Abstract
Nucleosides, nucleotides, and oligonucleotides modulate diverse cellular processes ranging from protein production to cell signaling. It is therefore unsurprising that synthetic analogues of nucleosides and their derivatives have emerged as a versatile class of drug molecules for the treatment of a wide range of disease areas. Despite their great therapeutic potential, the dense arrangements of functional groups and stereogenic centers present in nucleic acid analogues pose a considerable synthetic challenge, especially in the context of large-scale manufacturing. Commonly employed synthetic methods rely on extensive protecting group manipulations, which compromise step-economy and result in high process mass intensities. Biocatalytic approaches have the potential to address these limitations, enabling the development of more streamlined, selective, and sustainable synthetic routes. Here we review recent achievements in the biocatalytic manufacturing of nucleosides and cyclic dinucleotides along with progress in developing enzymatic strategies to produce oligonucleotide therapies. We also highlight opportunities for innovations that are needed to facilitate widespread adoption of these biocatalytic methods across the pharmaceutical industry.
Keywords: biocatalysis, nucleosides, cyclic dinucleotides, oligonucleotides, nucleic acid therapeutics
Introduction
Nucleotides are a central building block of life. They make up our DNA and RNA that in turn encode the proteins required to control biochemical processes and are also used as enzyme cofactors and as a source of energy. Synthetic analogues of nucleosides, nucleotides, and oligonucleotides, herein referred to as nucleic acids, have been developed as therapeutics to target diverse processes including DNA replication, transcription, translation, and cell signaling (Figure 1).1−9 Nucleosides, comprising a ribose sugar and nucleobase, are well established as anticancer and antiviral therapies.1−3 For example, lamivudine and nelarabine are nucleoside prodrugs that are converted to the corresponding nucleotide triphosphates (NTPs) in vivo and incorporated into DNA by polymerases. These noncanonical nucleotides inhibit further chain extension, thus preventing DNA replication and inhibiting cell or viral proliferation. Cyclic dinucleotides (CDNs) are secondary signaling molecules which control many processes in both prokaryotes and eukaryotes and are comprised of two ribonucleic acid monophosphates linked via 3′–5′ and 2′–5′ phosphodiester bonds.4−6 CDNs activate the stimulator of interferon genes (STING) protein to elicit an immune response and are currently being evaluated as potential cancer treatments.10−12 While nucleoside and nucleotide analogues commonly target proteins to elicit their therapeutic effects, oligonucleotides target mRNA to modulate the production of disease related proteins.7−9 Therapeutic oligonucleotides, which are typically 20 nucleobases in length and can be single stranded (antisense oligonucleotides) or double stranded (siRNAs), have attracted much attention in recent years. Although initially developed to treat rare diseases, therapies for more common disorders have started to emerge, as highlighted by the recent approval of inclisiran for the treatment of atherosclerotic cardiovascular disease.13,14
Nucleic acid therapeutics contain chemical modifications to the ribose sugar, nucleobase and/or phosphate backbone, which confer favorable selectivity, binding affinity, metabolic stability, and toxicity profiles.2,6,15−17 Common modifications include 2′-ribose substitutions, designed to enhance metabolic stability and promote a stable RNA-like C3′-endo sugar conformation for improved binding affinity. CDNs and oligonucleotides also frequently contain modified phosphate linkages such as phosphorothioates, where the phosphate nonbridging oxygen is substituted by a sulfur.18−20 These backbone modifications lead to improved resistance to nuclease degradation and increased hydrophobicity, which improves cellular uptake. Despite recent progress in the chemical synthesis of nucleic acid therapeutics,21−27 developing economical and sustainable routes remains a major challenge.4,6,14,28−30 Nucleic acids are structurally complex, contain multiple stereogenic centers, and have poor solubility in organic solvents. Synthetic routes typically require extensive protecting group chemistry due to the presence of multiple functional groups, which leads to poor step- and atom-economy. Selectively introducing chemical modifications to the ribose ring can often be particularly challenging, and modifying the phosphate backbone introduces new stereochemical elements which further complicate synthesis. In the case of therapeutic oligonucleotides, scalable manufacturing remains a major hurdle, with current methods relying on solid-phase phosphoramidite chemistry that uses four steps per base extension, uses prohibitively large volumes of acetonitrile (1000 kg per kg of oligonucleotide), and is restricted to <10 kg batches.30−32 In light of these challenges, biocatalysis has emerged as an attractive and sustainable alternative to traditional chemical methods. Biocatalysts operate under aqueous conditions that are compatible with the synthesis of polar molecules and offer unrivalled levels of stereo- and regiocontrol, thereby alleviating the need for protecting groups.33−37 Given the structural similarity to biomolecules found in nature, there is an abundance of enzymes and biosynthetic pathways that can serve as inspiration for the development of new biocatalytic approaches to nucleic acid analogues. Here, we highlight recent examples of nucleoside, CDN, and oligonucleotide synthesis using biocatalysis that serve to illustrate the benefits of applying enzymatic methods for the preparation of this important class of therapeutics.
