trypanosoma cruzi antigens include the 75-77 kDa antigen and the 56 kD
  • targeted antigens are expressed by cells associated with autoimmune or allergic conditions.
  • autoimmune conditions include acute necrotizing hemorrhagic encephalopathy, allergic asthma, alopecia areata, anemia, aphthous ulcer, arthritis (including rheumatoid arthritis, juvenile rheumatoid arthritis, osteoarthritis, psoriatic arthritis), asthma, autoimmune thyroiditis, conjunctivitis, Crohn's disease, cutaneous lupus erythematosus, dermatitis (including atopic dermatitis and eczematous dermatitis), diabetes, diabetes mellitus, erythema nodosum leprosum, keratoconjunctivitis, multiple sclerosis, myasthenia gravis, psoriasis, scleroderma, Sjogren's syndrome, including keratoconjunctivitis sicca secondary to Sjogren's syndrome, Stevens
  • autoimmune antigens include glutamic acid decarboxylase 65 (GAD 65), native DNA, myelin basic protein, myelin proteolipid protein, acetylcholine receptor components, thyroglobulin, and the thyroid stimulating hormone (TSH) receptor.
  • TSH thyroid stimulating hormone
  • allergic antigens include pollen antigens such as Japanese cedar pollen antigens, ragweed pollen antigens, rye grass pollen antigens, animal derived antigens (such as dust mite antigens and feline antigens), histocompatibility antigens, and penicillin and other therapeutic drugs.
  • foams can be targeted to cells to increase the function or health of the targeted cells. Numerous examples are described elsewhere herein.
  • F053-6000PCT/ 24-064-WO-PCT include HSC genome editing applications where genetic defects are corrected (e.g., sickle cell anemia, thalassemia, SCID) and promotion of wound healing through foam application to the skin.
  • Antibodies are one example of binding domains and include whole antibodies or binding fragments of an antibody, e.g., Fv, Fab, Fab', F(ab')2, and single chain (sc) forms and fragments thereof that bind specifically a cellular marker.
  • Antibodies or antigen binding fragments can include all or a portion of polyclonal antibodies, monoclonal antibodies, human antibodies, humanized antibodies, synthetic antibodies, non-human antibodies, recombinant antibodies, chimeric antibodies, bispecific antibodies, mini bodies, and linear antibodies.
  • Antibodies are produced from two genes, a heavy chain gene and a light chain gene. Generally, an antibody includes two identical copies of a heavy chain, and two identical copies of a light chain. Within a variable heavy chain and variable light chain, segments referred to as complementary determining regions (CDRs) dictate epitope binding.
  • CDRs complementary determining regions
  • Each heavy chain has three CDRs (i.e., CDRH1, CDRH2, and CDRH3) and each light chain has three CDRs (i.e., CDRL1, CDRL2, and CDRL3).
  • CDR regions are flanked by framework residues (FR).
  • FR framework residues
  • CDR residues can be identified using software programs such as ABodyBuilder. The boundaries of a given CDR or FR may vary depending on the scheme used for identification.
  • scFvs can be prepared according to methods known in the art (see, for example, Bird et al., (1988) Science 242:423-426 and Huston et al., (1988) Proc. Natl. Acad. Sci. USA 85:5879-5883).
  • ScFv molecules can be produced by linking VH and VL regions of an antibody together using flexible polypeptide linkers. If a short polypeptide linker is employed (e.g., F053-6000PCT/ 24-064-WO-PCT between 5-10 amino acids) intrachain folding is prevented.
  • linker orientations and sizes see, e.g., Hollinger et al.1993 Proc Natl Acad. Sci. U.S.A.90:6444- 6448, US 2005/0100543, US 2005/0175606, US 2007/0014794, and WO2006/020258 and WO2007/024715.
  • linker sequences that are used to connect the VL and VH of an scFv are generally five to 35 amino acids in length.
  • a VL-VH linker includes from five to 35, ten to 30 amino acids or from 15 to 25 amino acids.
  • the binding domain includes a humanized antibody or an engineered fragment thereof.
  • a non-human antibody is humanized, where one or more amino acid residues of the antibody are modified to increase similarity to an antibody naturally produced in a human or fragment thereof. These nonhuman amino acid residues are often referred to as "import" residues, which are typically taken from an "import" variable domain.
  • humanized antibodies or antibody fragments include one or more CDRs from nonhuman immunoglobulin molecules and framework regions wherein the amino acid residues including the framework are derived completely or mostly from human germline.
  • a humanized antibody can be produced using a variety of techniques known in the art, including CDR-grafting (see, e.g., European Patent No. EP 239,400; WO 91/09967; and US 5,225,539, US 5,530,101, and US 5,585,089), veneering or resurfacing (see, e.g., EP 592,106 and EP 519,596; Padlan, 1991, Molecular Immunology, 28(4/5):489-498; Studnicka et al., 1994, Protein Engineering, 7(6):805-814; and Roguska et al., 1994, PNAS, 91:969-973), chain shuffling (see, e.g., US.
  • CDR-grafting see, e.g., European Patent No. EP 239,400; WO 91/09967; and US 5,225,539, US 5,530,101, and US 5,585,089)
  • veneering or resurfacing see, e.g., EP
  • framework substitutions are identified by methods well-known in the art, e.g., by modeling of the interactions of the CDR and framework residues to identify framework residues important for binding and sequence comparison to identify unusual framework residues at particular positions. (See, e.g., US 5,585,089; and Riechmann et al., 1988, Nature, 332:323).
  • chimeric and humanized antibodies often incorporate all six CDRs from a non- F053-6000PCT/ 24-064-WO-PCT human antibody, they can also be made with less than all CDRs (e.g., at least 3, 4, or 5) CDRs from a non-human antibody (e.g., Pascalis et al., J. Immunol.
  • Additional examples of antibody-based binding domain formats include scFv-based grababodies and soluble VH domain antibodies. These antibodies form binding regions using only heavy chain variable regions. See, for example, Jespers et al., Nat. Biotechnol.22:1161, 2004; Cortez-Retamozo et al., Cancer Res.64:2853, 2004; Baral et al., Nature Med.12:580, 2006; and Barthelemy et al., J. Biol. Chem.283:3639, 2008.
  • a VL region in a binding domain of the present disclosure is derived from or based on a known VL and contains one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) insertions, one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) deletions, one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) amino acid substitutions (e.g., conservative amino acid substitutions), or a combination of the above-noted changes, when compared with the known VL.
  • one or more e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10 insertions, one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) deletions, one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) amino acid substitutions (e.g., conservative amino acid substitutions), or a combination of the above-noted changes, when compared with the known VL.
  • An insertion, deletion or substitution may be anywhere in the VL region, including at the amino- or carboxy-terminus or both ends of this region, provided that each CDR includes zero changes or at most one, two, or three changes and provided a binding domain containing the modified VL region can still specifically bind its target with an affinity similar to the wild type binding domain.
  • a binding domain VH region of the present disclosure can be derived from or based on a known VH of an antibody and can contain one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) insertions, one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) deletions, one or more (e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10) amino acid substitutions (e.g., conservative amino acid substitutions or non-conservative amino acid substitutions), or a combination of the above-noted changes, when compared with the known VH of the antibody.
  • one or more e.g., 2, 3, 4, 5, 6, 7, 8, 9, 10
  • amino acid substitutions e.g., conservative amino acid substitutions or non-conservative amino acid substitutions
  • An insertion, deletion or substitution may be anywhere in the VH region, including at the amino- or carboxy-terminus or both ends of this region, provided that each CDR includes zero changes or at most one, two, or three changes and provided a binding domain containing the modified VH region can still specifically bind its target with an affinity similar to the wild type binding domain.
  • a binding domain includes or is a sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, at least 99.5%, or 100% identical to a known amino acid sequence of a light chain variable region (VL) or to a known heavy chain variable region (VH), or both, wherein each CDR includes zero changes or at most one, two, or three changes, from an antibody disclosed herein or fragment or derivative thereof that specifically binds a targeted antigen.
  • VL light chain variable region
  • VH heavy chain variable region
  • binding domain of, for example, a targeting ligand
  • target antigen cognate binding molecule
  • K a i.e., an equilibrium association constant of a particular binding interaction with units of 1/M
  • Binding domains may be classified as "high affinity” or "low affinity”.
  • "high affinity" binding domains refer to those binding domains with a K a of at least 10 7 M -1 , at least 10 8 M -1 , at least 10 9 M -1 , at least 10 10 M -1 , at least 10 11 M -1 , at least 10 12 M -1 , or at least 10 13 M -1 .
  • "low affinity" binding domains refer to those binding domains with a K a of up to 10 7 M -1 , up to 10 6 M -1 , up to 10 5 M -1 .
  • affinity may be defined as an equilibrium dissociation constant (K d ) of a particular binding interaction with units of M (e.g., 10 -5 M to 10 -13 M).
  • a binding domain may have "enhanced affinity," which refers to a selected or engineered binding domains with stronger binding to a cognate binding molecule than a wild type (or parent) binding domain.
  • enhanced affinity may be due to a K a (equilibrium association constant) for the cognate binding molecule that is higher than the reference binding domain or due to a K d (dissociation constant) for the cognate binding molecule that is less than that of the reference binding domain, or due to an off-rate (K off ) for the cognate binding molecule that is less than that of the reference binding domain.
  • assays are known for detecting binding domains that specifically bind a particular cognate binding molecule as well as determining binding affinities, such as Western blot, ELISA, and BIACORE ® analysis (see also, e.g., Scatchard, et al., 1949, Ann. N.Y. Acad. Sci. 51:660; and U.S. Patent Nos.5,283,173, 5,468,614, or the equivalent).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including ASGFDFSAYYM (SEQ ID NO: 6), a CDRL2 sequence including TIYPSSG (SEQ ID NO: 7), and a CDRL3 sequence including ADRATYFCA (SEQ ID NO: 8).
  • scFv human or humanized binding domain
  • a variable light chain including a CDRL1 sequence including ASGFDFSAYYM (SEQ ID NO: 6), a CDRL2 sequence including TIYPSSG (SEQ ID NO: 7), and a CDRL3 sequence including ADRATYFCA (SEQ ID NO: 8).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including DTIDWY (SEQ ID NO: 9), a CDRH2 sequence including VQSDGSYTKRPGVPDR (SEQ ID NO: 10), and a CDRH3 sequence including YIGGYVFG (SEQ ID NO: 22).
  • scFv human or humanized binding domain
  • a variable heavy chain including a CDRH1 sequence including DTIDWY (SEQ ID NO: 9), a CDRH2 sequence including VQSDGSYTKRPGVPDR (SEQ ID NO: 10), and a CDRH3 sequence including YIGGYVFG (SEQ ID NO: 22).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including QASQSIDSNLA (SEQ ID NO: 12), a CDRL2 sequence including RASNLAS (SEQ ID NO: 13), and a CDRL3 sequence including LGGVGNVSYRTS (SEQ ID NO: 14).
  • scFv human or humanized binding domain
  • the cancer antigen epitope binding domain is a human or humanized F053-6000PCT/ 24-064-WO-PCT binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including DYPIS (SEQ ID NO: 15), a CDRH2 sequence including FINSGGSTWYASWVKG (SEQ ID NO: 16), and a CDRH3 sequence including GYSTYYCDFNI (SEQ ID NO: 17). These reflect CDR sequences of the R11 antibody.
  • scFv a human or humanized F053-6000PCT/ 24-064-WO-PCT binding domain
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including TLSSAHKTDTID (SEQ ID NO: 18), a CDRL2 sequence including GSYTKRP (SEQ ID NO: 19), and a CDRL3 sequence including GADYIGGYV (SEQ ID NO: 20).
  • scFv human or humanized binding domain
  • a variable light chain including a CDRL1 sequence including TLSSAHKTDTID (SEQ ID NO: 18), a CDRL2 sequence including GSYTKRP (SEQ ID NO: 19), and a CDRL3 sequence including GADYIGGYV (SEQ ID NO: 20).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including AYYMS (SEQ ID NO: 21), a CDRH2 sequence including TIYPSSGKTYYATWVNG (SEQ ID NO: 22), and a CDRH3 sequence including DSYADDGALFNI (SEQ ID NO: 23). These reflect CDR sequences of the R12 antibody.
  • scFv including a variable heavy chain including a CDRH1 sequence including AYYMS (SEQ ID NO: 21), a CDRH2 sequence including TIYPSSGKTYYATWVNG (SEQ ID NO: 22), and a CDRH3 sequence including DSYADDGALFNI (SEQ ID NO: 23).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including KASQNVDAAVA (SEQ ID NO: 24), a CDRL2 sequence including SASNRYT (SEQ ID NO: 25), and a CDRL3 sequence including QQYDIYPYT (SEQ ID NO: 26).
  • scFv human or humanized binding domain
  • a variable light chain including a CDRL1 sequence including KASQNVDAAVA (SEQ ID NO: 24), a CDRL2 sequence including SASNRYT (SEQ ID NO: 25), and a CDRL3 sequence including QQYDIYPYT (SEQ ID NO: 26).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including DYEMH (SEQ ID NO: 27), a CDRH2 sequence including AIDPETGGTAYNQKFKG (SEQ ID NO: 28), and a CDRH3 sequence including YYDYDSFTY (SEQ ID NO: 29). These reflect CDR sequences of the 2A2 antibody.
  • scFv including a variable heavy chain including a CDRH1 sequence including DYEMH (SEQ ID NO: 27), a CDRH2 sequence including AIDPETGGTAYNQKFKG (SEQ ID NO: 28), and a CDRH3 sequence including YYDYDSFTY (SEQ ID NO: 29).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including QASQSIGSYLA (SEQ ID NO: 30), a CDRL2 sequence including YASNLAS (SEQ ID NO: 31), and a CDRL3 sequence including LGSLSNSDNV (SEQ ID NO: 32).
  • scFv human or humanized binding domain
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including SHWMS (SEQ ID NO: 33), a CDRH2 sequence including IIAASGSTYYANWAKG (SEQ ID NO: 34), and a CDRH3 sequence including DYGDYRLVTFNI (SEQ ID NO: 35). These reflect CDR sequences of the Y31 antibody.
  • scFv including a variable heavy chain including a CDRH1 sequence including SHWMS (SEQ ID NO: 33), a CDRH2 sequence including IIAASGSTYYANWAKG (SEQ ID NO: 34), and a CDRH3 sequence including DYGDYRLVTFNI (SEQ ID NO: 35).
  • the targeting ligand binds CD19 epitope.
  • cancer antigen epitope binding domain includes a binding domain (e.g., scFv) that include VH and VL regions specific for CD19.
  • the VH and VL regions are human.
  • VH and VL regions include the segments of anti-CD19 specific monoclonal antibody FMC63.
  • the binding domain e.g., scFV
  • the binding domain is human or humanized and including a variable light chain including a CDRL1 sequence including RASQDISKYLN (SEQ ID NO: 36), a CDRL2 sequence including SRLHSGV (SEQ ID NO: 37), and a CDRL3 sequence including GNTLPYTFG (SEQ ID NO: 38).
  • the binding domain (e.g., scFV) is human or humanized and includes a variable heavy chain including a CDRH1 sequence including DYGVS (SEQ ID NO: 39), a CDRH2 sequence including VTWGSETTYYNSALKS (SEQ ID NO: 40), and a CDRH3 sequence including YAMDYWG (SEQ ID NO: 41).
  • Other CD19-targeting antibodies such as SJ25C1 and HD37 are known. (SJ25C1: Bejcek et al. Cancer Res 2005, PMID 7538901; HD37: Pezutto et al. JI 1987, PMID 2437199).
  • the targeting ligand binds PSMA epitope.
  • Binding domains can also include anti-Mesothelin ligands (associated with treating ovarian cancer, pancreatic cancer, and mesothelioma).
  • the different cancer antigen epitope binding domains can bind any number of different epitopes on the cancer antigens disclosed herein (among others). As previously indicated, in particular embodiments, the different epitopes are on the same cancer antigen. In particular embodiments, the different epitopes are on different cancer antigens.
  • the targeting ligand binds CD20 epitope.
  • Rituxan (Rituximab, Genentech) targets CD20 for CD20-positive non-Hodgkin’s lymphoma and Arzerra (Ofatumumab, Novartis), targets a different epitope of CD20.
