The Importance of RNA-Based Vaccines in the Fight against COVID-19: An Overview.

Bruna Aparecida Souza Machado, Katharine Valéria Saraiva Hodel, Larissa Moraes Dos Santos Fonseca, Luís Alberto Brêda Mascarenhas, Leone Peter Correia da Silva Andrade, Vinícius Pinto Costa Rocha, Milena Botelho Pereira Soares, Peter Berglund, Malcolm S Duthie, Steven G Reed, Roberto Badaró
Author Information
  1. Bruna Aparecida Souza Machado: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil.
  2. Katharine Valéria Saraiva Hodel: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil.
  3. Larissa Moraes Dos Santos Fonseca: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil.
  4. Luís Alberto Brêda Mascarenhas: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil.
  5. Leone Peter Correia da Silva Andrade: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil.
  6. Vinícius Pinto Costa Rocha: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil.
  7. Milena Botelho Pereira Soares: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil.
  8. Peter Berglund: HDT Bio, 1616 Eastlake Ave E, Seattle, WA 98102, USA.
  9. Malcolm S Duthie: HDT Bio, 1616 Eastlake Ave E, Seattle, WA 98102, USA.
  10. Steven G Reed: HDT Bio, 1616 Eastlake Ave E, Seattle, WA 98102, USA.
  11. Roberto Badaró: SENAI Institute of Innovation (ISI) in Health Advanced Systems (CIMATEC ISI SAS), University Center SENAI/CIMATEC, Salvador 41650-010, Brazil. ORCID

Abstract

In recent years, vaccine development using ribonucleic acid (RNA) has become the most promising and studied approach to produce safe and effective new vaccines, not only for prophylaxis but also as a treatment. The use of messenger RNA (mRNA) as an immunogenic has several advantages to vaccine development compared to other platforms, such as lower coast, the absence of cell cultures, and the possibility to combine different targets. During the COVID-19 pandemic, the use of mRNA as a vaccine became more relevant; two out of the four most widely applied vaccines against COVID-19 in the world are based on this platform. However, even though it presents advantages for vaccine application, mRNA technology faces several pivotal challenges to improve mRNA stability, delivery, and the potential to generate the related protein needed to induce a humoral- and T-cell-mediated immune response. The application of mRNA to vaccine development emerged as a powerful tool to fight against cancer and non-infectious and infectious diseases, for example, and represents a relevant research field for future decades. Based on these advantages, this review emphasizes mRNA and self-amplifying RNA (saRNA) for vaccine development, mainly to fight against COVID-19, together with the challenges related to this approach.

Keywords

References

