In late 2020, the U.S. Food and Drug Administration (FDA)
approved
a lipid-based mRNA vaccine for the prevention of COVID-19, which has
pushed this field to be more closely studied and motivated researchers
to delve deeper into mRNA therapeutics. To date, the research on mRNA
cancer vaccines has been developed rapidly, and substantial hopeful
therapeutic results have been achieved against various solid tumors
in clinical trials. In this review, we first introduce three main
components of mRNA cancer vaccines, including mRNA antigens, adjuvants,
and delivery vectors. Engineering these components can optimize the
therapeutic effects of mRNA cancer vaccines. For instance, appropriate
modification of mRNA structure can alleviate the poor stability and
innate immunogenicity of mRNA, and the use of mRNA delivery vectors
can address the issues of low delivery efficiency in vivo. Second, we emphatically discuss some strategies to further improve
the efficacy of mRNA cancer vaccines, namely modulating the immunosuppressive
tumor environment, optimizing administration routes, achieving targeting
delivery to intended tissues or organs, and employing combination
therapy. These strategies can strengthen the tumor inhibitory ability
of mRNA cancer vaccines and increase the possibility of tumor elimination.
Finally, we point out some challenges in the clinical practice of
mRNA cancer vaccines and offer our perspectives on future developments
in this rapidly evolving field. It is anticipated that mRNA cancer
vaccines will be rapidly developed for clinical cancer therapy in
the near future.