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFV) including a variable light chain including a CDRL1 sequence including RASSSVSYIH (SEQ ID NO: 42), a CDRL2 sequence including ATSNLAS (SEQ ID NO: 43), and a CDRL3 sequence including QQWTSNPPT (SEQ ID NO: 44).
  • scFV human or humanized binding domain
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including SYNMH (SEQ ID NO: 45), a CDRH2 sequence including AIYPGNGDTSYNQKFKG (SEQ ID NO: F053-6000PCT/ 24-064-WO-PCT 46), and a CDRH3 sequence including STYYGGDWYFNV (SEQ ID NO: 47). These reflect CDR sequences of the 2B8 antibody.
  • scFv human or humanized binding domain
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including RASQDVNTAVAW (SEQ ID NO: 48), a CDRL2 sequence including YSASFLES (SEQ ID NO: 49), and a CDRL3 sequence including QQHYTTPT (SEQ ID NO: 50).
  • scFv human or humanized binding domain
  • a variable light chain including a CDRL1 sequence including RASQDVNTAVAW (SEQ ID NO: 48), a CDRL2 sequence including YSASFLES (SEQ ID NO: 49), and a CDRL3 sequence including QQHYTTPT (SEQ ID NO: 50).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including SGFNTKDTYIHW (SEQ ID NO: 51), a CDRH2 sequence including RIYPTNGYTRYADSVKGR (SEQ ID NO: 52), and a CDRH3 sequence including WGGDGFYAMDV (SEQ ID NO: 53). These reflect CDR sequences of the 4D5 antibody.
  • the targeting ligand binds PD-L1 epitope.
  • the PD-L1 binding domain includes a variable light chain including a CDRL1 sequence including RASQDVSTAVA (SEQ ID NO: 54), a CDRL2 sequence including SASFLYS (SEQ ID NO: 55), and a CDRL3 sequence including QQYLYHPAT (SEQ ID NO: 56).
  • the PD-L1 binding domain includes a variable heavy chain including a CDRH1 sequence including SGFTFSDSWIH (SEQ ID NO: 57), a CDRH2 sequence including WISPYGGSTYYADSVKG (SEQ ID NO: 58), and a CDRH3 sequence including RHWPGGFDY (SEQ ID NO: 59).
  • the PD-L1 binding domain includes a variable light chain including a CDRL1 sequence including TGTSSDVGGYNYVS (SEQ ID NO: 60), a CDRL2 sequence including DVSNRPS (SEQ ID NO: 61), and a CDRL3 sequence including SSYTSSSTRV (SEQ ID NO: 62).
  • the PD-L1 binding domain includes a variable heavy chain including a CDRH1 sequence including SGFTFSSYIMM (SEQ ID NO: 63), a CDRH2 sequence including SIYPSGGITFYADTVKG (SEQ ID NO: 64), and a CDRH3 sequence including IKLGTVTTVDY (SEQ ID NO: 65).
  • the PD-L1 binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including RASQSVSSYL (SEQ ID NO: 66), a CDRL2 sequence including DASNRAT (SEQ ID NO: 67), and a CDRL3 sequence including QQRSNWPRT (SEQ ID NO: 68).
  • scFv human or humanized binding domain
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including DYGFS (SEQ ID NO: 69), a CDRH2 sequence including WITAYNGNTNYAQKLQG (SEQ ID NO: 70), and a CDRH3 sequence including DYFYGMDY (SEQ ID NO: 71).
  • scFv including a variable heavy chain including a CDRH1 sequence including DYGFS (SEQ ID NO: 69), a CDRH2 sequence including WITAYNGNTNYAQKLQG (SEQ ID NO: 70), and a CDRH3 sequence including DYFYGMDY (SEQ ID NO: 71).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including the CDRs of the anti-CD123 7G3 antibody.
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including RASESVDNYGNTFMH (SEQ ID NO: 72), a CDRL2 sequence including RASNLES (SEQ ID NO: 73), and a CDRL3 sequence including QQSNEDPPT (SEQ ID NO: 74).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including NYGMN (SEQ ID NO: 75), a CDRH2 sequence including WINTYTGESTYSADFKG (SEQ ID NO: 76), and a CDRH3 sequence including SGGYDPMDY (SEQ ID NO: 77).
  • scFv human or humanized binding domain
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable light chain including a CDRL1 sequence including RSNKSLLHSNGNTYLY (SEQ ID NO: 78), a CDRL2 sequence including RMSNLAS (SEQ ID NO: 79), and a CDRL3 sequence including MQHLEYPYT (SEQ ID NO: 80).
  • scFv human or humanized binding domain
  • a variable light chain including a CDRL1 sequence including RSNKSLLHSNGNTYLY (SEQ ID NO: 78), a CDRL2 sequence including RMSNLAS (SEQ ID NO: 79), and a CDRL3 sequence including MQHLEYPYT (SEQ ID NO: 80).
  • the cancer antigen epitope binding domain is a human or humanized binding domain (e.g., scFv) including a variable heavy chain including a CDRH1 sequence including NYWMN (SEQ ID NO: 81), a CDRH2 sequence including RIDPSDSESHYNQKFKD (SEQ ID NO: 82), and a CDRH3 sequence including YDYDDTMDY (SEQ ID NO: 83).
  • scFv including a variable heavy chain including a CDRH1 sequence including NYWMN (SEQ ID NO: 81), a CDRH2 sequence including RIDPSDSESHYNQKFKD (SEQ ID NO: 82), and a CDRH3 sequence including YDYDDTMDY (SEQ ID NO: 83).
  • scFv a variable heavy chain including a CDRH1 sequence including NYWMN (SEQ ID NO: 81), a CDRH2 sequence including RIDPSDSESHYNQKFKD (SEQ ID
  • Foams can be made to be self-expanding by including an oxygen releasing biomaterial.
  • oxygen releasing biomaterials include perfluorocarbons. When perfluorocarbons are exposed to high concentrations of oxygen, large amounts of oxygen dissolve into the perfluorocarbons. If the perfluorocarbon/oxygen solution is then exposed to a low oxygen environment, then oxygen diffuses out of the solution. This oxygen release then expands the foam.
  • Other oxygen releasing materials include sodium percarbonate, calcium peroxide, magnesium peroxide, hydrogen peroxide, and fluorinated compounds.
  • any reaction that releases a gas can be engineered into a foam to make it expandable, so long as the byproducts are biocompatible and desirable (e.g., releasing CO 2 in tumors is undesirable).
  • Foams can also be created under pressure, wherein when the pressure is released, they expand.
  • Foams also can be formed by turbulently mixing a foam precursor, a nucleic acid, a liquid, and a gas before adding cells.
  • Turbulently mixing refers to applying a sufficient amount of turbulent stress (also referred to as Reynolds Stress) to the foam precursor, nucleic acid, liquid, and gas such that a foam with characteristics described herein results.
  • This approach can be preferable to the direct addition of cells within a liquid to a foam precursor because it facilitates cell dispersion throughout the foam, reduces shear stress for the cells, and improves the overall texture of the foam.
  • FIG. 11A depicts an exemplary clinical workflow for generating a nucleic acid delivering foam.
  • a syringe can be filled with a foam precursor and a liquid (which can be referred to as a foam precursor solution) and nucleic acid vector (e.g., LNP or viral vector) and can be connected to a syringe containing a gas, such as air or other gasses described herein (FIG. 11A).
  • the foaming liquid and gas can then be moved back and forth through a constriction that connects the two syringes to generate a substantially homogenous foam which contains substantially evenly distributed vector. While this method of making a foam described herein is provided, one can envision additional approaches to admix a foam precursor solution with nucleic acid vector to generate a foam with the characteristics described herein.
  • these additional approaches can include automation and the use of software and processors to control various aspects of foam formation.
  • foam would most likely not be made in syringes but rather in a continuous flow microfluidics system.
  • a system could include (1) one large syringe with a gas, (2) one syringe with a foam precursor solution, and (3) one syringe with cells and/or a nucleic acid vector.
  • automated syringe pumps these components would be mixed in a continuous flow static mixer to minimize stress on cells.
  • Such systems are commercially available from, for example, Koflo Corporation, Cary, IL.
  • 1 mL of foam precursor solution with 9 mL of gas can generate 4 mL of foam.
  • a starting amount of foam precursor solution can be selected based on the desired amount of foam to be generated.
  • a starting amount of foam could be 0.25 mL, 0.50 mL, 0.75 F053-6000PCT/ 24-064-WO-PCT mL, 1 mL, 1.5 mL, 2 mL, 3 mL, 4 mL, 8 mL, 10 mL, 20 mL, 50 mL or other larger or smaller amounts.
  • the amount of gas mixed with a selected amount foam precursor solution can be adjusted depending on the desired volume and thickness of a resulting foam.
  • Certain examples can include 1 mL of foam precursor solution and 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 mL of gas. Certain examples can include 1 mL of foam precursor solution and 9 mL of gas. The amount of gas can be adjusted down for smaller amounts of starting foam precursor solutions or up for larger amounts of foam precursor solutions.
  • Appropriate amounts of foam for in situ programming of immune cells (e.g., CAR T cells) or stem cells can be in the range of 0.5 – 4 mL 1-4 mL, 1-3 mL, or 2-3 mL, particularly when administering foam subcutaneously or into the bone marrow. Repeated administrations of these amounts can be appropriate.
  • foam volume For edible or drinkable foams (e.g., for treating esophageal cancers), or rectally applied foams (e.g., for the treatment of rectal cancer) the foam volume should be bigger as targeted body cavities should be substantially filled.
  • foams with volumes of 5 – 50 mL, 5-40mL, 10- 30 mL, or 15-25 mL are envisioned.
  • intraperitoneal administrations for example to treat disseminated disease, a foam volume of 100-500 mL, 150-400 mL, 200-350 mL, or 200-300 mL could be used to substantially fill the peritoneal cavity (similar to intraperitoneal chemotherapy). In this scenario, foam could be applied through a catheter.
  • Exemplary appropriate amounts of cells and vectors for a starting 1 mL foam precursor solution include 1-10 x 10 6 cells, 5-20 ⁇ g nucleic acid (e.g., mRNA) within LNP, and 1.25-5 x10 6 transfection units lentiviral vector.
  • an appropriate amount of vector depends on the number of cells mixed into a foam.
  • the MOI can be, for example, 1-2 and for LNPs an appropriate range can be 5-20 ug nucleic acid for 1-10 million cells.
  • the amount of vector/mL can be similar (e.g., 10-50 ⁇ g nucleic acid/mL) but also depends on the particular gene being provided and any potential or expected toxicities associated with the same.
  • liquids used to make the foams disclosed herein are biocompatible liquids.
  • biocompatible liquids examples include cell culture media, phosphate buffered saline (PBS), human serum or serum substitutes, or other solutions routinely used in the clinic to administer drugs, such as Lactated Ringer’s solution, saline (0.9% sodium chloride), sterile water, or 5% dextrose solution.
  • Cell culture media provide an artificial environment for cells F053-6000PCT/ 24-064-WO-PCT that is conducive to their survival and/or proliferation in an artificial environment.
  • Cell culture media generally include a complement of amino acids, vitamins, inorganic salts, glucose, growth factors, and/or hormones.
  • Exemplary cell culture media include Dulbecco's Modified Eagle Medium (DMEM), Roswell Park Memorial Institute (RPMI) 1640, Minimum Essential Medium (MEM), Iscove's Modified Dulbecco's Medium (IMDM), McCoy's 5A, and Eagle's Basal Medium (EBSS), optionally supplemented with fetal bovine serum (FBS).
  • DMEM Dulbecco's Modified Eagle Medium
  • RPMI Roswell Park Memorial Institute
  • MEM Minimum Essential Medium
  • IMDM Iscove's Modified Dulbecco's Medium
  • McCoy's 5A McCoy's 5A
  • EBSS Eagle's Basal Medium
  • FBS fetal bovine serum
  • Exemplary cell culture media for T cells include (i) RPMI supplemented with non-essential amino acids, sodium pyruvate, and penicillin/streptomycin; (ii) RPMI with HEPES, 5-15% human serum, 1-3% L-Glutamine, 0.5-1.5% penicillin/streptomycin, and 0.25x10 -4 - 0.75x10 -4 M ⁇ - MercaptoEthanol; (iii) RPMI-1640 supplemented with 10% fetal bovine serum (FBS), 2mM L- glutamine, 10mM HEPES, 100 U/ml penicillin and 100 m/mL streptomycin; (iv) DMEM medium supplemented with 10% FBS, 2mM L-glutamine, 10mM HEPES, 100 U/ml penicillin and 100 m/mL streptomycin; and (v) X-Vivo 15 medium (Lonza, Walkersville, MD) supplemented with 5% human AB serum
  • T cell culture media are also commercially available from Hyclone (Logan, UT) and Stemcell Technologies (e.g., ImmunoCult TM (ImmC). CTL-TestTM Medium (ImmunoSpot ® , Cellular Technology, Ltd; Cleveland, OH) may also be used. T cell media can be functionalized with growth factors and cytokines, such as IL-2, IL7, and IL15.
  • Exemplary cell culture media for stem cells may include (i) ⁇ -MEM supplemented with 10% fetal bovine serum; ⁇ -MEM supplemented with 1-10% (v/v) of Ultroser G, 1- 20% (v/v) of KOSR, 1- 5 mM of stabilized dipeptide of L-alanyl-L-glutamine, one or more growth factors (e.g., at least one of VEGF, bFGF, EGF, TGF ⁇ , PDGF) at a concentration of 1-100 ng/ml, and at least one glycine, L-alanine, L-asparagine, L-aspartic acid, L-glutamic acid, L-proline, and L-serine at a concentration of 0.1-0.5mM; (ii) RPMI-1640 DMEM medium supplemented with FGF7, retinoic acid, noggin, and cyclopamine-KAAD; (iii) DMEM F12 medium
  • Stem cell culture media are also commercially available from Thermo Fisher Scientific (e.g., StemProTM MSC SFM) and Stemcell Technologies (e.g., StemSpanTM-AOF).
  • stem cell culture media can be supplemented with fms-like F053-6000PCT/ 24-064-WO-PCT tyrosine kinase 3 ligand (Flt3L), stem cell factor (SCF), IL-3, IL-6, and thrombopoietin (TPO).
  • Flt3L fms-like F053-6000PCT/ 24-064-WO-PCT tyrosine kinase 3 ligand
  • SCF stem cell factor
  • IL-3 IL-6
  • TPO thrombopoietin
  • a stem cell culture media can include 50-300 ng/ml stem cell factor, 50- 300 ng/ml Flt-3 receptor ligand, 50-100 ng/ml thrombopoietin, 50-100 ng/ml interleukin-6 and 10 ng/ml interleukin-3.
  • 300 ng/ml stem cell factor, 300 ng/ml of Flt-3 receptor ligand, 100 ng/ml thrombopoietin, 100 ng/ml interleukin-6 and 10 ng/ml interleukin-3, or 50 ng/ml stem cell factor, 50 ng/ml of Flt-3 receptor ligand, 50 ng/ml thrombopoietin, 50 ng/ml interleukin-6 and 10 ng/ml interleukin-3 can be used.
  • Methods disclosed herein include treating subjects (humans, veterinary animals (dogs, cats, reptiles, birds, etc.) livestock (horses, cattle, goats, pigs, chickens, etc.) and research animals (monkeys, rats, mice, fish, etc.) with compositions disclosed herein. Treating subjects includes delivering therapeutically effective amounts. Therapeutically effective amounts include those that provide effective amounts, prophylactic treatments and/or therapeutic treatments. [0249] An "effective amount" is the amount of a composition necessary to result in a desired physiological change in the subject. Effective amounts are often administered for research purposes. Effective amounts disclosed herein can cause a statistically significant effect in an animal model or in vitro assay relevant to the assessment of a condition’s development or progression.
  • a prophylactic treatment includes a treatment administered to a subject who does not display signs or symptoms of a condition or displays only early signs or symptoms of a condition such that treatment is administered for the purpose of diminishing or decreasing the risk of developing the condition further.
  • a prophylactic treatment functions as a preventative treatment against a condition.
  • prophylactic treatments reduce, delay, or prevent metastasis from a primary cancer tumor site from occurring.