  1. Front Immunol. 2020 Dec 23;11:602256 [PMID: 33424848]
  2. Front Immunol. 2019 Jun 21;10:1424 [PMID: 31293584]
  3. Nature. 2020 Mar;579(7798):270-273 [PMID: 32015507]
  4. J Exp Med. 1996 Aug 1;184(2):465-72 [PMID: 8760800]
  5. Proc Natl Acad Sci U S A. 2017 Aug 29;114(35):E7348-E7357 [PMID: 28807998]
  6. Int J Biol Sci. 2021 Apr 10;17(6):1588-1599 [PMID: 33907523]
  7. J Infect Dis. 2001 May 1;183(9):1395-8 [PMID: 11294672]
  8. Hum Vaccin Immunother. 2013 Oct;9(10):2263-76 [PMID: 23921513]
  9. Lancet Infect Dis. 2021 Feb;21(2):161-163 [PMID: 33338440]
  10. N Engl J Med. 2021 Jul 15;385(3):239-250 [PMID: 34043894]
  11. Eur J Immunol. 2000 Jan;30(1):1-7 [PMID: 10602021]
  12. Mol Ther. 2019 Apr 10;27(4):757-772 [PMID: 30803823]
  13. JAMA. 2021 Jul 20;326(3):219-220 [PMID: 34196659]
  14. J Med Virol. 2021 Dec;93(12):6782-6787 [PMID: 34241897]
  15. Curr Opin Immunol. 2012 Jun;24(3):354-60 [PMID: 22521141]
  16. Front Immunol. 2018 Oct 17;9:2420 [PMID: 30386348]
  17. Lancet Respir Med. 2021 Mar;9(3):251-259 [PMID: 33341155]
  18. AAPS J. 2007 Feb 09;9(1):E18-29 [PMID: 17408236]
  19. Cell Death Differ. 2021 Feb;28(2):626-639 [PMID: 33479399]
  20. Mol Ther. 2008 Nov;16(11):1833-40 [PMID: 18797453]
  21. Cell. 2021 Apr 29;184(9):2372-2383.e9 [PMID: 33743213]
  22. J Biomed Sci. 2020 Dec 20;27(1):104 [PMID: 33341119]
  23. Front Immunol. 2020 Dec 22;11:608460 [PMID: 33414790]
  24. N Engl J Med. 2020 Oct 15;383(16):1544-1555 [PMID: 32722908]
  25. Gene Ther. 2021 Apr;28(3-4):117-129 [PMID: 33093657]
  26. Blood. 2002 Mar 1;99(5):1517-26 [PMID: 11861263]
  27. Adv Drug Deliv Rev. 2021 Dec;179:114007 [PMID: 34710530]
  28. J Immunother. 2008 Feb-Mar;31(2):180-8 [PMID: 18481387]
  29. J Intern Med. 2015 Oct;278(4):369-95 [PMID: 26212387]
  30. Mol Ther. 2021 Jun 2;29(6):1970-1983 [PMID: 33823303]
  31. Curr Opin Virol. 2020 Oct;44:145-153 [PMID: 32898764]
  32. Adv Drug Deliv Rev. 2021 Mar;170:83-112 [PMID: 33400957]
  33. Immunity. 2010 Oct 29;33(4):504-15 [PMID: 21029961]
  34. Emerg Microbes Infect. 2020 Dec;9(1):221-236 [PMID: 31987001]
  35. Adv Drug Deliv Rev. 2021 Feb;169:137-151 [PMID: 33340620]
  36. Nature. 2020 Dec 18;: [PMID: 33340017]
  37. Nat Med. 2021 Aug;27(8):1385-1394 [PMID: 34272499]
  38. Curr Allergy Asthma Rep. 2018 Jun 9;18(7):39 [PMID: 29886521]
  39. Int J Mol Sci. 2020 Jul 20;21(14): [PMID: 32698494]
  40. N Engl J Med. 2020 Feb 20;382(8):727-733 [PMID: 31978945]
  41. N Engl J Med. 2021 Jul 8;385(2):187-189 [PMID: 33951357]
  42. Commun Biol. 2021 Feb 15;4(1):228 [PMID: 33589648]
  43. JAMA. 1996 Feb 7;275(5):390-7 [PMID: 8569019]
  44. Nat Commun. 2020 Oct 27;11(1):5411 [PMID: 33110070]
  45. Trans R Soc Trop Med Hyg. 2021 May 8;115(5):447-456 [PMID: 33733663]
  46. Vaccines (Basel). 2021 Jan 19;9(1): [PMID: 33478109]
