← 返回前沿论文

基于 mRNA 的癌症治疗

英文原题:mRNA-based cancer therapeutics.

PubMed 2023/06/13(内容时间) Nat Rev Cancer Q1 · IF 60.7(JCR 2025)

研究概要

由于mRNA技术相比传统方法能够在更短时间内以更低成本生产多样化的疫苗和治疗手段,近年来基于mRNA的治疗方法的使用激增。

中文摘要

由于mRNA技术相比传统方法能够在更短时间内以更低成本生产多种疫苗和治疗药物,近年来基于mRNA的治疗药物使用量激增。这些治疗药物旨在编码用于癌症疫苗的肿瘤抗原、用于免疫治疗的细胞因子、用于抑制肿瘤发展的肿瘤抑制因子、用于工程化T细胞疗法的嵌合抗原受体或用于基因治疗的基因组编辑蛋白,其中许多在临床前研究中已显示出有前景的疗效,部分甚至已进入临床试验。鉴于支持临床获批mRNA疫苗有效性和安全性的证据,加之对基于mRNA的治疗药物日益增长的兴趣,mRNA技术有望成为癌症药物开发的主要支柱之一。在本综述中,我们介绍用于癌症治疗的体外转录mRNA治疗药物,包括各类合成mRNA的特征、高效mRNA递送的包装系统、临床前和临床研究、该领域当前的挑战和未来前景。我们期待有前景的mRNA治疗方法转化为临床应用,最终造福患者。

展开英文摘要原文

Due to the fact that mRNA technology allows the production of diverse vaccines and treatments in a shorter time frame and with reduced expense compared to conventional approaches, there has been a surge in the use of mRNA-based therapeutics in recent years. With the aim of encoding tumour antigens for cancer vaccines, cytokines for immunotherapy, tumour suppressors to inhibit tumour development, chimeric antigen receptors for engineered T cell therapy or genome-editing proteins for gene therapy, many of these therapeutics have shown promising efficacy in preclinical studies, and some have even entered clinical trials. Given the evidence supporting the effectiveness and safety of clinically approved mRNA vaccines, coupled with growing interest in mRNA-based therapeutics, mRNA technology is poised to become one of the major pillars in cancer drug development. In this Review, we present in vitro transcribed mRNA-based therapeutics for cancer treatment, including the characteristics of the various types of synthetic mRNA, the packaging systems for efficient mRNA delivery, preclinical and clinical studies, current challenges and future prospects in the field. We anticipate the translation of promising mRNA-based treatments into clinical applications, to ultimately benefit patients.

论文信息

作者
Liu C、Shi Q、Huang X、Koo S、Kong N、Tao W
第一作者单位
Center for Nanomedicine and Department of Anaesthesiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.United States
通讯作者单位
Center for Nanomedicine and Department of Anaesthesiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. wtao@bwh.harvard.edu.United States
文献类型
综述 · 非美国政府资助研究
期刊
Nature reviews. Cancer2023 Aug
原文标识
PubMed 37311817 · DOI 10.1038/s41568-023-00586-2