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mRNA 疫苗——全球方法、挑战,可能是未来大流行的有希望的出路。

mRNA-based vaccines - global approach, challenges, and could be a promising wayout for future pandemics.

机构信息

Datta Meghe College of Pharmacy, Datta Meghe Institute of Higher Education and Research (DMIHER), Deemed to be University, Wardha, Maharashtra, India.

Department of Basic Medical Sciences, College of Medicine, AlMaarefa University, Riyadh, Saudi Arabia.

出版信息

Pharm Dev Technol. 2024 Jul;29(6):559-565. doi: 10.1080/10837450.2024.2361656. Epub 2024 Jun 4.

Abstract

mRNA-based vaccines are assured to significantly boost biopharmaceuticals since outbreak of coronavirus disease- 2019. Respiratory infections, such as influenza, SARS, MERS, COVID-19, and respiratory syncytial virus, often have high transmission rates due to their airborne spread. Respiratory infections can lead to severe illness and death. These outbreaks can cause substantial economic and social disruption, as seen with the COVID-19 pandemic. In our interconnected world, respiratory diseases can spread rapidly across borders. mRNA-based vaccines (e.g. mRNA-1283) can reduce the transmission by creating immunity in the population, thus lowering the incidence and spread of these diseases. Vaccines are crucial for global health security, helping to prevent local outbreaks from becoming global pandemics. Nevertheless, various concerns remain such as intracellular delivery, susceptibility to degradation by catalytic hydrolysis, and instability due to several physiological conditions. Therefore, an hour needed to address these challenges and opportunities for attaining high-quality and stable mRNA-based vaccines with novel drug delivery systems. The authors contributed an extensive review of the mRNA-based clinical development, progress in stability, and delivery challenges to mitigate market needs. In addition, the authors discuss crucial advances in the growth of mRNA-based vaccines to date; which dominate an extensive scope of therapeutic implementation. Finally, recent mRNA-based vaccines in clinical trials, adjuvant benefits, and prospects are discussed.

摘要

mRNA 疫苗在 2019 年冠状病毒病爆发后被证实能显著提高生物制药的产量。呼吸道感染,如流感、SARS、MERS、COVID-19 和呼吸道合胞病毒,由于其空气传播的特性,通常具有很高的传播率。呼吸道感染可导致严重疾病和死亡。这些疫情会造成巨大的经济和社会破坏,正如 COVID-19 大流行所显示的那样。在我们相互关联的世界中,呼吸道疾病可以迅速跨国界传播。mRNA 疫苗(例如 mRNA-1283)可以通过在人群中产生免疫力来减少传播,从而降低这些疾病的发病率和传播率。疫苗对全球卫生安全至关重要,有助于防止局部疫情演变成全球大流行。然而,仍存在各种问题,如细胞内递呈、易被催化水解降解、以及多种生理条件下的不稳定性。因此,需要一个小时来解决这些挑战,并为具有新型药物传递系统的高质量和稳定的 mRNA 疫苗提供机遇。作者对基于 mRNA 的临床开发、稳定性进展和递呈挑战进行了广泛的综述,以满足市场需求。此外,作者还讨论了 mRNA 疫苗迄今为止在治疗应用方面的重要进展;涵盖了广泛的治疗领域。最后,还讨论了临床试验中最近的基于 mRNA 的疫苗、佐剂的益处和前景。

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