  • a "therapeutic treatment” includes a treatment administered to a subject who displays symptoms or signs of a condition and is administered to the subject for the purpose of diminishing or eliminating those signs or symptoms of the condition. The therapeutic treatment can reduce, control, or eliminate the presence or activity of the condition and/or reduce control or eliminate side effects of the condition.
  • foams can be implanted in close proximity to a treatment site.
  • the foams can be administered in a number of different sizes and F053-6000PCT/ 24-064-WO-PCT shapes and can be shape-conformable to fit the particular needs of individual subjects.
  • the foams can be injected using ultrasound guidance in close proximity to (or in physical contact with) a treatment site. Depending on the stage, size or severity of a treatment site, foams may be provided with different therapeutic strengths.
  • Therapeutic strength can be manipulated by altering the size of the foams, volume of the foams, the number of nucleic acid vectors within the foams, the presence of additional therapeutic agents within the foam, etc. Each of these parameters can be assessed and determined by a treating physician.
  • proximity refers to a distance within 10 cm, within 9 cm, within 8 cm, within 7 cm, within 6 cm, within 5 cm, within 4 cm, within 3 cm, within 2 cm, within 1 cm, within 0.9 cm, within 0.8 cm, within 0.7 cm, within 0.6 cm, within 0.5 cm, within 0.4 cm, within 0.3 cm, within 0.2 cm, or within 0.1 cm of a treatment site.
  • the foams can be administered only once or can be administered a plurality of times to provide ongoing therapy over months or years. Such treatment regimens can be determined by a treating physician.
  • therapeutically effective amounts provide anti-cancer effects.
  • Anti-cancer effects include a decrease in the number of cancer cells, decrease in the number of metastases, a decrease in tumor volume, an increase in life expectancy, induced chemo- or radiosensitivity in cancer cells, inhibited angiogenesis near cancer cells, inhibited cancer cell proliferation, inhibited tumor growth, prevented or reduced metastases, prolonged subject life, reduced cancer-associated pain, and/or reduced relapse or re-occurrence of cancer following treatment.
  • a “tumor” is a swelling or lesion formed by an abnormal growth of cells (called neoplastic cells or tumor cells).
  • a “tumor cell” is an abnormal cell that divides by a rapid, uncontrolled cellular proliferation and continues to divide after the stimuli that initiated the new division cease. Tumors show partial or complete lack of structural organization and functional coordination with the normal tissue, and usually form a distinct mass of tissue, which may be either benign, pre-malignant or malignant.
  • Foams can continue to provide anti- F053-6000PCT/ 24-064-WO-PCT tumor immunity after eradication/reduction of an initial tumor and can prevent and/or reduce metastases or development of secondary tumors.
  • Cancer medical term: malignant neoplasm refers to a class of diseases in which a group of cells display uncontrolled growth (division beyond the normal limits), invasion (intrusion on and destruction of adjacent tissues), and sometimes metastasis. "Metastasis” refers to the spread of cancer cells from their original site of proliferation to another part of the body.
  • metastasis is a very complex process and depends on detachment of malignant cells from the primary tumor, invasion of the extracellular matrix, penetration of the endothelial basement membranes to enter the body cavity and vessels, and then, after being transported by the blood, infiltration of target organs. Finally, the growth of a new tumor, i.e., a secondary tumor or metastatic tumor, at the target site depends on angiogenesis. Tumor metastasis often occurs even after the removal of the primary tumor because tumor cells or components may remain and develop metastatic potential.
  • Cancers that can be treated with the anti-tumor effects of the foams and methods disclosed herein include, for example, adrenal cancer, brain cancer, breast cancer, cervical cancer, colon cancer, colorectal cancer, ear, nose and throat (ENT) cancer, endometrial cancer, esophageal cancer, gastrointestinal cancer, gliomas, head and neck cancer, intestinal cancer, kidney cancer, liver cancer, lung cancer, lymph node cancer, melanomas, neuroblastomas, ovarian cancer, pancreatic cancer, prostate cancer, rectal cancer, seminomas, skin cancer, stomach cancer, teratomas, thyroid cancer, uterine cancer, and metastases thereof.
  • foams can be implanted in close proximity to a tumor site.
  • the tumor site includes a solid tumor, un- resectable tumor cells and/or a tumor resection bed following resection.
  • the foam is applied within 10 cm, within 9 cm, within 8 cm, within 7 cm, within 6 cm, within 5 cm, within 4 cm, within 3 cm, within 2 cm, within 1 cm, within 0.9 cm, within 0.8 cm, within 0.7 cm, within 0.6 cm, within 0.5 cm, within 0.4 cm, within 0.3 cm, within 0.2 cm, or within 0.1 cm of a solid tumor, an un-resectable tumor, un-resectable tumor cells, and/or a tumor resection bed.
  • the foams can be administered only once, at the time of resection or at a first treatment time in a subject with a solid tumor, an un-resectable tumor, un-resectable tumor cells, and/or a tumor resection bed. Additionally, the foams can be administered a plurality of times to provide ongoing therapy over months or years.
  • the term “surgical treatment failure” refers to relapse of cancer in a subject who had previously undergone tumor resection. Surgical treatment failure may include metastatic F053-6000PCT/ 24-064-WO-PCT relapse.
  • Brain tumor (Glioblastoma): An estimated 10,000 new cases/year in the U.S. are seen. Currently no curative therapy is available. Glioblastoma shows very infiltrative growth and cannot be resected completely.90% of tumors relapse within a 2 cm margin from the originally resected tumor. Biomaterial wafers loaded with chemotherapy are United States Food and Drug Administration (FDA)-approved (GLIADEL®, MGI Pharma, Inc., Woodcliff Lake, NJ) for glioblastoma. However, due to insufficient tissue penetration, biomaterial implant delivered chemotherapy is mostly ineffective.
  • FDA United States Food and Drug Administration
  • pancreatic adenocarcinoma An estimated 43,920 new cases of pancreatic cancer were expected to occur in the U.S. in 2012. Only 20% will have resectable disease at the time of diagnosis (80% of patients do not undergo surgery as their tumor is too advanced at the time of diagnosis). Even surgery is considered a palliative venture with a 5-year survival rate of only 20%. Local recurrence is usually attributed to the difficulty of achieving microscopically negative surgical margins. Beyond the current foam’s ability to eradicate residual disease following surgical tumor resection, the foams can also provide pancreatic tumor patients with inoperable disease (80% of patients) with a highly effective treatment option.
  • foams are implanted directly onto un-resectable established pancreatic adenocarcinomas.
  • Ovarian cancer An estimated 22,000 new cases in 2012 in the U.S. were seen. Despite multimodality therapy with surgery and chemotherapy, most ovarian cancer patients have a poor prognosis (15,500 estimated deaths/year in U.S.). Ovarian cancer primarily disseminates within the peritoneal cavity. Adoptive T-cell therapy in ovarian cancer patients is currently being investigated at several centers. However, to date clinical results have been disappointing due to a poor survival of infused T-cells and a failure to combat immunosuppressive factors released by tumor cells to render T-cells dysfunctional.
  • foams can be used to deliver nucleic acids to treat ovarian cancers.
  • exemplary therapeutic nucleic acids for delivery include, for example, (1) CRISPR-CAS9 systems that silence critical drivers of the disease (e.g., CASC4 (Bapat et al., Cancer Gene Ther. 2024;31(2):300-10)), (2) transgenes that improve the efficiency of chemotherapy (e.g., SMAC (Hernandez et al., Cell Death Discov.
  • foams deliver nucleic acids that encode a bacterial toxin to treat cancer, for example Pseudomonas exotoxin A.
  • foams can be used to deliver nucleic acids to treat gastrointestinal cancers.
  • the gastrointestinal cancer is esophageal cancer and the foam is applied orally, in certain instances by consuming an edible or drinkable foam.
  • foams and nucleic acids delivered in this manner encode a bacterial toxin, such as Pseudomonas exotoxin A, the toxin would only be active in successfully transfected tissue (e.g., in an around tumor).
  • the foam reaches the stomach (pH-1), and in embodiments utilizing LNPs the LNP and nucleic acid (e.g., mRNA) would be rapidly destroyed by stomach acid, reducing or eliminating off target transfection and/or toxin-mediated side effects.
  • a method of treating bladder (e.g., urothelial) cancer within a subject includes intravesical administration.
  • Intravesical administration includes the administration of a foam directly into the bladder (e.g., via catheterization).
  • an assessment of the subject’s ability to retain solution for a select dwell time can be performed.
  • the subject’s bladder should be emptied before instillation of the foam.
  • a patient experiencing bladder spasms can be administered an anticholinergic.
  • Intravesical instillation of a foam disclosed herein will establish a depot within the bladder, providing sustained release of nucleic acid vectors within the bladder over time. Intravesical instillation procedures are known in the art.
  • the foam should be at suitable volume to supply a sufficient dose volume for intravesical instillation, i.e., where the volume of the dose is sufficient to expose the bladder tissues to the foam. Generally, the volume of the foam is less than 100 mL.
  • the volume of the foam is 10 mL to 100 mL, or 20 mL to 80 mL, or 25 mL to 75 mL, or 10 mL to 50 mL, or 15 mL to 45 mL, or 20 mL to 40 mL, or 25 mL to 35 mL, or 20 mL to 30 mL, or 25 mL.
  • dwell time of the foam includes 15 minutes, 30 minutes, 1.0 F053-6000PCT/ 24-064-WO-PCT hour, 1.1 hours, 1.2 hours, 1.3 hours, 1.4 hours, 1.5 hours, 1.6 hours, 1.7 hours, 1.8 hours, 1.9 hours, 2.0 hours, 2.1 hours, 2.2 hours, 2.3 hours, 2.4 hours, 2.5 hours, 2.6 hours, 2.7 hours, 2.8 hours, 2.9 hours, 3.0 hours, 3.1 hours, 3.2 hours, 3.3 hours, 3.4 hours, 3.5 hours, 3.6 hours, 3.7 hours, 3.8 hours, 3.9 hours, or 4.0 hours.
  • dwell time includes 30 minutes to 2 hours.
  • One or more subsequent instillations of the foam can be administered following the initial instillation.
  • the subsequent instillations can be separated by periodic intervals.
  • periodic intervals include a day, two days, three days, four days, five days, six days, seven days, two weeks, three weeks, a month, two months, or three months.
  • 5 instillations can be administered on a weekly basis two weeks following the initial instillation, and additionally, 3 more instillations can be administered weekly 3 months after the 5th instillation, followed by 3 more instillations administered weekly 3 months after the 8th instillation, followed by 3 more instillations administered weekly 3 months after the 11th instillation, for a total of 14 instillations administered after the initial instillation.
  • intravesical administration includes injecting foam into one or more tumor surgical resection sites, wherein the injecting is done following surgical resection of one or more tumors of the subject, thereby treating or inhibiting the recurrence of the cancer.
  • foams are administered as a combination therapy with radiotherapy.
  • the foams can be used to deliver nucleic acids to anatomical sites with an infection, for example, a bacterial, viral, or fungal infection. In these instances, the foams can provide an anti-infection effect.
  • Anti-infection effects include a reducing or preventing infection of a cell by a virus, bacteria, or fungus, decreasing the number of infected cells, decreasing the volume of infected tissue, increasing lifespan, increasing life expectancy, reducing or eliminating infection-associated symptoms.
  • therapeutically effective amounts provide anti-allergic effects.
  • Anti-allergic effects can decrease the occurrence or severity of allergic rhinitis, allergic asthma, atopic dermatitis, allergic gastroenteropathy, anaphylaxis, urticaria, food allergies, allergic bronchopulmonary aspergillosis, parasitic diseases, interstitial cystitis, hyper-IgE syndrome, ataxia-telangiectasia, Wiskott-Aldrich syndrome, athymic lymphoplasia, and allergic purpura. symptoms of an IgE -mediated disorder or disease is considered to be a treatment thereof.
  • a treated condition is a wound.
  • wound refers to open wounds, such as incisions, lacerations, abrasions, avulsions, puncture wounds, penetration F053-6000PCT/ 24-064-WO-PCT wounds, gunshot wounds, burn wounds, thermal burns, chemical burns, electrical burns, and radiation burns. Wounds also include pressure wounds. As used herein, “wound” also includes internal injuries, such as retinal or macular tears. “Chronic wounds” include wounds that take longer to heal than would be expected by a physician. In diabetics, “chronic wounds” include wounds that take longer to heal as compared to a wound of a healthy control subject.
  • a corneal incision wound is expected to heal within 42 hours following its occurrence in a healthy control subject.
  • the present disclosure describes foams delivering a nucleic acid to promote wound healing.
  • the foams can be used to reduce the occurrence of chronic wounds.
  • the foams can be used to promote wound healing in healthy or in diabetic subjects.
  • the foams can be used to reduce the occurrence of chronic wounds in diabetic subjects.
  • Wound healing generally can be divided into three steps: re-epithelialization, granulation, and neovascularization. Delayed re-epithelialization and inadequate formation of granulation tissue can lead to the development of chronic wounds.
  • Endothelial progenitor cells which derive from bone marrow, normally travel to sites of injury and are essential for the formation of blood vessels and wound healing.
  • Objective measures for the promotion of wound healing include the time required for the closure of an open wound or establishment of a biological barrier.
  • foams described herein can be edible, for example for delivery of nucleic acids to the mouth, throat, and upper gastrointestinal tract (e.g., esophagus).
  • (x) Methods of Use Using Ex Vivo Cell Manufacturing The present disclosure describes use of the foams disclosed herein in ex vivo cell manufacturing, for example manufacturing cell populations to express chimeric antigen receptors or other types of therapeutic molecules.
  • Genetically modified cells can include, for example, T-cells, B cells, natural killer (NK) cells, NK- T cells, monocytes/macrophages, lymphocytes, hematopoietic stem cells (HSCs), hematopoietic progenitor cells (HPC), a mixture of HSC and HPC (i.e., HSPC), induced pluripotent stem cells (iPSC), and cells differentiated from iPSC.
  • NK natural killer
  • HPC hematopoietic progenitor cells
  • HPC hematopoietic progenitor cells
  • iPSC induced pluripotent stem cells
  • genetically modified cells F053-6000PCT/ 24-064-WO-PCT include T-cells.
  • Cells can be incorporated into the foams of the current disclosure through a variety of methods. For example, cells may be added to either the foam precursor starting material or the nucleic acid vector material. Cells maybe added before mixing of the foam precursor and nucleic acid vector begins or may be added once mixing has begun. In particular embodiments, cells can be added when mixing the components to form the foam is almost complete. For example, if a syringe system were to be plunged 30 times, cells could be added before the 25th plunge, before the 26th plunge, before the 27th plunge, before the 28th plunge, before the 29th plunge, or before the 30th plunge.
  • T-cells can be directly vortexed into a foam or gently inserted using, for example, a dual-syringe spiral mixing tip.
  • TCR T-cell receptor
  • the actual T-cell receptor is composed of two separate peptide chains, which are produced from the independent T-cell receptor alpha and beta (TCR ⁇ and TCR ⁇ ) genes and are called ⁇ - and ⁇ -TCR chains.
  • TCR ⁇ and TCR ⁇ TCR alpha and beta
  • ⁇ T-cells represent a small subset of T-cells that possess a distinct T-cell receptor (TCR) on their surface.
  • T-cells In ⁇ T-cells, the TCR is made up of one ⁇ -chain and one ⁇ -chain. This group of T-cells is much less common (2% of total T-cells) than the ⁇ T-cells.
  • CD3 is expressed on all mature T cells. Activated T-cells express 4-1BB (CD137), CD69, and CD25. CD5 and transferrin receptor are also expressed on T-cells.
  • T-cells can further be classified into helper cells (CD4+ T-cells) and cytotoxic T-cells (CTLs, CD8+ T-cells), which include cytolytic T-cells.
  • T helper cells assist other white blood cells in immunologic processes, including maturation of B cells into plasma cells and activation of cytotoxic T-cells and macrophages, among other functions. These cells are also known as CD4+ T-cells because they express the CD4 protein on their surface. Helper T-cells become activated when they are presented with peptide antigens by MHC class II molecules that are expressed on the surface of antigen presenting cells (APCs). Once activated, they divide rapidly and secrete small proteins called cytokines that regulate or assist in the active immune response. [0293] Cytotoxic T-cells destroy virally infected cells and tumor cells and are also implicated in transplant rejection.
