Three decades of messenger RNA vaccine development
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Written from the paper’s full text.
TL;DR
This narrative review traces three decades of mRNA vaccine development, from early liposomal and naked mRNA expression studies to lipid-nanoparticle-formulated clinical candidates. It argues that the central challenge is balancing mRNA translation capacity against the mRNA self-adjuvant type I IFN response to achieve safe and effective immunity.
Key findings
- Early work showed mRNA could be delivered in vivo: liposomal mRNA transfected eukaryotic cells, and intramuscular naked mRNA produced encoded protein for a couple of days; mRNA encoding influenza nucleoprotein elicited virus-specific CTLs, and mRNA encoding carcinoembryonic antigen induced anti-tumoral antibody responses.
- mRNA is intrinsically immunostimulatory via endosomal TLR3/7/8 and cytosolic RIG-I/MDA5, inducing type I IFN and pro-inflammatory cytokines; this self-adjuvant effect supports DC maturation and T cell activation but also inhibits mRNA translation and antigen expression.
- Nucleoside-modified mRNA improves stability and translation—e.g., 25% thio-uridine and 25% 5-methylcytidine mRNA encoding Epo gave five times higher Epo levels than untreated mice two weeks after i.m. administration—but can reduce CTL responses due to lower type I IFN; unmodified mRNA may favor CTL responses while modified mRNA favors antibody responses.
- Delivery route and formulation matter: in rhesus macaques, i.d. delivery of ionizable LNP with nucleoside-modified mRNA gave earlier skin DC activation, more efficient migration to draining LNs, prolonged antigen availability, and superior antibody titers and CD4+ T cell activation versus i.m.; nanoparticles up to 200 nm can enter lymphatic vessels, and a <50 nm calcium-phosphate/DOTAP/DSPE-PEG mRNA system showed mRNA in draining LN as early as 4 h after s.c. injection.
Methods
- Narrative review synthesizing historical, immunological, delivery, and clinical literature on mRNA vaccines; no primary experimental data are reported.
- Data include published preclinical and clinical studies, with a table summarizing selected clinical trial results across CureVac, BioNTech, Moderna, and eTheRNA platforms.
- Main analysis is qualitative: it discusses mRNA pharmacology, innate immune sensing, nanoparticle design, administration routes, type I IFN effects, and combination with checkpoint inhibitors.
Limitations
- Stated in the paper: clinical patient numbers are still limited; detailed studies on biomolecular corona formation and dynamics on LNPs are still very limited; how type I IFN signaling relates to mRNA vaccine design requires further investigation.
- Evident from the text: as a narrative review, it lacks systematic search/selection criteria and quantitative synthesis; Table 1 combines heterogeneous platforms, doses, routes, and trial phases, limiting direct comparisons.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
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Claims the paper makes
0 of 187 cited sources checked · 0 supported · 0 flagged
- Findingcitation
In a phase I/IIa trial of a RNactive-based vaccine for non-small cell lung carcinoma, common diagnostic indicators for autoimmunity were elevated in up to 20% of patients after a RNactive schedule of five intradermal injections (dose 400-1600 μg).
“In a phase I/IIa trial of a RNactive ® -based vaccine for non-small cell lung carcinoma (NSCLC), common diagnostic indicators for autoimmunity were found to be elevated up to 20% of the patients after a RNactive ® schedule of five intradermal injections (dose of 400-1600 µg) [187].”
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- Findingcitation
In a study testing the safety and immunogenicity of the RNactive platform as a prophylactic vaccine against rabies, a moderate case of Bell's palsy occurred one week after a second i.m. administration of the highest dose of 640 μg (1/37 patients).
“Another study testing the safety and immunogenicity of the RNactive ® platform as prophylactic vaccine against rabies, elicited a moderate case of Bell's palsy one week after a second i.m. administration of the highest dose of 640 µg (1/37 patients).”
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- Premisecitation
In 1989, Vical demonstrated that mRNA packaged within a liposomal nanoparticle could successfully transfect mRNA into a variety of eukaryotic cells.
“They demonstrated that mRNA packaged within a liposomal nanoparticle could successfully transfect mRNA into a variety of eukaryotic cells [1].”
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- Interpretationreasoning
The early Vical and Wolff data provided the first evidence that in vitro transcribed mRNA could deliver genetic information to produce proteins within living tissue.
“These preliminary data provided the first evidence that in vitro transcribed (IVT) mRNA could deliver the genetic information to produce proteins within living tissue.”
Quote in the paperSubstantial claim - Premisecitation
Martinon et al. showed that liposomes containing mRNA encoding the influenza virus nucleoprotein elicited virus-specific cytotoxic T lymphocytes.
“As pioneers, Martinon et al. showed that liposomes containing mRNA encoding the influenza virus nucleoprotein elicited virus-specific cytotoxic T lymphocytes (CTLs) [3].”
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- Premisecitation
Conry et al. demonstrated that a prophylactic vaccine consisting of mRNA encoding a carcinoembryonic antigen induced anti-tumoral antibody responses.
“Conry et al. demonstrated the activation of humoral immune responses, as they confirmed that a prophylactic vaccine consisting of mRNA encoding a carcinoembryonic antigen resulted in the induction of anti-tumoral antibody responses [4].”
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- Premisecitation
Wolff et al. reported that intramuscular injection of naked, unprotected mRNA in mice resulted in expression of the encoded protein for a couple of days.
“A few months later, Wolff et al. reported on their experiments where 'naked', unprotected mRNA was directly administrated in the muscle of mice.”
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- Premisecitation
In small and large animal models, mRNA vaccines elicited immunity against emerging infections such as Zika, Ebola and HIV.
“In small and large animal models, mRNA vaccines were able to elicit immunity against emerging infections such as zika, ebola and HIV [19][20][21][22][23].”
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- Premisecitation
Compared with protein-based vaccines, extended antigen availability obtained via mRNA has a profound effect on the magnitude and affinity maturation of antibody responses, resulting in more durable protection.
“By comparison with protein-based vaccines, it was recently found that the extended antigen availability that can be obtained via mRNA had a profound effect on the magnitude and the affinity maturation of antibody responses, resulting in a more durable protection [11][12][13].”
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- Premisecitation
The strongly reduced immune-modulatory capacity of endogenous mRNA can be attributed to modified nucleotides such as methylated nucleosides or pseudouridine.
“Interestingly, they found that the strongly reduced immune-modulatory capacity of endogenous mRNA could be attributed to the presence of modified nucleotides in the mRNA construct, such as methylated nucleosides or pseudouridine.”
Quote in the paperSubstantial claim - Premisenone given
Tandem constructs can be engineered to connect multiple antigenic epitopes within a single mRNA strand.
“Alternatively, tandem constructs can be engineered which connect multiple antigenic epitopes within a single mRNA strand.”
Quote in the paperNot a substantial claim - Premisecitation
Replacement of uridine with pseudouridine in IVT mRNA reduces the activity of 2'-5'-oligoadenylate synthetase, which regulates mRNA cleavage by RNase L.
“For instance, the replacement of uridine with pseudouridine in IVT mRNA was found to reduce the activity of 2'-5'-oligoadenylate synthetase, which regulates the mRNA cleavage by RNase L.”
Quote in the paperSubstantial claim - Premisecitation
Kormann et al. demonstrated that nucleoside-modified mRNA encoding erythropoietin, with 25% thio-uridine and 25% 5-methylcytidine incorporated, resulted in five times higher Epo levels compared to untreated mice two weeks after intramuscular administration.
“In a therapeutic setting, Kormann et al., demonstrated that nucleoside-modified mRNA encoding erythropoietin (Epo), in which 25% thio-uridine and 25% 5-methylcytidine was incorporated, resulted in five times higher Epo levels compared to untreated mice, two weeks after i.m. administration.”
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- Premisecitation
Modifications that favour mRNA translation capacity involve partial or complete reduction of the interaction between mRNA molecules and one or multiple virus-specific PRRs.
“With respect to vaccination purposes, one should consider that the modifications that favour the mRNA's translation capacity involve a partial or complete reduction of the interaction between mRNA molecules and one or multiple virusspecific PRRs [66].”
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- Interpretationreasoning
mRNA offers a high degree of versatility in the type and number of antigenic determinants it encodes.
“Furthermore, mRNA has the advantage of offering a high degree of versatility in the type and number of antigenic determinants it encodes.”
Quote in the paperSubstantial claim - Premisecitation
Prophylactic mRNA vaccines were considered safe and effective in phase I clinical trials for infectious diseases such as influenza and rabies.
“In this context, prophylactic mRNA vaccines were already considered safe and effective in phase I clinical trials for infectious diseases, such as influenza and rabies [16][17][18].”
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- Premisecitation
mRNA delivery triggers an antiviral activation state in dendritic cells involving recognition of single-stranded RNA through endosomal TLR7 and TLR8.
“In the early 2000s, mRNA delivery was shown to trigger an antiviral activation state in DCs, which involves the recognition of single-stranded RNA through TLR7 and TLR8 located in the endosomes [30,31].”
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- Premisecitation
BioNTech AG has developed personalized mRNA-based cancer vaccines by identifying individual immunogenic tumor mutations and producing on-demand mRNA vaccines encoding these neo-epitopes.
“Using this strategy, the company BioNTech AG has developed personalized mRNAbased cancer vaccines by identifying individual and immunogenic tumor mutations and producing on-demand mRNA vaccines encoding these neo-epitopes [14].”
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- Premisecitation
Modified nucleosides allow design of mRNA vaccines with strongly enhanced stability and translation capacity by avoiding type I IFN-induced antiviral pathways that degrade and inhibit invading mRNA.