Nucleosides
Enzymes from nucleoside metabolism and salvage pathways have inspired the development of a general enzymatic cascade that has been used for the synthesis of several nucleoside therapeutics.38−40 First, ribokinases (RK) catalyze the 5′-phosphorylation of ribose using ATP as a cosubstrate. The 5′-phosphate group is then transferred to the C1′-OH using a phosphopentomutase (PPM). Finally, the nucleobase is installed in a stereocontrolled fashion at the C1-position using a nucleoside phosphorylase (PNP) (Figure 2a). Stoichiometric ATP used by RKs in step 1 is inhibitory to PPM activity. To address this limitation and to improve process efficiency, catalytic ATP and cofactor recycling enzymes such as acetate kinases (AcK) and pyruvate kinases (PK) are commonly employed. Performing steps in tandem avoids the need to isolate intermediates, improves step economy, and can also improve the efficiency of steps with unfavorable equilibrium constants, as intermediates generated can be reacted in downstream transformations.41,42 PNPs have been well characterized and are known to tolerate a range of 4′- and 2′-modified ribose sugars as well as modified nucleobases, making them attractive biocatalysts for manufacturing nucleoside therapeutics.43−46 The RK, PPM, and PNP cascade was applied to the synthesis of 2′,3′-dideoxyinosine (didanosine), an off-patent HIV therapy (Figure 2a).38,46 Here the pathway enzymes were engineered for improved selectivity toward the target dideoxy-modified substrate to enable nucleoside synthesis in vivo. Interestingly, a single D16A active site mutation in E. coli RK gave rise to 1′-phosphorylation activity, meaning that didanosine could be accessed in a simple two step RK and PNP process avoiding the need for PPMs.
The general enzyme cascade outlined above has also been extended for the synthesis of islatravir, an investigational HIV reverse transcriptase translocation inhibitor.39,47 Islatravir contains a C4′-ethynyl substitution on the ribose ring, and as such, additional steps were required to synthesize the modified sugar (Figure 2b). First, an engineered galactose oxidase (GOase) was used to desymmetrize 2-ethynylglycerol. Here catalase was used to sequester the hydrogen peroxide byproduct and horse radish peroxidase (HRP) was used to maintain the correct oxidation state of the GOase copper cofactor. The 2-ethynyl glyceraldehyde product was then phosphorylated using pantothenate kinase (PanK) and catalytic ATP, which was regenerated using AcK and an acetylphosphate donor. To complete the synthesis of the ribose ring, deoxyribose 5-phosphate aldolase (DERA), catalyzed the stereoselective aldol reaction between 2-ethynyl glyceraldehyde 3-phosphate and acetaldehyde. Finally, PPMs and PNPs were used to install the 2-fluoroadenine nucleobase. PNP-catalyzed reactions are reversible,48 so to drive the reaction to completion the phosphate byproduct was sequestered using sucrose phosphorylase (SP). All five on-pathway enzymes were engineered for improved efficiency toward the 4′-ethynyl modification. Optimization of the GOase was particularly impressive, with 34 mutations installed into the starting GOase F2 scaffold over 12 rounds of directed evolution,49 resulting in 11-fold improvement in activity, reduced product inhibition, and inversion of stereochemistry to provide access to the desired (R)-2-ethynyl glyceraldehyde product with high levels of stereocontrol (90:10 R:S selectivity). The final synthesis involved nine enzymes in total and was performed in three steps to provide islatravir in an impressive 51% isolated yield.
