Jul 2026· Molecular Therapy· Vol 34, pp. 5352-5365· 1 citation
Medicine
TL;DR
An underappreciated constraint in saRNA therapeutics is defined and saRNA-specific payload design frameworks that incorporate alphavirus associated compositional biases during transgene sequence optimization are motivated.
Abstract
Self-amplifying RNA (saRNA) is an emerging RNA therapeutic modality that can facilitate higher magnitude and more durable protein expression at substantially lower doses than non-replicating mRNA. Unlike conventional mRNA, alphavirus derived saRNA must support a replicase driven RNA amplification step in addition to translation, raising the possibility that transgene coding sequences impose sequence level constraints on replication. Here, saRNA replication was found to be dependent on the codon composition of the transgene; multiple therapeutic transgenes were replication-defective despite an intact VEEV derived saRNA backbone. Replication defects were rescued by synonymous codon re-optimization of the same transgenes, indicating that nucleotide level features of the coding sequence, rather than the encoded protein, govern replication competence. Comparative compositional analyses identified a distinct signature associated with productive replication, characterized by elevated GC (>53%) and GC3 (>63%) content, higher codon adaptation to human (>0.75), and reduced UpA (<43/kb), UpU (<41/kb) dinucleotide density. Moreover, deliberate compositional perturbation of an otherwise replication-competent transgene shifted these features and abolished replication, supporting a causal and combinatorial role for sequence composition in defining saRNA replication outcome. These findings define an underappreciated constraint in saRNA therapeutics and motivate saRNA-specific payload design frameworks that incorporate alphavirus associated compositional biases during transgene sequence optimization.
The effects of combining replication-competent and replication-deficient replicons on RNA replication and GOI translation are reported, highlighting the delicate balance between RNA replication and protein synthesis in the context of cellular cytotoxity and metabolic burden.
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