“In addition, modified nucleosides allowed the design of mRNA vaccines with strongly enhanced stability and translation capacity, as they could avoid the direct antiviral pathways that are induced by type IFNs and are programmed to degrade and inhibit invading mRNA [41][42][43][44][45].”
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- Premisecitation
Johanning et al. found that intramuscular injection of self-amplifying mRNA derived from Sindbis virus resulted in a ten-fold increase in protein expression levels, maintained from 2 days up to 10 days compared with nonamplifying mRNA.
“Already in 1995, Johanning et al. found that the i.m. injection of self-amplifying mRNA derived from the Sindbis virus, resulted in a ten-fold increase in protein expression levels, which could be maintained much longer (from 2 days up to 10 days) compared to nonamplifying mRNA [51].”
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- Premisecitation
A multiple-antigenic mRNA vaccine encoding the five CMV pentameric complex subunits together with CMV glycoprotein gB induced potent and durable neutralizing antibody titers in immunized mice and non-human primates.
“Together with an mRNA sequence against the CMV glycoprotein gB, this multiple-antigenic mRNA vaccine induced potent and durable neutralizing antibody titers in immunized mice and non-human primates [24].”
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- Premisereasoning
IVT mRNA allows transient expression and accumulation of selected antigens in the cytoplasm, which can be processed into peptides and loaded in the MHC class I pathway.
“In similarity to viral infections, (IVT) mRNA allows the transient expression and accumulation of the selected antigens in the cytoplasm, which can then efficiently be processed into peptides and loaded in the MHC class I pathway”
Quote in the paperSubstantial claim - Premisecitation
Double-stranded RNA activates the cytosolic RNA sensors RIG-I and MDA5.
“In addition to these TLRs, dsRNA was shown to activate the cytosolic RNA sensors retinoic acid inducible gene I (RIG-I) and melanoma differentiation-associated protein 5 (MDA5) [32][33][34].”
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- Premisecitation
Probst et al. proved that somatic cells of the dermis, such as muscle cells, fibroblasts or keratinocytes, can take up beta-galactosidase-coding mRNA in a saturable and ion-dependent manner.
“In 2007, Probst et al. proved that somatic cells of the dermis, such as muscle cells, fibroblasts or keratinocytes, are capable of taking up β-galactosidase-coding mRNA in a saturable and iondependent manner [76].”
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- Premisecitation
Bhosle et al. observed that completely different cellular uptake pathways were involved in vitro and in vivo for both naked mRNA and a lipid-based nanoparticle containing mRNA.
“This glaring discrepancy between the in vitro and in vivo delivery of mRNA was further demonstrated by Bhosle et al., who observed that completely different cellular uptake pathways were involved in vitro and in vivo, and this for both naked mRNA as well as a lipid-based nanoparticle (LNP) containing mRNA [90].”
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- Interpretationreasoning
A key challenge is finding an optimal balance between the translation capacity and adjuvanticity of mRNA vaccines to obtain adequate but safe immunogenicity.
“This key challenge of finding an optimal balance between the translation capacity and adjuvanticity of mRNA vaccines, in order to obtain adequate, but safe immunogenicity, will be discussed later on in this review (see section 4).”
Quote in the paperSubstantial claim - Premisecitation
Independent of administration route, several evolutionary barriers prevent intrusion of foreign nucleic acids and limit delivery of exogenous mRNA.
“Independent of the administration route, several evolutionary barriers are designed to prevent any intrusion of foreign nucleic acids and thus limit the delivery of exogenous mRNA [74].”
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- Premisecitation
Van Lint et al. showed increased T cell stimulatory effects by administration of a mixture of four naked mRNAs encoding an antigen and three immunomodulatory molecules: CD40 ligand, constitutive active TLR4 and CD70, patented as TriMix.
“Alternatively, Van Lint et al. showed increased T cell stimulatory effects by the administration of a mixture of four naked mRNAs encoding an antigen and three additional immunomodulatory molecules; CD40 ligand, constitutive active TLR 4 and CD70, patented as the TriMix mRNA technology by the 'Vrije Universiteit Brussel' (VUB), and licensed to eTheRNA immunotherapies [88].”
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- Premisecitation
Kreiter and colleagues reported that the potency of an unmodified, naked mRNA vaccine to induce T cell immunity could be drastically increased by intranodal injection compared with skin injections.
“This was underscored by Kreiter and colleagues, who reported that the potency of an unmodified, naked mRNA vaccine to induce T cell immunity could be drastically increased by injecting it i.n.compared to injections in the skin [81].”
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- Premisecitation
Lorenz et al. demonstrated that mRNA molecules are initially recognized by scavenger receptors prior to internalization by caveolae and lipid raft-dependent uptake mechanisms.
“More details on mRNA uptake were uncovered by Lorenz et al., who used a fibroblast cell line to demonstrate that mRNA molecules are initially recognized by scavenger receptors prior to their internalization by caveolae and lipid raft-dependent uptake mechanisms [77].”
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- Premisereasoning
APCs could not be directly transfected with self-amplifying mRNA, which is significantly longer in length than nonamplifying mRNA.
“First of all, it was found that APCs could not be directly transfected with self-amplifying mRNA, which is significantly longer in length (10kb versus 2-3 kb for nonamplifying mRNA).”
Quote in the paperSubstantial claim - Interpretationreasoning
Reducing mRNA interaction with PRRs to favour translation capacity might come at the cost of the adjuvant effect of the mRNA vaccine.
“As such, this might come at the cost of the adjuvant effect of the mRNA vaccine.”
Quote in the paperSubstantial claim - Interpretationreasoning
In vivo approaches that directly target mRNA to APCs hold key benefits over ex vivo generated DC vaccines.
“In general, the alternative of in vivo approaches that directly target mRNA to APCs, holds a number of key benefits to ex vivo generated DC vaccines.”
Quote in the paperSubstantial claim - Premisecitation
Co-delivery of immune adjuvants such as Poly(I:C) and LPS rapidly matured APCs, which abrogated cellular uptake of mRNA molecules.
“The co-delivery of immune adjuvants, such as polyinosinic:polycytidylic acid (Poly(I:C)) and lipopolysaccharide (LPS), was found to rapidly mature the APCs, which abrogated the cellular uptake of mRNA molecules [82].”
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- Premisecitation
Anti-viral host defence mechanisms induced by mRNA immune recognition increase enzymatic activities that destroy mRNA and inhibit its further cellular translation.
“Moreover, anti-viral host defence mechanisms are induced by the mRNA immune recognition increasing enzymatic activities that destroy mRNA and inhibit its further cellular translation (see section 2.2) [45].”
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- Premisecitation
The inability to directly transfect APCs did not abrogate priming of CTLs following intramuscular delivery of a self-amplifying mRNA vaccine.
“Nevertheless, this inability to directly transfect APCs, did not abrogate the priming of CTLs following the i.m. delivery of a self-amplifying mRNA vaccine [85].”
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- Premisecitation
Crucial immune events such as release of inflammatory cytokines and chemokines that peak within a couple of hours after transfection can be lost in time and place when preparing ex vivo DC vaccines.
“Moreover, crucial immune events, such as the release of inflammatory cytokines and chemokines, that peak within a couple of hours after transfection, can be lost in time and place when preparing ex vivo DC vaccines [72,73].”
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- Premisenone given
Translation capacity and adjuvanticity are oppositely regulated by type I IFN-induced genes.
“After all, both outcomes are oppositely regulated by type I IFN-induced genes.”
Quote in the paperNot a substantial claim - Premisenone given
Endosomal degradation of engulfed mRNA LNPs is a key barrier affecting overall transfection efficiency.
“One of the key barriers that affects the overall transfection efficiency, is endosomal degradation of the engulfed mRNA LNPs.”
Quote in the paperSubstantial claim - Premisecitation
Within lymph nodes, naked mRNA is predominantly taken up by resident dendritic cells and macrophages via macropinocytosis.
“They demonstrated that within the LNs, naked mRNA was predominantly taken up by resident DCs (and macrophages) via macropinocytosis [82].”
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- Premisereasoning
Even when intact mRNA is taken up by APCs, almost all mRNA molecules are eventually entrapped and degraded in the endo-lysosomal compartment.
“This implies that even when intact mRNA is taken up by APCs, almost all mRNA molecules will eventually be entrapped and degraded in the endo-lysosomal compartment.”
Quote in the paperSubstantial claim - Interpretationcitation
Many studies suggest that transfection experiments in cultured cells may not reliably predict the in vivo behaviour of mRNA formulations.
“Although it is clear that the choice and optimisation of a nanoparticle is essential to achieve successful mRNA transfection, it is important to realize that many studies suggest that the transfection experiments in cultured cells may not reliably predict the in vivo behaviour of mRNA formulations.”
Quote in the paperSubstantial claim - Premisecitation
In preclinical testing, incorporation of DOPE is linked to increased serum-induced disintegration of cationic DNA LNPs and poor in vivo transfection efficiency.
“In preclinical testing, the incorporation of DOPE was linked to an increased serum-induced disintegration of cationic (DNA) LNPs and thus poor in vivo transfection efficiency [110].”
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- Premisecitation
The transporter Niemann-Pick Type C-1 located on late endolysosomes is responsible for exocytosis of a large fraction of internalized (si)RNA LNPs, strongly reducing cytosolic delivery.
“For instance, the transporter Niemann-Pick Type C-1, located on late endolysomes, was found to be responsible for the exocytosis of a large fraction of internalized (si)RNA LNPs, hence strongly reducing the cytosolic delivery [121].”