  47. J Control Release. 2018 Dec 28;292:256-276 [PMID: 30312721]
  48. Nature. 2020 Oct;586(7830):567-571 [PMID: 32756549]
  49. J Control Release. 2019 Jun 28;304:65-74 [PMID: 31071377]
  50. Nature. 2020 Oct;586(7830):594-599 [PMID: 32998157]
  51. N Engl J Med. 2020 Nov 12;383(20):1920-1931 [PMID: 32663912]
  52. Microbiol Spectr. 2021 Oct 31;9(2):e0078921 [PMID: 34704780]
  53. Cell. 1995 Apr 21;81(2):179-83 [PMID: 7736570]
  54. Cytotherapy. 2017 Apr;19(4):500-513 [PMID: 28215654]
  55. Nature. 2021 Jun 18;: [PMID: 34145414]
  56. Infect Drug Resist. 2021 Jan 19;14:151-161 [PMID: 33500636]
  57. Nat Med. 2020 Apr;26(4):450-452 [PMID: 32284615]
  58. Mol Ther. 2019 Apr 10;27(4):824-836 [PMID: 30638957]
  59. Adv Drug Deliv Rev. 2021 Feb;169:168-189 [PMID: 33316346]
  60. Vaccines (Basel). 2021 Jan 18;9(1): [PMID: 33477534]
  61. Lancet. 2020 Jun 6;395(10239):1751-1752 [PMID: 32505245]
  62. Vaccine. 2017 Jan 5;35(2):361-368 [PMID: 27939014]
  63. Mol Ther. 2018 Feb 7;26(2):446-455 [PMID: 29275847]
  64. Ann Oncol. 2013 Oct;24(10):2686-2693 [PMID: 23904461]
  65. Nat Rev Drug Discov. 2005 Jul;4(7):581-93 [PMID: 16052241]
  66. Nat Rev Microbiol. 2009 Mar;7(3):226-36 [PMID: 19198616]
  67. Nat Med. 2021 Aug;27(8):1338-1339 [PMID: 34272500]
  68. PLoS Pathog. 2020 Jul 27;16(7):e1008795 [PMID: 32716975]
  69. Respir Med. 2021 Apr-May;180:106355 [PMID: 33721697]
  70. Science. 2020 Jul 3;369(6499):77-81 [PMID: 32376603]
  71. Nature. 2016 Jun 01;534(7607):396-401 [PMID: 27281205]
  72. J Med Virol. 2020 Apr;92(4):401-402 [PMID: 31950516]
  73. Sci Rep. 2020 Dec 3;10(1):21076 [PMID: 33273501]
  74. NPJ Vaccines. 2017 Oct 19;2:29 [PMID: 29263884]
  75. N Engl J Med. 2021 Apr 15;384(15):1412-1423 [PMID: 33626250]
  76. N Engl J Med. 2021 Sep 23;385(13):1244-1246 [PMID: 34379917]
  77. J Immunol Res. 2015;2015:797421 [PMID: 26557723]
  78. Sci Transl Med. 2020 Aug 5;12(555): [PMID: 32690628]
  79. JAMA. 2021 Jul 23;: [PMID: 34297036]
  80. Oncoimmunology. 2015 Apr 1;4(8):e1019197 [PMID: 26405571]
  81. Biochem Biophys Res Commun. 2014 Aug 22;451(2):208-14 [PMID: 25073113]
  82. Curr Opin Immunol. 2019 Dec;61:46-53 [PMID: 31476445]
  83. Am J Transplant. 2022 Jan;22(1):322-323 [PMID: 34331842]
  84. Sci Total Environ. 2020 Nov 15;743:140709 [PMID: 32652357]
  85. N Engl J Med. 2020 Jun 18;382(25):2469-2471 [PMID: 32558474]
  86. Gene Ther. 2019 Sep;26(9):363-372 [PMID: 31300730]
  87. Int J Mol Sci. 2020 Sep 09;21(18): [PMID: 32916818]
  88. Cancer Res. 1995 Apr 1;55(7):1397-400 [PMID: 7882341]
  89. Nature. 2017 Jul 13;547(7662):222-226 [PMID: 28678784]
  90. PLoS Genet. 2009 Oct;5(10):e1000612 [PMID: 19855822]
  91. Vaccine. 2019 May 31;37(25):3326-3334 [PMID: 31079849]
  92. N Engl J Med. 2021 Dec 9;385(24):e84 [PMID: 34614326]
  93. Nat Commun. 2021 Jun 28;12(1):3991 [PMID: 34183681]