  • CD8+ T-cells are also known as CD8+ T-cells because they express the CD8 glycoprotein on their surface. These cells recognize their targets by binding to antigen associated with MHC class I, which is present on the surface of nearly every cell of the body.
  • "Central memory” T-cells refers to an antigen experienced CTL that expresses CD62L or CCR7 and CD45RO on the surface thereof and does not express or F053-6000PCT/ 24-064-WO-PCT has decreased expression of CD45RA as compared to naive cells.
  • central memory cells are positive for expression of CD62L, CCR7, CD25, CD127, CD45RO, and CD95, and have decreased expression of CD45RA as compared to naive cells.
  • "Effector memory" T-cell (or "TEM") as used herein refers to an antigen experienced T- cell that does not express or has decreased expression of CD62L on the surface thereof as compared to central memory cells and does not express or has decreased expression of CD45RA as compared to a naive cell.
  • effector memory cells are negative for expression of CD62L and CCR7, compared to naive cells or central memory cells, and have variable expression of CD28 and CD45RA.
  • Effector T-cells are positive for granzyme B and perforin as compared to memory or naive T-cells.
  • "Naive" T-cells as used herein refers to a non-antigen experienced T cell that expresses CD62L and CD45RA and does not express CD45RO as compared to central or effector memory cells.
  • naive CD8+ T lymphocytes are characterized by the expression of phenotypic markers of naive T-cells including CD62L, CCR7, CD28, CD127, and CD45RA.
  • Natural killer cells also known as NK cells, K cells, and killer cells
  • NK cells serve to contain viral infections while the adaptive immune response is generating antigen-specific cytotoxic T cells that can clear the infection.
  • NK cells express CD8, CD16 and CD56 but do not express CD3.
  • NK cells include NK-T cells.
  • NK-T cells are a specialized population of T cells that express a semi invariant T cell receptor (TCR ab) and surface antigens typically associated with natural killer cells.
  • TCR ab semi invariant T cell receptor
  • NK-T cells contribute to antibacterial and antiviral immune responses and promote tumor-related immunosurveillance or immunosuppression.
  • TCR ab semi invariant T cell receptor
  • NK-T cells contribute to antibacterial and antiviral immune responses and promote tumor-related immunosurveillance or immunosuppression.
  • NK-T cells can also induce perforin-, Fas-, and TNF-related cytotoxicity.
  • Activated NK-T cells are capable of producing IFN- ⁇ and IL-4.
  • NK-T cells are CD3+/CD56+.
  • Macrophages and their precursors, monocytes reside in every tissue of the body (in certain instances as microglia, Kupffer cells and osteoclasts) where they engulf apoptotic cells, pathogens and other non-self-components.
  • Monocytes/macrophages express CD11b, F4/80; CD68; CD11c; IL-4R ⁇ ; and/or CD163.
  • Hematopoietic stem cells refer to undifferentiated hematopoietic cells that are capable of self-renewal either in vivo, essentially unlimited propagation in vitro, and capable of differentiation to all other hematopoietic cell types.
  • a hematopoietic progenitor cell is a cell derived from hematopoietic stem cells or fetal tissue that is capable of further differentiation into mature cell types.
  • hematopoietic progenitor cells are CD24lo Lin- CD117+ hematopoietic progenitor cells.
  • HPC can differentiate into (i) myeloid progenitor cells which ultimately give rise to monocytes and macrophages, neutrophils, basophils, eosinophils, erythrocytes, megakaryocytes/platelets, or dendritic cells; or (ii) lymphoid progenitor cells which ultimately give rise to T-cells, B-cells, and NK-cells.
  • HSPC can be positive for a specific marker expressed in increased levels on HSPC relative to other types of hematopoietic cells. For example, such markers include CD34, CD43, CD45RO, CD45RA, CD59, CD90, CD109, CD117, CD133, CD166, HLA DR, or a combination thereof.
  • the HSPC can be negative for an expressed marker relative to other types of hematopoietic cells.
  • markers include Lin, CD38, or a combination thereof.
  • the HSPC are CD34+ cells.
  • the term can refer to the presence of surface expression as detected by flow cytometry, for example, by staining with an antibody that specifically binds to the marker and detecting said antibody, wherein the staining is detectable by flow cytometry at a level substantially above the staining detected carrying out the same procedure with an isotype- matched control under otherwise identical conditions and/or at a level substantially similar to that for cell known to be positive for the marker, and/or at a level substantially higher than that for a cell known to be negative for the marker.
  • a statement that a cell or population of cells is "negative" for a particular marker or lacks expression of a marker refers to the absence of substantial detectable presence on or in the cell of a particular marker.
  • the term can refer to the absence of surface expression as detected by flow cytometry, for example, by staining with an antibody that specifically binds to the marker and detecting said antibody, wherein the staining is not detected by flow cytometry at a level substantially above the staining detected carrying out the same procedure with an isotype-matched control under otherwise identical conditions, and/or at a level substantially lower than that for cell known to be positive for the marker, and/or at a level substantially similar as compared to that for a cell known to be negative for the marker.
  • iPSC Induced pluripotent stem cells
  • Human pluripotent stem cells express at least some, and in some embodiments, all of the markers from the following list: SSEA-3, SSEA-4, TRA-1-60, TRA-1-81, TRA-2-49/6E, ALP, Sox2, E-cadherin, UTF-1, Oct4, Rex1, and Nanog.
  • Cell morphologies associated with pluripotent stem cells are also pluripotent stem cell characteristics. In particular embodiments, pluripotency can be verified by reviewing cell morphology, TRA1-60 live staining.
  • somatic cells to be reprogrammed are derived from bone marrow.
  • somatic cells to be reprogrammed are hematopoietic stem cells or mesenchymal stem cells.
  • the type of cell to be reprogrammed includes fibroblasts, hepatocytes, myoblasts, neurons, osteoblasts, osteoclasts, kidney cells, immune cells, or stem cells.
  • the somatic cells to be reprogrammed can be isolated from a sample obtained from a mammalian subject.
  • the subject can be any mammal (e.g., bovine, ovine, porcine, canine, feline, equine, primate), including a human.
  • the sample of cells may be obtained from any of a number of different sources including, for example, bone marrow, skin, foreskin, fetal tissue (e.g., fetal liver tissue), peripheral blood, umbilical cord blood, pancreas and the like.
  • iPSC are differentiated, for example, for a research or therapeutic purpose (e.g., before administration to a subject).
  • stem cells e.g., iPSC
  • activation factors e.g., growth factors, differentiation factors, and/or survival factors
  • iPSC can be differentiated into a lymphoid stem/progenitor cell by exposing iPSC to 100 ng/ml of each of SCF and GM-CSF or IL-7.
  • a retinoic acid receptor (RAR) agonist or preferably all trans retinoic acid (ATRA) is used to promote the differentiation of iPSC.
  • Differentiation into natural killer cells e.g., can be achieved by exposing cultured iPSC to RPMI F053-6000PCT/ 24-064-WO-PCT media supplemented with human serum, IL-2 at 50 U/mL and IL-15 at 500ng/mL.
  • RPMI media can also be supplemented L-glutamine.
  • Cardiomyocytes have been generated in vitro from a wide range of stem cells, including iPSC (see, e.g., Gai, et al., 2009, Cell.
  • cardiomyocyte progenitors can be generated from embryoid bodies (EBs) treated with Activin A, BMP4 or with 2+Wnt3 and bFGF. These progenitors express Nkx2.5, Tbx5/20, Gata-4, Mef2c and Hand1/2. Their further differentiation to functional cardiomyocytes can be promoted with VEGF and Dkk1 (Vidarsson, et al., 2010, Stem Cell Rev. 6:108-20).
  • a protocol for generating insulin producing beta-cells involves stepwise lineage restriction generating in sequence: definitive endodermal cells (Activin+Wnt3), primitive foregut endoderm (FGF10+KAAD-cyclopamine), posterior foregut endoderm (RA+FGF10+KAAD-cyclopamine), pancreatic endoderm and endocrine precursors (Extendin-4), and hormone producing cells (IGF1+HGF).
  • definitive endodermal cells Activin+Wnt3
  • FGF10+KAAD-cyclopamine primitive foregut endoderm
  • RA+FGF10+KAAD-cyclopamine posterior foregut endoderm
  • pancreatic endoderm and endocrine precursors Extendin-4
  • IGF1+HGF hormone producing cells
  • Transcription factor profiles include: Sox17, CER, FoxA2, and the cytokine receptor CXCR4 (definitive endodermal cells), Hnf1B, Hnf4A (primitive foregut endoderm), Pdx1, Hnf6, H1xB9 (posterior foregut endoderm), and Nkx6.1, Nkx2.2, Ngn3, Pax4 (pancreatic endoderm and endocrine precursors). See, e.g., D'Amour, et al., 2006, Nat. Biotechnol.24:1392-401; Kroon, et al., 2008, Nat. Biotechnol.26:443-52).
  • stem cells e.g., iPSC
  • iPSC iPSC
  • Various types of retinal cells can be generated from stem cells (e.g., iPSC) (see, e.g., Lamba, et al., 2006, Proc. Natl. Acad. Sci. USA 103:12769-74; Reh, et al., 2010, Methods Mol. Biol.636:139-53).
  • EBs can be produced and thereafter treated with IGF1, Noggin (BMP inhibitor) and Dkk1 (Wnt inhibitor).
  • This treatment with IGF1, Noggin (BMP inhibitor), and Dkk1 (Wnt inhibitor) can direct stem cells (e.g., iPSC) to adopt a retinal progenitor phenotype, expressing F053-6000PCT/ 24-064-WO-PCT Pax6 and Chx10.
  • stem cells e.g., iPSC
  • DAPT N-(N-(3,5-difluorophenacetyl)-1-alanyl)-S- phenylglycine t-butyl ester
  • neuronal differentiation can be achieved by replacing a stem cell culture media with a media including basic fibroblast growth factor (bFGF) heparin, and an N2 supplement (e.g., transferrin, insulin, progesterone, putrescine, and selenite).
  • bFGF basic fibroblast growth factor
  • N2 supplement e.g., transferrin, insulin, progesterone, putrescine, and selenite.
  • differentiating cells can be attached by plating them onto dishes coated with laminin or polyornithine. After an additional 10–11 days in culture, primitive neuroepithelial cells will have formed.
  • Neuroepithelial cells can be further differentiated into, e.g., motor neurons (see, e.g., Li, et al. 2005, Nat. Biotechnol.23, 215–221), dopaminergic neurons (see, e.g., Yan, et al.2005, Stem Cells 23, 781– 790), and oligodendrocytes (Nistor, et al.2005, Glia 49, 385–396).
  • motor neurons see, e.g., Li, et al. 2005, Nat. Biotechnol.23, 215–221
  • dopaminergic neurons see, e.g., Yan, et al.2005, Stem Cells 23, 781– 790
  • oligodendrocytes oligodendrocytes
  • Additional information regarding differentiation to motor neurons includes treatment with RA (Pax6 expressing primitive neuroepithelial cells), RA+Shh (Pax6/Sox1 expressing neuroepithelial cells), which gradually start to express the motor neuron progenitor marker Olig2. Reducing RA+Shh concentration promotes the emergence of motor neurons expressing HB9 and Islet1.
  • BDNF brain-derived neurotrophic factor
  • GDNF glial-derived neurotrophic factor
  • IGF1 insulin-like growth factor-1
  • cAMP e.g., Hu, et al., 2009, Nat. Protoc.4:1614-22; Hu, et al., 2010, Proc. Natl.
  • Additional information regarding differentiation to dopaminergic neurons includes overexpression of the transcription factor Nurr1 followed by exposure to Shh, FGF-8 and ascorbic acid (see, e.g., Lee, et al., 2000 June, Nat. Biotechnol.18(6):675-9; Kriks and Studer, 2009, Adv. Exp. Med. Biol.651:101-11; Lindvall and Kokaia, 2009 May, Trends Pharmacol. Sci.30(5):260- 7.).
  • stromal cell-derived factor 1 SDF-1/CXCL12
  • PDN pleiotrophin
  • IGF2 insulin-like growth factor 2
  • EFNB1 ephrin B1
  • a protocol to produce mature myelinating oligodendrocytes includes directing stem cells (e.g., iPSC) toward neuroectoderm differentiation in the absence of growth factors for 2 weeks. These cells express neuroectoderm transcription factors, including Pax6 and Sox1. Next stem cells (e.g., iPSC) are exposed to the caudalizing factor retinoic acid (RA) and the ventralizing morphogen Shh for 10 days to begin expression of Olig2. To prevent the differentiation to motor neurons and promote the generation of oligodendrocyte precursor cells (OPC)s, cells are cultured with FGF2 for 10 days.
  • iPSC caudalizing factor retinoic acid
  • OPC oligodendrocyte precursor cells
  • pre-OPCs stage prior to human OPCs
  • T3 triiodothyronine
  • NT3 neurotrophin 3
  • PDGF vascular endothelial growth factor
  • cAMP vascular endothelial growth factor-1
  • biotin a medium including triiodothyronine (T3), neurotrophin 3 (NT3), PDGF, cAMP, IGF-1 and biotin, which individually or synergistically can promote the survival and proliferation of the OPCs, for another 8 weeks to generate OPCs.
  • a protocol to produce glutamatergic neurons includes use of stem cells (e.g., iPSC) to produce cell aggregates which are then treated for 8 days with RA. This results in Pax6 expressing radial glial cells, which after additional culturing in N2 followed by "complete" medium results in 95% glutamate neurons (Bibel, et al., 2007, Nat. Protoc.2:1034-43).
  • stem cells e.g., iPSC
  • a protocol to produce GABAergic neurons includes exposing EBs for 3 days to all-trans- RA. After subsequent culture in serum-free neuronal induction medium including Neurobasal medium supplemented with B27, bFGF and EGF, 95% GABA neurons develop (see, e.g., Chatzi, et al., 2009, Exp. Neurol.217:407-16).
  • U.S. Publication No. 2013/0330306 describes compositions and methods to induce differentiation and proliferation of neural precursor cells or neural stem cells into neural cells using umbilical cord blood-derived mesenchymal stem cells; U.S. Publication No.
  • 2007/0179092 describes use of pituitary adenylate cyclase activating polypeptide (PACAP) to enhance neural stem cell proliferation, differentiation and survival;
  • PACAP pituitary adenylate cyclase activating polypeptide
  • U.S. Publication No.2012/0329714 describes use of prolactin to increase neural stem cell numbers; while U.S. Publication No.2012/0308530 describes a culture surface with amino groups that promotes neuronal differentiation into neurons, astrocytes and oligodendrocytes.
  • U.S. Publication No.2006/211109 describes improved methods for efficiently producing neuroprogenitor cells and differentiated neural cells such as dopaminergic neurons and serotonergic neurons from pluripotent stem cells, e.g., iPSCs.
  • the fate of neural stem cells can be controlled by a variety of extracellular factors.
  • F053-6000PCT/ 24-064-WO-PCT Commonly used factors include amphiregulin; BMP-2 (U.S. Pat. Nos.5,948,428 and 6,001,654); brain derived growth factor (BDNF; Shetty and Turner, 1998, J. Neurobiol. 35:395-425); neurotrophins (e.g., Neurotrophin-3 (NT-3) and Neurotrophin-4 (NT-4); Caldwell, et al., 2001, Nat. Biotechnol.
  • ciliary neurotrophic factor CNTF
  • CNTF ciliary neurotrophic factor
  • EGF epidermal growth factor
  • dexamethasone glucocorticoid hormone
  • bFGF fibroblast growth factor
  • GDNF family receptor ligands
  • growth hormone interleukins
  • insulin-like growth factors isobutyl 3-methylxanthine
  • LIF leukemia inhibitory growth factor
  • Notch antagonists U.S. Patent No.6,149,902
  • PDGF platelet derived growth factor
  • preferred proliferation-inducing neural growth factors include BNDF, EGF and FGF-1 or FGF-2. Growth factors can be usually added to the culture medium at concentrations ranging between 1 fg/ml of a pharmaceutically acceptable composition (including, e.g., CNS compatible carriers, excipients and/or buffers) to 1 mg/ml.
