2020
DOI: 10.3390/ijms21186582
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mRNA Vaccine Era—Mechanisms, Drug Platform and Clinical Prospection

Abstract: Messenger ribonucleic acid (mRNA)-based drugs, notably mRNA vaccines, have been widely proven as a promising treatment strategy in immune therapeutics. The extraordinary advantages associated with mRNA vaccines, including their high efficacy, a relatively low severity of side effects, and low attainment costs, have enabled them to become prevalent in pre-clinical and clinical trials against various infectious diseases and cancers. Recent technological advancements have alleviated some issues that hinder mRNA v… Show more

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Cited by 235 publications
(239 citation statements)
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References 193 publications
(332 reference statements)
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“…Briefly, the expressed proteins (EPs) released from the host cells are captured by the antigen-presenting cells (APCs), primarily dendritic cells (DCs). The EPs are subsequently degraded to antigenic peptides within the cells and presented to cytotoxic T lymphocytes via the major histocompatibility complex (MHC) I pathway, and to B-cells via the MHC II pathway ( 12 ). Therefore, targeting mRNA directly to APCs, mainly DCs, is the most effective approach to immunization.…”
Section: Introductionmentioning
confidence: 99%
“…Briefly, the expressed proteins (EPs) released from the host cells are captured by the antigen-presenting cells (APCs), primarily dendritic cells (DCs). The EPs are subsequently degraded to antigenic peptides within the cells and presented to cytotoxic T lymphocytes via the major histocompatibility complex (MHC) I pathway, and to B-cells via the MHC II pathway ( 12 ). Therefore, targeting mRNA directly to APCs, mainly DCs, is the most effective approach to immunization.…”
Section: Introductionmentioning
confidence: 99%
“…However, unprotected mRNA is highly unstable under physiological conditions because of its sensitivity toward catalytic hydrolysis by nucleases [ 7 ]. It is not efficiently internalized in its free form, mainly due to its large size (300–5000 kDa; 1–15 kB) [ 8 , 9 ] and negative charge [ 10 , 11 ]. In fact, it has been speculated that the cellular uptake rate and cytoplasmic transfer of naked mRNA is less than 1 in 10,000 molecules of the initial mRNA input [ 8 , 12 ].…”
Section: Introductionmentioning
confidence: 99%
“…The mRNA vaccine is a promising drug for cancer prevention and treatment [120]. In contrast to DNA vaccines, mRNA vaccines can express the target protein directly, thus avoiding the side effects associated with various mutations during transcription [121].…”
Section: Nanoparticle-based Strategies For Melanoma Mrna Vaccine Therapymentioning
confidence: 99%