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Published on: July 31, 2021
mRNA Technology and Mucosal Immunization
Antonio Toniolo1, Giuseppe Maccari2, Giovanni Camussi3
1Global Virus Network, University of Insubria Medical School, 21100 Varese, Italy.
Abstract:
Current mRNA vaccines are mainly administered via intramuscular injection, which induces good systemic immunity but limited mucosal immunity. Achieving mucosal immunity through mRNA vaccination could diminish pathogen replication at the entry site and reduce interhuman transmission. However, delivering mRNA vaccines to mucosae faces challenges like mRNA degradation, poor entry into cells, and reactogenicity. Encapsulating mRNA in extracellular vesicles may protect the mRNA and reduce reactogenicity, making mucosal mRNA vaccines possible. Plant-derived extracellular vesicles from edible fruits have been investigated as mRNA carriers. Studies in animals show that mRNA vehiculated in orange-derived extracellular vesicles can elicit both systemic and mucosal immune responses when administered by the oral, nasal, or intramuscular routes. Once lyophilized, these products show remarkable stability. The optimization of mRNA to improve translation efficiency, immunogenicity, reactogenicity, and stability can be obtained through adjustments of the 5'cap region, poly-A tail, codons selection, and the use of nucleoside analogues. Recent studies have also proposed self-amplifying RNA vaccines containing an RNA polymerase as well as circular mRNA constructs. Data from parenterally primed animals demonstrate the efficacy of nasal immunization with non-adjuvanted protein, and studies in humans indicate that the combination of a parenteral vaccine with the natural exposure of mucosae to the same antigen provides protection and reduces transmission. Hence, mucosal mRNA vaccination would be beneficial at least in organisms pre-treated with parenteral vaccines. This practice could have wide applications for the treatment of infectious diseases.
Insights
Plant-derived extracellular vesicles offer a promising approach for mucosal messenger RNA (mRNA) vaccines, enhancing both systemic and mucosal immunity while improving stability and reducing reactogenicity.
Area of Science:
- Immunology
- Vaccinology
- Biotechnology
Background:
- Current messenger RNA (mRNA) vaccines primarily induce systemic immunity via intramuscular injection, with limited mucosal immunity.
- Mucosal immunity is crucial for preventing pathogen entry and reducing transmission, but challenges exist in delivering mRNA to mucosal sites.
- Extracellular vesicles (EVs) are being explored as carriers to protect mRNA and reduce reactogenicity for mucosal vaccine applications.
Purpose of the Study:
- To investigate the potential of plant-derived extracellular vesicles as carriers for mucosal mRNA vaccines.
- To evaluate the immunogenicity, stability, and route-dependent efficacy of mRNA-loaded EVs.
- To explore strategies for optimizing mRNA constructs for enhanced vaccine performance.
Main Methods:
- Utilized extracellular vesicles derived from edible fruits (e.g., oranges) to encapsulate mRNA.
- Administered mRNA-loaded EVs via oral, nasal, and intramuscular routes in animal models.
- Assessed systemic and mucosal immune responses, vaccine stability (lyophilization), and potential for mRNA optimization.
Main Results:
- Orange-derived EVs successfully delivered mRNA, eliciting both systemic and mucosal immune responses across different administration routes.
- Lyophilized mRNA-EV formulations demonstrated significant stability.
- mRNA optimization strategies (e.g., 5'cap, poly-A tail, codon selection, nucleoside analogues) can enhance translation, immunogenicity, and stability.
Conclusions:
- Plant-derived EVs are a viable platform for developing stable and effective mucosal mRNA vaccines.
- Mucosal mRNA vaccination, especially when combined with prior parenteral vaccination, holds significant potential for infectious disease prevention and transmission reduction.
- Further research into mRNA optimization and novel constructs (self-amplifying, circular RNA) could advance mucosal vaccine development.
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