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      Self-assembled mRNA vaccines

      review-article
      a , 1 , a , 1 , a , 1 , a , b , c , *
      Advanced Drug Delivery Reviews
      Elsevier B.V.
      mRNA delivery, Gene delivery, Lipid nanoparticles, Self-assembly, Immunization, COVID-19, ACE2, Angiotensin-converting enzyme 2, APC, Antigen-presenting cell, ApoE, Apolipoprotein E, ARCA, “Anti-reverse" cap analog, BCR, B-cell receptor, COVID-19, Coronavirus Disease 2019, Cryo-(T)EM, Cryogenic (transmission) electron microscopy, DC, Dendritic cell, DGTS, 1,2-Dipalmitoyl-sn-glycero-3-O-4'-(N,N,N-trimethyl)-homoserine, DLin-MC3-DMA, MC3, (6Z,9Z,28Z,31Z)-Heptatriacont-6,9,28,31-tetraene-19-yl 4-(dimethylamino)butanoate, DMG-PEG-2000, 1,2-Dimyristoyl-rac-glycero-3-methoxypolyethylene glycol-2000, DODMA, 1,2-Dioleyloxy-3-dimethylaminopropane, DOGS, N1,N1'-(8-(dioctadecylamino)-5,8-dioxooctane-1,4-diyl)bis(propane-1,3-diaminium), DOPE, 1,2-Dioleoyl-sn-glycero-3-phosphoethanolamine, DOTAP, 1,2-Dioleoyl-3-trimethylammonium-propane, DOTMA, 1,2-Di-O-octadecenyl-3-trimethylammonium propane, DSPC, 1,2-Distearoyl-sn-glycero-3-phosphocholine, EUA, Emergency Use Authorization, GMP, Good manufacturing practice, GC, Germinal center, HIV, Human immunodeficiency virus, HPLC, High-performance liquid chromatography, ID, Intradermal, IgA, IgG, Immunoglobulin A, G, IL, Ionizable lipid, IM, Intramuscular, IV, Intravenous, IVT, In vitro transcription, LN, Lymph node, LNP, Lipid nanoparticle, MHC, Major histocompatibility complex, mRNA, Messenger RNA, PBAE, Poly(beta-amino esters), pDNA, Plasmid DNA, PEG, Poly(ethylene glycol), PEI, Poly(ethylene imine), PET-CT, Positron emission tomography- computed tomography, PLGA, Poly(lactic-co-glycolic acid), RBD, Receptor Binding Domain, RSV, Respiratory syncytial virus, SAR, Structure-activity relationship, saRNA, Self-amplifying RNA, SARS-CoV-2, Severe acute respiratory syndrome coronavirus-2, SAXS, Small-angle X-ray scattering, SC, Subcutaneous, siRNA, Small interfering RNA, TLR, Toll-like receptor, TH1, Type 1 T helper cell, UTR, Untranslated region

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          mRNA vaccines have evolved from being a mere curiosity to emerging as COVID-19 vaccine front-runners. Recent advancements in the field of RNA technology, vaccinology, and nanotechnology have generated interest in delivering safe and effective mRNA therapeutics. In this review, we discuss design and self-assembly of mRNA vaccines. Self-assembly, a spontaneous organization of individual molecules, allows for design of nanoparticles with customizable properties. We highlight the materials commonly utilized to deliver mRNA, their physicochemical characteristics, and other relevant considerations, such as mRNA optimization, routes of administration, cellular fate, and immune activation, that are important for successful mRNA vaccination. We also examine the COVID-19 mRNA vaccines currently in clinical trials. mRNA vaccines are ready for the clinic, showing tremendous promise in the COVID-19 vaccine race, and have pushed the boundaries of gene therapy.

          Graphical abstract

          Highlights

          • mRNA vaccines showed spectacular success in the race for COVID-19 vaccines.

          • Design of both mRNA and the delivery vectors help in fine-tuning efficacy.

          • Self-assembled mRNA delivery vectors include lipid and polymer nanoparticles.

          • Lipid nanoparticle mRNA vaccines have ca. 95% efficacy and earned EUA FDA approval.

          • These unprecedented results may pave the road for future mRNA vaccine development.