  • a pharmaceutically acceptable composition including, e.g., CNS compatible carriers, excipients and/or buffers
  • Growth factor expanded stem cells can also differentiate into neurons and glia after mitogen withdrawal from a culture medium.
  • iPSC growth factor expanded stem cells
  • WO 2004/046348 describes differentiation protocols for the generation of neural-like cells from bone marrow-derived stem cells.
  • WO 2006/134602 describes differentiation protocols for the generation of neurotrophic factor secreting cells.
  • Commercial kits are also available from Life Technologies and include PSC Neural Induction Medium, GeltrexTM LDEV- Free hESC-qualified Reduced Growth Factor Basement Membrane Matrix, and a Human Neural Stem Cell Immunocytochemistry kit.
  • Stem cells e.g., iPSC
  • iPSC differentiated into neural cells using the Life Technology kits
  • B-27® supplements with N-2 supplement and NEUROBASAL® Medium.
  • Additional methods to assist with stem cell (e.g., iPSC) differentiation protocols include, e.g., culture vessels with a portion including an oxygen permeable substrate at least partially coated with a synthetic matrix having an average thickness of less than 100 nm. See, e.g., U.S. Publication No.2014/0370598.
  • U.S. U.S. Publication No.2014/0370598.
  • Publication No.2013/0251690 describes methods to support stem cell (e.g., iPSC) differentiation in elderly populations.
  • stem cell e.g., iPSC
  • a number of different differentiation methods have been described. Additional methods that can be used within the teaching of the current disclosure can be found in the art by those with F053-6000PCT/ 24-064-WO-PCT ordinary skill.
  • differentiation of stem cells e.g., iPSC
  • iPSC differentiation of stem cells
  • the foregoing discussion describes in vitro or ex vivo differentiation methods. Modified stem cells (e.g., iPSC) disclosed herein can also differentiate in vivo following administration, as described elsewhere herein.
  • Cells to be genetically modified according to the teachings of the current disclosure can be patient-derived cells (autologous) or allogeneic when appropriate and can also be in vivo or ex vivo.
  • Methods of sample collection and enrichment are known by those skilled in the art.
  • cells are derived from cell lines.
  • the cells in some embodiments are obtained from a xenogeneic source, for example, from mouse, rat, non-human primate, or pig.
  • cells are derived from humans, for example a patient to be treated.
  • T cells are derived or isolated from samples such as whole blood, peripheral blood mononuclear cells (PBMCs), leukocytes, bone marrow, thymus, tissue biopsy, tumor, lymph node, gut associated lymphoid tissue, mucosa associated lymphoid tissue, spleen, other lymphoid tissues, liver, lung, stomach, intestine, colon, kidney, pancreas, breast, bone, prostate, cervix, testes, ovaries, tonsil, or other organ, and/or cells derived therefrom.
  • PBMCs peripheral blood mononuclear cells
  • the samples contain lymphocytes, including T cells, monocytes, granulocytes, B cells, other nucleated white blood cells, HSC, HPC, HSPC, red blood cells, and/or platelets, and in some aspects contains cells other than red blood cells and platelets and further processing is necessary.
  • T cells are derived from PBMCs.
  • blood cells collected from a subject are washed, e.g., to remove the plasma fraction and to place the cells in an appropriate buffer or media for subsequent processing steps.
  • the cells are washed with phosphate buffered saline (PBS).
  • PBS phosphate buffered saline
  • the wash solution lacks calcium and/or magnesium and/or many or all divalent cations. Washing can be accomplished using a semi-automated "flow-through” centrifuge (for example, the Cobe 2991 cell processor, Baxter) according to the manufacturer's instructions. Tangential flow filtration (TFF) can also be performed. In particular embodiments, cells can be re-suspended in a variety of biocompatible buffers after washing, such as, Ca++/Mg++ free PBS.
  • the isolation can include one or more of various cell preparation and separation steps, including separation based on one or more properties, such as size, density, sensitivity or F053-6000PCT/ 24-064-WO-PCT resistance to particular reagents, and/or affinity, e.g., immunoaffinity, to antibodies or other binding partners.
  • the isolation is carried out using the same apparatus or equipment sequentially in a single process stream and/or simultaneously.
  • the isolation, culture, and/or engineering of the different populations is carried out from the same starting composition or material, such as from the same sample.
  • a sample can be enriched for T cells by using density-based cell separation methods and related methods.
  • white blood cells can be separated from other cell types in the peripheral blood by lysing red blood cells and centrifuging the sample through a Percoll or Ficoll gradient.
  • a bulk T cell population can be used that has not been enriched for a particular T cell type.
  • a selected T cell type can be enriched for and/or isolated based on cell-marker based positive and/or negative selection. In positive selection, cells having bound cellular markers are retained for further use. In negative selection, cells not bound by a capture agent, such as an antibody to a cellular marker are retained for further use. In some examples, both fractions can be retained for a further use.
  • CD4+ and/or CD8+ T cells are enriched from PBMCs.
  • the separation need not result in 100% enrichment or removal of a particular cell population or cells expressing a particular marker.
  • positive selection of or enrichment for cells of a particular type refers to increasing the number or percentage of such cells but need not result in a complete absence of cells not expressing the marker.
  • negative selection, removal, or depletion of cells of a particular type refers to decreasing the number or percentage of such cells but need not result in a complete removal of all such cells.
  • multiple rounds of separation steps are carried out, where the positively or negatively selected fraction from one step is subjected to another separation step, such as a subsequent positive or negative selection.
  • an antibody or binding domain for a cellular marker is bound to a solid support or matrix, such as a magnetic bead or paramagnetic bead, to allow for separation of cells for positive and/or negative selection.
  • a solid support or matrix such as a magnetic bead or paramagnetic bead
  • the cells and cell populations are separated or isolated using immunomagnetic (or affinity magnetic) separation techniques (reviewed in Methods in Molecular Medicine, vol.58: Metastasis Research Protocols, Vol.2: Cell Behavior In Vitro and In Vivo, p 17-25 Edited by: S. A. Brooks and U. Schumacher ⁇ Humana Press Inc., Totowa, NJ); see also US 4,452,773; US 4,795,698; US 5,200,084; and EP 452342.
  • affinity-based selection is via magnetic-activated cell sorting F053-6000PCT/ 24-064-WO-PCT (MACS) (Miltenyi Biotec, Auburn, CA).
  • MACS systems are capable of high-purity selection of cells having magnetized particles attached thereto.
  • MACS operates in a mode wherein the non-target and target species are sequentially eluted after the application of the external magnetic field. That is, the cells attached to magnetized particles are held in place while the unattached species are eluted. Then, after this first elution step is completed, the species that were trapped in the magnetic field and were prevented from being eluted are freed in some manner such that they can be eluted and recovered.
  • the non-target cells are labelled and depleted from the heterogeneous population of cells.
  • a cell population described herein is collected and enriched (or depleted) via flow cytometry, in which cells stained for multiple cell surface markers are carried in a fluidic stream.
  • a cell population described herein is collected and enriched (or depleted) via preparative scale (FACS)-sorting.
  • a cell population described herein is collected and enriched (or depleted) by use of microelectromechanical systems (MEMS) chips in combination with a FACS-based detection system (see, e.g., WO 2010/033140, Cho et al.
  • MEMS microelectromechanical systems
  • T cells can be labeled with multiple markers, allowing for the isolation of well-defined cell subsets at high purity.
  • cells can be labeled with multiple markers, allowing for the isolation of well-defined cell subsets at high purity.
  • Cell-markers for different T cell subpopulations are described above.
  • specific subpopulations of T cells such as cells positive or expressing high levels of one or more surface markers, e.g., CCR7, CD45RO, CD8, CD27, CD28, CD62L, CD127, CD4, and/or CD45RA T cells, are isolated by positive or negative selection techniques.
  • CD3+, CD28+ T cells can be positively selected for and expanded using anti-CD3/anti- CD28 conjugated magnetic beads (e.g., DYNABEADS® M-450 CD3/CD28 T Cell Expander).
  • a CD8+ or CD4+ selection step is used to separate CD4+ helper and CD8+ cytotoxic T cells.
  • Such CD8+ and CD4+ populations can be further sorted into sub-populations by positive or negative selection for markers expressed or expressed to a relatively higher degree on one or more naive, memory, and/or effector T cell subpopulations.
  • enrichment for central memory T (TCM) cells is carried out.
  • memory T cells are present in both CD62L subsets of CD8+ peripheral blood lymphocytes.
  • PBMC can be enriched for or depleted of CD62L, CD8 and/or CD62L+CD8+ fractions, such as by using anti-CD8 and anti-CD62L antibodies.
  • the enrichment for central memory T (TCM) cells is based on positive or high surface expression of CCR7, CD45RO, CD27, CD62L, CD28, CD3, and/or CD127; in some aspects, it is based on negative selection for cells expressing or highly F053-6000PCT/ 24-064-WO-PCT expressing CD45RA and/or granzyme B.
  • isolation of a CD8+ population enriched for TCM cells is carried out by depletion of cells expressing CD4, CD14, CD45RA, and positive selection or enrichment for cells expressing CCR7, CD45RO, and/or CD62L.
  • enrichment for central memory T (TCM) cells is carried out starting with a negative fraction of cells selected based on CD4 expression, which is subjected to a negative selection based on expression of CD14 and CD45RA, and a positive selection based on CD62L.
  • TCM central memory T
  • the same CD4 expression-based selection step used in preparing the CD8+ cell population or subpopulation also is used to generate the CD4+ cell population or sub-population, such that both the positive and negative fractions from the CD4-based separation are retained, optionally following one or more further positive or negative selection steps.
  • Other cell types can be enriched based on known marker profiles and techniques.
  • CD34+ HSC, HSP, and HSPC can be enriched using anti-CD34 antibodies directly or indirectly conjugated to magnetic particles in connection with a magnetic cell separator, for example, the CliniMACS® Cell Separation System (Miltenyi Biotec, Bergisch Gladbach, Germany).
  • Cell populations can be genetically modified to express a therapeutic molecule, such as a pro-inflammatory cytokine, a CAR, an engineered T cell receptor (TCR), an interfering RNA, or any other therapeutic molecule.
  • a therapeutic molecule such as a pro-inflammatory cytokine, a CAR, an engineered T cell receptor (TCR), an interfering RNA, or any other therapeutic molecule.
  • Desired genes or genetic constructs can be introduced into cells by any method known in the art, including transfection, electroporation, microinjection, lipofection, calcium phosphate mediated transfection, infection with a viral or bacteriophage vector including the gene sequences, cell fusion, chromosome-mediated nucleic acid transfer, microcell-mediated nucleic acid transfer, spheroplast fusion, in vivo nanoparticle-mediated delivery, etc.
  • the CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats)/Cas (CRISPR-associated protein) nuclease system is an engineered nuclease system used for genetic engineering that is based on a bacterial system.
  • ZFNs zinc finger nucleases
  • ZFNs are a class of site-specific nucleases engineered to bind and cleave DNA at specific positions. ZFNs are used to introduce double stranded breaks (DSBs) at a specific site in a DNA sequence which enables the ZFNs to target unique sequences within a genome in a variety of different cells.
  • a zinc finger is a domain of 30 amino acids within the zinc finger binding domain whose structure is stabilized through coordination of a zinc ion. Examples of zinc fingers include C2H2 zinc fingers, C3H zinc fingers, and C4 zinc fingers.
  • a designed zinc finger domain is a domain not occurring in nature whose design/composition results principally from rational criteria, e.g., application of substitution rules and computerized algorithms for processing information in a database storing information of existing ZFP designs and binding data.
  • a well-known example of a ZFN is a fusion of the FokI nuclease with a zinc finger DNA binding domain.
  • TALENs refer to fusion proteins including a transcription activator-like effector (TALE) DNA binding protein and a DNA cleavage domain.
  • TALE transcription activator-like effector
  • TALENs are used to edit genes and genomes by inducing double DSBs in the DNA, which induce repair mechanisms in cells.
  • two TALENs must bind and flank each side of the target DNA site for the DNA cleavage domain to dimerize and induce a DSB.
  • MegaTALs have a sc rare-cleaving nuclease structure in which a TALE is fused with the DNA cleavage domain of a meganuclease.
  • Meganucleases also known as homing endonucleases, are single peptide chains that have both DNA recognition and nuclease function in the same domain. In contrast to the TALEN, the megaTAL only requires the delivery of a single peptide chain for functional activity.
  • transposon-based systems as gene editing agents to mediate the integration of a genetic construct into cells.
  • such methods will involve introducing into cells (i) a first vector encoding a transposase (or a transposase polypeptide) and (ii) a second vector encoding a desired genetic element that is flanked by transposon repeats.
  • Transposons or transposable elements include a (short) nucleic acid sequence with terminal repeat sequences upstream and downstream thereof and encode enzymes that facilitate the excision and insertion of the nucleic acid into target DNA sequences.
  • Several transposon/transposase systems have been adapted for genetic insertions of heterologous DNA sequences.
  • transposases examples include sleeping beauty (“SB”, e.g., derived from the genome of salmonid fish); piggyback (e.g., derived from lepidopteran cells and/or the Myotis lucifugus); mariner (e.g., derived from Drosophila); frog prince (e.g., derived from Rana pipiens); Tol1; Tol2 (e.g., derived from medaka fish); TcBuster (e.g., derived from the red flour beetle Tribolium castaneum), Helraiser, Himar1, Passport, Minos, Ac/Ds, PIF, Harbinger, Harbinger3-DR, HSmar1, and spinON.
  • SB sleeping beauty
  • piggyback e.g., derived from lepidopteran cells and/or the Myotis lucifugus
  • mariner e.g., derived from Drosophila
  • frog prince e.g., derived from Ran
  • transposases and transposon systems are further described in U.S. Pat. Nos.6,489,458; 7,148,203; 8,227,432; and 9,228,180.
  • genetically modified cells can be harvested from a culture medium and washed and concentrated into a carrier in a therapeutically effective amount.
  • cell formulations refer to the formulations including cells genetically modified to express a F053-6000PCT/ 24-064-WO-PCT molecule and prepared for administration.
  • Exemplary carriers include saline, buffered saline, physiological saline, water, Hanks' solution, Ringer's solution, Normosol-R (Abbott Labs), PLASMA-LYTE A® (Baxter Laboratories, Inc., Morton Grove, IL), and combinations thereof.
  • carriers can be supplemented with human serum albumin (HSA) or other human serum components or fetal bovine serum.
  • a carrier for infusion includes buffered saline with 5% HSA or dextrose.
  • Additional isotonic agents include polyhydric sugar alcohols including trihydric or higher sugar alcohols, such as glycerin, erythritol, arabitol, xylitol, sorbitol, or mannitol.
  • Carriers can include buffering agents, such as citrate buffers, succinate buffers, tartrate buffers, fumarate buffers, gluconate buffers, oxalate buffers, lactate buffers, acetate buffers, phosphate buffers, histidine buffers, and/or trimethylamine salts.
  • Stabilizers refer to a broad category of excipients which can range in function from a bulking agent to an additive which helps to prevent cell adherence to container walls.
  • Typical stabilizers can include polyhydric sugar alcohols; amino acids, such as arginine, lysine, glycine, glutamine, asparagine, histidine, alanine, ornithine, L-leucine, 2-phenylalanine, glutamic acid, and threonine; organic sugars or sugar alcohols, such as lactose, trehalose, stachyose, mannitol, sorbitol, xylitol, ribitol, myoinisitol, galactitol, glycerol, and cyclitols, such as inositol; PEG; amino acid polymers; sulfur-containing reducing agents, such as urea, glutathione, thioctic acid, sodium thioglycolate, thioglycerol, alpha-monothioglycerol, and sodium thiosulfate; low molecular weight polypeptides (i.
  • cell formulations can include a local anesthetic such as lidocaine to ease pain at a site of injection.
  • a local anesthetic such as lidocaine to ease pain at a site of injection.
  • exemplary preservatives include phenol, benzyl alcohol, meta-cresol, methyl paraben, propyl paraben, octadecyldimethylbenzyl ammonium chloride, benzalkonium halides, hexamethonium chloride, alkyl parabens such as methyl or propyl paraben, catechol, resorcinol, cyclohexanol, and 3-pentanol.
