Cited by 259RNA Interference and Gene DeliveryRNA and protein synthesis mechanismsRNA Research and Splicing

The DOI matches its Crossref record; 58 of the 58 references it cites were found in a registry or an index; 58 of the 80 sources its claims cite were checked for support.

Modifications of mRNA vaccine structural elements for improving mRNA stability and translation efficiency

Open access

Abstract

Background mRNA vaccines hold great potential as therapeutic techniques against viral infections due to their efficacy, safety, and large-scale production. mRNA vaccines offer flexibility in development as any protein can be produced from mRNA without altering the production or application process.Objective This review highlights the iterative optimization of mRNA vaccine structural elements that impact the type, specificity, and intensity of immune responses leading to higher translational potency and intracellular stability.Results Modifying the mRNA structural elements particularly the 5' cap, 5'-and 3'-untranslated regions (UTRs), the coding region, and polyadenylation tail help reduce the excessive mRNA immunogenicity and consistently improve its intracellular stability and translational efficiency.Conclusion Further studies regarding mRNA-structural elements and their optimization are needed to create new opportunities for engineering mRNA vaccines.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This narrative review summarizes how iterative optimization of mRNA vaccine structural elements—the 5′ cap, 5′- and 3′-UTRs, the coding region (ORF), and the poly(A) tail—can reduce excessive mRNA immunogenicity while improving intracellular stability and translational efficiency. It frames these modifications as the basis for the rapid development and >90% efficacy of the BNT162b2 and mRNA-1273 COVID-19 vaccines.

Key findings

  • Modifying mRNA structural elements (5′ cap, 5′- and 3′-UTRs, coding region, poly(A) tail) reduces excessive mRNA immunogenicity and consistently improves intracellular stability and translational efficiency.
  • Higher GC content translates 100-fold higher than a low GC sequence, though high GC can cause problems for mRNA secondary structure; codon optimization affects translation efficiency, mRNA abundance, and protein folding.
  • Nucleoside modification lowers immunogenicity while increasing translation: Kormann et al. reported that 2 weeks after injection of mRNA containing 25% thio-uridine and 25% 5-methylcytidine, Epo levels were five times greater than in untreated animals, whereas unmodified mRNA showed no significant alterations and elicited a considerable immunological response.
  • ARCA-capped mRNA showed translation efficiency twice that of mRNA capped by a conventional cap analog in rabbit reticulocyte lysate, and had a longer half-life in cultured cells; poly(A) tails of approximately 100 nt are described as ideal for mRNA therapeutics (mammalian cell mRNAs carry ~250 nt tails).
  • BNT162b2 and mRNA-1273 both use N1-methylpseudouridine (1mΨ) modification and dsRNA fragment removal; both encode spike proteins with K986P and V987P substitutions, and both have efficacy above 90% (~95%).

Methods

  • Design: narrative review of mRNA vaccine structural element design and modification, drawing on cited primary literature rather than presenting new experimental data.
  • Scope: covers the ORF, 5′- and 3′-UTRs, 5′ capping, the poly(A) tail, immunogenicity elimination, advantages of mRNA vaccines, and the COVID-19 mRNA vaccines BNT162b2 and mRNA-1273.
  • Main analysis: qualitative synthesis organized around each structural element, with a summary table (Table 1) mapping each element's modification to its effect (e.g., UTR length/structure → modulate translation efficiency; cap structure → increase protein synthesis and stability; codon optimization → enhance protein expression; poly(A) tail elongation → increase stability and translational efficiency).

Limitations

  • Stated in the paper: the most difficult task needing attention is striking a balance between translation efficiency and immune response to provide appropriate and safe immunogenicity; further studies on mRNA structural elements and their optimization are needed.
  • Stated in the paper: despite the advantages of mRNA vaccines, many risks remain—long-term effects of mRNA vaccines are unknown, and mRNA is unstable and must be stored at high temperature, making packaging and distribution difficult (the paper also notes cold-chain storage/transport as a major technical and financial challenge).
  • Evident from the text: as a narrative review, it presents no primary data, systematic search strategy, or quantitative synthesis; several cited findings are attributed to other studies, and Moderna's structural elements are described as undisclosed.

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Integrity signals

Registry

Crossref · 10.1007/s13273-021-00171-4

Cites

58 of 58 references verified0 citation errors · 0 not checkable

Statistics

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Claims the paper makes

26 No basis given · 24 Own interpretation · 22 Partly supported · 19 Supported · 11 No full text of the sources · 5 Couldn’t confirm · 4 Supported so far · 4 Sources not found · 2 Not supported · 1 Not checked yet · accuracy not yet measured

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  • Probably not a substantial claim. 28
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  • The quote only partly states this claim. 1
52 of 52
  • The paper relies on this without support.

    mRNA is susceptible to degradation and stabilizing it may lead to high expression.

    “The mRNA is susceptible to degradation and stabilizing it may lead to high expression.”
  • The paper relies on this without support.

    The intensity and specificity of the immune responses are influenced by changes in mRNA structure, translational efficiency, and protein-folding machinery.

    “The intensity and specificity of the immune responses are expected to be influenced by these changes.”
  • The paper relies on this without support.

    mRNA is unstable and must be stored at high temperature, making packaging and distribution of vaccine difficult.

    “mRNA is also unstable and must be stored at high temperature making packaging and distribution of vaccine difficult.”
3 of 3

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Metadata

Authors
Kim, S. C., Sekhon, S. S., Shin, W.-R., Ahn, G., Cho, B.-K., Ahn, J.-Y., & Kim, Y.-H.
Affiliations
  • Korea Advanced Institute of Science and Technology (KR)
  • Chungbuk National University (KR)
Corresponding author
Kim, Yang-Hoon
Venue
Molecular & Cellular Toxicology
Published
2021-09-20
Volume
18
Issue
1
Pages
1-8
ISSN
  • 1738-642X (ISSN-L)
  • 2092-8467
OpenAlex
W3201215980
Cited by
255
References
57
Citations by year
2026: 38 · 2025: 79 · 2024: 68 · 2023: 46 · 2022: 22 · 2021: 1
FWCI
3.59
Type
journal article
Language
en
Open access
Locations
  • Molecular & Cellular Toxicology (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
national research foundation of korea (2020R1A6A1A06046235, 2019R1A2C1010860)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA and protein synthesis mechanisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Research and Splicing
Keywords
mRNA vaccines, mRNA stability, translation efficiency, 5' cap, 5' untranslated region, 3' untranslated region, polyadenylation, vaccine optimization, viral infection therapy

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