Advancements of in vitro transcribed mRNA (IVT mRNA) to enable translation into the clinics

Adv Drug Deliv Rev. 2023 Aug:199:114961. doi: 10.1016/j.addr.2023.114961. Epub 2023 Jun 14.

Abstract

The accelerated progress and approval of two mRNA-based vaccines to address the SARS-CoV-2 virus were unprecedented. This record-setting feat was made possible through the solid foundation of research on in vitro transcribed mRNA (IVT mRNA) which could be utilized as a therapeutic modality. Through decades of thorough research to overcome barriers to implementation, mRNA-based vaccines or therapeutics offer many advantages to rapidly address a broad range of applications including infectious diseases, cancers, and gene editing. Here, we describe the advances that have supported the adoption of IVT mRNA in the clinics, including optimization of the IVT mRNA structural components, synthesis, and lastly concluding with different classes of IVT RNA. Continuing interest in driving IVT mRNA technology will enable a safer and more efficacious therapeutic modality to address emerging and existing diseases.

Keywords: IVT mRNA; In vitro transcribed mRNA; mRNA structure.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • COVID-19*
  • Humans
  • Neoplasms*
  • RNA, Messenger / genetics
  • SARS-CoV-2 / genetics
  • Vaccines*

Substances

  • RNA, Messenger
  • Vaccines