  94. Emerg Microbes Infect. 2021 Dec;10(1):1495-1498 [PMID: 34232116]
  95. Nature. 2020 May;581(7808):251 [PMID: 32405043]
  96. Cell Host Microbe. 2021 Apr 14;29(4):529-539.e3 [PMID: 33705729]
  97. Nanomedicine. 2011 Aug;7(4):445-53 [PMID: 21220051]
  98. JAMA. 2021 Jun 15;325(23):2337-2338 [PMID: 34047758]
  99. J Acquir Immune Defic Syndr. 2016 Mar 1;71(3):246-53 [PMID: 26379068]
  100. Expert Rev Vaccines. 2015 Feb;14(2):153-6 [PMID: 25586101]
  101. Vaccine. 1994 Dec;12(16):1510-4 [PMID: 7879415]
  102. Lancet Reg Health Am. 2021 Sep;1:100025 [PMID: 34386791]
  103. Kidney Int. 2021 Jun;99(6):1275-1279 [PMID: 33931226]
  104. Nat Med. 2021 Apr;27(4):620-621 [PMID: 33558724]
  105. Nat Rev Drug Discov. 2014 Oct;13(10):759-80 [PMID: 25233993]
  106. J Virol. 2006 Jun;80(12):5757-67 [PMID: 16731915]
  107. Nat Rev Immunol. 2021 Feb;21(2):73-82 [PMID: 33340022]
  108. Vaccines (Basel). 2019 Aug 23;7(3): [PMID: 31450775]
  109. J Control Release. 2021 May 10;333:511-520 [PMID: 33798667]
  110. Science. 2020 May 8;368(6491):630-633 [PMID: 32245784]
  111. Science. 1990 Mar 23;247(4949 Pt 1):1465-8 [PMID: 1690918]
  112. Clin Cancer Res. 2006 Feb 1;12(3 Pt 1):869-77 [PMID: 16467101]
  113. Pediatr Allergy Immunol. 2018 Nov;29(7):679-688 [PMID: 30063806]
  114. Front Chem. 2020 Oct 23;8:589959 [PMID: 33195094]
  115. Pathogens. 2021 Jun 22;10(7): [PMID: 34206507]
  116. Nat Rev Drug Discov. 2020 May;19(5):305-306 [PMID: 32273591]
  117. N Engl J Med. 2021 Mar 8;384(15):1466-1468 [PMID: 33684280]
  118. Proc Natl Acad Sci U S A. 2019 Nov 26;116(48):24075-24083 [PMID: 31712433]
  119. AIDS. 2018 Nov 13;32(17):2533-2545 [PMID: 30289805]
  120. J Med Chem. 2016 Apr 14;59(7):3046-62 [PMID: 26943260]
  121. Nature. 2020 Oct;586(7830):589-593 [PMID: 32785213]
  122. N Engl J Med. 2021 Nov 4;385(19):1761-1773 [PMID: 34525277]
  123. J Virol. 2020 Apr 16;94(9): [PMID: 32051265]
  124. Ther Deliv. 2016;7(5):319-34 [PMID: 27075952]
  125. J Virol. 2020 Mar 17;94(7): [PMID: 31996437]
  126. Nat Med. 2021 Jun;27(6):1062-1070 [PMID: 33888900]
  127. J Virol. 2015 Aug;89(16):8651-6 [PMID: 26018172]
  128. Lancet. 2017 Sep 23;390(10101):1511-1520 [PMID: 28754494]
  129. Vaccine. 2009 Dec 11;28(2):484-93 [PMID: 19857446]
  130. J Hosp Infect. 2020 Mar;104(3):246-251 [PMID: 32035997]
  131. Cancer Immunol Immunother. 2019 May;68(5):799-812 [PMID: 30770959]
  132. Vaccine. 2021 Apr 15;39(16):2190-2200 [PMID: 33771389]
  133. J Pharm Sci. 2021 Mar;110(3):997-1001 [PMID: 33321139]
  134. Lancet Infect Dis. 2021 Oct;21(10):1359-1360 [PMID: 34562400]
  135. J Control Release. 2021 Feb 10;330:1016-1033 [PMID: 33181204]
  136. ACS Cent Sci. 2021 May 26;7(5):748-756 [PMID: 34075344]
  137. Trends Mol Med. 2020 Mar;26(3):311-323 [PMID: 31699497]
  138. Nature. 2020 Jun;582(7810):104-108 [PMID: 32427965]