Molnupiravir is a recently approved oral therapy for the treatment of SARS-CoV2 developed in partnership between Ridgeback Biotherapeutics and Merck & Co.50 The original synthesis consisted of 10 steps and was limited by low process productivity and high costs.51 In light of the urgent need to tackle the covid-19 pandemic, several groups began to develop more sustainable and cheaper biocatalytic manufacturing routes. One strategy developed by Merck involved a three-step chemoenzymatic approach, starting with a selective 5′-OH acylation of ribose catalyzed by the commercial lipase Novozym 435. Next an enzyme cascade involving an engineered kinase and uridine phosphorylase was used to install a uridine nucleobase. Finally, modification of the nucleobase to install the requisite hydroxylamine motif was achieved using a chemical transformation with NH2OH and hexamethyldisilazane, with in situ silylation of the 2′- and 3′-hydroxyl groups to aid product isolation.40 An alternative two-step biocatalytic approach to molnupiravir was developed by Burke et al., who developed an engineered enzyme for the conversion of cytidine to the key molnupiravir intermediate N-hydroxycytidine.52 The authors discovered that the zinc-dependent enzyme cytidine deaminase (CD), which naturally catalyzes the hydrolysis of cytidine to uridine, was mechanistically promiscuous and can also promote hydroxyaminolysis of cytidine and uridine to generate N-hydroxycytidine (Figure 3). Initial screening with the wild-type enzyme performed using 10% hydroxylamine in bulk water gave a 1:6 ratio of N-hydroxycytidine:uridine, with the enzyme catalyzing rapid hydrolysis of cytidine to uridine followed by slower uridine hydroxyaminolysis to generate an equilibrium distribution of products. To boost N-hydroxycytidine production, enzyme engineering was performed to enhance cytidine hydroxyamination activity while minimizing undesired cytidine hydrolysis. Following three rounds of directed evolution an improved variant was identified containing seven active-site mutations (CD1.3), which was able to efficiently catalyze direct hydroxyamination of cytidine to provide an 8:1 N-hydroxycytidine:uridine mixture using a 10% hydroxylamine solution in water. Upon reaction intensification, it was observed that the N-hydroxycytidine product crystallized from the biotransformation mixture in situ, offering a simple means of product isolation. Following reaction scale-up and optimization, CD1.3 catalyzed hydroxyamination was performed on a 900 mL scale to afford 137g of the N-hydroxycytidine product in >95% purity. Subsequent selective 5′-OH acylation using Novozym 435 completed this concise synthesis of molnupiravir.
Cyclic Dinucleotides
Chromatin produced by tumor cells and pathogenic DNA that enters the cytosol are detected by cyclic guanosine monophosphate-adenosine monophosphate synthases (cGASs).53 cGAS is activated upon binding to the invading DNA and catalyzes the synthesis of 2′,3′-cyclic guanosine monophosphate-adenosine monophosphate (cGAMP) from ATP and GTP.54,55 cGAMP is a secondary signaling molecule that binds to the STING receptor and triggers an immune response.5,56 As such, cGAMP analogues are being evaluated as immunotherapy cancer treatments and antiviral agents.4−6,57 A prominent example is the cGAMP analogue MK-1454, developed by Merck as an immuno-oncology treatment.12,58,59 MK-1454 contains a 2′-fluoro-modified AMP unit, a 3′-fluoro-modified GMP, and two Rp phosphorothioate linkages, designed to improve metabolic stability, bioavailability, and potency. The chemical synthesis of MK-1454 poses significant challenges where two unique nucleotides must be selectively coupled through unsymmetrical 3′–5′ and 2′–5′ phosphorothioate bonds.60,61 The original synthesis involved 9 steps and required separation of the desired diastereoisomer by HPLC purification. To improve scalability, step economy, and overall yield, McIntosh et al. set out to develop an in vitro biocatalytic cascade exploiting kinases in conjunction with an engineered mammalian cGAS (Figure 4).62 The initial results suggested that while cGAS was active toward Sp-thio-ATP as a substrate, Sp-thio-GTP was not accepted due to an unfavorable interaction between the Sp sulfur atom and the Mg2+ cofactor. Exchanging the Mg2+ ions for a mixture of Zn2+ and Co2+ provided access to the desired Rp,Rp-dithio-cGAMP product via a mechanism which proceeds with inversion of stereochemistry at the P(V) centers. Following 9 rounds of evolution, a variant with sufficient activity toward the required fluoro-modified substrates was identified and used to produce MK-1454 on a 100 mg scale in 90% yield.