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- Premisecitation
Mature, mRNA-transfected APCs are detectable in the draining LNs after i.m. or i.d. injection.
“In addition, they could detect mature, mRNA-transfected APCs in the draining LNs.”
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- Premisecitation
mRNA nanovaccines have been targeted towards the C-type lectins DEC-205, CLEC9A and mannose receptor, which are involved in pathways that favour uptake, endocytic protection and crosspresentation of dead cell antigens.
“As such, (mRNA) nanovaccines have been targeted towards the C-type lectins DEC-205, CLEC9A and mannose receptor, which are also involved in pathways that favour the uptake, endocytic protection and crosspresentation of dead cell antigens [124][125][126].”
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- Premisecitation
In rhesus macaques, both i.m. and i.d. injection of an ionizable LNP formulated with nucleoside-modified mRNA cause rapid recruitment of neutrophils, monocytes and different DC subsets to the injection site.
“For both administration routes, they could show a rapid recruitment of neutrophils, monocytes and different DC subsets to the injection site (skin or muscle).”
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- Premisecitation
The mechanism of LNPs to promote cytosolic delivery of mRNA cannot be reduced to merely membrane fusion.
“Although the theory of membrane fusion has been around for more than a decade, the mechanism of LNPs to promote the cytosolic delivery of mRNA cannot be reduced to merely this single aspect [120].”
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- Premisecitation
Endocytic trafficking of mRNA LNPs is a dynamic process involving recycling pathways and signalling pathways that affect cytosolic entry and translation of mRNA.
“More recent studies describe that the endocytic trafficking of mRNA LNPs is a dynamic process, which involves recycling pathways and signalling pathways that affect the cytosolic entry and translation of mRNA.”
Quote in the paperNot a substantial claim - Premisereasoning
Skin administration can result in an immune response by passive drainage of mRNA LNPs via the lymphatic system, delivering the mRNA payload near LN-resident APCs and T cells.
“The skin represents a very convenient route, which can result in an immune response by two separate mechanisms: either mRNA LNPs locally transfect and activate APCs which consequently migrate to the lymphatics, or the mRNA LNPs are passively drained via the lymphatic system, thus delivering the mRNA payload directly in close proximity to LNresident APCs and T cells.”
Quote in the paperNot a substantial claim - Premisecitation
Recruitment of the mechanistic target of rapamycin complex 1 to the lysosomal membrane is key to trigger translation of delivered mRNA.
“By contrast, the recruitment of the mechanistic target of rapamycin complex 1 to the lysosomal membrane was key to trigger the translation of delivered mRNA [122].”
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- Premisecitation
The core of these LNPs is surrounded by a lipid monolayer containing mainly DSPC and DMPE-PEG2000, as well as a fraction of D-Lin-MC3-DMA and cholesterol.
“This core was surrounded by a lipid monolayer containing mainly the DSPC and DMPE-PEG2000 content, as well as a fraction of D-Lin-MC3-DMA and cholesterol [113].”
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- Interpretationcitation
Targeting mRNA LNPs to selective surface receptors expressed by DCs may route the particles into intracellular trafficking pathways that are less degradative for the mRNA cargo.
“By targeting mRNA LNPs to selective surface receptors expressed by DCs, the particles may be routed into intracellular trafficking pathways that are less degradative for the mRNA cargo [123].”
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- Premisecitation
During the dialysis step, particles undergo fusion as the pH is neutralized, generating the final LNP system.
“Next, during the dialysis step these particles undergo fusion as the pH is neutralized, which generates the final LNP system.”
Quote in the paperNot a substantial claim0 of 2 sources checked - Interpretationreasoning
Microfluidic devices producing LNPs in a well-controlled and high-throughput manner have advanced the clinical translation of novel LNPs for gene delivery.
“These microfluidic devices producing LNPs in a wellcontrolled and high-throughput manner have certainly advanced the clinical translation of novel LNPs for gene delivery.”
Quote in the paperNot a substantial claim - Interpretationcitation
The contribution of DOPE's non-lamellar phase to endosomal escape may hold true only in in vitro conditions.
“However, the latter may hold true only in in vitro conditions.”
Quote in the paperNot a substantial claim - Premisenone given
Skin administration can result in an immune response by local transfection and activation of APCs, which consequently migrate to the lymphatics.
“The skin represents a very convenient route, which can result in an immune response by two separate mechanisms: either mRNA LNPs locally transfect and activate APCs which consequently migrate to the lymphatics, or the mRNA LNPs are passively drained via the lymphatic system, thus delivering the mRNA payload directly in close proximity to LNresident APCs and T cells.”
Quote in the paperNot a substantial claim - Premisecitation
PEG-lipid content dictates the eventual LNP size by exerting repulsive forces at the particle surface that limit further fusion.
“Furthermore, they demonstrated that the PEG-lipid content dictates the eventual LNP size by exerting repulsive forces at the particle surface that limits further fusion.”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
mRNA LNPs with enriched DSPC content at the surface (approaching an almost pure monolayer of DSPC) exhibit weak transfection capacity.
“By contrast, mRNA LNPs with an enriched DSPC content at the surface (approaching an almost pure monolayer of DSPC) exhibited a weak transfection capacity.”
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- Interpretationnone given
The choice of administration route is a key parameter that determines the efficacy and safety of mRNA LNPs.
“Another key parameter that will determine the efficacy and safety of mRNA LNPs is the choice of administration route (see Figure 5).”
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By adjusting the molar ratios of different lipids, mRNA LNPs with varying surface characteristics can be produced.
“Interestingly, by adjusting the molar ratios of the different lipids, the authors could produce mRNA LNPs with varying surface characteristics.”
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- Premisecitation
The unsaturated phospholipid DOPE facilitates the formation of a non-lamellar lipid phase (inverted hexagonal phase).
“By contrast, the unsaturated phospholipid DOPE facilitates the formation of a non-lamellar lipid phase (i.e.inverted hexagonal phase), which was found to contribute to the endosomal escape [109].”
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- Premisecitation
LNP compositions that favour partial segregation of D-Lin-MC3-DMA from the internal core to the outer surface correlate with increased transfection efficiency.
“They found that LNP compositions that favour a partial segregation of D-Lin-MC3-DMA lipids from the internal core to the outer surface, correlated with an increased transfection efficiency.”
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- Premisecitation
The non-lamellar phase formed by DOPE contributes to endosomal escape.
“By contrast, the unsaturated phospholipid DOPE facilitates the formation of a non-lamellar lipid phase (i.e.inverted hexagonal phase), which was found to contribute to the endosomal escape [109].”
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- Premisecitation
i.v. injected nanoparticles are known to react with opsonic blood proteins such as complement fragments, immunoglobulins, and fibronectin, facilitating uptake by phagocytic cells and nanoparticle clearance.
“In general, i.v.injected nanoparticles are known to react with opsonic blood proteins, such as complement fragments, immunoglobulins, and fibronectin, which facilitates uptake by phagocytic cells, hence nanoparticle clearance [146,147].”
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- Premisecitation
Akinc et al. found that selective adsorption of apolipoprotein E onto an ionizable (neutral) LNP was responsible for specific and potent delivery of (si)RNA to hepatocytes through receptor mediated endocytosis.
“As example, Akinc et al. found that the selective adsorption of apolipoprotein E onto an ionizable (neutral) LNP was responsible for the specific and potent delivery of (si)RNA to hepatocytes through receptor mediated endocytosis [156].”
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- Premisecitation
Targeting ligands such as mannose and antibodies against selective DC receptors can increase the entrapment of liposomes inside draining LNs.
“PEGylation accelerates the drainage of (lipid) nanoparticles into the lymphatic system, while targeting ligands such as mannose and antibodies against selective DC receptors can increase the entrapment of liposomes inside draining LNs [131][132][133].”
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- Premisecitation
The amount and identity of individual proteins present in the biomolecular corona depend on both the original nanoparticle characteristics and its biological context.
“Importantly, the amount and identity of the individual proteins present in this biomolecular corona will depend on both the (”
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Particle size is a critical factor to obtain efficient lymphatic transport of nanoparticles.
“Based on prior reports, particle size is a critical factor to obtain efficient lymphatic transport of nanoparticles.”
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- Premisecitation
Wang et al. generated a nanoparticle system consisting of a pre-condensed core of mRNA and calcium phosphate, stabilized by DOPA and coated by a lipid shell of DOTAP and DSPE-PEG.
“To give an example of an optimized mRNA LNP for lymphatic transport, Wang et al. generated a nanoparticle system consisting of a pre-condensed core of mRNA and calcium phosphate, stabilized by DOPA and coated by a lipid shell of DOTAP and DSPE-PEG [135].”
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- Premisecitation
ECM components such as glycosaminoglycans can inhibit both the distribution and cellular uptake of non-PEGylated LNPs at the injection site.
“In addition, studies suggested that PEGylation is required to prevent a complete immobilization of the particles in the extracellular matrix (ECM) of the skin, explained by the fact that ECM components, such as glycosaminoglycans can inhibit both the distribution and cellular uptake of non-PEGylated LNPs at the injection site [134].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [134]
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- Interpretationreasoning
Particle features such as size, surface charge, and structural conformation might drastically change once mRNA LNPs enter the bloodstream.
“It is beyond any doubt that particle features such as size, surface charge, and structural conformation might drastically change once the mRNA LNPs enter the bloodstream.”
Quote in the paperSubstantial claim - Premisecitation
Interaction of mRNA nanoparticles with biological fluids gives rise to adsorption of endogenous proteins and other biomolecules to the particle surface, resulting in formation of a biomolecular or protein corona.
