冠状病毒疫苗的发育生物学:脂质纳米粒mrna包封,一种安全的方法

Pub Date : 2021-07-01 DOI:10.23736/S2724-542X.21.02742-7
S. Satapathy, R. Sahoo, K. P. Pattnaik, L. Panigrahi, S. Mallick
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引用次数: 1

摘要

2019冠状病毒病(COVID-19)全球大流行在世界范围内迅速蔓延,并被宣布为卫生紧急情况。新型冠状病毒可导致严重的下呼吸道感染,主要发生在老年人、免疫功能低下者、婴儿和患有合并症或遗传性疾病的患者中。FDA和其他监管机构很少批准紧急使用授权(EAUs),目的是重新利用现有批准的药物来对抗这种疾病,迄今为止还没有具体的治疗方法或预防措施。目前,已经批准用于其他治疗适应症的许多药物以及新药物正在进行临床试验,以评估对COVID-19感染的安全性和有效性。这些治疗范围包括抗疟、抗病毒、类固醇、恢复期含抗体血浆和免疫调节剂等。然而,主要重点是预防保健,目前全球领先的生物技术公司正在开发100多种潜在的候选疫苗,这些疫苗处于临床开发的不同阶段。除全病毒粒子灭活疫苗、减毒活疫苗、非复制病毒载体疫苗、蛋白质单单位疫苗和多单位疫苗外,脂质mRNA递送、DNA递送和单克隆抗体是目前最先进的技术。本文综述了各行业、学术界和政府资助的研究机构在COVID-19疫苗给药系统方面的最新进展,特别关注合成基于mrna的脂质纳米颗粒(LNP)。
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Developmental biology of Corona vaccine: lipid nanoparticle mRNA-encapsulation, a safe approach
The global pandemic of COVID-19 is progressing rapidly across the world and declared as health emergency. The novel Coronavirus can cause severe lower respiratory tract infections primarily in geriatric, immunocompromised persons, infants and patients with comorbidities, or genetic disorders. Few Emergency Use Authorizations (EAUs) have been granted by FDA and other regulatory bodies with an aim to repurpose the existing approved medicines to fight the disease, and till date no specific treatment methodologies or preventive measures are available. At present, numerous medications which are already approved for other therapeutic indications, as well as the new medications, are undergoing clinical trials for the evaluation of safety and efficacy against COVID-19 infection. These therapeutic ranges include antimalarial, antiviral, steroids, convalescent plasma containing antibodies, and immune modulators, etc. Nevertheless, the primary focus is on preventive care and currently more than hundred potential vaccine candidates are under development by leading biotech companies across the globe which are at different phases of clinical development. Lipid based mRNA delivery, DNA delivery and mAbs are the most advanced technologies being embraced besides whole-virion inactivated vaccine, attenuated live vaccine, non-replicating viral vector-based vaccine, protein single unit vaccine and multiunit vaccine. This review focuses on the current progress in drug delivery systems of COVID-19 vaccine across industries, academics, and government funded research institutes with a special focus on the synthetic mRNA-based lipid nanoparticle (LNP).
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