Chemical phosphorylation of nucleosides is challenging, so to access scalable quantities of stereopure Sp-2’F-thio-ATP and Sp-3′F-thio-GTP substrates, engineered kinases were employed to generate the required NTPs from the corresponding nucleoside monothiophosphates.62−64Saccharomyces cerevisiae adenylate kinase (Sc-AdK) and Branchistoma floridae guanylate kinase (Bf-GK) were used to produce the nucleotide α-thio-diphosphates Sp-2’F-thio-ADP and Sp-3′F-thio-GDP, respectively, which were subsequently converted to the analogous α-thiotriphosphates using Thermotoga maritima acetate kinase (Tm-AK). ATP is the canonical phosphate source used by Sc-AdK and Bf-GK; however, ATP can also react in the cGAS mediated coupling/cyclization step to form undesired side products. To avoid these selectivity issues, an elegant solution was found employing catalytic Sp-2’F-thio-ATP as an alternative phosphate donor, which was recycled using Tm-AK and acetyl phosphate. Following optimization of reaction conditions, the biocatalytic cascade involving the synthesis of the two NTP substrates and subsequent nucleotide coupling/cyclization reactions were performed in an impressive one-pot reaction to produce MK-1454 in 62% yield.
Oligonucleotides
Oligonucleotides are the largest (7000–14000 Da) and most structurally complex of the nucleic acid therapeutics and depending on their mode of action contain different structural features.7−9,65−67 Antisense oligonucleotides (ASOs) are single-stranded molecules and include gapmers (e.g., mipomersen and inotersen) and steric blockers (e.g., nusinersen). Gapmers inhibit protein production by targeting mRNA and inducing its degradation by RNaseH. They contain a central block of deoxyribose nucleotides required for RNaseH recognition and flanking sequences of 2′-ribose modified nucleotides that provide improved metabolic stability. Gapmers are commonly phosphorothioate modified to improve cellular uptake and increase resistance to nuclease degradation. Steric blocking oligonucleotides hybridize to target mRNA or pre-RNA and block access from the cellular translation machinery without inducing degradation. In this way, steric blockers can modulate splicing, restore protein production, or downregulate gene expression. For example, nusinersen (shown in Figure 1) is a splice-switching oligonucleotide approved for the treatment of spinal muscular atrophy (SMA), a genetic disorder caused by mutations to the SMN1 gene and inefficient production of survival motor neuron (SMN) protein. Nusinersen targets pre-mRNA and redirects splicing to enable the paralogous SMN2 gene to generate functional SMN protein. Steric blockers typically contain uniform modifications along the sequence and commonly include 2′-O-methoxyethyl modifications in combination with phosphorothioate linkages (e.g., nusinersen) or a phosphoramidate morpholino backbone (e.g., eteplirsen). Small interfering RNAs (siRNAs, e.g., inclisiran) are a family of double-stranded oligonucleotide therapies that interact with the RNA interference (RNAi) pathway. After binding to the Argonaute 2 protein (AGO2) an RNA-induced silencing complex is formed, which binds to and degrades target mRNA to prevent translation.68 siRNAs typically contain multiple types of chemical modifications, most commonly 2′-methoxy and 2′-fluoro, which are dispersed throughout the RNA double stranded sequence. These modifications are needed to enhance metabolic stability and improve binding affinity but must not interfere with recognition by the RNAi system.
Oligonucleotide synthesis currently makes use of phosphoramidite building blocks and relies on iterative rounds of coupling, capping, oxidation/sulfurization, and deprotection to extend sequences immobilized on a solid support.69 While this approach provides a flexible means to access modified sequences it is severely limited by sustainability, scalability, and its ability to generate stereochemically defined oligonucleotides.30−32,70 Biocatalysis could offer an attractive solution to the oligonucleotide manufacturing challenge, allowing the production of high purity oligonucleotides in a more atom- and step-efficient manner using aqueous reaction conditions. Due to the structural diversity of oligonucleotide families, it is likely different biocatalytic strategies will be required for optimal production of different oligonucleotide structures.