“Indeed, the interaction of (mRNA) nanoparticles with biological fluids, gives rise to the adsorption of endogenous proteins and other biomolecules to the particular surface, resulting in the formation of a biomolecular or protein corona [138].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [138]
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- Premisecitation
Schöttler et al. demonstrated that PEGylated nanoparticles evade the macrophage system by a selective higher presence of clusterin that functions as a strong dysopsonin.
“Schöttler et al. demonstrated that PEGylated nanoparticles evade the macrophage system, not only by lowering the deposition of complement fragments and immunoglobulins on the nanoparticle surface, but rather by a selective higher presence of clusterin that functions as a strong dysopsonin [143].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [143]
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- Premisecitation
PEGylation is required to prevent complete immobilization of particles in the extracellular matrix of the skin.
“In addition, studies suggested that PEGylation is required to prevent a complete immobilization of the particles in the extracellular matrix (ECM) of the skin, explained by the fact that ECM components, such as glycosaminoglycans can inhibit both the distribution and cellular uptake of non-PEGylated LNPs at the injection site [134].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [134]
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- Premisecitation
PEGylation accelerates the drainage of lipid nanoparticles into the lymphatic system.
“PEGylation accelerates the drainage of (lipid) nanoparticles into the lymphatic system, while targeting ligands such as mannose and antibodies against selective DC receptors can increase the entrapment of liposomes inside draining LNs [131][132][133].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [131][132][133]
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- Premisenone given
The creation of a biomolecular corona causes exposure of self-epitopes to which naturally occurring antibodies can bind.
“The creation of a biomolecular corona causes the exposure of self-epitopes, to which naturally occurring antibodies can bind.”
Quote in the paperNot a substantial claim - Premisecitation
Cholesterol is typically used to increase the rigidity of LNPs and therefore contributes to improved LNP stability and integrity in the presence of serum.
“For one, cholesterol is typically used to increase the rigidity of LNPs (i.e.reducing the permeability of the lipid membrane), and therefore contributes to improved LNP stability and integrity in the presence of serum [110,142].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [110]
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- cites [142]
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- Interpretationreasoning
This can lead to severe autoimmune consequences, such as systemic lupus erythematosus and diabetes.
“This can lead to severe autoimmune consequences, such as systemic lupus erythematosus and diabetes.”
Quote in the paperSubstantial claim - Premisecitation
The Dan Peer lab proposed a modular targeting platform for selective delivery of (si)RNA LNPs to diverse leukocytes in vivo, based on incorporation of a lipoprotein inside the LNP that non-covalently binds the Fc domain of a selected targeting antibody.
“Of note, the Dan Peer lab recently proposed a modular targeting platform for the selective delivery of (si)RNA LNPs to diverse leukocytes in vivo.Here, the conjugation of targeting antibodies was based on the incorporation of a lipoprotein inside the LNP system that non-covalently binds to the Fc domain of a selected targeting antibody [161,162].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [161]
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- Premisecitation
Incorporation of a targeting ligand adds an extra layer of complexity to the LNP system, involving additional synthetic steps, costs and regulatory hurdles.
“However, it should be noted that the incorporation of a targeting ligand adds an extra layer of complexity to the LNP system, involving additional synthetic steps, costs and regulatory hurdles [163].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [163]
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- Premisecitation
An early type I IFN response inhibits expression of antigen-encoding mRNA, which is detrimental for the mRNA vaccine's outcome.
“Where type I IFN is highly valuable to trigger an effective T cell response, other papers showed that an early type I IFN response inhibits the expression of antigen-encoding mRNA, which was rather detrimental for the mRNA vaccine's outcome [165][166][167].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [165][166][167]
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- Premisecitation
Robust and sustained antigen expression of nucleoside-modified mRNA is associated with more optimal antibody responses compared to unmodified mRNA.
“Additionally, the robust and sustained antigen expression of nucleoside-modified mRNA was associated with more optimal antibody responses compared to unmodified mRNA [12,13].”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
If the interaction between APCs and T cells is delayed or absent, type I IFNs activate an antiproliferative and pro-apoptotic programme.
“By contrast, in case of a different timeframe, where the interaction between APCs and T cells is delayed or even absent, type I IFNs have completely opposite effects: rather than stimulating T cells, they activate an antiproliferative and pro-apoptotic programme [168].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [168]
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- Premisecitation
Type I IFNs directly act as a signal 3 cytokine for T cell activation, promoting clonal expansion, survival and effector differentiation of both CTLs and T helper cells.
“Importantly, type I IFNs directly act as a signal 3 cytokine for T cell activation, promoting the clonal expansion, survival and effector differentiation of both CTLs and T helper cells [168,172,176].”
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- Premisecitation
Acute type I IFN responses mediate pleotropic and pro-inflammatory effects in both innate and adaptive immune cells.
“In general, acute type I IFN responses mediate pleotropic and pro-inflammatory effects in both innate and adaptive immune cells [36,[168][169][170][171].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36]
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- Premisecitation
The finding of specifically targeting anionic mRNA LNPs to the spleen was confirmed in a patient participating in a phase I trial for melanoma.
“This finding of specifically targeting anionic mRNA LNPs to the spleen could be confirmed in a patient participating in a phase I trial for melanoma [159].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [159]
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- Premisecitation
The efficacy to evoke CTL antitumor immune responses in a B16 melanoma model of s.c. or i.d. administered DOTAP-DOPE mRNA LNPs is strongly increased after type I IFN blockade.
“De Beuckelaer and colleagues demonstrated that the efficacy to evoke (CTL) antitumor immune responses in a B16 melanoma model of s.c. or i.d.administered DOTAP-DOPE mRNA LNPs, was strongly increased after type I IFN blockade [165].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [165] source
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- Premisecitation
Cationic mRNA LNPs composed of a cationic lipid and cholesterol, or DOPE, primarily target the lungs, where they transfect tissue-resident DCs, macrophages and endothelial cells.
“In comparison, cationic mRNA LNPs composed of a cationic lipid and cholesterol, or DOPE were found to primarily target the lungs, where they transfect tissueresident DCs, macrophages and endothelial cells [142,157,158].”
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- Premisecitation
Parhiz et al. demonstrated that ionizable mRNA LNPs conjugated with antibodies against the vascular cell adhesion molecule PECAM-1 promoted mRNA transfection of endothelial cells in the lungs after systemic delivery.
“To give a few other examples, Parhiz et al. demonstrated that ionizable mRNA LNPs conjugated with antibodies against the vascular cell adhesion molecule, PECAM-1, promoted the mRNA transfection of endothelial cells in the lungs after systemic delivery [160].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [160]
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- Premisecitation
Antitumor responses in a lung metastasis model are significantly impaired when tumor-bearing mice are immunized i.v. with mRNA LNPs while receiving i.p. injections with anti-IFNAR1 antibodies.
“Also, antitumor responses in a lung metastasis model were significantly impaired when tumor-bearing mice were immunized i.v. with mRNA LNPs while receiving i.p. injections with anti-IFNAR1 antibodies [92].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [92] source
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- Premisecitation
The systemic type I IFN response evoked by mRNA LNPs is crucial to activate APCs and effector cells.
“demonstrated that the systemic type I IFN response evoked by mRNA LNPs was crucial to activate APCs and effector cells.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [92] source
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- Premisecitation
The targeting ability of functionalized nanoparticles can be overruled by deposition of endogenous proteins and passive transport and clearance of nanoparticles.
“Moreover, the targeting ability of such functionalized nanoparticles can be overruled by the deposition of endogenous proteins and the passive transport and clearance of nanoparticles [164].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [164]
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- Premisecitation
Involvement of type I IFNs in the regulation of immune tolerance can promote the development of autoreactive B cells and T cells.
“The involvement of type I IFNs in the regulation of immune tolerance, which can promote the development of autoreactive B cells and T cells, poses an even greater threat [183][184][185].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [183][184][185]
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- Premisecitation
Accumulating pre-clinical evidence shows that T cell responses and antitumor effects evoked by mRNA cancer therapeutics can strongly be strengthened by combining them with checkpoint inhibitors, such as anti-PD-1(L)- and anti-CTLA-4 antibodies.
“Indeed, accumulating pre-clinical evidence shows that T cell responses and antitumor effects evoked by mRNA cancer therapeutics can strongly be strengthened by combining them with checkpoint inhibitors, such as anti-PD-1(L)-, and also anti-CTLA-4 antibodies [135,196,214,218,219].”
Quote in the paperSubstantial claim0 of 5 sources checked - Premisecitation
The Santangelo lab combined delivery of fluorescently labelled mRNA with proximity-based assays.
“To give an outstanding example, the Santangelo lab combined the delivery of fluorescentlylabelled mRNA with proximity-based assays [195].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [195]
Not checked in the free run.
- Interpretationreasoning
Alterations in mRNA vaccine parameters are expected to impact the role of type I IFN signalling on the mRNA vaccine's outcome.
“Alterations in these mRNA vaccine parameters are therefore expected to impact on the role of type I IFN signalling on the mRNA vaccine's outcome, thus deciding if it is good, bad, or ugly.”
Quote in the paperSubstantial claim - Premisecitation
New imaging tools have been implemented in the evaluation of novel mRNA delivery systems, allowing visualization of mRNA pharmacology at the single cell and tissue level.
“Excitingly, new imaging tools have been implemented in the evaluation of novel mRNA delivery systems, which allows visualization of mRNA pharmacology at the single cell and tissue level.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [90,158,[192][193][194][195]
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- Interpretationnone given
For mRNA therapeutics in oncology or cancer vaccines, it might not be enough to activate effector immune responses against cancer.