  • Therapeutically effective amounts of cells within cell formulations can be greater than 10 2 cells, greater than 10 3 cells, greater than 10 4 cells, greater than 10 5 cells, greater than 10 6 cells, greater than 10 7 cells, greater than 10 8 cells, greater than 10 9 cells, greater than 10 10 cells, or greater than 10 11 .
  • cells are generally in a volume of a liter or less, 500 F053-6000PCT/ 24-064-WO-PCT ml or less, 250 ml or less or 100 ml or less.
  • the density of administered cells is typically greater than 10 4 cells/ml, 10 7 cells/ml or 10 8 cells/ml.
  • cell formulations can include one or more genetically modified cell types (e.g., modified T-cells, NK cells, or stem cells).
  • Cell formulations can include different types of genetically modified cells (e.g., T-cells, NK cells, and/or stem cells in combination).
  • Different types of genetically-modified cells or cell subsets can be provided in different ratios e.g., a 1:1:1 ratio, 2:1:1 ratio, 1:2:1 ratio, 1:1:2 ratio, 5:1:1 ratio, 1:5:1 ratio, 1:1:5 ratio, 10:1:1 ratio, 1:10:1 ratio, 1:1:10 ratio, 2:2:1 ratio, 1:2:2 ratio, 2:1:2 ratio, 5:5:1 ratio, 1:5:5 ratio, 5:1:5 ratio, 10:10:1 ratio, 1:10:10 ratio, 10:1:10 ratio, etc. These ratios can also apply to numbers of cells expressing the same or different CAR components.
  • the cell formulations disclosed herein can be prepared for administration by, e.g., injection, infusion, perfusion, or lavage.
  • the cell formulations can further be formulated for bone marrow, intravenous, intradermal, intraarterial, intranodal, intralymphatic, intraperitoneal, intralesional, intraprostatic, intravaginal, intrarectal, intrathecal, intratumoral, intramuscular, intravesical, and/or subcutaneous injection.
  • PMBCs may be modified to express a chimeric antigen receptor or other therapeutic molecule, such as a TCR, cytokine receptor, costimulatory ligand, death receptor, chemoattractant, antibody, or multispecific binding molecule
  • a chimeric antigen receptor or other therapeutic molecule such as a TCR, cytokine receptor, costimulatory ligand, death receptor, chemoattractant, antibody, or multispecific binding molecule
  • HSC may be modified to introduce or alter a gene selected from ABCD1, ABCA3, ABLI, ADA, AKT1, APC, APP, ARSA, ARSB, BCL11A, BLC1, BLC6, BRCA1, BRCA2, BRIP1, C9ORF72, C46 CAS9, C-CAM, CBFAI, CBL, CCR5, CD4, CD19, CD40, CDA, CFTR, CLN3, C-MYC, CRE, CSCR4, CSFIR, CTLA, CTS-I, CYB5R3, DCC, DHFR, DKC1, DLL1, DMD, EGFR, ERBA, ERBB, EBRB2, ETSI, ETS2, ETV6, F8, F9, FANCA, FANCB, FANCC, FANCD2, FANCE, FANCF, FANCG, FANCI, FANCL, FANCM, FasL, FCC, FGR, FOX, FUS, FUSI, FYN, GALNS, GATA1,
  • Kits include groupings of components to practice aspects of the current disclosure.
  • a kit could include the components of a system described herein.
  • a kit could include components to form a foam as described herein. Kits can also include components to practice methods disclosed herein.
  • kits can include one or more of a nucleic acid (e.g., plasmid DNA, minicircle DNA, self-replicating RNA, in vitro transcribed RNA, circular RNA, dogpybone DNA (dbDNA), siRNA, or guide RNA), a vector (e.g., viral vector, oncolytic vector, for example, derived from HSV-1 or HSV-2 or a lentiviral vector), a lipid, a lipid nanoparticle, a foam precursor (e.g., methylcellulose, sodium caseinate, or albumin), xanthum gum, guar gum.
  • a nucleic acid e.g., plasmid DNA, minicircle DNA, self-replicating RNA, in vitro transcribed RNA, circular RNA, dogpybone DNA (dbDNA), siRNA, or guide RNA
  • a vector e.g., viral vector, oncolytic vector, for example, derived from HSV-1 or HSV-2 or a lent
  • a gas-bubble based degrading liquid foam including a nucleic acid.
  • the lipid nanoparticle includes 2-(Di((9Z,12Z)-octadeca-9,12-dien-1-yl)amino)ethan-1-ol, Dinonyl 8,8'-((2- hydroxyethyl)azanediyl)dioctanoate, Nonyl 8-((2-hydroxyethyl)((9Z,12Z)-octadeca-9,12-dien-1- yl)amino)octanoate, Heptadecan-9-yl 8-((2-hydroxyethyl)((9Z,12Z)-octadeca-9,12-dien-1- yl)amino)octanoate, Heptadecan-9-yl 8-((2-hydroxyethyl)((9Z,12Z
  • the viral vector includes a lentiviral vector.
  • GRAS material generally recognized as safe
  • SCMC sodium carboxymethyl cellulose
  • HEC hydroxyethyl cellulose
  • HPC hydroxypropyl cellulose
  • MHEC methyl hydroxyethyl
  • gas within the gas-bubble based degrading liquid foam includes air, oxygen (O2), nitrogen (N2), and inert gasses such as Argon (Ar), Neon (Ne), Radon (Ra), Helium (He), Krypton (Kr), Nitric oxide (NO), or mixtures thereof.
  • the gas-bubble based degrading liquid foam of any of embodiments 1-15 wherein gas within the gas-bubble based degrading liquid foam has a higher than average oxygen content. 17.
  • PBS phosphate buffered saline
  • Flt3L fms-like tyrosine kinase 3 ligand
  • SCF stem cell factor
  • IL-3 IL-6
  • TPO thrombopoietin
  • the gas-bubble based degrading liquid foam of any of embodiments 1-24, wherein the foam has an initial mean bubble count of 10,000 ⁇ m2 to 11,000 ⁇ m2.
  • the gas-bubble based degrading liquid foam of any of embodiments 1-24 wherein after 10 hours at room temperature the foam has a bubble count of 15/mm2 to 35/mm2. 30.
  • the gas-bubble based degrading liquid foam of any of embodiments 1-24 wherein after 10 hours at room temperature the foam has a mean bubble area of 30,000 ⁇ m2 to 55,000 ⁇ m2. 33.
  • the gas-bubble based degrading liquid foam of embodiment 35 wherein the therapeutic F053-6000PCT/ 24-064-WO-PCT molecule is cytotoxic. 37. The gas-bubble based degrading liquid foam of embodiment 35, wherein the therapeutic molecule restores a physiological function of a cell. 38. The gas-bubble based degrading liquid foam of embodiment 35, wherein the therapeutic molecule includes a recombinant protein. 39. The gas-bubble based degrading liquid foam of any of embodiments 1-34, wherein the nucleic acid encodes a vaccine antigen, a genome editing agent, a cytosolic protein, a transmembrane protein, or a secreted protein. 40.
  • the gas-bubble based degrading liquid foam of embodiment 39 wherein the cytosolic protein includes a transcription factor or a suicide gene.
  • the transmembrane protein includes a T cell receptor (TCR), a chimeric antigen receptor (CAR), a cytokine receptor, a costimulatory ligand, or a death receptor.
  • TCR T cell receptor
  • CAR chimeric antigen receptor
  • the secreted protein includes a chemoattractant, an antibody, a multispecific binding molecule or a growth factor.
  • the gas-bubble based degrading liquid foam of embodiment 46 wherein the bacterial toxin is produced by Neisseria meningitidis, Escherichia coli (E.coli), Pseudomonas, Proteus, Enterobacter, or Klebsiella.
  • the gas-bubble based degrading liquid foam of embodiment 49 wherein the sugar includes sucrose, maltose, maltodextrin, or trehalose.
  • F053-6000PCT/ 24-064-WO-PCT 52 The gas-bubble based degrading liquid foam of embodiment 51, wherein the cell is a lymphocyte.
  • the gas-bubble based degrading liquid foam of embodiment 53 wherein the antigen expressed by the T cell includes CD2, CD3, CD7, CD27, CD28, CD30, CD40, CD83, 4-1BB (CD137), OX40, lymphocyte function-associated antigen-1 (LFA-1), LIGHT, NKG2C, or B7-H3 55.
  • the gas-bubble based degrading liquid foam of embodiment 51 wherein the cell is a stem cell.
  • the gas-bubble based degrading liquid foam of embodiment 56 wherein the antigen expressed by the stem cell is CD34, CD90, or CD117.
  • iPSC induced pluripotent stem cell
  • the gas-bubble based degrading liquid foam of embodiment 51 wherein the cell has been differentiated from a hematopoietic stem cell or an iPSC ex vivo. 61.
  • the gas-bubble based degrading liquid foam of embodiment 61 wherein the antigen expressed by the cancer cell includes A33, BAGE, Bcl-2, ⁇ -catenin, CA125, CA19-9, CD5, CD19, CD20, CD21, CD22, CD33, CD37, CD45, CD123, CEA, c-Met, CS-1, cyclin B1, DAGE, EBNA, EGFR, ephrinB2, estrogen receptor, FAP, ferritin, folate-binding protein, GAGE, G250, GD-2, GM2, gp75, gp100 (Pmel 17), HER-2/neu, HPV E6, HPV E7, Ki-67, LRP, mesothelin, p53, PRAME, progesterone receptor, PSA, PSMA, MAGE, MART, mesothelin, MUC, MUM-1-B, myc, NYESO-1, ras, RORl, survivin, tenasc
  • 66. The gas-bubble based degrading liquid foam of any of embodiments 51-65, wherein the binding domain is linked to a vector within the foam.
  • 67. The gas-bubble based degrading liquid foam of embodiment 66, wherein the vector is a viral vector or a nanoparticle.
  • 68. The gas-bubble based degrading liquid foam of any of embodiments 1-67, wherein the foam is self-expanding.
  • 69. The gas-bubble based degrading liquid foam of embodiment 68, wherein the self-expanding foam includes an oxygen releasing biomaterial. 70.
  • the gas-bubble based degrading liquid foam of embodiment 84, wherein the immune cell is a lymphocyte or a stem cell. 86.
  • the gas-bubble based degrading liquid foam of embodiment 85 wherein the lymphocyte is a T cell or a natural killer (NK) cell.
  • the gas-bubble based degrading liquid foam of embodiment 86 further including an anti-CD3 binding domain and/or an anti-CD28 binding domain.
  • the gas-bubble based degrading liquid foam of any of embodiments 1-87 further including a transduction enhancer.
  • DMSO dimethyl sulfoxide
  • polybrene polybrene
  • protamine sulfate 90.
  • embodiment 90 wherein the condition is cancer.
  • the cancer is esophageal cancer, rectal cancer, colon cancer, or ovarian cancer.
  • the condition is a genetic disorder.
  • the genetic disorder is a genetic blood disorder.
  • the condition includes an immunodeficiency, a hemoglobinopathy, or an inherited metabolic disorder.
  • 96 A method of forming a gas-bubble based degrading liquid foam of any of embodiments 1-89, the method including adding a population of cells within a liquid to a foam precursor. 97.
  • a method of forming a gas-bubble based degrading liquid foam of any of embodiments 1-89 including turbulently mixing a foam precursor, a nucleic acid, a liquid, and a gas, thereby forming the gas-bubble based degrading liquid foam.
  • 98. The method of embodiment 97, wherein the turbulently mixing is automatic.
  • 99. The method of embodiment 97 or 98, wherein the turbulently mixing is within a continuous flow static mixer. F053-6000PCT/ 24-064-WO-PCT 100.
  • any of embodiments 97-99 wherein the foam precursor, the liquid, and the nucleic acid are within a first syringe and the gas is within a second syringe, and the turbulently mixing includes drawing a plunger of the first syringe and a plunger of the second syringe back and forth.
  • drawing the syringe plunger of the first syringe and the second syringe back and forth includes drawing the syringe plunger of the first syringe and the second syringe back and forth 10 – 50 times.
  • drawing the syringe plunger of the first syringe and the second syringe back and forth includes drawing the syringe plunger of the first syringe and the second syringe back and forth 20 – 40 times.
  • drawing the syringe plunger of the first syringe and the second syringe back and forth includes drawing the syringe plunger of the first syringe and the second syringe back and forth 30 times.
  • 104 The method any of embodiments 100-103, wherein the drawing is automatic.
  • a method of delivering a nucleic to a cell including applying a foam of any of embodiments 1-89 to an area in proximity to the cell.
  • 106. The method of embodiment 105, wherein the area in proximity is within 10 centimeters of the cell. 107.
  • the method of embodiment 105 or 106, wherein the cell is in vivo. 108.
  • the method of embodiment 105 or 106, wherein the cell is ex vivo. 109.
  • the method of any of embodiments 105-108, wherein the cell is a lymphocyte.
  • the method of embodiment 109, wherein the lymphocyte is a T cell or NK cell.
  • 111. The method of any of embodiments 105-108, wherein the cell is a stem cell. 112.
  • the stem cell is a hematopoietic stem cell or an induced pluripotent stem cell (iPSC).
  • iPSC induced pluripotent stem cell
  • any of embodiments 105-114 wherein the cell is a cancer cell within a solid tumor.
  • 117 The method of any of embodiments 105-107 or 109-114, wherein the cell is within a tumor F053-6000PCT/ 24-064-WO-PCT resection bed.
  • 118 The method of any of embodiments 105-107 or 109-114, wherein the cancer cell is an ovarian cancer cell within an abdominal cavity.
  • 119. The method of any of embodiments 105-107 or 109-114, wherein the cell lines a body cavity. 120. The method of embodiment 119, wherein the body cavity is oral, thoracic, abdominal, or bladder. 121.
  • any of embodiments 105-107 or 109-114 wherein the cell is within an intestinal tract, a female genital lumen, a muscle, bone marrow, or a lymph node. 122.
  • a method of modifying cells the method including obtaining a population of cells and applying a foam of any of embodiments 1-89 to the population of cells, thereby modifying the population of cells.
  • the method of embodiment 124, wherein the obtaining is from a cell culture device. 126.
  • the method of embodiment 124, wherein the obtaining is from a subject. 127.
  • the method of embodiment 124, wherein the obtaining is from blood of a subject. 128.
  • the method of embodiment 124, wherein the obtaining is from peripheral blood of a subject. 129.
  • the method of embodiment 128, wherein the obtaining is from non-mobilized peripheral blood of a subject. 130.
  • the method of embodiment 128, wherein the obtaining is from mobilized peripheral blood of a subject.
  • the method of embodiment 124, wherein the obtaining is from bone marrow of a subject. 132.
  • the method of any of embodiments 124-131, wherein the obtaining further includes separating the population of cells from an initial environment. 133.
  • the method of embodiment 132, wherein the separating includes density gradient separation or magnetic separation.
  • the method of embodiment 134, wherein the lymphocytes include T cells or NK cells.
  • the lymphocytes include T cells and the method further includes incubating the T cells with at least one of stimulatory anti-CD3 antibodies, stimulatory anti-CD28 antibodies, interleukin (IL)-2, IL-7, and IL-15.
  • IL interleukin
  • IL-15 interleukin
  • the method of embodiment 132, wherein the population of cells includes stem cells and the F053-6000PCT/ 24-064-WO-PCT separating includes magnetic separation. 138.
  • the method of embodiment 141, wherein the modified population of cells includes stem cells.
  • a method of treating a gastrointestinal cancer the method including administering a foam of any of embodiments 1-89 to a gastrointestinal area of a subject who has the gastrointestinal cancer. 144.
  • the method of embodiment 143, wherein the administering is by providing an edible or drinkable foam of embodiment 79 to the subject and directing that the subject ingest the foam.
  • the method of embodiment 143, wherein the administering is rectal administering.
  • the nucleic acid within the foam encodes phosphatase and tensin homolog (PTEN), tumor necrosis factor-related apoptosis- inducing ligand (TRAIL), second mitochondria-derived activator of caspase (SMAC), or tumor necrosis factor alpha (TNF- ⁇ ).
