Zhejiang Provincial Key Laboratory of Pancreatic Disease, The First Affiliated Hospital, Zhejiang University School of Medicine, 310009, Hangzhou, Zhejiang, China.
Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 310003, Hangzhou, Zhejiang, China.
Signal Transduct Target Ther. 2023 Sep 20;8(1):365. doi: 10.1038/s41392-023-01579-1.
mRNA vaccines have emerged as highly effective strategies in the prophylaxis and treatment of diseases, thanks largely although not totally to their extraordinary performance in recent years against the worldwide plague COVID-19. The huge superiority of mRNA vaccines regarding their efficacy, safety, and large-scale manufacture encourages pharmaceutical industries and biotechnology companies to expand their application to a diverse array of diseases, despite the nonnegligible problems in design, fabrication, and mode of administration. This review delves into the technical underpinnings of mRNA vaccines, covering mRNA design, synthesis, delivery, and adjuvant technologies. Moreover, this review presents a systematic retrospective analysis in a logical and well-organized manner, shedding light on representative mRNA vaccines employed in various diseases. The scope extends across infectious diseases, cancers, immunological diseases, tissue damages, and rare diseases, showcasing the versatility and potential of mRNA vaccines in diverse therapeutic areas. Furthermore, this review engages in a prospective discussion regarding the current challenge and potential direction for the advancement and utilization of mRNA vaccines. Overall, this comprehensive review serves as a valuable resource for researchers, clinicians, and industry professionals, providing a comprehensive understanding of the technical aspects, historical context, and future prospects of mRNA vaccines in the fight against various diseases.
mRNA 疫苗在疾病的预防和治疗方面已经成为一种非常有效的策略,这主要归功于它们近年来在对抗全球瘟疫 COVID-19 方面的卓越表现,尽管在设计、制造和给药方式方面存在不可忽视的问题。mRNA 疫苗在疗效、安全性和大规模生产方面的巨大优势促使制药行业和生物技术公司将其应用扩展到各种疾病,尽管在设计、制造和给药方式方面存在不可忽视的问题。本综述深入探讨了 mRNA 疫苗的技术基础,涵盖了 mRNA 的设计、合成、传递和佐剂技术。此外,本综述以逻辑和组织良好的方式进行了系统的回顾性分析,阐明了在各种疾病中使用的代表性 mRNA 疫苗。范围涵盖传染病、癌症、免疫性疾病、组织损伤和罕见病,展示了 mRNA 疫苗在不同治疗领域的多功能性和潜力。此外,本综述还前瞻性地讨论了 mRNA 疫苗的当前挑战和潜在发展方向以及利用。总的来说,这篇全面的综述为研究人员、临床医生和行业专业人士提供了一个有价值的资源,全面了解了 mRNA 疫苗在抗击各种疾病方面的技术方面、历史背景和未来前景。