“For mRNA therapeutics in oncology or for cancer vaccines in general, it might not be enough to activate effector immune responses against cancer.”
Quote in the paperSubstantial claim - Premisecitation
Van Hoecke et al. showed that established tumors could be turned into an in situ vaccine, mediated by electroporating tumors with mRNA that codes for the mixed lineage kinase domain-like (MLKL) protein.
“Furthermore, Van Hoecke et al. showed that established tumors could be turned into an in situ vaccine, mediated by electroporating tumors with mRNA that codes for the mixed lineage kinase domain-like (MLKL) protein [204].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [204]
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- Premisecitation
They were able to simultaneously detect cell-specific uptake, translation and in situ activation of the TLR7, RIG-I, MDA5 pathways upon delivery of naked or LNP formulated mRNA in the muscle of mice.
“As such, they were able to simultaneously detect cell-specific uptake, translation and in situ activation of the TLR7, RIG-I, MDA5 pathways upon the delivery of naked-or LNP formulated mRNA in the muscle of mice [194].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [194]
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- Premisecitation
Several studies demonstrated that mRNA cancer vaccines upregulated expression of PD-1 on effector T cells, and its ligand PD-L1 on tumor cells and APCs.
“Several studies demonstrated that mRNA cancer vaccines upregulated the expression of the checkpoint molecules programmed death 1 (PD-1) on effector T cells, and its ligand (PD-L1) on tumor cells and APCs [196,214].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [196]
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- Premisecitation
Stadler et al. designed mRNA constructs that encode bispecific antibodies directed against the T cell receptor associated molecule CD3 and tumor antigens, referred to as RiboMABs.
“Stadler et al. designed mRNA constructs that encode bispecific antibodies directed against the T cell receptor associated molecule CD3 and tumor antigens, referred to as RiboMABs [197].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [197] source
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- Interpretationcitation
An mRNA vaccine that achieves high and sustained antigen availability will benefit the magnitude and duration of both T cell and B cell responses.
“Nevertheless, it can be expected that an mRNA vaccine that achieves high and sustained antigen availability, will benefit the magnitude and duration of both T cell and B cell responses [11,[189][190][191].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [11] source
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- Premisecitation
Moderna Therapeutics published an anti-cancer immunotherapy using direct intratumoral and LNP-mediated delivery of a mixture of mRNA encoding IL-23, IL-36γ, and OX40(L) ligand.
“In line with this, Moderna Therapeutics recently published on an anti-cancer immunotherapy, using direct intratumoral-and LNP-mediated delivery of a mixture of mRNA encoding IL-23, IL-36γ, and OX40(L) ligand [203].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [203] source
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- Premisecitation
A first alternative to de novo priming of adaptive immune cells is passive immunization using mRNA that directly encodes different antibody formats, including monoclonal antibodies, antibody fragments or bi-specific antibodies.
“A first alternative to the de novo priming of adaptive immune cells, is to explore passive immunization approaches by using mRNA that directly encodes different antibody formats, including monoclonal antibodies, antibody fragments or bi-specific antibodies [197][198][199][200].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [197][198][199][200]
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- Premisecitation
In monotherapy, checkpoint inhibitors have resulted in impressive effects and durable responses in patients with highly refractory and late-stage cancers, such as metastatic melanoma and non-small cell lung cancer.
“In monotherapy, checkpoint inhibitors have resulted in impressive effects and durable responses in patients with highly refractory and late-stage cancers, such as metastatic melanoma and non-small cell lung cancer (NSCLC) [216].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [216] source
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- Premisenone given
Upon activation of T cells, expression of checkpoint molecules forms a strong negative feedback loop to maintain T cell responses within a desired physiologic range.
“Upon the activation of T cells, the expression of checkpoint molecules forms a strong negative feedback loop to maintain T cell responses within a desired physiologic range.”
Quote in the paperNot a substantial claim - Premisenone given
Only a subset of patients benefits from checkpoint therapies.
“However, only a subset of the patients benefits from these checkpoint therapies.”
Quote in the paperSubstantial claim - Interpretationreasoning
A hard-to-find balance exists between mRNA-encoded antigen expression and adequate immunostimulation.
“A second hard-to-find balance is the one between the mRNA-encoded antigen expression and adequate immunostimulation.”
Quote in the paperSubstantial claim - Premisecitation
A number of reports have revealed that the capacity of mRNA lipid nanoparticles to evoke CTL responses strongly depended on the production of type I IFNs.
“A number of reports have revealed that the capacity of mRNA LNPs to evoke CTL responses strongly depended on the production of type I IFNs.”
Quote in the paperNot a substantial claim - Interpretationnone given
The mRNA-induced type I IFN response interferes with mRNA-encoded antigen expression.
“More specifically, although the mRNA-induced type I IFN response might add to the immunogenicity of the mRNA vaccine, it also interferes with the mRNA-encoded antigen expression and possibly even lead to deleterious immune effects.”
Quote in the paperNot a substantial claim - Interpretationnone given
The mRNA-induced type I IFN response possibly leads to deleterious immune effects.
“More specifically, although the mRNA-induced type I IFN response might add to the immunogenicity of the mRNA vaccine, it also interferes with the mRNA-encoded antigen expression and possibly even lead to deleterious immune effects.”
Quote in the paperNot a substantial claim
- May combine two claims. 68
- Classified as probably not a substantial claim. 39
May combine two claims.
FindingcitationIn a proof-of-concept study, nucleoside-modified mRNA co-delivered with the clinically approved TLR agonist MPLA achieved functional CTL responses like unmodified mRNA, but with strongly reduced type I IFN responses.
“In a proof-of-concept study, we demonstrated that nucleoside-modified mRNA can be co-delivered with the clinically approved TLR agonist MPLA, achieving functional CTL responses like unmodified mRNA, but with strongly reduced type I IFN responses [157].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [157] source
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FindingcitationBy dual antigen signalling to both conventional T cells and NKT cells, mRNA Galsomes induced a relatively higher tumor influx of antigen-specific CTLs, NKT and NK cells, and reduced the tumor presence of immunosuppressive myeloid cells, compared to mice treated with type I IFN inducing LNPs formulated with unmodified mRNA.
“By the dual”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [196]
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PremisereasoningmRNA molecules only need to reach the cytosol to be translated at ribosomes, so they avert the risk of integration into the host genome.
“Indeed, as the mRNA molecules only have to reach the cytosol in order to be translated at the ribosomes, they avert the risk of being integrated into the host genome.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationUnmodified mRNA evoked substantial immune activation but produced no significant changes in Epo levels.
“In contrast, no significant changes were detected with unmodified mRNA, which only evoked a substantial immune activation [44].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [44] source
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InterpretationreasoningBecause preparing a new mRNA construct tailored to a specific disease can be done in a straightforward and fast way, mRNA is an ideal candidate to trigger immunity against infectious diseases.
“The fact that preparing a new mRNA construct tailored to a specific disease can be done in a straightforward and fast way, makes mRNA also an ideal candidate to trigger immunity against infectious diseases.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationKarikó and colleagues observed that ex vivo human dendritic cells tolerated mammalian mRNA, while strong inflammatory cytokine responses were detected upon delivery of mRNA derived from bacteria, necrotic mammalian cells and IVT mRNA.
“In 2004, Karikó and colleagues observed, while exposing ex vivo human DCs to mRNA from different sources, that these cells tolerated mammalian mRNA, while strong inflammatory cytokine responses were detected upon the delivery of mRNA derived from bacteria, necrotic mammalian cells and IVT mRNA [39,40].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [39] source
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Probably not a substantial claim: may not pass S4 (based). May combine two claims.
Premisenone givenmRNA can code full-length proteins, avoiding restrictions concerning a patient's MHC haplotype.
“For one, mRNA can code full-length proteins, thus avoiding restrictions concerning a patient's MHC haplotype.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThe MHC class II pathway can be targeted using mRNA as a source of antigen after secretion and recycling of mRNA-expressed proteins or via direct shuttling of antigens from the cytosol to lysosomes, for example by incorporating a lysosomal targeting sequence.
“Interestingly, also the MHC class II pathway can be targeted using mRNA as a source of antigen: this either after the secretion and recycling of the mRNA expressed proteins, or via direct shuttling of antigens from the cytosol to the lysosomes, e.g., promoted by the incorporation of a lysosomal targeting sequence in the mRNA construct [9,10].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [9]
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InterpretationreasoningUsing antigen-encoding mRNA provides an easy way to evoke MHC-I presentation and elicit CTL responses.
“One of the key advantages of using antigen-encoding mRNA, is that it provides an easy way to evoke MHC-I presentation and elicit CTL responses.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationType I IFNs bind autocrine or paracrine receptors, activating the JAK-STAT pathway, which regulates expression of hundreds of proteins involved in antiviral immunity.
“In turn, type I IFNs bind autocrine or paracrine receptors, activating the Janus kinase-signal transducer activator of transcription (JAK-STAT) pathway, which regulates the gene expression of hundreds of proteins involved in antiviral immunity [35,36].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [35]
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PremisecitationAntigen signalling by dendritic cells can originate from the cytoplasm via MHC class I molecules or from lysosomes via MHC class II molecules.
“Antigen signalling by DCs can either originate from the cytoplasm, which involves the presentation of antigenic peptides in major histocompatibility complex (MHC) class I molecules, or alternatively from the lysosomes that harbour fragments of endo-or phagocytized antigens which are loaded into MHC class II.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [8]
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationDendritic cells are specialized in the uptake, processing and presentation of protein antigens to lymphocytes, linking innate and adaptive immune responses.
