Department of Pharmacology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, United States.
Division of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, United States.
Mol Pharm. 2024 Feb 5;21(2):393-409. doi: 10.1021/acs.molpharmaceut.3c00803. Epub 2024 Jan 8.
Female reproductive health has traditionally been an underrepresented area of research in the drug delivery sciences. This disparity is also seen in the emerging field of mRNA therapeutics, a class of medicines that promises to treat and prevent disease by upregulating protein expression in the body. Here, we review advances in mRNA therapies through the lens of improving female reproductive health. Specifically, we begin our review by discussing the fundamental structure and biochemical modifications associated with mRNA-based drugs. Then, we discuss various packaging technologies, including lipid nanoparticles, that can be utilized to protect and transport mRNA drugs to target cells in the body. Last, we conclude our review by discussing the usage of mRNA therapy for addressing pregnancy-related health and vaccination against sexually transmitted diseases in women. Of note, we also highlight relevant clinical trials using mRNA for female reproductive health while also providing their corresponding National Clinical Trial identifiers. In undertaking this review, our aim is to provide a fundamental background understanding of mRNA therapy and its usage to specifically address female health issues with an overarching goal of providing information toward addressing gender disparity in certain aspects of health research.
女性生殖健康在药物输送科学领域一直是一个代表性不足的研究领域。这种差距在新兴的 mRNA 治疗领域也存在,mRNA 治疗是一类通过上调体内蛋白质表达来治疗和预防疾病的药物。在这里,我们通过改善女性生殖健康的角度来回顾 mRNA 治疗的进展。具体来说,我们首先讨论了与基于 mRNA 的药物相关的基本结构和生化修饰。然后,我们讨论了各种包装技术,包括脂质纳米粒,可用于保护和将 mRNA 药物输送到体内的靶细胞。最后,我们通过讨论 mRNA 疗法在解决与妊娠相关的健康问题和针对女性的性传播疾病疫苗接种方面的应用来结束我们的综述。值得注意的是,我们还强调了使用 mRNA 治疗女性生殖健康的相关临床试验,并提供了它们相应的国家临床试验标识符。在进行这项综述时,我们的目的是提供对 mRNA 治疗及其在专门解决女性健康问题中的应用的基本背景理解,最终目标是提供信息,以解决某些健康研究领域的性别差距问题。