  139. Science. 2021 May 21;372(6544):815-821 [PMID: 33853970]
  140. NPJ Vaccines. 2021 Apr 16;6(1):57 [PMID: 33863911]
  141. Nucleic Acids Res. 2014 Mar;42(5):3492-501 [PMID: 24369424]
  142. Int J Nanomedicine. 2016 Dec 30;12:305-315 [PMID: 28115848]
  143. Lancet. 2021 May 1;397(10285):1646-1657 [PMID: 33901420]
  144. Health Aff (Millwood). 2021 Jan;40(1):53-61 [PMID: 33211534]
  145. Nucleic Acids Res. 2011 Nov;39(21):e142 [PMID: 21890902]
  146. Lancet Respir Med. 2021 Feb;9(2):117 [PMID: 33484632]
  147. Int J Pharm. 2021 May 15;601:120586 [PMID: 33839230]
  148. Nat Rev Drug Discov. 2020 Apr;19(4):239-252 [PMID: 32060419]
  149. N Engl J Med. 2021 Feb 4;384(5):403-416 [PMID: 33378609]
  150. Anticancer Res. 2010 Dec;30(12):5091-7 [PMID: 21187495]
  151. Expert Rev Vaccines. 2015 Feb;14(2):177-94 [PMID: 25269775]
  152. Nat Nanotechnol. 2012 Jun 03;7(6):389-93 [PMID: 22659608]
  153. Oncoimmunology. 2016 Jul 8;5(9):e1207842 [PMID: 27757300]
  154. Open Forum Infect Dis. 2021 Jun 09;8(6):ofab262 [PMID: 34189176]
  155. JAMA. 2021 Aug 24;326(8):728-735 [PMID: 34251417]
  156. J Immunother Cancer. 2015 Jun 16;3:26 [PMID: 26082837]
  157. Cell. 2021 Apr 15;184(8):2201-2211.e7 [PMID: 33743891]
  158. Nat Rev Drug Discov. 2018 Apr;17(4):261-279 [PMID: 29326426]
  159. Immunol Rev. 2004 Jun;199:251-63 [PMID: 15233739]
  160. Biochem Biophys Res Commun. 2004 Nov 12;324(2):773-81 [PMID: 15474494]
  161. Nature. 2021 Mar;591(7849):193-195 [PMID: 33692561]
  162. Nat Med. 2021 Jul;27(7):1205-1211 [PMID: 34002089]
  163. N Engl J Med. 2020 Dec 17;383(25):2427-2438 [PMID: 32991794]
  164. J Immunol Res. 2015;2015:794528 [PMID: 26665011]
  165. Microbes Infect. 2020 Jul - Aug;22(6-7):231-235 [PMID: 32387332]
  166. One Health. 2021 Jun;12:100202 [PMID: 33283035]
  167. Nature. 1999 Nov 25;402(6760 Suppl):B31-8 [PMID: 10586893]
  168. Nature. 1961 May 13;190:576-581 [PMID: 20446365]
  169. Clin Infect Dis. 2022 May 3;74(9):1515-1524 [PMID: 34358310]
  170. Vaccines (Basel). 2020 Dec 23;9(1): [PMID: 33374802]
  171. Chem Rev. 2009 Feb;109(2):259-302 [PMID: 19053809]
  172. J Pharm Sci. 2000 Apr;89(4):443-56 [PMID: 10737906]
  173. Mol Cancer. 2021 Feb 16;20(1):33 [PMID: 33593376]
  174. Mol Ther. 2021 Sep 1;29(9):2794-2805 [PMID: 34365034]
  175. Nature. 2017 Mar 9;543(7644):248-251 [PMID: 28151488]
  176. Nat Commun. 2018 Jul 13;9(1):2714 [PMID: 30006528]
  177. Lancet. 2020 Feb 15;395(10223):497-506 [PMID: 31986264]
  178. Nat Commun. 2018 Oct 29;9(1):4493 [PMID: 30374059]
  179. PLoS One. 2012;7(4):e35421 [PMID: 22536382]
  180. JAMA Netw Open. 2021 Jun 1;4(6):e2115985 [PMID: 34097044]
  181. Nat Rev Microbiol. 2011 Dec 05;10(1):51-65 [PMID: 22138959]
  182. J Clin Invest. 2021 May 17;131(10): [PMID: 33822770]
  183. Cell Host Microbe. 2020 Mar 11;27(3):325-328 [PMID: 32035028]