“DCs are specialized in the uptake, processing and presentation of protein antigens to lymphocytes, which links innate and adaptive immune responses.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [5][6][7]
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PremisecitationA first-in-human trial demonstrated clinical feasibility and safety of personalized mRNA cancer vaccines for advanced melanoma, with all vaccinated patients developing CD4+ and CD8+ T cell responses against selected antigens and some showing objective antitumor responses.
“A first-in-human trial demonstrated the clinical feasibility and safety of this approach for advanced melanoma cancers: all vaccinated patients developed CD4 + and CD8 + T cell responses against the selected antigens, with some patients showing objective antitumor responses [15].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [15] source
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PremisecitationAntireverse cap modifications ensure correct cap orientation at the 5' end, yielding almost complete fractions of mRNA that can efficiently bind ribosomes.
“Antireverse cap (ARCA) modifications can ensure the correct cap orientation at the 5' end, which yields almost complete fractions of mRNA that can efficiently bind the ribosomes [54].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [54]
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PremisecitationCureVac AG found that stabilizing mRNA with either a phosphorothioate backbone or precipitation with cationic protein protamine diminished antigen expression but produced stronger immune-stimulating capacities.
“The company CureVac AG found that by stabilizing the mRNA with either a phosphorothioate backbone, or by its precipitation with the cationic protein protamine, antigen expression was diminished, but stronger immune-stimulating capacities could be obtained [62,63].”
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PremisecitationCorrelations exist between elongation of the poly(A) tail of mRNA and duration of expression, and specific 3' UTR modifications can slow down decay of the poly(A) tail by deadenylation.
“Correlations were found between the elongation of the poly(A) tail of mRNA and the duration of expression, and specific modifications at the 3' UTR were reported that can slow-down the decay of the poly(A) tail by deadenylation [57,58].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [57] source
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InterpretationcitationThe findings support a paradigm for mRNA vaccine design with one strategy using mRNA fully optimized for a strong adjuvant effect and another using modified mRNA with high translation capacity and improved antigen bioavailability.
“Taken together, these findings resulted in a paradigm of the design of mRNA formulations for vaccination.One strategy is to use mRNA which is fully optimized to obtain a strong adjuvant effect, another is to work with 'modified' mRNA with high translation capacity, and thus improved antigen bio-availability [43,62].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [43] source
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PremisereasoningThe cytosolic presence of a few mRNA molecules can ensure extensive antigen presentation to CTLs, whereas proteins rely on less efficient cross-presentation pathways.
“As such, the cytosolic presence of a few mRNA molecules can ensure extensive antigen presentation to CTLs, while proteins have to rely on less efficient cross-presentation pathways.”
Quote in the paperSubstantial claimMay combine two claims.
Premisenone givenBinding of mRNA molecules to danger sensors leads to downstream signalling via MyD88 for TLR7/8 and TRIF for TLR3, resulting in production of type I IFN and pro-inflammatory cytokines such as IL-6 and TNF-alpha.
“The binding of mRNA molecules to these danger sensors leads to downstream signalling via specific adaptor molecules (i.e.MyD88 for TLR7/8 and TRIF for TLR3), eventually resulting in the production of type I IFN and other pro-inflammatory cytokines (e.g., IL-6 and TNF-α).”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationPaunovska et al. tested hundreds of LNPs for nucleic acid delivery to macrophages or endothelial cells after intravenous delivery and found almost no in vitro-in vivo correlations.
“Moreover, using a high throughput system, Paunovska et al. were able to test hundreds of LNPs for the nucleic acid delivery to macrophages or endothelial cells after i.v.delivery, but found almost no in vitro-in vivo correlations [91].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [91]
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PremisecitationIonizable lipids with pKa less than 7 have a neutral to mildly cationic charge under physiological pH conditions and are associated with reduced toxicity and prolonged blood circulation lifetime compared with permanently charged lipids.
“These ionizable lipids (pKa < 7), originally optimized for siRNA delivery, have a neutral to mildly cationic charge under physiological pH conditions.This offers certain benefits over the permanently-charged lipids, the foremost of which is that ionizable lipids have been associated with a reduced toxicity and a prolonged blood circulation lifetime [100,101].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [100]
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PremisecitationIntradermal injections of GM-CSF contributed to infiltration of monocytes and migration of mRNA-transfected, matured dendritic cells to lymph nodes.
“Intradermal injections of granulocyte-macrophage colony-stimulating factor (GM-CSF) contributed to the infiltration of monocytes, and to the migration of mRNA-transfected, matured DCs to the LNs [86,87].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [86]
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PremisecitationSkin-resident dendritic cells can engulf naked mRNA via macropinocytosis and trigger T cell immunity in mice.
“Only years later, the involvement of immune cells in the uptake of unformulated mRNA was identified: skin-resident DCs were capable of engulfing naked mRNA via macropinocytosis and could trigger T cell immunity in mice [78].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [78]
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PremisecitationThe addition of saturated phospholipids such as DPPC and DSPC increases the phase transition temperature of cationic liposomes and supports the formation of a lamellar lipid bilayer structure.
“The addition of saturated phospholipids, such as DPPC and DSPC, increases the phase transition temperature of the cationic liposomes and supports the formation of such a lamellar lipid bilayer structure [102].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [102] source
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PremisecitationUpon intradermal application of the RNActive vaccine, both sequence-engineered mRNA and protamine-complexed mRNA were taken up by immune and non-immune cells, with highest frequencies in macrophages, dendritic cells and neutrophils.
“Upon i.d.application, both vaccine components, sequence-engineered mRNA and protamine-complexed mRNA, were taken up by both immune cells and non-immune cells, with the highest frequencies detected within macrophages, DCs and neutrophils [79].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [79] source
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PremisecitationLazzaro et al. concluded that APCs take up antigens produced by transfected muscle cells and that cross-presentation of myocyte-expressed antigens is the mechanism leading to induction of CTL responses.
“They concluded that APCs could take up antigens that were produced by the transfected muscle cells, and that cross-presentation of the myocyte-expressed antigens was the mechanism leading to the induction of CTL responses [85].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [85]
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PremisecitationThe earliest studies explored intramuscular, subcutaneous and intradermal routes, showing detectable protein expression at the injection site and adaptive immune responses.
“The earliest studies have explored the i.m., subcutaneous (s.c.), and intradermal (i.d.) routes, showing detectable protein expression levels at the injection site, which also resulted in adaptive immune responses [4,51,75].”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [4]
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InterpretationreasoningThe chosen injection route plays a major role in the cell types that contact mRNA and in the potency of the evoked immune response.
“Over the years, it became clear that the chosen injection route plays a major role regarding the cell types that come in contact with the mRNA and the potency of the evoked immune response.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationAfter intratumoral injection in different subcutaneous murine tumor models, tumor-infiltrating CD8a+ cross-presenting dendritic cells were mainly responsible for mRNA uptake, resulting in mRNA expression for more than 5 days.
“Indeed, tumor-infiltrating CD8a + cross-presenting DCs were mainly responsible for mRNA uptake after injection in different subcutaneous murine tumor models, resulting in mRNA expression for >5 days [83,84].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [83]
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- cites [84]
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PremisecitationAn intranodally administered TriMix mRNA vaccine was safe and well tolerated in a dose-escalation clinical study against HIV-1 infection, obtaining moderate HIV-specific T cell responses at high doses (total mRNA dose of 1.2 mg).
“Recently, an i.n.administered TriMix mRNA vaccine was shown to be safe and well tolerated in a doseescalation clinical study against HIV-1 infection, while obtaining moderate HIV-specific T cell responses at high doses (total mRNA dose of 1.2 mg) [89].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [89]
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Classified as probably not a substantial claim.
InterpretationcitationThe potency of the self-adjuvant effect of mRNA must be weighed against the risk of adverse reactions inherent to it, including inflammation reactions and auto-immune events.
“Notwithstanding, the potency of this self-adjuvant effect of mRNA must be weighed against the risk of any adverse reaction inherent to it, including inflammation reactions and auto-immune events [68].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [68]
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May combine two claims.
PremisereasoningBecause mRNAs are large and polyanionic, they cannot passively diffuse across the cell membrane and rely on active transportation via endocytic uptake mechanisms.
“Since mRNAs are large and polyanionic molecules, they cannot passively diffuse across the cell membrane.Therefore, mRNA molecules rely on active transportation via endocytic uptake mechanisms.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationPhysicochemical and structural characteristics of mRNA LNPs depend on lipid composition, the ratio of mRNA to total cationic lipids, and LNP synthesis.
“Note that the physicochemical and structural characteristics of mRNA LNPs will depend on the lipid composition, the ratio of mRNA to the total amount of (cationic) lipids, and the LNP synthesis (for a detailed review on these parameters also see [107]).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [107] source
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PremisecitationIn the rapid-mixing step at acidic pH, empty small liposomal structures and loaded larger electron-dense particles are formed.
“They proposed that in the rapid-mixing step at acidic pH, (”
Quote in the paperNot a substantial claim0 of 2 sources checkedProbably not a substantial claim: may not pass S4 (based).
InterpretationreasoningDepending on the administration route, specific extracellular barriers might be encountered, which prompts specific particle optimizations.
“Importantly, depending on the administration route, specific extracellular barriers might be encountered which prompts specific particle optimizations.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationAlthough all recruited cell types internalize mRNA LNPs, only monocytes and myeloid DCs show high translation of the mRNA.
“Although all of these cell types were able to internalize mRNA LNPs, only monocytes and myeloid DCs showed high translation of the mRNA.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [127] source
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PremisecitationPrior reports have linked the occurrence of cholesterol nanocrystals to improved transfection efficiency.