Ligase-catalyzed assembly of target oligonucleotides from short fragments (typically 3–8 nucleotides long) has proven a popular biocatalytic strategy (Figure 5).71−74 Shorter oligonucleotides are easier to produce with high purity using chemical methods, as byproducts such as truncated sequences arising from incomplete coupling reactions accumulate during each nucleotide addition. Furthermore, longer oligonucleotides can block solid supports leading to nonlinear flow rates that increases impurity levels. Longer sequences are also more challenging to resolve during chromatographic purification. Compared with linear chemical synthesis strategies, convergent biocatalytic approaches employing ligases should provide products in higher yield and overall purity and reduce the volume of acetonitrile required.75,76 Ligases use ATP or NAD to activate an oligonucleotide fragment containing a 5′-monophosphate group (fragment 1) and then couples the resulting adenylated sequence to the 3′-OH of a second oligonucleotide fragment.77 GSK have developed an approach using DNA ligases, which involves annealing multiple fragments to a complementary DNA template to control the order of assembly (Figure 5a).74 Using an engineered NAD-dependent ligase, three fragments containing 2′-O-methoxyethyl and phosphorothioate modifications were successfully ligated with 90% conversion. Impurity fragments containing base deletions, insertions, or mutations do not anneal efficiently to the template and can be removed by filtration through a membrane with an effective molecular weight cut off. The assembled product can then be melted from the template and isolated in a second filtration step. Three copies of the template are attached to a support “hub” molecule to increase the size of the template to allow facile separation from the product. Such templated approaches have the potential to generate oligonucleotides in high purity and avoid the need for costly chromatographic purification steps. Ajinomoto and Almac have also described an elegant DNA ligase-based approach for the synthesis of double-stranded siRNAs that does not require an external template. Here, both the sense and antisense strands are ligated from complementary overlapping fragments to deliver the target siRNA in a single step (Figure 5b).72,73 An alternative template-independent ligation strategy toward single stranded sequences involves the use of RNA ligases (RNAL).73,78,79 Here the donor 5′-monophosphorylated fragment (fragment 1) (Figure 5c) is synthesized with an additional 3′-phosphate protecting group to prevent uncontrolled polymerization. The 3′-phosphate can subsequently be removed following ligation using a phosphatase.73 Almac have developed a selectAZyme RNAL panel containing enzymes with activity toward a range of 2′-ribose modifications and phosphorothioate linkages, thus expanding the versatility of this approach.
Although not yet implemented on a large scale, the broad substrate promiscuity of wild-type ligases and the availability of engineered variants mean that ligation strategies have great potential to impact oligonucleotide manufacturing.72−74 However, the development of a sustainable biocatalytic platform for producing oligonucleotides will also require enzymatic approaches to fragment synthesis. Polymerase-based strategies for DNA synthesis have been investigated by several groups.80−83 DNA polymerases catalyze the extension of a priming sequence annealed to a template using nucleotide triphosphate building blocks. Hoff et al. designed a “universal template” (78 nucleotides long) that contains all possible three-base combinations (Figure 6a).80 Transient hybridization of the template to itself or an adjacent template molecule is sufficient for polymerase promoted addition of a 3′-protected nucleotide to the template 3′-end. The nucleobase sequence is controlled by sequential addition of the NTP building blocks which contain a 3′-O-azidomethyl reversible terminator. After nucleotide addition, excess NTP is removed and the 3′-OH group is deprotected using tris(2-carboxyethyl)phosphine (TCEP). Iterative cycles of coupling and deprotection provide the target sequence, which is cleaved from the template at a deoxyuracil site positioned at the 3′-end of the starting template, using a Uracil-DNA glycoylase in combination with an apurinic/apyrimidic endonuclease. A 9°N polymerase was selected, as variants with activity toward 3′-ribose substitutions have been previously reported.84,85 A variant with activity toward the 3′- blocking group was identified and used to produce a target 20mer oligonucleotide with an average coupling efficiency of 88%. Further purification of the substrate stocks, optimization, and automation is expected to substantially improve coupling efficiency to make this strategy suitable for larger scale synthesis.