  184. Open Forum Infect Dis. 2022 May 01;9(7):ofac206 [PMID: 35794943]
  185. Emerg Microbes Infect. 2021 Dec;10(1):1241-1243 [PMID: 34092181]
  186. Lancet Infect Dis. 2021 Sep;21(9):1193 [PMID: 34391506]
  187. Expert Rev Vaccines. 2017 Sep;16(9):871-881 [PMID: 28701102]
  188. Science. 2020 May 29;368(6494):945-946 [PMID: 32385100]
  189. J Infect Dis. 2018 Jan 17;217(3):451-455 [PMID: 29281112]
  190. Curr Opin Immunol. 2020 Aug;65:14-20 [PMID: 32244193]
  191. Nat Commun. 2020 Jul 9;11(1):3523 [PMID: 32647131]
  192. Nephrol Dial Transplant. 2021 Aug 27;36(9):1754-1755 [PMID: 34450648]
  193. Nat Rev Cancer. 2014 Feb;14(2):135-46 [PMID: 24457417]
  194. Nat Commun. 2021 Jun 30;12(1):4048 [PMID: 34193869]
  195. Cancer Immunol Immunother. 2007 Aug;56(8):1251-64 [PMID: 17242927]
  196. N Engl J Med. 2021 Aug 12;385(7):585-594 [PMID: 34289274]
  197. N Engl J Med. 2021 Mar 17;384(15):1468-1470 [PMID: 33730471]
  198. Eur J Immunol. 1993 Jul;23(7):1719-22 [PMID: 8325342]
  199. Proc Natl Acad Sci U S A. 2004 Apr 27;101(17):6641-6 [PMID: 15096611]
  200. Front Microbiol. 2017 Apr 05;8:605 [PMID: 28424680]
  201. ACS Infect Dis. 2016 May 13;2(5):361-76 [PMID: 27627203]
  202. Nature. 2021 Jun;594(7864):483 [PMID: 34145413]
  203. Vaccines (Basel). 2021 Jan 28;9(2): [PMID: 33525396]
  204. Nature. 2020 Dec;588(7837):205-206 [PMID: 33288887]
  205. Mol Ther. 2014 Dec;22(12):2118-2129 [PMID: 25027661]
  206. Vaccine. 2021 Feb 22;39(8):1310-1318 [PMID: 33487468]
  207. Science. 2020 Jul 24;369(6502):413-422 [PMID: 32532802]
  208. Nature. 2021 Apr;592(7853):283-289 [PMID: 33524990]
  209. Mol Ther. 2019 Apr 10;27(4):710-728 [PMID: 30846391]
  210. Vaccine. 2021 May 12;39(20):2791-2799 [PMID: 33707061]
  211. Expert Opin Drug Deliv. 2014 Jun;11(6):885-99 [PMID: 24665982]
  212. N Engl J Med. 2020 May 21;382(21):2063 [PMID: 32294374]
  213. Mil Med Res. 2021 Jan 6;8(1):1 [PMID: 33402220]
  214. J Immunother. 2009 Jun;32(5):498-507 [PMID: 19609242]
  215. Adv Drug Deliv Rev. 2021 May;172:314-338 [PMID: 33482248]
  216. Adv Drug Deliv Rev. 2020;159:344-363 [PMID: 32622021]
  217. Wien Klin Wochenschr. 2021 Sep;133(17-18):931-941 [PMID: 34378087]
  218. BMJ. 2021 May 13;373:n1088 [PMID: 33985964]
  219. Nat Biotechnol. 2021 Jan;39(1):1 [PMID: 33376248]
  220. JAMA. 2021 Mar 2;325(9):821-822 [PMID: 33507218]
  221. Nature. 2021 Feb;590(7844):15-16 [PMID: 33514888]
  222. Biomed Pharmacother. 2021 Oct;142:111953 [PMID: 34343897]
  223. Science. 2021 Jan 8;371(6525):145-153 [PMID: 33414215]
  224. Vaccines (Basel). 2021 Apr 08;9(4): [PMID: 33918072]
  225. J Immunol. 2005 Apr 15;174(8):4908-15 [PMID: 15814718]
  226. Nat Med. 2005 Apr;11(4 Suppl):S5-11 [PMID: 15812490]
  227. Methods Mol Biol. 2017;1499:143-153 [PMID: 27987147]
  228. Infect Dis Ther. 2020 Jun;9(2):255-274 [PMID: 32328406]