“Although this was not further investigated in this study, prior reports have linked the occurrence of cholesterol nanocrystals to an improved transfection efficiency [114,115].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [114]
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- cites [115]
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PremisecitationBench-top microfluidic mixing devices are available for production of unloaded liposomes or mRNA LNPs via the ethanol-dilution principle, with potential to be scaled up for clinical or industrial purposes.
“Notably, bench-top microfluidic mixing devices are available for the production of unloaded liposomes or mRNA LNPs via this ethanol-dilution principle, with the potential to be scaled up for clinical or industrial purposes [116].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [116] source
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PremisecitationmRNA LNPs based on D-Lin-MC3-DMA, DSPC, cholesterol and a PEG-lipid exhibit a disordered inverse hexagonal phase containing D-Lin-MC3-DMA, cholesterol, water and mRNA.
“In another study, Yanez Arteta et al. indicated that the structural arrangement of mRNA LNPs based on D-Lin-MC3-DMA, DSPC, cholesterol and a PEG-lipid exhibited a disordered inverse hexagonal phase containing D-Lin-MC3-DMA, cholesterol, water and mRNA.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [113] source
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PremisecitationThe mechanism of formation of ionizable LNP systems with different nucleic acid payloads has recently been elucidated by Kulkarni and colleagues.
“The mechanism of the formation of these ionizable LNP systems (with different nucleic acid payloads) has recently been elucidated by Kulkarni and colleagues [111,112].”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
Premisecitationi.d. delivery results in earlier activation of skin DCs, more efficient migration to draining LNs, and prolonged antigen availability at the injection site compared to i.m. delivery.
“With respect to the resulting immune response, they showed that i.d.delivery resulted in an earlier activation of skin DCs and a more efficient migration to draining LNs, as well as a prolonged antigen availability at the injection site.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [127] source
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PremisecitationRapid screening of novel lipid libraries has helped continually optimize lipid compositions and supported discovery of new lead ionizable lipids with greatly improved potency and safety for mRNA transfection.
“Furthermore, this has also supported the discovery of new lead ionizable lipids holding greatly improved potency and safety for mRNA transfection [117][118][119].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [117][118][119]
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Premisecitationi.d. delivery results in superior immunogenicity compared to i.m. delivery, with the highest antibody titers and CD4+ T cell activation.
“Together, this resulted in a superior immunogenicity compared to i.m. delivery, as i.d.injection resulted in the highest antibody titers and CD4 + T cell activation.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [127] source
Not checked in the free run.
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PremisecitationThe biomolecular corona may reduce the colloidal stability of mRNA LNPs, followed by aggregation of the particles and premature release of the mRNA cargo.
“This may reduce the colloidal stability of the mRNA LNPs, followed by the aggregation of the particles and a premature release of the mRNA cargo [139,140].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [139]
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PremisecitationVu et al. found that nanoparticles mediate complement activation quite universally over a range of clinically approved liposomes.
“Recently, Vu et al. elucidated how nanoparticles mediate complement activation, and found this to be quite universal over a range of clinically approved liposomes [148].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [148]
Not checked in the free run.
May combine two claims.
PremisecitationPEG-lipids with shorter acyl chains can gradually diffuse out of LNPs, temporarily confer stealth properties, and achieve higher transfection efficiencies compared to longer, persistent PEG-lipids.
“These PEG-lipids can gradually diffuse out of the LNPs, and thus temporarily confer stealth properties to the LNP system, while achieving higher transfection efficiencies compared to the longer, persistent PEG-lipids [139,144].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [139]
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- cites [144]
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PremisecitationThese mRNA nanoparticles have a relatively small particle size (<50 nm) and an uncharged, strongly PEGylated outer surface.
“These mRNA nanoparticles had a relatively small particle size (<50 nm), and an uncharged, strongly PEGylated outer-surface.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [135] source
Not checked in the free run.
May combine two claims.
PremisecitationIn cancer immunotherapy, it is essential to evoke a systemic immune response to obtain antitumor immunity, making i.v. delivery appealing for mRNA-based cancer vaccines.
“In the specific case of cancer immunotherapy, it was proven essential to evoke a systemic immune response to obtain antitumor immunity, which makes i.v.delivery a highly appealing administration route for mRNA-based cancer vaccines [92,136,137].”
Quote in the paperNot a substantial claim0 of 3 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone givenMerely a few surface-bound immunoglobulin molecules are sufficient to trigger complement activation.
“Merely a few surface-bound immunoglobulin molecules are sufficient to trigger complement activation.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIncorporation of PEGylated lipids provides a stealth effect, reduces overall protein adsorption, and improves colloidal stability of LNPs, but hampers LNP cellular uptake and transfection capacity.
“Alternatively, the incorporation of PEGylated lipids is widely used to provide a”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [143]
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenIt is possible to tweak the serum stability of LNPs by modifying their helper lipid composition.
“It is also possible to tweak the serum stability of LNPs by modifying their helper lipid composition.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationIn patients with pre-existing anti-PEG antibodies, infusion of PEGylated LNPs is contra-indicated, as it could lead to stronger complement activation and accelerated blood clearance of PEGylated nanoparticles.
“However, PEGylation also has its limitations: in patients with pre-existing anti-PEG antibodies, infusion of PEGylated LNPs is contra-indicated, as this could lead to an even stronger complement activation as well as an accelerated blood clearance of PEGylated nanoparticles.”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [143]
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- cites [148]
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- cites [155]
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PremisecitationNanoparticles up to 200 nm are able to enter the lymphatic vessels, whereas larger particles are withheld at the injection site.
“Reports suggest that nanoparticles up to 200 nm are able to enter the lymphatic vessels, whereas larger particles are withheld at the injection site [128][129][130].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [128][129][130]
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PremisecitationRecent findings suggest that nanoparticle-mediated infusion reactions are triggered by an acute intoxication of pulmonary intravascular macrophages.
“However, recent findings suggest that these nanoparticle-mediated infusion reactions are triggered by an acute intoxication of pulmonary intravascular macrophages [152][153][154].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [152][153][154]
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PremisecitationPerche et al. prepared mannosylated nanoparticles loaded with mRNA, which could be used as an active targeting strategy to enhance transfection of splenic DCs.
“Perche et al. prepared mannosylated nanoparticles loaded with mRNA, which could be used as an active targeting strategy to enhance the transfection of splenic DCs [126].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [126]
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningThe observed site-specific targeting could be attributed to LNP surface charge, but involvement of a different biomolecular corona cannot be excluded.
“While it is possible that the observed site-specific targeting could be attributed to the LNP surface charge, the involvement of a different biomolecular corona cannot be excluded.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationChronic activation of the type I IFN pathway leads to induction of regulatory DCs, deletion of virus-specific B cells and strongly impaired T cell responses.
“Here, it was found that chronic activation of the type I IFN pathway leads to the induction of regulatory DCs, the deletion of virus-specific B cells and strongly impaired T cells responses [180][181][182].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [180][181][182]
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Probably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenIf type I IFNs are produced after recognition of MHC-presented antigens by T cells, they act as a strong 3rd signal cytokine to stimulate T cell activation and proliferation.
“If type I IFNs are produced after recognition of MHC-presented antigens by T cells, they act as a strong 3 rd signal cytokine to stimulate T cell activation and proliferation.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationType I IFN signalling induces DC maturation, improved antigen processing and presentation, and enhances DC migration to enriched T cell zones (e.g., via CCR7).
“Indeed, type I IFN signalling induces DC maturation, improved antigen processing and presentation, and enhances DC migration to enriched T cell zones (e.g., via CCR7) [172][173][174][175].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [172][173][174][175]
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationBy regulating other pro-inflammatory cytokines, type I IFNs are involved in the regulation of Natural Killer cell responses.
“By regulating other pro-inflammatory cytokines, type I IFNs are also involved in the regulation of other immune cell types, such as Natural Killer (NK) cell responses [179].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [179]
Not checked in the free run.
May combine two claims.
PremisecitationFor a self-amplifying mRNA LNP vaccine, antigen expression is dramatically enhanced in the absence of IFN-α/β, correlating with improved immunogenicity and IgG antibody responses.
“For a self-amplifying mRNA LNP vaccine, Pepini et al. reported that the antigen expression was dramatically enhanced in the absence of IFN-α/β, which correlated with improved immunogenicity and IgG antibody responses [167].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [167]
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PremisecitationNucleoside-modified mRNA LNPs outperform unmodified mRNA LNPs in translation capacity, but fail to elicit successful CTL responses due to drastically reduced production of type I IFNs.
“Comparative studies performed by our research group and others demonstrated that nucleoside-modified mRNA LNPs outperformed unmodified mRNA LNPs in translation capacity, but failed to elicit successful CTL responses due to the drastically reduced production of type I IFNs [119,157].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [119]
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- cites [157] source
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Probably not a substantial claim: may not pass S1 (asserted), S3 (load-bearing).
PremisecitationThe type I IFN response by mRNA vaccines might have dual effects on naïve T cells, depending on the duration and relative timing between type I IFN signalling and T cell priming.
“In an opinion article, De Beuckelaer et al. suggested that the type I IFN response by mRNA vaccines might have dual effects on naïve T cells, depending on the duration and relative timing between type I IFN signalling and T cell priming [169].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [169]
Not checked in the free run.
May combine two claims.
PremisecitationBy lowering the lipid-to-mRNA ratio to a lower lipid content, DOTMA-DOPE mRNA LNPs become negatively charged and specifically target DCs in the spleen.
