Molecular TherapyPub Date : 2026-05-08DOI: 10.1016/j.ymthe.2026.04.040
Ramakrishnan Sivasubramanian, Jared Sterneckert
{"title":"Restoring miRNA biogenesis in ALS: Enoxacin enhances DICER activity in a first-in-human trial.","authors":"Ramakrishnan Sivasubramanian, Jared Sterneckert","doi":"10.1016/j.ymthe.2026.04.040","DOIUrl":"https://doi.org/10.1016/j.ymthe.2026.04.040","url":null,"abstract":"","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":""},"PeriodicalIF":12.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-08DOI: 10.1016/j.ymthe.2026.04.059
Ping Wei, Kaimin Zhang, Yiping Hu, Xu Gao, Yingnan Hou, Farooq Riaz, Zhenzhen Zhang, Juan He, Miaomiao Zhang, Yikui Li, Fangfang Li, Aiting Wang, Taowen Zhao, Biyi Zhang, Xingchi Li, Anmei Jiang, Lin Wu, Youhai H Chen, Zusen Fan, Jing Huang, Qingwen Wang, Fan Pan
{"title":"Administration of Neuritin as a novel therapeutic strategy for autoimmune and inflammatory diseases.","authors":"Ping Wei, Kaimin Zhang, Yiping Hu, Xu Gao, Yingnan Hou, Farooq Riaz, Zhenzhen Zhang, Juan He, Miaomiao Zhang, Yikui Li, Fangfang Li, Aiting Wang, Taowen Zhao, Biyi Zhang, Xingchi Li, Anmei Jiang, Lin Wu, Youhai H Chen, Zusen Fan, Jing Huang, Qingwen Wang, Fan Pan","doi":"10.1016/j.ymthe.2026.04.059","DOIUrl":"https://doi.org/10.1016/j.ymthe.2026.04.059","url":null,"abstract":"<p><p>Autoimmune and inflammatory diseases are characterized by dysregulated T cell-mediated immune responses leading to tissue damage. Despite therapeutic advancements, patients remain resistant to treatment, highlighting the urgent need for alternative therapeutic strategies. Here, we identified Neuritin (NRN), an immunosuppressive molecule, capable of restraining effector CD4+ T cell responses and mitigating autoimmune and inflammatory diseases. NRN is downregulated in CD4+ T cells of rheumatoid arthritis (RA) patients, driving T cell-mediated autoimmune pathology. Nrn<sup>fl/fl</sup>CD4<sup>Cre</sup> mice exacerbate both experimental autoimmune encephalomyelitis (EAE) and DSS-induced colitis, characterized by Treg depletion and expansion of IFN-γ+ and IL-17+ pro-inflammatory cells. Mechanistically, NRN selectively binds to cannabinoid receptor 2 (CB2), but not to CB1, specifically through its threonine residues at positions T78 and T81. Meanwhile, mice lacking CB2 (CB2<sup>-/-</sup> or CB2<sup>fl/fl</sup>CD4<sup>Cre</sup>) exhibit worsened colitis, with an increased IFN-γ+ and IL-17+ cells, mirroring the Nrn<sup>fl/fl</sup>CD4<sup>Cre</sup> phenotype. T-cell specific Nrn knock-in (Nrn<sup>KI/KI</sup>CD4<sup>Cre</sup>) or exogenous NRN administration ameliorated disease severity in multiple autoimmune models, including DSS-induced colitis, IMQ-induced psoriasis, and collagen-induced arthritis, by promoting Treg expansion and suppressing IFN-γ+ and IL-17+ pro-inflammatory cells. However, these protective effects of NRN were abolished in CB2-deficient mice. Overall, NRN is an immunosuppressive molecule with therapeutic potential in autoimmune and inflammatory diseases.</p>","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":""},"PeriodicalIF":12.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-07DOI: 10.1016/j.ymthe.2026.04.042
Moanaro Biswas, Roland W Herzog
{"title":"Engineering immune tolerance for AAV gene therapy: The Norse way.","authors":"Moanaro Biswas, Roland W Herzog","doi":"10.1016/j.ymthe.2026.04.042","DOIUrl":"https://doi.org/10.1016/j.ymthe.2026.04.042","url":null,"abstract":"","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":""},"PeriodicalIF":12.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147856828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-06Epub Date: 2026-02-13DOI: 10.1016/j.ymthe.2026.02.014
