RT Journal Article SR Electronic T1 Engineering of extracellular vesicles for display of protein biotherapeutics JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.06.14.149823 DO 10.1101/2020.06.14.149823 A1 Dhanu Gupta A1 Oscar P.B Wiklander A1 André Görgens A1 Mariana Conceição A1 Giulia Corso A1 Xiuming Liang A1 Yiqi Seow A1 Sriram Balsu A1 Ulrika Felldin A1 Beklem Bostancioglu A1 Yi Xin Fiona Lee A1 Justin Hean A1 Imre Mäger A1 Thomas C. Roberts A1 Manuela Gustafsson A1 Dara K Mohammad A1 Helena Sork A1 Alexandra Bäcklund A1 C.I. Edvard Smith A1 Matthew J.A. Wood A1 Roosmarijn Vandenbroucke A1 Joel Z. Nordin A1 Samir EL Andaloussi YR 2020 UL http://biorxiv.org/content/early/2020/06/15/2020.06.14.149823.abstract AB Extracellular vesicles (EVs) have recently emerged as a highly promising cell-free bio-therapeutics. While a range of engineering strategies have been developed to functionalize the EV surface, current approaches fail to address the limitations associated with endogenous surface display, pertaining to the heterogeneous display of commonly used EV-loading moieties among different EV subpopulations. Here we present a novel engineering platform to display multiple protein therapeutics simultaneously on the EV surface. As proof-of-concept, we screened multiple endogenous display strategies for decorating the EV surface with cytokine binding domains derived from tumor necrosis factor receptor 1 (TNFR1) and interleukin 6 signal transducer (IL6ST), which can act as decoys for the pro-inflammatory cytokines TNFα and IL6, respectively. Combining synthetic biology and systematic screening of loading moieties, resulted in a three-component system which increased the display and decoy activity of TNFR1 and IL6ST, respectively. Further, this system allowed for combinatorial functionalization of two different receptors on the same EV surface. These cytokine decoy EVs significantly ameliorated disease phenotypes in three different inflammatory mouse models for systemic inflammation, neuroinflammation, and intestinal inflammation. Importantly, significantly improved in vitro and in vivo efficacy of these engineered EVs was observed when compared directly to clinically approved biologics targeting the IL6 and TNFα pathways.Competing Interest StatementMJAW and SEA are founders of, and consultants for, Evox Therapeutics. DG, OW, AG & JZN are consultant for Evox Therapeutics. DG, OW, AG, JZN, MJAW and SEA are shareholders in Evox Therapeutics. The remaining authors declare no conflicts of interest.