Â鶹ÒùÔº

Researchers at the National University of Singapore (NUS) have developed a scalable, non-viral technology that efficiently delivers genetic material into human immune cells. The platform, called Nanostraw Electro-actuated Transfection (NExT), uses tiny hollow nanostructures and electrical pulses to insert a wide variety of biomolecules—proteins, mRNA and gene-editing tools—into immune cells with high efficiency and minimal disruption.

The team, led by Assistant Professor Andy Tay from the Department of Biomedical Engineering in the College of Design and Engineering as well as the Institute for Health Innovation and Technology at NUS, demonstrated that NExT can transfect—that is, deliver genetic material into—more than 14 million immune cells in a single run, including difficult-to-engineer cell types such as gamma-delta T cells, T regulatory cells, dendritic cells, macrophages, natural killer cells and neutrophils which are being developed as alternative immune cell therapies.

NExT makes gene delivery quicker and less damaging, which in turn helps lower manufacturing costs and improve the consistency of engineered cell products, including those used in chimeric antigen receptor-T (CAR-T) cell therapies for cancer. This could potentially widen patient access to advanced treatments that are currently limited by high costs and production challenges.

The team's findings are in the journal Biomaterials. Researchers from the NUS Yong Loo Lin School of Medicine also contributed to the research breakthrough.

Next-generation gene delivery

Cancer remains one of the leading causes of death globally, responsible for nearly 10 million lives each year. Among the most promising treatment strategies to emerge in recent times is CAR-T cell therapy, which involves reprogramming a patient's immune cells to recognize, target and kill cancer cells. This personalized approach has demonstrated success in treating blood cancers, especially in those who have exhausted conventional options. However, it remains expensive and logistically complex.

On 1 August 2024, the Singapore Ministry of Health began to provide subsidies for cell, tissue and gene therapy products (CTGTPs) that are assessed to be clinically and cost effective. The first CTGTP eligible for subsidy is a treatment known as tisagenlecleucel, a type of CAR-T cell therapy for treating blood cancers.

"In Singapore, a single CAR-T cell infusion can cost about S$670,000. Although subsidies are available, they typically cover only a fraction of the cost. This may limit access to the therapy for a significant number of patients, even as demand grows," said Asst. Prof. Tay.

One of the main hurdles in CAR-T manufacturing lies in the delivery of genetic material into immune cells. Current industry-standard methods include viral vectors and bulk electroporation. On the one hand, while viral approaches are effective, they raise concerns around safety, immunogenicity and random gene integration. On the other, bulk electroporation, which relies on high-voltage electric pulses, can stress and damage cells, thus reducing their therapeutic quality.

The NUS team's NExT platform overcomes these limitations. It works by interfacing cells with a dense forest of nanostraws—microscopic hollow tubes less than a thousandth the width of a human hair. When a mild electrical signal is applied, the nanostraws open temporary pores in the cell membrane, allowing biomolecules such as mRNA or CRISPR/Cas9 complexes to enter the cell cytoplasm directly.

"Our NExT platform can handle a wide range of immune cell types. This is particularly timely as the field of cell therapy expands beyond traditional CAR-T approaches to include other cell types," said Arun Kumar, the paper's first author and a Ph.D. student at NUS supervised by Asst. Prof. Tay.

"Think of gene delivery like selecting a food delivery service. Ideally you want one that's fast, reliable, keeps the food fresh and doesn't cost a fortune. That's what gene delivery should be like—efficient, cost-effective, doesn't stress the cells too much, and adaptable to many different 'orders,' or biomolecules," added Kumar.

In preclinical experiments, the NExT platform achieved transfection efficiencies of up to 94% for proteins and more than 80% for mRNA in primary T cells, while maintaining key biological functions such as proliferation, migration and cytokine production.

"We were very encouraged to see that even after transfection, the immune cells retained their essential tumor-fighting characteristics. This suggests that the platform delivers both the efficiency as well as the cell quality needed for effective therapy," said Asst. Prof. Tay.

More accessible and adaptable cancer treatments

The NExT platform can engineer alternative immune cells that are less likely to trigger severe immune reactions, and in some cases can function without matching the patient's immune profile, making them suitable for "off-the-shelf" allogeneic therapies.

In addition, the high-throughput nature of the platform is designed to address the scale and cost bottlenecks of cell therapy production. The NUS researchers' multi-well version of the platform can transfect more than 14 million cells in a single run, enabling the simultaneous delivery of different genetic cargoes into multiple immune cell types from various donors to reduce production time.

Working towards clinical translation, the team's next step is to validate the technology in preclinical studies before advancing to human trials. They are also working with industry partners to explore how the system can be integrated into existing cell therapy manufacturing workflows and are actively seeking opportunities to test the platform in real-world commercial settings.