  229. Am J Public Health. 2004 Mar;94(3):400-5 [PMID: 14998803]
  230. Anticancer Res. 2018 Apr;38(4):2217-2225 [PMID: 29599342]
  231. J Acquir Immune Defic Syndr. 2016 May 1;72(1):31-8 [PMID: 26751016]
  232. Lancet. 2021 Apr 10;397(10282):1351-1362 [PMID: 33798499]
  233. Nature. 2021 Sep;597(7877):455-457 [PMID: 34526695]
  234. JAMA. 2021 May 4;325(17):1784-1786 [PMID: 33720292]
  235. Proc Natl Acad Sci U S A. 1989 Aug;86(16):6077-81 [PMID: 2762315]
  236. J Allergy Clin Immunol. 2009 Nov;124(5):1070-7.e1-11 [PMID: 19665781]
  237. Perspect Clin Res. 2016 Apr-Jun;7(2):62-7 [PMID: 27141471]
  238. AAPS PharmSciTech. 2020 Aug 5;21(6):225 [PMID: 32761294]
  239. Nature. 2020 Dec;588(7838):377-378 [PMID: 33311629]
  240. Ultrasound Obstet Gynecol. 2021 Sep;58(3):450-456 [PMID: 34198360]
  241. N Engl J Med. 2021 Jun 17;384(24):2354-2356 [PMID: 33822491]
  242. Vaccines (Basel). 2021 Jan 23;9(2): [PMID: 33498787]
  243. Nat Med. 2021 Feb;27(2):205-211 [PMID: 33469205]
  244. Drug Discov Today. 2020 Mar;25(3):552-560 [PMID: 31843577]
  245. Adv Healthc Mater. 2021 Apr;10(8):e2001812 [PMID: 33458958]
  246. Life (Basel). 2021 Mar 17;11(3): [PMID: 33803014]
  247. Nature. 2021 May;593(7857):130-135 [PMID: 33684923]
  248. J Control Release. 2016 Aug 10;235:236-244 [PMID: 27238441]
  249. N Engl J Med. 2020 Dec 17;383(25):2439-2450 [PMID: 33053279]
  250. Nature. 2021 Apr;592(7853):176-178 [PMID: 33767468]
  251. N Engl J Med. 2020 Dec 31;383(27):2603-2615 [PMID: 33301246]
  252. N Engl J Med. 2021 Jan 7;384(1):80-82 [PMID: 33270381]
  253. Nat Biotechnol. 2012 Dec;30(12):1210-6 [PMID: 23159882]
  254. Kidney Int. 2021 Aug;100(2):477-479 [PMID: 34029554]
  255. Clin Vaccine Immunol. 2012 Oct;19(10):1651-60 [PMID: 22914365]
  256. Medicina (Kaunas). 2021 Jul 23;57(8): [PMID: 34440952]
  257. Public Health. 2020 Aug;185:1-2 [PMID: 32502747]
  258. Cell. 2020 Sep 3;182(5):1271-1283.e16 [PMID: 32795413]
  259. Vaccines (Basel). 2020 Jun 17;8(2): [PMID: 32560340]

Word Cloud

Created with Highcharts 10.0.0mRNAvaccinevaccinesdevelopmentRNACOVID-19advantagesapproachuseseveralrelevantapplicationchallengesrelatedfightsaRNArecentyearsusingribonucleicacidbecomepromisingstudiedproducesafeeffectivenewprophylaxisalsotreatmentmessengerimmunogeniccomparedplatformslowercoastabsencecellculturespossibilitycombinedifferenttargetspandemicbecametwofourwidelyappliedworldbasedplatformHowevereventhoughpresentstechnologyfacespivotalimprovestabilitydeliverypotentialgenerateproteinneededinducehumoral-T-cell-mediatedimmuneresponseemergedpowerfultoolcancernon-infectiousinfectiousdiseasesexamplerepresentsresearchfieldfuturedecadesBasedreviewemphasizesself-amplifyingmainlytogetherImportanceRNA-BasedVaccinesFightCOVID-19:OverviewSARS-CoV-2

Similar Articles

Cited By