Maria Vitale, Filippo Scialò, Ludovica Coluccino, Anna D'Agostino, Lorella Tripodi, Raffaella Pagliaro, Andrea Bianco, Giuseppe Castaldo, Vincenzo Cerullo, Lucio Pastore
{"title":"High-capacity adenoviral vector-mediated expression of an LDLR/transferrin chimeric protein in muscle reduces atherosclerosis in Ldlr<sup>-/-</sup> mice.","authors":"Maria Vitale, Filippo Scialò, Ludovica Coluccino, Anna D'Agostino, Lorella Tripodi, Raffaella Pagliaro, Andrea Bianco, Giuseppe Castaldo, Vincenzo Cerullo, Lucio Pastore","doi":"10.1016/j.ymthe.2026.02.014","DOIUrl":"10.1016/j.ymthe.2026.02.014","url":null,"abstract":"<p><p>Familial hypercholesterolemia (FH) is a genetic disorder caused by mutations in the low-density lipoprotein (LDL) receptor, leading to impaired uptake of LDL and its accumulation in arterial walls and other tissues. This accumulation results in cardiovascular disease and early mortality. Treatments, including statins, ezetimibe, PCSK9 inhibitors, and bempedoic acid, are often insufficient in homozygous FH patients, particularly those with null mutations in the LDL receptor (LDLR). To address this unmet need, we have developed two helper-dependent adenoviral (HD-Ad) vectors for the expression of the murine and human versions of a protein composed of the extracellular portion of the LDLR fused to transferrin. In both cassettes, expression is driven by the murine creatine kinase promoter to obtain high levels of expression restricted to muscle cells, to mitigate host response to the fusion protein. Both human and murine proteins restored LDL uptake in Ldlrf-deficient cells, correcting the phenotype in vitro. A single intramuscular administration of the HD-Ad vector induced the expression of the murine fusion protein, leading to a 12-month improvement in the lipid profile, with a reduction in aortic atherosclerosis in Ldlr-deficient mice. Furthermore, we observed no major systemic toxicity, indicating that the present strategy may represent more effective therapy for FH patients.</p>","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":"2879-2889"},"PeriodicalIF":12.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-06Epub Date: 2026-02-13DOI: 10.1016/j.ymthe.2026.02.020
Viktor T Lemgart, Andrew J Sawyer, William Kuhlman, Aaron P Griset, Mir M Ali, Allison Caron, Dharini Shah, Tiffany Le, Laura Strauss, Jing Jiao, Francis J Descamps, Sampa Maiti, Michael T Monte, Ralston Augspurg, Eyoung Shin, Ernesto Luna, Pankaj Agrawal, Jan Pype, Olga Lihoradova, James Cao, Brandon Quido, Laura Powers, Fazila Nasimi, Jacob Scantland, Kavana Girish, Rasika D Kunden, Jennifer Richards, Samantha Stewart, Seunghee Lee, Garry Cuneo, Janina Schwarte, Christian Mueller, Christopher M Borges, Austin W Boesch, Valeria R Fantin, Ulrik B Nielsen, Donald R Shaffer, Daryl C Drummond
{"title":"Reprogramming CD22 CAR-T cells in vivo using CD8-targeted mRNA-LNPs to treat hematological malignancies.","authors":"Viktor T Lemgart, Andrew J Sawyer, William Kuhlman, Aaron P Griset, Mir M Ali, Allison Caron, Dharini Shah, Tiffany Le, Laura Strauss, Jing Jiao, Francis J Descamps, Sampa Maiti, Michael T Monte, Ralston Augspurg, Eyoung Shin, Ernesto Luna, Pankaj Agrawal, Jan Pype, Olga Lihoradova, James Cao, Brandon Quido, Laura Powers, Fazila Nasimi, Jacob Scantland, Kavana Girish, Rasika D Kunden, Jennifer Richards, Samantha Stewart, Seunghee Lee, Garry Cuneo, Janina Schwarte, Christian Mueller, Christopher M Borges, Austin W Boesch, Valeria R Fantin, Ulrik B Nielsen, Donald R Shaffer, Daryl C Drummond","doi":"10.1016/j.ymthe.2026.02.020","DOIUrl":"10.1016/j.ymthe.2026.02.020","url":null,"abstract":"<p><p>Ex