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From bench side to clinic: Potential and challenges of RNA vaccines and therapeutics in infectious diseases
Abstract
The functional and structural versatility of Ribonucleic acids (RNAs) makes them ideal candidates for overcoming the limitations imposed by small molecule-based drugs. Hence, RNA-based biopharmaceuticals such as messenger RNA (mRNA) vaccines, antisense oligonucleotides (ASOs), small interfering RNAs (siRNAs), microRNA mimics, anti-miRNA oligonucleotides (AMOs), aptamers, riboswitches, and CRISPR-Cas9 are emerging as vital tools for the treatment and prophylaxis of many infectious diseases. Some of the major challenges to overcome in the area of RNA-based therapeutics have been the instability of single-stranded RNAs, delivery to the diseased cell, and immunogenicity. However, recent advancements in the delivery systems of in vitro transcribed mRNA and chemical modifications for protection against nucleases and reducing the toxicity of RNA have facilitated the entry of several exogenous RNAs into clinical trials. In this review, we provide an overview of RNA-based vaccines and therapeutics, their production, delivery, current advancements, and future translational potential in treating infectious diseases.
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“Unmodified mRNAs can trigger inflammation and immune reactions when introduced into the body as foreign invaders, thus compromising efficacy and safety [52].”
From Exosome for mRNA delivery: Strategies and therapeutic applications (2024) · cites this paper as [52]
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9 of the 435 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
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Cited by
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Exosome for mRNA delivery: Strategies and therapeutic applications
Iqbal, Z., Rehman, K., Mahmood, A., Shabbir, M., Liang, Y., Duan, L., & Zeng, H. (2024) · Journal of Nanobiotechnology · doi:10.1186/s12951-024-02634-x · Cited by 144
Emerging Delivery Systems for Enabling Precision Nucleic Acid Therapeutics
Bian, X., Zhou, L., Luo, Z., Liu, G., Hang, Z., Li, H., Li, F., & Wen, Y. (2025) · ACS Nano · doi:10.1021/acsnano.4c11858 · Cited by 101
Using aptamers for targeted delivery of RNA therapies
Driscoll, J., Gondaliya, P., Zinn, D. A., Jain, R., Yan, I. K., Dong, H., & Patel, T. C. (2025) · Molecular Therapy · doi:10.1016/j.ymthe.2025.02.047 · Cited by 69
mRNA vaccines: a new era in vaccine development
Chandra, S., Wilson, J. C., Good, D. M., & Wei, M. Q. (2024) · Oncology Research Featuring Preclinical and Clinical Cancer Therapeutics · doi:10.32604/or.2024.043987 · Cited by 58
Dai, B., Zhu, Y., Li, X., Liang, Z., Xu, S., Zhang, S., Zhang, Z., Bai, S., Tong, W., Cao, M., et al. (2023) · Advanced Science · doi:10.1002/advs.202300897 · Cited by 45
Metadata
- Authors
- Pandey, M., Ojha, D., Bansal, S., Rode, A. B., & Chawla, G.
- Affiliations
- Regional Centre for Biotechnology (IN)
- Corresponding author
- Rode, Ambadas B.
- Chawla, Geetanjali
- Venue
- Molecular Aspects of Medicine
- Publisher
- Elsevier BV
- Published
- 2021-10
- Volume
- 81
- Pages
- 101003
- ISSN
- 0098-2997 (ISSN-L)
- OpenAlex
- W3185845179
- Cited by
- 23
- References
- 435
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 8 · 2022: 3 · 2021: 1
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Molecular Aspects of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Science and Technology, Ministry of Science and Technology, India (IA/I(S)/17/1/503085)
- The Wellcome Trust DBT India Alliance (IA/I(S)/17/1/503085)
- Department of Biotechnology, Ministry of Science and Technology, India (IA/I(S)/17/1/503085)
- 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
- RNA therapeutics, RNA vaccines, infectious diseases, mRNA vaccines, antisense oligonucleotides, siRNA, miRNA mimics, antagomir, aptamers, riboswitches, CRISPR/Cas9, RNA delivery systems, RNA modification, immunogenicity, translational medicine, clinical trials
- MeSH terms
- mRNA Vaccines, Communicable Diseases, Humans, Oligonucleotides, Vaccines, Synthetic, Oligonucleotides, Antisense, RNA, Small Interfering
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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