A complementary approach involves the use of terminal deoxynucleotidyl transferases (TdTs), family X polymerases that promote template-independent oligonucleotide synthesis.86 Similar to the templated DNA polymerase strategy above, oligonucleotide sequences are generated through iterative rounds of coupling and deprotection steps using 3′-protected NTPs (Figure 6b).87 Engineered TdTs with activity toward 3′-reversible terminators have been developed for applications in DNA gene synthesis.88−90 For example, Lu et al. have developed a platform using a TdT from Zonotrichia albicollis (ZaTdT).90 R335L and K337G mutations were installed in the ZaTdT active site to accommodate a 3′-ONH2 protecting group, which can be cleaved following the coupling reaction using sodium nitrite buffer. A 98.7% average coupling efficiency was achieved across six extension cycles using the engineered ZaTdT. Although promising, several challenges need to be overcome to extend the utility of TdTs to therapeutic oligonucleotide synthesis. At present, large excesses of protected NTPs are used during coupling steps, which although suitable for small scale DNA synthesis are not practical for larger scale applications. Furthermore, available TdTs are poorly active toward 2′-ribose modifications and phosphorothioate linkages that are common in oligonucleotide therapies.81,90 RNALs have also been used for nontemplated oligonucleotide synthesis, where 5′-monophosphate (NMP) building blocks are coupled onto a growing oligonucleotide chain. Here, 3′-phosphate protecting groups are employed which can be removed enzymatically using an alkaline phosphatase.73,74,91 Compared with TdTs, RNALs are more tolerant of phosphorothioate linkages and 2′-ribose modifications including 2′-methoxy and 2′-fluoro motifs.73,74 However, at present RNALs still require an excess of ATP cosubstrate and NMP building blocks to achieve the high coupling efficiencies required for oligonucleotide synthesis.
Outlook
Nucleosides are well-established as therapeutic agents for the treatment of viral infections and cancer and are also the central component of nucleotides, the building blocks required for CDN and oligonucleotide synthesis. Consequently, as the number of approved nucleic acid therapeutics gains momentum, cost-effective and streamlined synthetic routes to a wider range of noncanonical nucleosides are needed to underpin the field. Indeed, a recent summit of key industrial opinion leaders identified nucleoside synthesis as an emerging area of high potential impact.92 Several impressive biocatalytic cascades have been developed to synthesize nucleic acid therapeutics, which serve to illustrate the potential utility of enzymatic processes.39,40,62 During these endeavors, enzymes have been developed to tailor the nucleobase or to introduce 2′- and 4′-ribose modifications. To achieve more widespread utility moving forward, we must discover and engineer panels of biocatalysts that allow access to nucleosides containing a broader range of pharmaceutically relevant modifications.93−95 Developing routes to new nucleosides that are challenging to access with existing methods will also aid the discovery of new nucleic acid therapies with improved pharmacodynamic and pharmacokinetic properties.
To develop efficient routes to NTP and NMP building blocks required for CDN and oligonucleotide synthesis, enzymatic strategies to selectively elaborate nucleosides will prove invaluable. Strategies for selectively installing 5′-phosphate or 5′-triphopshate groups are already well established.96−98 Similarly, chemoenzymatic approaches to stereodefined thio-triphosphates have also been described.62 Less well developed are biocatalytic approaches to selectively modify the 3′-OH position of nucleosides and their derivatives. Such technology would greatly improve synthetic approaches to access the 3′-protected building blocks required for oligonucleotide fragment synthesis using polymerases, TdTs, or RNALs.87,90,99
Current synthetic routes to marketed oligonucleotides therapies do not attempt to control stereochemistry at phosphorothioate linkages, and consequently, drugs are administered to patients as complex mixtures of diastereoisomers, often with incomplete understanding of the biological effects of the individual isomers.100−102 Biocatalytic strategies could offer new opportunities to produce stereodefined oligonucleotide products for biological evaluation, potentially leading to the discovery of second-generation therapeutics with improved potency and patient safety. Indeed, wild-type polymerases, TdTs, and ligases are stereoselective and produce oligonucleotide products containing Rp-linkages.103−106 A next key challenge is to engineer enantiocomplementary versions of these enzymes to allow access to a wide range of oligonucleotide stereoisomers.
In summary, the studies highlighted within this article demonstrate that biocatalysis has great potential to impact the synthesis of the entire portfolio of nucleic acid therapeutics. While challenges remain, with the combination of modern enzyme discovery tools and powerful enzyme engineering strategies, we are optimistic that biocatalysis will emerge as a key underpinning technology for the field.
Acknowledgments
We would like to thank UK Research and Innovation (Future Leader Fellowship MR/T041722/1), the Medical Research Council (Nucleic Acid Therapy Accelerator Grant MR/W029324/1), and the University of Manchester, Faculty of Science and Engineering (Presidential Fellowship Scheme) for generous support.
Author Contributions
† K.J.D.V.G., M.J.T., and Q.M. contributed equally. CRediT: Kyle Jeffrey David Van Giesen formal analysis, writing-original draft; Matthew Thompson formal analysis, writing-original draft; Qinglong Meng formal analysis, writing-original draft; Sarah L. Lovelock conceptualization, funding acquisition, project administration, supervision, writing-original draft.
The authors declare no competing financial interest.
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