  • PTEN phosphatase and tensin homolog
  • TRAIL tumor necrosis factor-related apoptosis- inducing ligand
  • SMAC second mitochondria-derived activator of caspase
  • TNF- ⁇ tumor necrosis factor alpha
  • a system to form a gas-bubble based degrading liquid foam including a nucleic acid the system including a foam precursor, a gas, a nucleic acid, and a liquid.
  • the nucleic acid is within a vector.
  • the vector includes a lipid nanoparticle or a viral vector.
  • lipid nanoparticle includes 2-(Di((9Z,12Z)- octadeca-9,12-dien-1-yl)amino)ethan-1-ol, Dinonyl 8,8'-((2-hydroxyethyl)azanediyl)dioctanoate, Nonyl 8-((2-hydroxyethyl)((9Z,12Z)-octadeca-9,12-dien-1-yl)amino)octanoate, Heptadecan-9-yl 8-((2-hydroxyethyl)((9Z,12Z)-octadeca-9,12-dien-1-yl)amino)octanoate, Heptadecan-9-yl 8-((2- hydroxyethyl)(8-(nonyloxy)-8-oxooctyl)aminoctanoate, Di(h
  • lipid nanoparticle includes Heptadecan-9-yl 8- ((2-hydroxyethyl)(6-oxo-6-(undecyloxy)hexyl)amino)octanoate.
  • the viral vector includes an oncolytic vector.
  • the oncolytic vector is derived from HSV-1 or HSV- 2.
  • the viral vector includes a lentiviral vector.
  • the foam precursor includes a material generally recognized as safe (GRAS). 157.
  • the derivative thereof includes sodium carboxymethyl cellulose (SCMC), hydroxyethyl cellulose (HEC), hydroxypropyl cellulose (HPC), methyl hydroxyethyl cellulose (MHEC), hydroxypropylmethyl cellulose (HPMC), carboxymethylcellulose, hydroxyethyl methyl cellulose, hydroxypropyl methylcellulose, hydroxypropyl methylcellulose acetate succinate (HPMCAS), hydroxypropyl methylcellulose phthalate (HPMCP), hydroxypropyl methylcellulose succinate (HPMCS), hydroxypropyl methylcellulose trimellitate (HPMCT), hydroxypropyl methylcellulose acetate phthalate (HPMCAP), or hydroxypropyl methylcellulose acetate maleate (HPMCAM) 160.
  • SCMC sodium carboxymethyl
  • the system of embodiment 158 wherein the derivative thereof includes hydroxypropyl methylcellulose or carboxymethyl cellulose. 161.
  • the system of any of embodiments 148-160 further including xanthum gum or guar gum.
  • 162 The system of any of embodiments 148-161, wherein the gas includes air, oxygen (O2), nitrogen (N2), and inert gasses such as Argon (Ar), Neon (Ne), Radon (Ra), Helium (He), Krypton (Kr), Nitric oxide (NO), or mixtures thereof. 163.
  • the system of any of embodiments 148-162, wherein the gas has a lower than average oxygen content.
  • F053-6000PCT/ 24-064-WO-PCT 165 The system of embodiment 164, wherein the lower than average oxygen content is 1-5% oxygen.
  • PBS phosphate buffered saline
  • the liquid includes serum, Lactated Ringer’s solution, 0.9% sodium chloride, sterile water, or 5% dextrose solution.
  • any of embodiments 148-169 wherein the liquid includes fms-like tyrosine kinase 3 ligand (Flt3L), stem cell factor (SCF), IL-3, IL-6, and thrombopoietin (TPO). 171.
  • Flt3L fms-like tyrosine kinase 3 ligand
  • SCF stem cell factor
  • IL-3 IL-6
  • TPO thrombopoietin
  • the system of any of embodiments 148-174, wherein the formed foam has an initial mean bubble count of 80/mm2 to 110/mm2. 176.
  • the system of any of embodiments 148-174, wherein the formed foam has an initial mean bubble count of 90/mm2 to 100/mm2. 177.
  • the system of any of embodiments 148-174, wherein the formed foam has an initial mean bubble count of or 95/mm2. 178.
  • the system of any of embodiments 148-174, wherein the formed foam has an initial mean bubble count of 8,000 ⁇ m2 to 13,000 ⁇ m2. 179.
  • the system of any of embodiments 148-174, wherein the formed foam has an initial mean bubble count of 9,000 ⁇ m2 to 12,000 ⁇ m2. 180.
  • the system of any of embodiments 148-174, wherein the formed foam has an initial mean bubble count of 10,000 ⁇ m2 to 11,000 ⁇ m2. 181.
  • the system of any of embodiments 148-174, wherein the formed foam has an initial mean bubble count of 10,528 ⁇ m2. 182.
  • the system of any of embodiments 148-174, wherein after 10 hours at room temperature the formed foam has a bubble count of 15/mm2 to 35/mm2. 183.
  • the system of any of embodiments 148-174, wherein after 10 hours at room temperature the formed foam has a bubble count of 20/mm2 to 32/mm2. F053-6000PCT/ 24-064-WO-PCT 184.
  • nucleic acid encodes a therapeutic molecule.
  • the therapeutic molecule is cytotoxic.
  • therapeutic molecule restores a physiological function of a cell.
  • the system of embodiment 188, wherein the therapeutic molecule includes a recombinant protein.
  • nucleic acid encodes a vaccine antigen, a genome editing agent, a cytosolic protein, a transmembrane protein, or a secreted protein. 193.
  • the system of embodiment 192, wherein the cytosolic protein includes a transcription factor or a suicide gene. 194.
  • the system of embodiment 192 wherein the transmembrane protein includes a T cell receptor (TCR), a chimeric antigen receptor (CAR), a cytokine receptor, a costimulatory ligand, or a death receptor.
  • TCR T cell receptor
  • CAR chimeric antigen receptor
  • the secreted protein includes a chemoattractant, an antibody, a multispecific binding molecule or a growth factor.
  • the multispecific binding molecule activates an immune cell.
  • nucleic acid encodes PTEN, TRAIL, SMAC, TNF- ⁇ , P53, or PLAA 199.
  • nucleic acid encodes a bacterial toxin.
  • the system of embodiment 199, wherein the bacterial toxin is produced by Neisseria F053-6000PCT/ 24-064-WO-PCT meningitidis, Escherichia coli (E.coli), Pseudomonas, Proteus, Enterobacter, or Klebsiella.
  • bacterial toxin includes Pseudomonas exotoxin A.
  • the system of embodiment 207 wherein the antigen expressed by the T cell includes CD2, CD3, CD7, CD27, CD28, CD30, CD40, CD83, 4-1BB (CD137), OX40, lymphocyte function- associated antigen-1 (LFA-1), LIGHT, NKG2C, or B7-H3 209.
  • the system of embodiment 204, wherein the binding domain is a binding fragment of OKT3, otelixizumab, teplizumab, visilizumab, 20G6-F3, 4B4-D7, 4E7-C9, 18F5-H10, or TR66.
  • the cell is a stem cell. 211.
  • the system of embodiment 210, wherein the antigen expressed by the stem cell is CD34, CD90, or CD117. 212.
  • iPSC induced pluripotent stem cell
  • the system of embodiment 204, wherein the cell is a cell that has been differentiated from a hematopoietic stem cell or an iPSC.
  • 214 The system of embodiment 204, wherein the cell is a cell that has been differentiated from a hematopoietic stem cell or an iPSC ex vivo. 215.
  • the system of any of embodiments 204-214, wherein the cell is a cancer cell or an infected cell.
  • the antigen expressed by the cancer cell include A33, BAGE, Bcl-2, ⁇ -catenin, CA125, CA19-9, CD5, CD19, CD20, CD21, CD22, CD33, CD37, CD45, CD123, CEA, c-Met, CS-1, cyclin B1, DAGE, EBNA, EGFR, ephrinB2, estrogen receptor, FAP, ferritin, folate-binding protein, GAGE, G250, GD-2, GM2, gp75, gp100 (Pmel 17), HER- 2/neu, HPV E6, HPV E7, Ki-67, LRP, mesothelin, p53, PRAME, progesterone receptor, PSA, PSMA, MAGE, MART, mesothelin, MUC, MUM-1-B, myc, NYESO-1, ras, RORl, survivin, tenascin, TSTA t
  • F053-6000PCT/ 24-064-WO-PCT 217 The system of any of embodiments 204-216, wherein the binding domain is a binding fragment of R11, R12, 2A2, Y31, FMC63, SJ25C1, HD37, Rituximab, Ofatumumab, 2B8, 4D5, 3G10, 32716, or 32703. 218.
  • the system of embodiment 220, wherein the vector is a viral vector or a nanoparticle.
  • 222. The system of any of embodiments 148-221, further including a transduction enhancer. 223.
  • DMSO dimethyl sulfoxide
  • 224. The system of any of embodiments 148-223, wherein the foam is self-expanding.
  • the system of embodiment 224, wherein the self-expanding foam includes an oxygen releasing biomaterial. 226.
  • 230 The system of any of embodiments 224-227, wherein the self-expanding foam includes 2- 5% hydrogen peroxide. 231.
  • the system of any of embodiments 148-235 wherein the system further includes a first syringe and a second syringe. 237.
  • the system of any of embodiments 148-238 wherein the foam is edible or drinkable.
  • the system of any of embodiments 148-240, wherein the nucleic acid includes DNA or RNA. 242.
  • nucleic acid includes plasmid DNA, minicircle DNA, self-replicating RNA, in vitro transcribed RNA, circular RNA, dogpybone DNA (dbDNA), siRNA, or guide RNA.
  • nucleic acid includes plasmid DNA, minicircle DNA, self-replicating RNA, in vitro transcribed RNA, circular RNA, dogpybone DNA (dbDNA), siRNA, or guide RNA.
  • dbDNA dogpybone DNA
  • siRNA siRNA
  • guide RNA guide RNA.
  • the system of any of embodiments 148-242 further including an anti-CD3 binding domain and/or an anti-CD28 binding domain.
  • the cytokine includes IL-2, IL-7, and/or IL-15. 246.
  • SCMC sodium carboxymethyl cellulose
  • HEC hydroxyethyl cellulose
  • HPC hydroxypropyl cellulose
  • MHEC methyl hydroxyethyl cellulose
  • HPMC hydroxy
  • the liquid includes a cell culture media.
  • the liquid includes phosphate buffered saline (PBS).
  • PBS phosphate buffered saline
  • the liquid includes serum, Lactated Ringer’s solution, 0.9% sodium chloride, sterile water, or 5% dextrose solution.
  • the liquid includes a cytokine. 259.
  • Flt3L fms-like tyrosine kinase 3 ligand
  • SCF stem cell factor
  • IL-3 IL-6
  • TPO thrombopoietin
  • TPO thrombopoietin
  • the nucleic acid includes plasmid DNA, minicircle DNA, self-replicating RNA, in vitro transcribed RNA, circular RNA, dogpybone DNA (dbDNA), siRNA, or guide RNA.
  • the nucleic acid encodes a vaccine antigen, a genome editing agent, a cytosolic protein, a transmembrane protein, or a secreted protein.
  • TCR T cell receptor
  • CAR chimeric antigen receptor
  • the secreted protein includes a chemoattractant, an antibody, a multispecific binding molecule or a growth factor.
  • F053-6000PCT/ 24-064-WO-PCT 271.
  • the kit of embodiment 270, wherein the multispecific binding molecule activates an immune cell. 272.
  • the kit of embodiment 261, wherein the nucleic acid encodes PTEN, TRAIL, SMAC, TNF- ⁇ , P53, or PLAA. 274.
  • the kit of embodiment 261, wherein the nucleic acid encodes a bacterial toxin. 275.
  • the kit of embodiment 274, wherein the bacterial toxin is produced by Neisseria meningitidis, Escherichia coli (E.coli), Pseudomonas, Proteus, Enterobacter, or Klebsiella. 276.
  • the kit of embodiment 274, wherein the bacterial toxin includes Pseudomonas exotoxin A. 277.
  • the lipid includes 2-(Di((9Z,12Z)-octadeca-9,12-dien-1- yl)amino)ethan-1-ol, Dinonyl 8,8'-((2-hydroxyethyl)azanediyl)dioctanoate, Nonyl 8-((2- hydroxyethyl)((9Z,12Z)-octadeca-9,12-dien-1-yl)amino)octanoate, Heptadecan-9-yl 8-((2- hydroxyethyl)((9Z,12Z)-octadeca-9,12-dien-1-yl)amino)octanoate, Heptadecan-9-yl 8-((2- hydroxyethyl)(8-(nonyloxy)-8-oxooc
  • kits of embodiment 278, wherein the lipid includes Heptadecan-9-yl 8-((2- hydroxyethyl)(6-oxo-6-(undecyloxy)hexyl)amino)octanoate.
  • the kit of embodiment 277, wherein the vector includes a viral vector.
  • the kit of embodiment 282, wherein the oncolytic vector is derived from HSV-1 or HSV-2.
  • the kit of any of embodiments 246-285 further including a sugar. 287.
  • the kit of any of embodiments 246-287 further including a transduction enhancer. 289.
  • the kit of embodiment 290 wherein the binding domain is a binding fragment of OKT3, otelixizumab, teplizumab, visilizumab, 20G6-F3, 4B4-D7, 4E7-C9, 18F5-H10, or TR66. 292.
  • the kit of embodiment 290, wherein the binding domain is a binding fragment of R11, R12, 2A2, Y31, FMC63, SJ25C1, HD37, Rituximab, Ofatumumab, 2B8, 4D5, 3G10, 32716, or 32703. 293.
  • the kit of embodiment 290, wherein the binding domain is linked to a sugar and/or a methylcellulose or derivative thereof. 294.
  • the kit of embodiment 297, wherein the oxygen releasing biomaterial includes a perfluorocarbon. 299.
  • the kit of embodiment 297 or 298, wherein the oxygen releasing biomaterial includes sodium percarbonate, calcium peroxide, magnesium peroxide, hydrogen peroxide, or a fluorinated compound. 300.
  • a foam including methylcellulose or a derivative thereof, a gas, a T-cell targeting lentivirus that encodes a recombinant protein, and peripheral blood mononuclear cells. 309.
  • the second candidate, sodium caseinate, the sodium salt of casein (a milk protein) is used in foods and cosmetics for its foaming and thickening properties.
  • Human serum albumin was chosen as the starting material of the third foam formulation.
  • This globular protein is routinely administered into patients with acute conditions such as trauma, cardiogenic shock, and sepsis, but it is also being explored by bioengineers for its foaming properties (Caironi et al., N Engl J Med 370, 1412-1421 (2014), Zhang et al., Dermatol Surg 46, 1030-1034 (2020)).
  • xanthan gum was added to all three tested foam precursor solutions.
  • Xanthan gum is an FDA-approved polysaccharide used as a foam stabilizer in foods, cosmetics and healthcare products (Re-evaluation of xanthan gum (E 415) as a food additive in foods for infants below 16 weeks of age and follow-up of its re-evaluation as a food additive for uses in foods for all population groups.
  • E 415 Re-evaluation of xanthan gum (E 415) as a food additive in foods for infants below 16 weeks of age and follow-up of its re-evaluation as a food additive for uses in foods for all population groups.
  • An initial experimental protocol for in vitro transfection screening involved delivering nonviral vector.
  • LNPs Lipid nanoparticles
  • methylcellulose foam stays in place, the transfections were spatially well-defined. This is vividly illustrated by the ability to write text onto cells grown in a tissue culture plate while holding the dish vertically, which then translated into an identical pattern of gene expression 24 hours later (FIG.4E). Based on these in vitro results, the methylcellulose foam formulation was selected as a preferred candidate for further analysis and studies. [0375] To precisely measure the foam structure with regards to bubble size and distribution as well as decay over time, the Dynamic Foam Analyzer DFA100FSM (Kr ⁇ ss Scientific) was used. This instrument uses contact-free optical sensors and an LED light source to continuously record the height of the foam, liquid drainage, and the sizes and distributions of foam bubbles at a precision of 0.1 mm.
