Abstract

The COVID-19 pandemic has elevated mRNA vaccines to global recognition due to their unprecedented success rate in protecting against a deadly virus. This international success is underscored by the remarkable versatility, favorable immunogenicity, and overall safety of the mRNA platform in diverse populations. Although mRNA vaccines have been studied in preclinical models and patients with cancer for almost three decades, development has been slow. The recent technological advances responsible for the COVID-19 vaccines have potential implications for successfully adapting this vaccine platform for cancer therapeutics. Here we discuss the lessons learned along with the chemical, biologic, and immunologic adaptations needed to optimize mRNA technology to successfully treat cancers.

Highlights

  • The Journal of Clinical InvestigationThe COVID-19 pandemic has elevated mRNA vaccines to global recognition due to their unprecedented success rate in protecting against a deadly virus

  • For decades cancer vaccines have been utilized to induce antitumor immune responses against cancer antigens, sometimes in association with clinical responses

  • Initial cancer vaccination strategies targeted antigens linked to oncogenesis and cancer progression that are shared by many cancers — either overexpressed cancer-initiating gene products such as HER-2 or reactivated gene products such as MAGE [1, 2]

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Summary

The Journal of Clinical Investigation

The COVID-19 pandemic has elevated mRNA vaccines to global recognition due to their unprecedented success rate in protecting against a deadly virus. This international success is underscored by the remarkable versatility, favorable immunogenicity, and overall safety of the mRNA platform in diverse populations. MRNA vaccines have been studied in preclinical models and patients with cancer for almost three decades, development has been slow. The recent technological advances responsible for the COVID-19 vaccines have potential implications for successfully adapting this vaccine platform for cancer therapeutics. We discuss the lessons learned along with the chemical, biologic, and immunologic adaptations needed to optimize mRNA technology to successfully treat cancers

Introduction
Immunologic requirements for mRNA vaccines to treat cancer
Biologic and immunologic qualities underpinning mRNA vaccine immunogenicity
Chemical modifications balance mRNA immunogenicity with antigen expression
Antigens and costimulatory molecules
Naked mRNA
Targeting mRNA vaccines to immune and cancer cells
Findings
Steps to advance mRNA vaccines for cancer therapeutics
Full Text
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