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Proinsulin II mRNA lipid particle aggregates (LPAs) are an experimental mRNA-based immunotherapy designed to prevent or delay the onset of type 1 diabetes (T1D). The drug consists of murine proinsulin II (PI2) mRNA encapsulated within lipid particles that form aggregates. The mechanism involves the induction of immunotolerance by delivering the proinsulin antigen in a manner that modulates the immune response, specifically by maintaining immunoregulatory cytokine elevations (e.g., IL-10) and reducing proinflammatory cytokines. In preclinical studies using the non-obese diabetic (NOD) mouse model, low doses of these LPAs have been shown to significantly delay T1D onset and reduce disease incidence by suppressing autoimmunity and preserving beta-cell function.
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