Fatima Munazza, Park Pil-Gu, Hong Kee-Jong
Department of Microbiology, Gachon University College of Medicine, Incheon, Republic of Korea; Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, Republic of Korea.
Department of Microbiology, Gachon University College of Medicine, Incheon, Republic of Korea; Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, Republic of Korea; Department of Health Sciences and Technology, GAIHST, Gachon University, Incheon, Republic of Korea; Korea mRNA Vaccine Initiative, Gachon University, Seongnam, Republic of Korea.
Clin Immunol. 2025 Feb;271:110424. doi: 10.1016/j.clim.2024.110424. Epub 2024 Dec 27.
Over the last decade, mRNA vaccines development has shown significant advancement, particularly during the COVID-19 pandemic. This comprehensive review examines the efficacy of pivotal vaccines against emerging COVID-19 variants and strategies for enhancing vaccine effectiveness. It also explores the versatility of mRNA technology in addressing other infectious diseases such as influenza, respiratory syncytial virus, HIV, cytomegalovirus, Ebola, Zika, Rabies, and Nipah viruses. The analysis includes safety and clinical progress of mRNA vaccines and evaluates their potential in combination vaccine strategies. Additionally, it addresses challenges related to delivery and scalability while highlighting opportunities for future advancements in the field. Recent advances in mRNA optimization, biomaterial-based delivery and thermostable designs offer promising solutions. It is essential to gain insights into the evolving landscape of mRNA vaccine technology to maximize its vital role in addressing diverse viral threats, advancing vaccinology and enhancing public health preparedness for future pandemic.
在过去十年中,mRNA疫苗的研发取得了显著进展,尤其是在新冠疫情期间。这篇全面综述探讨了关键疫苗针对新出现的新冠病毒变体的有效性以及提高疫苗效力的策略。它还探讨了mRNA技术在应对其他传染病方面的多功能性,如流感、呼吸道合胞病毒、艾滋病毒、巨细胞病毒、埃博拉病毒、寨卡病毒、狂犬病病毒和尼帕病毒。分析内容包括mRNA疫苗的安全性和临床进展,并评估它们在联合疫苗策略中的潜力。此外,它还解决了与疫苗递送和可扩展性相关的挑战,同时突出了该领域未来进展的机遇。mRNA优化、基于生物材料的递送和热稳定设计方面的最新进展提供了有前景的解决方案。深入了解mRNA疫苗技术不断变化的格局,对于最大限度地发挥其在应对各种病毒威胁、推动疫苗学发展以及加强公众对未来大流行的卫生防范方面的重要作用至关重要。