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          Most cited references301

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          Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

          Summary Background A recent cluster of pneumonia cases in Wuhan, China, was caused by a novel betacoronavirus, the 2019 novel coronavirus (2019-nCoV). We report the epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of these patients. Methods All patients with suspected 2019-nCoV were admitted to a designated hospital in Wuhan. We prospectively collected and analysed data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and next-generation sequencing. Data were obtained with standardised data collection forms shared by WHO and the International Severe Acute Respiratory and Emerging Infection Consortium from electronic medical records. Researchers also directly communicated with patients or their families to ascertain epidemiological and symptom data. Outcomes were also compared between patients who had been admitted to the intensive care unit (ICU) and those who had not. Findings By Jan 2, 2020, 41 admitted hospital patients had been identified as having laboratory-confirmed 2019-nCoV infection. Most of the infected patients were men (30 [73%] of 41); less than half had underlying diseases (13 [32%]), including diabetes (eight [20%]), hypertension (six [15%]), and cardiovascular disease (six [15%]). Median age was 49·0 years (IQR 41·0–58·0). 27 (66%) of 41 patients had been exposed to Huanan seafood market. One family cluster was found. Common symptoms at onset of illness were fever (40 [98%] of 41 patients), cough (31 [76%]), and myalgia or fatigue (18 [44%]); less common symptoms were sputum production (11 [28%] of 39), headache (three [8%] of 38), haemoptysis (two [5%] of 39), and diarrhoea (one [3%] of 38). Dyspnoea developed in 22 (55%) of 40 patients (median time from illness onset to dyspnoea 8·0 days [IQR 5·0–13·0]). 26 (63%) of 41 patients had lymphopenia. All 41 patients had pneumonia with abnormal findings on chest CT. Complications included acute respiratory distress syndrome (12 [29%]), RNAaemia (six [15%]), acute cardiac injury (five [12%]) and secondary infection (four [10%]). 13 (32%) patients were admitted to an ICU and six (15%) died. Compared with non-ICU patients, ICU patients had higher plasma levels of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Interpretation The 2019-nCoV infection caused clusters of severe respiratory illness similar to severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality. Major gaps in our knowledge of the origin, epidemiology, duration of human transmission, and clinical spectrum of disease need fulfilment by future studies. Funding Ministry of Science and Technology, Chinese Academy of Medical Sciences, National Natural Science Foundation of China, and Beijing Municipal Science and Technology Commission.
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            Clinical Characteristics of Coronavirus Disease 2019 in China

            Abstract Background Since December 2019, when coronavirus disease 2019 (Covid-19) emerged in Wuhan city and rapidly spread throughout China, data have been needed on the clinical characteristics of the affected patients. Methods We extracted data regarding 1099 patients with laboratory-confirmed Covid-19 from 552 hospitals in 30 provinces, autonomous regions, and municipalities in mainland China through January 29, 2020. The primary composite end point was admission to an intensive care unit (ICU), the use of mechanical ventilation, or death. Results The median age of the patients was 47 years; 41.9% of the patients were female. The primary composite end point occurred in 67 patients (6.1%), including 5.0% who were admitted to the ICU, 2.3% who underwent invasive mechanical ventilation, and 1.4% who died. Only 1.9% of the patients had a history of direct contact with wildlife. Among nonresidents of Wuhan, 72.3% had contact with residents of Wuhan, including 31.3% who had visited the city. The most common symptoms were fever (43.8% on admission and 88.7% during hospitalization) and cough (67.8%). Diarrhea was uncommon (3.8%). The median incubation period was 4 days (interquartile range, 2 to 7). On admission, ground-glass opacity was the most common radiologic finding on chest computed tomography (CT) (56.4%). No radiographic or CT abnormality was found in 157 of 877 patients (17.9%) with nonsevere disease and in 5 of 173 patients (2.9%) with severe disease. Lymphocytopenia was present in 83.2% of the patients on admission. Conclusions During the first 2 months of the current outbreak, Covid-19 spread rapidly throughout China and caused varying degrees of illness. Patients often presented without fever, and many did not have abnormal radiologic findings. (Funded by the National Health Commission of China and others.)
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              Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China

              In December 2019, novel coronavirus (2019-nCoV)-infected pneumonia (NCIP) occurred in Wuhan, China. The number of cases has increased rapidly but information on the clinical characteristics of affected patients is limited.
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                Author and article information

                Journal
                Adv Drug Deliv Rev
                Adv Drug Deliv Rev
                Advanced Drug Delivery Reviews
                Elsevier B.V.
                0169-409X
                1872-8294
                2 January 2021
                March 2021
                2 January 2021
                : 170
                : 83-112
                Affiliations
                [a ]Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Robertson Life Science Building, 2730 South Moody Avenue, Portland, Oregon 97201, USA
                [b ]Department of Biomedical Engineering, Oregon Health & Science University, Robertson Life Science Building, 2730 South Moody Avenue, Portland, Oregon 97201, USA
                [c ]Department of Ophthalmology, Casey Eye Institute, Oregon Health & Science University, Portland, Oregon 97239, USA
                Author notes
                [* ]Corresponding author at: Department of Pharmaceutical Sciences, College of Pharmacy, Oregon State University, Robertson Life Science Building, 2730 South Moody Avenue, Portland, Oregon 97201, USA.
                [1]

                These authors contributed equally to the work.

