RT Journal Article T1 Surfactant Protein B promotes cytosolic SiRNA delivery by adopting a Virus-like mechanism of action A1 Guagliardo, Roberta A1 Herman, Lore A1 Penders, Jelle A1 Zamborlin, Agata A1 Keersmaecker, Herlinde de A1 Van de Vyver, Thijs A1 Verstraeten, Sandrine A1 Merckx, Pieterjan A1 Mingeot-Leclercq, Marie-Paule A1 Echaide Torreguitar, Mercedes A1 Pérez Gil, Jesús A1 Stevens, Molly M. A1 De Smedt, Stefaan A1 Raemdonck, Koen AB RNA therapeutics are poised to revolutionize medicine. To unlock the full potential of RNA drugs, safe and efficient (nano)formulations to deliver them inside target cells are required. Endosomal sequestration of nanocarriers represents a major bottleneck in nucleic acid delivery. Gaining more detailed information on the intracellular behavior of RNA nanocarriers is crucial to rationally develop delivery systems with improved therapeutic efficiency. Surfactant protein B (SPB) is a key component of pulmonary surfactant (PS), essential for mammalian breathing. In contrast to the general belief that PS should be regarded as a barrier for inhaled nanomedicines, we recently discovered the ability of SP-B to promote gene silencing by siRNA-loaded and lipid-coated nanogels. However, the mechanisms governing this process are poorly understood. The major objective of this work was to obtain mechanistic insights into the SP-B-mediated cellular delivery of siRNA. To this end, we combined siRNA knockdown experiments, confocal microscopy, and focused ion beam scanning electron microscopy imaging in an in vitro non-small-cell lung carcinoma model with lipid mixing assays on vesicles that mimic the composition of (intra)cellular membranes. Our work highlights a strong correlation between SP-B-mediated fusion with anionic endosomal membranes and cytosolic siRNA delivery, a mode of action resembling that of certain viruses and virus-derived cell-penetrating peptides. Building on these gained insights, we optimized the SP-B proteolipid composition, which dramatically improved delivery efficiency. Altogether, our work provides a mechanistic understanding of SP-B-induced perturbation of intracellular membranes, offering opportunities to fuel the rational design of SP-B-inspired RNA nanoformulations for inhalation therapy. PB American Chemical Society SN 1936-0851; Electronic: 1936-086X YR 2021 FD 2021-03-16 LK https://hdl.handle.net/20.500.14352/8462 UL https://hdl.handle.net/20.500.14352/8462 LA eng NO Unión Europea. Horizonte 2020 NO Ministerio de Ciencia e Innovación ((MICINN) NO Comunidad de Madrid NO Ghent University Special Research Fund NO Research Foundation Flanders (Belgium) NO Belgian Fonds de la Recherche Scientifique NO Action de Recherche Concertée (ARC) NO Flanders Innovation & Entrepreneurship Agency DS Docta Complutense RD 13 abr 2025