  • LNPs embedded in foam were relatively homogenously dispersed throughout the liquid lamellae as visualized by confocal microscopy (FIG. 2B, 2C). Based on twenty analyzed foam lamellae, a slight increase (1.1-fold, P ⁇ 0.0001) in LNP concentration in centers compared to edges facing gas bubbles (FIG.2D) was measured. [0376] Based on these in vitro studies, the benefit of foam as a nucleic acid delivery vehicle in relevant in vivo test systems was evaluated next. First, the intraperitoneal route of administration was tested, which could be applied to a variety of pathologies or organs in the peritoneal cavity, including cancers such as ovarian, pancreatic, liver, colorectal and gastric.
  • LVs Lentivirus
  • LV vectors have proven their safety and efficacy as flexible gene delivery vectors in clinical applications of gene therapy for genetic diseases.
  • LV vectors have been used to transduce patient-derived somatic cells ex vivo, which are then re-delivered to the same patient after transduction.
  • a rapidly growing number of trials are currently investigating LVs for in vivo gene therapy applications to treat monogenic diseases and chronic diseases, including neurological diseases, ophthalmological diseases, and metabolic diseases.
  • VSV- G broadly tropic vesicular stomatitis virus envelope glycoprotein
  • CMV Cytomegalovirus
  • Example 2 Engineering therapeutic cells within methylcellulose-based nucleic acid delivery foam.
  • a facile and generalizable strategy is used to robustly augment transfection/transduction efficiencies of nonviral or viral vector into cells, based on the use of specially formulated foam.
  • Co-embedding vector and cells into foam lamellae which include thin layers of continuous liquid separating the foam bubbles, enables multi-fold higher nucleic acid F053-6000PCT/ 24-064-WO-PCT transfer rates, compared to the conventional suspension setup (i.e., adding vector to cultured cells).
  • methylcellulose- based foams were used as a lead formulation. For example, embedding therapeutic cells (human T lymphocytes) into methylcellulose-based foam does not compromise cell viability or cell yield.
  • mRNA lipid nanoparticles LNPs
  • LNPs mRNA lipid nanoparticles
  • FIGs. 18A, 18B, FIGs.19A-19E Up to 4-fold higher lentiviral transduction efficiency occurs, using foam versus suspension, even at very low multiplicities of infection (MOI; FIGs.15A-15F).
  • nucleic acid transfer efficiency can be achieved without addition of chemical transduction enhancers, centrifugation or washing steps.
  • the foam platform described herein transforms the way therapists genetically manipulate cells to treat a wide range of disorders.
  • Nucleic acid delivery foam is easy to prepare, and the starting materials are already available at pharmaceutical grade and at low cost. Given that co-incubating vector and target cells in foam can be a brief (less than 1 minute), uncomplicated procedure, it can be seamlessly integrated into established cell manufacturing protocols, substantially lowering the cost and infrastructure for cellular therapies and increasing access to treatments.
  • Example 3 Injectable methylcellulose-based foam for in situ programming of CAR T-cells.
  • This example describes a rapid point-of-care CAR T-manufacturing strategy that does not require cell culture, specialized infrastructure or high doses of vector. More specifically, patient lymphocytes can be genetically reprogrammed within a nucleic acid delivery foam that is mixed with freshly isolated peripheral blood mononuclear cells (PBMCs) and then directly injected back into the patient by subcutaneous injection.
  • PBMCs peripheral blood mononuclear cells
  • Co-embedding human T cells and nucleic acid vector in methylcellulose-based foam enhances nucleic acid transfer efficiencies of viral (lentivirus) and nonviral (mRNA liposome) vectors, compared to conventional suspension formulation (FIGs. 14A-14E, 15A-15F), without impacting key cellular functions (FIGs.18A, 18B).
  • Embedding PMBCs into methylcellulose nucleic acid delivery foam, followed by direct subcutaneous injection back into the patient, will result in efficient programming and engraftment of CAR-T cell.
  • injection sites near lymph nodes e.g., axilla or inguinal region
  • lymph nodes e.g., axilla or inguinal region
  • Key advantages include a multifold reduction in the required vector dose, which can substantially lower cost and improve safety.
  • nucleic acid transfer efficiencies are augmented, even when using F053-6000PCT/ 24-064-WO-PCT a small amount of vector (FIGs.15A-15F).
  • Reducing the required vector dose substantially lowers the cost of therapy. It also prevents or reduces toxicity from high-dose systemic administration of vector.
  • This disclosed approach does not expose patients to vector systemically as methylcellulose foam retains vector and therapeutic T cells at the injection site. As foam matures, gravity slowly drains lamellae (FIGs.14A-14E), gradually releasing genetically programmed CAR T-cells.
  • key advantages to the techniques described herein include a lack of a need for a modified vector. For example, since methylcellulose foam drives colocalization of T cells with concentrated vector, complex re-engineering of CAR-programming vector to selectively target host T cells is not required.
  • the techniques described herein use a small volume of blood ( ⁇ 50 mL), isolates PMBCs, and directly exposes cells to CAR-programming vector within the methylcellulose foam.
  • a small volume of blood ⁇ 50 mL
  • isolates PMBCs isolates PMBCs
  • directly exposes cells to CAR-programming vector within the methylcellulose foam This way, the same vectors currently used to ex vivo transduce patient T cells for any of the six CAR T-cell therapies approved by the Food and Drug Administration (FDA), may be used. This facilitates clinical translation as these nucleic acid vectors are already manufactured at large scale and at high titer under GMP.
  • Advantages also include easy and safe re-dosing.
  • the techniques described herein are simple to administer in an outpatient setting and comparably low in cost. This way, patients can be treated repeatedly if medically required, or a treatment strategy can be shifted as their condition evolves (e.g., target different tumor antigens if tumor escape variants develop). Further, vector-induced neutralizing antibodies in the patient blood may not compromise CAR nucleic acid transfer or therapeutic efficacy.
  • vector and T cells can be co-embedded within methylcellulose foam outside the patient and then injected subcutaneously. This way, there is little to no direct contact of vector with patient blood. Further, immune-mediated infusion reactions associated with conventional systemic administration of nucleic acid vector do not pose a safety concern.
  • the foam platform described herein transforms the way therapists genetically manipulate patient T cells to treat a wide range of disorders.
  • Nucleic acid delivery foam is easy to prepare at the bedside, and/or the starting materials are already available at pharmaceutical grade.
  • the techniques described herein can substantially lower the cost and infrastructure for T-cell therapies and help meet the rising demand.
  • Example 4. Injectable methylcellulose-based foam for affordable bedside manufacturing of genetically modified stem-cell treatments.
  • Hematopoietic stem cell (HSC)-targeted gene therapy can be curative for multiple genetic diseases, including primary immunodeficiencies, F053-6000PCT/ 24-064-WO-PCT hemoglobinopathies, and inherited metabolic disorders.
  • HSCs can be genetically reprogramed within a specially formulated nucleic acid delivery foam that is mixed with freshly isolated bone marrow aspirate concentrate (BMAC) (e.g., an injectable product derived from a patient’s bone marrow and/or the like), and then directly injected back into the marrow.
  • BMAC bone marrow aspirate concentrate
  • the collection process may be minimally invasive and involves extracting marrow from the patient’s hip bone using a needle and syringe.
  • co-embedding HSCs and nucleic acid vector in methycellulose-based foam enhances nucleic acid transfer efficiencies of viral (lentivirus) and nonviral (mRNA liposome) vectors, compared to conventional suspension formulation, without impacting key cellular functions. Further, embedding BMAC into methylcellulose nucleic acid delivery foam, followed by direct intra-marrow injection back into the patient, will result in efficient HSC reprogramming and engraftment.
  • the foam retains vector and therapeutic cells in the marrow and can locally boost nucleic acid transfer into CD34+ progenitor cells, while minimizing off-target events.
  • the foam platform described herein can be used to genetically manipulate HSCs to treat a wide range of genetic disorders.
  • BMAC Bone Marrow Aspirate Concentrate
  • nucleic acid transfer efficiencies into various bone marrow cell types will be compared and the effects of foam on viability, proliferative activity, phenotype and differentiation will be examined. Both, nonviral (mRNA liposomes) and viral (replication incompetent lentivirus) vectors will be tested.
  • a 3D model of perfused bone marrow will be employed (FIG. 22). More specifically, human cancellous bone grafts will be placed in a continuous perfusion chamber recapitulating blood flow through the marrow.
  • vector carrying a CRISPR-Cas9 gene editing system that inactivates the BCL11A gene will be delivered and indel frequencies in HSCs mediated by foam will be compared to indel frequencies in HSCs mediated by suspension.
  • Foam delivery will achieve the benefits described herein.
  • Example 5 Drinkable nucleic acid delivery foam as a minimally disruptive treatment for esophageal cancer (FIG.23) .
  • the techniques described herein are adapted to a drinkable nucleic acid delivery foam for the treatment of esophageal cancer (hereinafter “EC”) (FIG.23).
  • nucleic acid delivery foam described herein provides EC patients with a treatment option that can be administered orally. Such treatment option can be administered by a physician and/or—self-administered and prepared at home by the patient or caregiver.
  • the drinkable foams described herein may maintain a patient’s ability to swallow and eat, as well as avoid tube feeding, which may produce other debilitations and/or life-threatening infections.
  • PTEN phosphatase and tensin homolog
  • Silencing of the tumor suppressor gene PTEN occurs in a substantial proportion of EC. This abrogation drives tumorigenesis and tumor progression. PTEN is also implicated in modulation of the DNA damage response and in shaping the tumor immune microenvironment.
  • TRAIL tumor necrosis factor-related apoptosis-inducing ligand
  • SMAC second mitochondria-derived activator of caspase
  • TNF- ⁇ tumor necrosis factor alpha
  • F053-6000PCT/ 24-064-WO-PCT co-expression of SMAC with TRAIL or PTEN, or co-expression or TRAIL with TNF-alpha all achieved similar potent inhibition of EC growth in vitro.
  • Foam is mostly air (80-90% of total volume) and therefore cannot be dispensed in volumes of less than 500 ⁇ L. It is therefore not possible to study the therapeutic potential of drinkable nucleic acid delivery foam in small animal models of EC, such as mice (esophagus volume: 10-20 ⁇ L) or rats (esophagus volume: 150-200 ⁇ L).
  • small animal models of EC such as mice (esophagus volume: 10-20 ⁇ L) or rats (esophagus volume: 150-200 ⁇ L).
  • a simplified ex vivo tissue model of a human esophagus narrowed by an ingrowing esophageal carcinoma (FIG. 26) was developed.
  • a monolayer of human epithelial cells (HT29-MTX) was first cultured on the inner surface of a collagen tube to model the healthy section of the esophagus.
  • Glow-in-the- dark UV black-light pigments were added to the foam precursor solution or the suspension to be able to easily track the carriers under black light.
  • Foam initially passed through the esophageal tube relatively fast (within a few minutes), but then gradually accumulated at the therapeutically relevant tumor constriction and the junction between the esophagus and the tumor lesion FIG. 26).
  • foam was not “stuck” in the esophagus, but was cleared within 20 minutes from the healthy upper section and moved down the esophagus toward the constriction by the steady saliva stream.
  • liquid suspension quickly drained through the malignant constriction with no substantial accumulation (FIG.26).
  • Nucleic acid delivery foam for the treatment of EC will have therapeutic effect.
  • human esophageal carcinoma cells (OACM5.1C) expressing luciferase for serial bioluminescence imaging of tumor growth will be grown in three-dimensional collagen plugs for 4 weeks and placed into the distal part of the esophagus tubing (as shown in FIG. 25).
  • Tumor lesions will then be treated with LNPs (delivered in 3 mL of foam or suspension) encoding a potent combination of the identified pro-apoptotic genes (FIG. 24) or a truncated form of Pseudomonas exotoxin A (PE38). Controls will receive no therapy or gene therapy-free foam/suspension. Treatments will be bi-weekly (Monday/Friday) for 3 weeks (3 ⁇ 10 9 LNPs per treatment loaded with 50 ⁇ g mRNA).
  • Serial bioluminescence tumor imaging Once a week, therapeutic anti-tumor responses will be compared by bioluminescence imaging of the luciferase-expressing EC tumor cells. Specifically, the entire esophageal tube, including the tumor plugs in the distal part will be quickly removed from the incubator, submerged in a solution containing D-Luciferin at a concentration of 100 ⁇ g/mL, and tumor signals will be quantitated using an IVIS® instrument. Tubes will then be returned to the setup, shown in FIG.25, to continue the experiment.
  • nucleic acid delivery foam increases the sensitivity of EC to radiation.
  • Pre-conditioning EC will be transfected with nucleic acid delivery foam 2 days prior to irradiation.
  • Intra- EC will be transfected with nucleic acid delivery foam on the day of irradiation.
  • Control 1 No treatment
  • Control 2 Nucleic acid delivery foam only
  • Control 3 Radiation only [0402]
  • Serial bioluminescence tumor imaging Once a week, the esophageal tube, including the tumor plugs in the distal part, will be quickly removed from the incubator and tumor signals will be quantitated using an IVIS® instrument. Tubes will then be returned to the incubator setup.
  • Flow cytometry cell viability assay On the final day of the experiment, EC tumor plugs will be digested into single-cell suspensions. The cells will be stained with APC Annexin V and propidium iodide and then analyzed by FACS to measure differences in tumor cell death stages between groups.
  • nucleic acid delivery foam with radiation will greatly amplify the tumor-killing effects compared to either treatment alone.
  • Example 6 Rectally applied nucleic acid delivery foam as a minimally disruptive treatment for rectal cancer.
  • the foams described herein can be adapted to treat other constricting cancer types, for instance rectal cancer.
  • Patients with locally advanced rectal cancer are currently treated with neoadjuvant chemoradiation, total mesorectal excision, and adjuvant chemotherapy. While generally effective, this trimodal approach is arduous.
  • each embodiment disclosed herein can comprise, consist essentially of or consist of its particular stated element, step, ingredient or component.
  • the terms “include” or “including” should be interpreted to recite: “comprise, consist of, or consist essentially of.”
  • the transition term “comprise” or “comprises” means has, but is not limited to, and allows for the inclusion of unspecified elements, steps, ingredients, or components, even in major amounts.
  • the transitional phrase “consisting of” excludes any element, step, ingredient or component not specified.
  • the transition phrase “consisting essentially of” limits the scope of the embodiment to the specified elements, steps, ingredients or components and to those that do not materially affect the embodiment. A material effect would cause a statistically significant reduction in the ability to obtain a claimed effect according to a relevant parameter described in the current disclosure.
  • the term “about” has the meaning reasonably ascribed to it by a person skilled in the art when used in conjunction with a stated numerical value or range, i.e., denoting somewhat more or somewhat less than the stated value or range, to within a range of ⁇ 20% of the stated value; ⁇ 19% of the stated value; ⁇ 18% of the stated value; ⁇ 17% of the stated value; ⁇ 16% of the stated value; ⁇ 15% of the stated value; ⁇ 14% of the stated value; ⁇ 13% of the stated value; ⁇ 12% of the stated value; ⁇ 11% of the stated value; ⁇ 10% of the stated value; ⁇ 9% of the stated value; ⁇ 8% of the stated value; ⁇ 7% of the stated value; ⁇ 6% of the stated value; ⁇ 5% of the stated value; ⁇ 4% of the stated value; ⁇ 3% of the stated value; ⁇ 2% of the stated value; or ⁇ 1% of the stated value.

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Abstract

L'invention concerne des mousses liquides se dégradant à base de bulles de gaz permettant d'administrer des acides nucléiques. Les acides nucléiques peuvent être administrés pour une variété d'utilisations à des fins de recherche, de diagnostic et de thérapie, telles que le CAR T in situ et l'ingénierie des cellules souches. Les mousses peuvent également être utilisées pour l'administration d'acides nucléiques thérapeutiques à des sites anatomiques, tels que des sites cancéreux, par application directe au niveau du site ou par l'utilisation de mousses comestibles ou buvables dans le cas de cancers de l'œsophage, l'utilisation de mousses appliquées par voie rectale pour traiter le cancer rectal ou colorectal, ou l'utilisation de mousse injectée par voie intrapéritonéale pour traiter le cancer de l'ovaire avancé. Les acides nucléiques peuvent être administrés dans un vecteur, tel qu'une nanoparticule lipidique ou un vecteur viral.
PCT/US2024/056261 2023-11-15 2024-11-15 Mousses liquides se dégradant à base de bulles de gaz pour administrer des acides nucléiques Pending WO2025106912A1 (fr)

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