Progress in modifying and delivering mRNA therapies for cancer immunotherapy.

3区 医学 Q2 Medicine
Advances in Immunology Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI:10.1016/bs.ai.2024.10.004
Karan Goel, Isha Chawla, Garima, Meenakshi Dhanawat, Pramila Chaubey
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引用次数: 0

Abstract

Advancements in mRNA-based therapeutics have greatly enhanced cancer immunotherapy by using the immune system to specifically target and eradicate cancer cells. There has been notable advancement in tailoring and administering mRNA to treat cancer. Codon optimization, chemical alterations, and sequence manipulation are complex design methodologies employed in the production of mRNA vaccines and treatments. The goal is to improve the ability of the chemicals to stimulate an immune response, increase their ability to be translated into practical applications, and boost their stability. Lipid nanoparticles (LNPs) are currently the most efficient means of delivering mRNA because they can withstand degradation, enhance cellular uptake, and facilitate endosomal escape. Scientists are currently investigating the possibility of using alternate methods of delivering substances, including as exosomes, lipoplexes, and polymeric nanoparticles, to enhance the ability to target specific tissues and minimize unwanted negative consequences. In addition, recent clinical trials and preclinical investigations have demonstrated encouraging findings in terms of the advancement of strong anti-tumor immune responses, long-lasting tumor shrinkage, and enhanced patient outcomes. The remaining challenges involve optimizing the equilibrium between tolerance and immunological activation, addressing systemic toxicity, and expanding manufacturing techniques. The upcoming study seeks to improve the design and dissemination of mRNA, include it in combination drugs, and investigate its therapeutic uses outside cancer. The advancement in cancer treatment represents a change in the current approach, highlighting the significant impact of mRNA technology in revolutionizing immunotherapy and enabling tailored cancer treatments.

修饰和递送mRNA疗法用于癌症免疫治疗的进展。
基于mrna的治疗方法的进步通过利用免疫系统特异性靶向和根除癌细胞,极大地增强了癌症免疫治疗。在剪裁和管理mRNA治疗癌症方面取得了显著进展。密码子优化、化学改变和序列操作是用于mRNA疫苗生产和治疗的复杂设计方法。目标是提高化学物质刺激免疫反应的能力,增加它们转化为实际应用的能力,并提高它们的稳定性。脂质纳米颗粒(LNPs)是目前最有效的传递mRNA的手段,因为它们可以承受降解,增强细胞摄取,并促进内体逃逸。科学家们目前正在研究使用替代方法递送物质的可能性,包括外泌体、脂质体和聚合纳米颗粒,以增强靶向特定组织的能力,并最大限度地减少不必要的负面后果。此外,最近的临床试验和临床前研究在促进强抗肿瘤免疫反应、持久肿瘤缩小和增强患者预后方面显示了令人鼓舞的发现。剩下的挑战包括优化耐受性和免疫激活之间的平衡,解决全身毒性和扩大制造技术。这项即将进行的研究旨在改善mRNA的设计和传播,将其纳入联合药物,并研究其在癌症以外的治疗用途。癌症治疗的进展代表了当前方法的变化,突出了mRNA技术在彻底改变免疫治疗和实现量身定制癌症治疗方面的重大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advances in Immunology
Advances in Immunology 医学-免疫学
CiteScore
9.90
自引率
0.00%
发文量
13
期刊介绍: Advances in Immunology has provided students and researchers with the latest information in Immunology for over 50 years. You can continue to rely on Advances in Immunology to provide you with critical reviews that examine subjects of vital importance to the field through summary and evaluation of current knowledge and research. The articles stress fundamental concepts, but also evaluate the experimental approaches.
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