vivo chimeric antigen receptor (CAR) T cell therapy has proven successful in patients with B cell hematologic malignancies. However, current approaches are limited by the requirement for personal manufacturing processes and by barriers such as limited efficacy against solid tumors, treatment-associated toxicities, insufficient CAR-T cell trafficking to the tumor microenvironment, on-target off-tumor effects, and tumor antigen escape. Here, we describe a novel delivery platform that overcomes many of these barriers by employing targeted lipid nanoparticles (LNPs) to reprogram circulating human T cells in vivo. Using a NANOBODYVHH (variable heavy domain of heavy chain)-based targeting moiety, we deliver mRNA encoding a novel CD22 CAR specifically to CD8<sup>+</sup> cells, enabling transient functional CAR expression in vitro and in vivo. Our targeted LNP formulation allows for repeated dosing and minimizes mRNA expression in off-target cells. Furthermore, in a humanized Nalm6 tumor mouse model, non-stimulated T cells reprogrammed in vivo inhibit tumor cell growth. Our platform is a flexible and broadly applicable CAR-T treatment for hematologic malignancies, which promises to be adaptable to other diseases.</p>","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":"2621-2636"},"PeriodicalIF":12.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-06Epub Date: 2026-04-29DOI: 10.1016/j.ymthe.2026.04.019
Yu-Kai Chao, Fei Chen
{"title":"An RNA time capsule in living cells.","authors":"Yu-Kai Chao, Fei Chen","doi":"10.1016/j.ymthe.2026.04.019","DOIUrl":"10.1016/j.ymthe.2026.04.019","url":null,"abstract":"","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":"2564-2565"},"PeriodicalIF":12.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-06Epub Date: 2026-04-27DOI: 10.1016/j.ymthe.2026.04.029
Jenny Yeung, Aiyin Liao, Matthew Shaw, Soraia Silva, Winston Vetharoy, Diego Leon Rico, Ian Kirby, Francesca Zammarchi, Karin Havenith, Lolke de Haan, Patrick H van Berkel, Neil Sebire, Olumide K Ogunbiyi, Claire Booth, H Bobby Gaspar, Adrian J Thrasher, Kerry A Chester, Persis J Amrolia
{"title":"Anti-CD45 PBD-based antibody-drug conjugates are effective targeted conditioning agents for gene therapy and stem cell transplant.","authors":"Jenny Yeung, Aiyin Liao, Matthew Shaw, Soraia Silva, Winston Vetharoy, Diego Leon Rico, Ian Kirby, Francesca Zammarchi, Karin Havenith, Lolke de Haan, Patrick H van Berkel, Neil Sebire, Olumide K Ogunbiyi, Claire Booth, H Bobby Gaspar, Adrian J Thrasher, Kerry A Chester, Persis J Amrolia","doi":"10.1016/j.ymthe.2026.04.029","DOIUrl":"10.1016/j.ymthe.2026.04.029","url":null,"abstract":"","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":"3132-3133"},"PeriodicalIF":12.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Herbacetin as a novel therapeutic agent for pulmonary and renal fibrosis by targeting TGF-βRⅡ for degradation.","authors":"Feng Liao, Peng Liu, Liumei Wu, Tingjing Zhong, Jiaxiao Li, Jiafan Chen, Chen Wu, Ya Liu, Junzhe Chen, Geng Li, Wenbiao Wang","doi":"10.1016/j.ymthe.2026.04.062","DOIUrl":"https://doi.org/10.1016/j.ymthe.2026.04.062","url":null,"abstract":"<p><p>Rhodiola rosea L. is a traditional Chinese medicine used clinically to treat pulmonary fibrosis. Due to the presence of multi components in Rhodiola rosea L., the mechanism of its anti-fibrotic effect remains unclear. Here, we identified that herbacetin from Rhodiola rosea L. is an active molecule with anti-fibrotic effect in two mouse models of bleomycin-induced pulmonary fibrosis and unilateral ureteral obstruction-induced renal fibrosis. We also uncovered the molecular mechanism through which herbacetin exerted its anti-fibrotic effect by inhibiting the TGF-β/Smad3 signaling. We found that herbacetin could bind to the TGF-β receptor Ⅱ and induced its degradation via the lysosomal pathway following K48-linked ubiquitination, thereby suppressing the TGF-β/Smad3 signaling. Thus, herbacetin is a novel anti-fibrotic agent and exerts its anti-fibrotic effect on pulmonary and renal fibrosis by targeting TGF-β receptor Ⅱ for degradation.