                Article
                S0169-409X(20)30293-3
                10.1016/j.addr.2020.12.014
                7837307
                33400957
                c9ea17e4-37dd-40f5-96fd-0f97818ec22f
                © 2020 Elsevier B.V. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 1 November 2020
                : 22 December 2020
                : 27 December 2020
                Categories
                Article

                mrna delivery,gene delivery,lipid nanoparticles,self-assembly,immunization,covid-19,ace2, angiotensin-converting enzyme 2,apc, antigen-presenting cell,apoe, apolipoprotein e,arca, “anti-reverse" cap analog,bcr, b-cell receptor,covid-19, coronavirus disease 2019,cryo-(t)em, cryogenic (transmission) electron microscopy,dc, dendritic cell,dgts, 1,2-dipalmitoyl-sn-glycero-3-o-4'-(n,n,n-trimethyl)-homoserine,dlin-mc3-dma, mc3, (6z,9z,28z,31z)-heptatriacont-6,9,28,31-tetraene-19-yl 4-(dimethylamino)butanoate,dmg-peg-2000, 1,2-dimyristoyl-rac-glycero-3-methoxypolyethylene glycol-2000,dodma, 1,2-dioleyloxy-3-dimethylaminopropane,dogs, n1,n1'-(8-(dioctadecylamino)-5,8-dioxooctane-1,4-diyl)bis(propane-1,3-diaminium),dope, 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine,dotap, 1,2-dioleoyl-3-trimethylammonium-propane,dotma, 1,2-di-o-octadecenyl-3-trimethylammonium propane,dspc, 1,2-distearoyl-sn-glycero-3-phosphocholine,eua, emergency use authorization,gmp, good manufacturing practice,gc, germinal center,hiv, human immunodeficiency virus,hplc, high-performance liquid chromatography,id, intradermal,iga, igg, immunoglobulin a, g,il, ionizable lipid,im, intramuscular,iv, intravenous,ivt, in vitro transcription,ln, lymph node,lnp, lipid nanoparticle,mhc, major histocompatibility complex,mrna, messenger rna,pbae, poly(beta-amino esters),pdna, plasmid dna,peg, poly(ethylene glycol),pei, poly(ethylene imine),pet-ct, positron emission tomography- computed tomography,plga, poly(lactic-co-glycolic acid),rbd, receptor binding domain,rsv, respiratory syncytial virus,sar, structure-activity relationship,sarna, self-amplifying rna,sars-cov-2, severe acute respiratory syndrome coronavirus-2,saxs, small-angle x-ray scattering,sc, subcutaneous,sirna, small interfering rna,tlr, toll-like receptor,th1, type 1 t helper cell,utr, untranslated region
                mrna delivery, gene delivery, lipid nanoparticles, self-assembly, immunization, covid-19, ace2, angiotensin-converting enzyme 2, apc, antigen-presenting cell, apoe, apolipoprotein e, arca, “anti-reverse" cap analog, bcr, b-cell receptor, covid-19, coronavirus disease 2019, cryo-(t)em, cryogenic (transmission) electron microscopy, dc, dendritic cell, dgts, 1,2-dipalmitoyl-sn-glycero-3-o-4'-(n,n,n-trimethyl)-homoserine, dlin-mc3-dma, mc3, (6z,9z,28z,31z)-heptatriacont-6,9,28,31-tetraene-19-yl 4-(dimethylamino)butanoate, dmg-peg-2000, 1,2-dimyristoyl-rac-glycero-3-methoxypolyethylene glycol-2000, dodma, 1,2-dioleyloxy-3-dimethylaminopropane, dogs, n1,n1'-(8-(dioctadecylamino)-5,8-dioxooctane-1,4-diyl)bis(propane-1,3-diaminium), dope, 1,2-dioleoyl-sn-glycero-3-phosphoethanolamine, dotap, 1,2-dioleoyl-3-trimethylammonium-propane, dotma, 1,2-di-o-octadecenyl-3-trimethylammonium propane, dspc, 1,2-distearoyl-sn-glycero-3-phosphocholine, eua, emergency use authorization, gmp, good manufacturing practice, gc, germinal center, hiv, human immunodeficiency virus, hplc, high-performance liquid chromatography, id, intradermal, iga, igg, immunoglobulin a, g, il, ionizable lipid, im, intramuscular, iv, intravenous, ivt, in vitro transcription, ln, lymph node, lnp, lipid nanoparticle, mhc, major histocompatibility complex, mrna, messenger rna, pbae, poly(beta-amino esters), pdna, plasmid dna, peg, poly(ethylene glycol), pei, poly(ethylene imine), pet-ct, positron emission tomography- computed tomography, plga, poly(lactic-co-glycolic acid), rbd, receptor binding domain, rsv, respiratory syncytial virus, sar, structure-activity relationship, sarna, self-amplifying rna, sars-cov-2, severe acute respiratory syndrome coronavirus-2, saxs, small-angle x-ray scattering, sc, subcutaneous, sirna, small interfering rna, tlr, toll-like receptor, th1, type 1 t helper cell, utr, untranslated region

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