Rzymski Piotr, Szuster-Ciesielska Agnieszka, Dzieciątkowski Tomasz, Gwenzi Willis, Fal Andrzej
Department of Environmental Medicine, Poznan University of Medical Sciences, Poznań, Poland.
Integrated Science Association (ISA), Universal Scientific Education and Research Network (USERN), Poznań, Poland.
J Med Virol. 2023 Feb;95(2):e28572. doi: 10.1002/jmv.28572.
Messenger RNA (mRNA) vaccines against COVID-19 are the first authorized biological preparations developed using this platform. During the pandemic, their administration has been proven to be a life-saving intervention. Here, we review the main advantages of using mRNA vaccines, identify further technological challenges to be met during the development of the mRNA platform, and provide an update on the clinical progress on leading mRNA vaccine candidates against different viruses that include influenza viruses, human immunodeficiency virus 1, respiratory syncytial virus, Nipah virus, Zika virus, human cytomegalovirus, and Epstein-Barr virus. The prospects and challenges of manufacturing mRNA vaccines in low-income countries are also discussed. The ongoing interest and research in mRNA technology are likely to overcome some existing challenges for this technology (e.g., related to storage conditions and immunogenicity of some components of lipid nanoparticles) and enhance the portfolio of vaccines against diseases for which classical formulations are already authorized. It may also open novel pathways of protection against infections and their consequences for which no safe and efficient immunization methods are currently available.
针对新型冠状病毒肺炎(COVID-19)的信使核糖核酸(mRNA)疫苗是首个获授权使用该平台开发的生物制剂。在疫情期间,已证明接种这些疫苗是一项挽救生命的干预措施。在此,我们回顾使用mRNA疫苗的主要优势,确定mRNA平台开发过程中有待应对的进一步技术挑战,并提供关于针对包括流感病毒、人类免疫缺陷病毒1型、呼吸道合胞病毒、尼帕病毒、寨卡病毒、人类巨细胞病毒和爱泼斯坦-巴尔病毒在内的不同病毒的主要mRNA候选疫苗临床进展的最新情况。还讨论了在低收入国家生产mRNA疫苗的前景和挑战。对mRNA技术持续的关注和研究可能会克服该技术目前存在的一些挑战(例如与脂质纳米颗粒某些成分的储存条件和免疫原性相关的挑战),并增加针对已有经典配方获授权的疾病的疫苗种类。它还可能开辟针对目前尚无安全有效免疫方法的感染及其后果的新型防护途径。
J Med Virol. 2023-2
Nat Biotechnol. 2022-6
Semin Arthritis Rheum. 2024-2
Brief Funct Genomics. 2021-9-11
Curr Opin Infect Dis. 2023-10-1
Cytokine Growth Factor Rev. 2022-12
Cell Res. 2017-4-11
Exploration (Beijing). 2025-5-1
Br J Biomed Sci. 2025-7-18
Vaccines (Basel). 2025-4-29
Signal Transduct Target Ther. 2025-3-28
Mol Ther. 2025-6-4
Bioeng Transl Med. 2024-8-15
PLOS Glob Public Health. 2024-12-19