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Designing around immune memory to counter PEG immunogenicity

The emergence of lipid nanoparticles as nucleic acid delivery vehicles has revolutionized medicine, with polyethylene glycol (PEG)-lipids playing a crucial role in particle formation and in vivo fate. However, PEG has been linked to immune responses that can provoke side effects and may prevent repeat dosing, and so PEG alternatives are now being developed. Here we argue that, rather than concentrating on PEG replacement, the field should prioritize designing around pre-existing immune memory.

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Fig. 1: Mechanism of T-independent anti-PEG response.
Fig. 2: Strategies to mitigate PEG-driven immune responses and enable next-generation LNP design.

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Correspondence to Kathryn A. Whitehead.

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Competing interests

N.C. is an inventor on several patent applications on lipid nanoparticles. K.A.W. is an inventor on numerous patents on lipid nanoparticles and is a co-founder and advisor of numerous gene therapy companies.

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Nature Materials thanks Marina Dobrovolskaia, Hyukjin Lee and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

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Chaudhary, N., Whitehead, K.A. Designing around immune memory to counter PEG immunogenicity. Nat. Mater. 24, 1666–1669 (2025). https://doi.org/10.1038/s41563-025-02383-8

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