</p>","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":""},"PeriodicalIF":12.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-06Epub Date: 2026-02-05DOI: 10.1016/j.ymthe.2026.01.043
Eunhye Kim, Yeonsoo Yang, Solchan Won, Namhee Lee, Young-In Kim, Suk-Kyung Shin, Songyi Lee, Mi-Ju Park, Hang-Rae Kim, Keunhee Oh, Dong-Sup Lee
{"title":"CD55-displaying oncolytic vaccinia virus treated metastatic cancers by evading the effect of host innate and adaptive humoral responses.","authors":"Eunhye Kim, Yeonsoo Yang, Solchan Won, Namhee Lee, Young-In Kim, Suk-Kyung Shin, Songyi Lee, Mi-Ju Park, Hang-Rae Kim, Keunhee Oh, Dong-Sup Lee","doi":"10.1016/j.ymthe.2026.01.043","DOIUrl":"10.1016/j.ymthe.2026.01.043","url":null,"abstract":"<p><p>Oncolytic viruses offer promising immunotherapy for cancer but face challenges such as delivery, targeting, and immune clearance. Our prior work showed that vaccinia virus (VACV) displaying the complement regulator CD55 evaded complement-mediated clearance, enhancing delivery and targeting in xenograft models. Importantly, this modified VACV also escaped neutralizing antibodies (NAbs) in vitro, a finding with significant implications. To improve translational relevance, we independently evaluated NAb evasion in immunocompetent in vivo models and against human-derived NAbs. Our novel platform virus, SJ-650-a CD55-displaying VACV expressing murine GM-CSF-retained superior antitumor efficacy despite the presence of NAbs in syngeneic breast cancer models. Additionally, SJ-650 effectively evaded NAbs derived from the serum of a clinical VACV trial (REN026). NAb evasion was CD55 dependent, occurred independently of complement activity, and was mediated by steric hindrance via the extracellular CD55 motif. NAb pretreatment masked binding of the key viral entry proteins A27, L1, and H3 in control viruses lacking CD55, but these interactions remained intact in SJ-650. By circumventing both complement and antibody responses, SJ-650 significantly inhibited tumor growth in two metastasis models, inducing immunogenic cell death and reprogramming the tumor microenvironment. These findings support SJ-650's potential as a robust oncolytic platform with broad translational applicability.</p>","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":" ","pages":"3039-3055"},"PeriodicalIF":12.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13154265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146132385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Molecular TherapyPub Date : 2026-05-06DOI: 10.1016/j.ymthe.2026.04.017
Paola Grandi, Maria G Castro, Evanthia Galanis, Michael C Milone, Saad Kenderian
{"title":"2025 Advancing Cell and Gene Therapies for Cancer post-meeting report.","authors":"Paola Grandi, Maria G Castro, Evanthia Galanis, Michael C Milone, Saad Kenderian","doi":"10.1016/j.ymthe.2026.04.017","DOIUrl":"https://doi.org/10.1016/j.ymthe.2026.04.017","url":null,"abstract":"","PeriodicalId":19020,"journal":{"name":"Molecular Therapy","volume":"34 5","pages":"2524-2526"},"PeriodicalIF":12.0,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147840613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}