Rezk Nouran, McClean Siobhán
School of Biomolecular and Biomedical Science, University College Dublin, Dublin, Ireland.
UCD Conway Institute of Biomolecular and Biomedical Research, University College Dublin, Dublin, Ireland.
Microb Biotechnol. 2025 Aug;18(8):e70212. doi: 10.1111/1751-7915.70212.
mRNA vaccines have emerged as promising alternatives to conventional vaccines because of their flexible design, high immunogenicity, favourable safety profile, efficacy and potential for rapid clinical development. The accelerated development of mRNA vaccines during the COVID-19 pandemic has revolutionised the field of vaccinology, highlighting their potential for combating emerging infectious diseases. The mRNA platforms can induce robust humoral as well as CD4+ and CD8+ T-cell-mediated immunity, offering broader protection than subunit protein vaccines. Consequently, they have been extensively studied against a wide range of viral, bacterial and parasitic infections, although the development of mRNA vaccines against bacterial and parasitic infections has lagged behind those targeting viruses. This review highlights recent studies on mRNA vaccine development and applications against a wide range of infectious diseases including non-COVID viral infections, bacterial pathogens such as Mycobacteria or Pseudomonas aeruginosa and parasitic infections, including malaria. Moreover, it discusses key optimisation strategies and highlights candidates that have progressed to clinical trials, and the current challenges in enhancing immunogenicity and improving delivery systems.
信使核糖核酸(mRNA)疫苗因其设计灵活、免疫原性高、安全性良好、疗效显著以及具备快速临床开发的潜力,已成为传统疫苗颇具前景的替代方案。在新冠疫情期间,mRNA疫苗的加速研发彻底改变了疫苗学领域,凸显了其在对抗新出现传染病方面的潜力。mRNA平台能够诱导强大的体液免疫以及CD4+和CD8+ T细胞介导的免疫,提供比亚单位蛋白疫苗更广泛的保护。因此,尽管针对细菌和寄生虫感染的mRNA疫苗开发落后于针对病毒的疫苗,但它们已针对多种病毒、细菌和寄生虫感染进行了广泛研究。本综述重点介绍了近期关于mRNA疫苗开发及其在对抗多种传染病中的应用的研究,这些传染病包括非新冠病毒感染、细菌病原体如分枝杆菌或铜绿假单胞菌以及寄生虫感染(包括疟疾)。此外,它还讨论了关键的优化策略,突出了已进入临床试验的候选疫苗,以及目前在增强免疫原性和改进递送系统方面所面临的挑战。
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