Deal Cailin E, Carfi Andrea, Plante Obadiah J
Moderna, Inc., 200 Technology Square, Cambridge, MA 02114, USA.
Vaccines (Basel). 2021 Jan 31;9(2):108. doi: 10.3390/vaccines9020108.
Monoclonal antibodies are the fastest growing therapeutic class in medicine today. They hold great promise for a myriad of indications, including cancer, allergy, autoimmune and infectious diseases. However, the wide accessibility of these therapeutics is hindered by manufacturing and purification challenges that result in high costs and long lead times. Efforts are being made to find alternative ways to produce and deliver antibodies in more expedient and cost-effective platforms. The field of mRNA has made significant progress in the last ten years and has emerged as a highly attractive means of encoding and producing any protein of interest in vivo. Through the natural role of mRNA as a transient carrier of genetic information for translation into proteins, in vivo expression of mRNA-encoded antibodies offer many advantages over recombinantly produced antibodies. In this review, we examine both preclinical and clinical studies that demonstrate the feasibility of mRNA-encoded antibodies and discuss the remaining challenges ahead.
单克隆抗体是当今医学领域中发展最快的治疗类别。它们在包括癌症、过敏、自身免疫性疾病和传染病在内的众多适应症方面具有巨大潜力。然而,这些治疗药物的广泛可及性受到制造和纯化方面挑战的阻碍,这些挑战导致成本高昂且交付周期长。人们正在努力寻找替代方法,以便在更便捷且具成本效益的平台上生产和递送抗体。在过去十年中,信使核糖核酸(mRNA)领域取得了重大进展,并已成为在体内编码和生产任何感兴趣蛋白质的极具吸引力的手段。通过mRNA作为将遗传信息翻译成蛋白质的瞬时载体的天然作用,mRNA编码抗体的体内表达比重组生产的抗体具有许多优势。在本综述中,我们研究了证明mRNA编码抗体可行性的临床前和临床研究,并讨论了未来仍存在的挑战。