“Interestingly, by lowering the lipid-to-mRNA ratio to a lower lipid content, Kranz et al. demonstrated that DOTMA-DOPE mRNA LNPs become negatively charged and specifically target DCs in the spleen [92,158].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [92] source
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- cites [158]
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Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationcitationThe early type I IFN response induced by an mRNA vaccine might not only limit mRNA-encoded antigen expression, but even exert deleterious effects on T cell responses.
“This might explain why the early type I IFN response induced by an mRNA vaccine, might not only limit the mRNA-encoded antigen expression, but even exert deleterious effects on T cell responses [169].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [169]
Not checked in the free run.
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PremisecitationIn humoral immunity, type I IFNs promote the generation of long-lived antibody responses by indirect enhancement of helper T cell responses and by direct immune-stimulatory effects on B cells.
“In humoral immunity, type I IFNs promote the generation of long-lived antibody responses by the indirect enhancement of helper T cell responses and by direct immune-stimulatory effects on B cells [177,178].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [177]
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- cites [178]
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Classified as probably not a substantial claim.
InterpretationreasoningCombining mRNA vaccines with PD-1 checkpoint inhibitor treatments is an opportunity.
“As such, this sparks opportunity for combining mRNA vaccines with PD-1 checkpoint inhibitor treatments.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationBreckpot and colleagues demonstrated reprogramming of DCs after intratumoral administration of TriMix mRNA (CD40L, caTLR4 and CD70), or using mRNA encoding a fusokine consisting of IFN-β and the ectodomain of the TGF-β receptor II.
“Breckpot and colleagues demonstrated the reprogramming of DCs after the intratumoral administration of TriMix mRNA (i.e.CD40L, caTLR4 and CD70), or using mRNA encoding a fusokine consisting of IFN-β and the ectodomain of the TGF-β receptor II [84,202].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [84]
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- cites [202]
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PremisecitationExpression of MLKL provokes a type of immunogenic cell death called necroptosis, which enables release of tumor-specific antigens and natural DAMPs that trigger antitumor responses.
“Indeed, the expression of the MLKL provokes a type of immunogenic cell death, called necroptosis, which enables the release of tumor-specific antigens and natural DAMPs that trigger antitumor responses.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [204]
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningIt is crucial to monitor immunosuppressive mechanisms that might hamper the evoked immunity.
“In addition, it is of crucial importance to keep a close eye on several immunosuppressive mechanisms that might hamper the evoked immunity.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationBell's palsy is a condition of temporary facial paralysis that has been linked to autoimmunity.
“This is a condition of temporary facial paralysis, which has been linked to autoimmunity [188].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [188]
Not checked in the free run.
May combine two claims.
PremisecitationBy localized expression of these immunomodulatory molecules, this strategy was able to break DC tolerance and activate tumor-specific T cell responses.
“By the localized expression of these immunomodulatory molecules, this strategy was able to break DC tolerance and to activate tumor-specific T cell responses.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [203] source
Not checked in the free run.
May combine two claims.
PremisecitationThran et al. evaluated an LNP formulation of sequence-engineered mRNA coding for prophylactic or therapeutic antibodies, which could provide protection against rabies infection, botulinum intoxication, and tumors.
“To give two examples, Thran et al. evaluated an LNP formulation of sequence-engineered mRNA coding for prophylactic or therapeutic antibodies.This could provide protection against rabies infection, botulinum intoxication, and tumors [201].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [201] source
Not checked in the free run.
Probably not a substantial claim: may not pass S4 (based).
Interpretationnone givenDistinct mRNA vaccines, varying in mRNA design, formulation and administration route, will exhibit differences in kinetics and cell-specificity for both mRNA expression and innate immune activation.
“There is, however no doubt that distinct mRNA vaccines, varying in mRNA design, formulation and administration route, will exhibit differences in kinetics and cell-specificity for both mRNA expression and innate immune activation.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationThese tools include transgenic reporter mouse strains, such as IFN-β reporter mice and Cre recombinase reporter mice, and fluorescent imaging mRNA probes that detect mRNA at high resolution.
“This includes the generation of transgenic reporter mouse strains, such as the IFN-β reporter mice and Cre recombinase (mRNA) reporter mice, as well as the development of fluorescent imaging mRNA probes that allow to detect mRNA at high resolution [90,158,[192][193][194][195].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [90,158,[192][193][194][195]
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May combine two claims.
PremisecitationThis mRNA platform represented a valid alternative to classic mRNA cancer vaccines, providing a strong infiltration of T cells able to eliminate tumors in mice.
“This mRNA platform represented a valid alternative to classic mRNA cancer vaccines, providing a strong infiltration of T cells able to eliminate tumors in mice.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [197] source
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenAdequate intracellular delivery of mRNA molecules, preferably by targeting APCs in vivo, is essential for mRNA vaccine success.
“Firstly, it is essential to ensure adequate intracellular delivery of mRNA molecules, preferably by targeting APCs in vivo.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationTwo papers showed that intravenous administration of unmodified mRNA lipid nanoparticles triggered a rapid and systemic induction of type I IFNs, involving selective targeting of dendritic cells and macrophages and activation of the TLR7 pathway.
“Two papers showed that the i.v.administration of unmodified mRNA LNPs triggered a rapid and systemic induction of type I IFNs, which involved the selective targeting of DCs and macrophages and the activation of the TLR7 pathway[92,136].”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
InterpretationreasoningBoth mRNA-encoded antigen expression and adequate immunostimulation are of crucial importance to the vaccine outcome.
“Both parameters are of crucial importance to the vaccine outcome, but are inherently linked to the structural properties of the mRNA molecule itself.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable). May combine two claims.
Interpretationnone givenMore extended clinical experience is needed to know how patients respond to mRNA vaccines, including comparative research to select the best suited mRNA platform and administration route and to show clear therapeutic benefits over other vaccine strategies.
“However, it is still waiting for a more extended clinical experience on how patients respond to mRNA vaccines, including more comparative research to select for the best suited mRNA platform and administration route, as well as to show clear therapeutic benefits over other vaccine strategies.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
InterpretationreasoningThe design of mRNA lipid nanoparticles requires a multi-objective solving approach in which overall mRNA transfection capacity depends on trade-offs between requirements to cross extra- and intracellular barriers, while precautions are needed to prevent potential nanoparticle inherent immune toxicities.
“We discussed that the design of these LNPs asks for a multi-objective solving approach in which the overall mRNA transfection capacity will depend on trade-offs between different requirements to cross the extra-and intracellular barriers, while precautions are needed to prevent potential nanoparticle inherent (immune) toxicities.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable), S4 (based).
Interpretationnone givenmRNA represents an attractive source of antigen in vaccination approaches.
“mRNA represents an attractive source of antigen in vaccination approaches”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenmRNA-encoded antigen expression and adequate immunostimulation are inherently linked to the structural properties of the mRNA molecule itself.
“Both parameters are of crucial importance to the vaccine outcome, but are inherently linked to the structural properties of the mRNA molecule itself.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Premisenone givenThere is currently a trend towards the use of lipid-based nanoparticles for both localized and systemic delivery of mRNA.
“Nowadays, there appears to be a trend towards the use of lipid-based nanoparticles for both localized and systemic delivery of mRNA.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenNanoformulation widens the administration and delivery options for mRNA vaccines.
“Nanoformulation widens the administration and delivery options for mRNA vaccines”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenType I IFN activity of mRNA vaccines might vary depending on the mRNA formulation, administration route, individual patient, and intended therapeutic application.
“Fundamental research should further focus on how to control the type I IFN activity of mRNA vaccines, which might vary depending on the mRNA formulation, administration route, the individual patient and the intended therapeutic application.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Interpretationnone givenFor clinical translation of mRNA LNP systems, meeting pharmaceutical and regulatory product requirements, including scale-up GMP manufacturing, quality control, stability testing, and safety and efficacy assessments in relevant animal models, is critical.
“For clinical translation of these mRNA LNP systems, it will also be critical to meet pharmaceutical-and regulatory product requirements, going from scale-up manufacturing under GMP conditions, quality control of these products, stability testing, and good safety and efficacy assessments during the pre-clinical stage in relevant animal models.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S4 (based).
Premisenone givenA fairly large knowledge gap about the in vivo behaviour of mRNA has been filled, both after delivery of naked mRNA or when formulated in nanoparticles, and for various immunization routes.
“Over the years, a fairly large knowledge gap about the in vivo behaviour of mRNA has been filled, both after the delivery of naked mRNA or when formulated in nanoparticles, and this for various immunization routes.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisenone givenPreclinical studies in non-human primates show accumulating evidence that mRNA vaccination is feasible, generally well-tolerated, and potentially beneficial over other traditional vaccine approaches.
“For prophylactic mRNA vaccines against infectious diseases, (pre-)clinical studies (in non-human primates) show accumulating evidence that mRNA vaccination is feasible, generally well-tolerated, and potentially beneficial over other traditional vaccine approaches.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Interpretationnone givenThe mRNA-induced type I IFN response might add to the immunogenicity of the mRNA vaccine.
“More specifically, although the mRNA-induced type I IFN response might add to the immunogenicity of the mRNA vaccine, it also interferes with the mRNA-encoded antigen expression and possibly even lead to deleterious immune effects.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenThe self-adjuvant effect of mRNA is a double-edged sword for vaccine efficacy.
“The self-adjuvant effect of mRNA is a double-edged sword for vaccine efficacy”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationnone givenEach structural element of IVT mRNA can be optimized and modified to modulate the stability, translation capacity, and immune-stimulatory profile of mRNA.
“Each of these elements can be optimized and modified in order to modulate the stability, translation capacity, and immune-stimulatory profile of mRNA.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
Premisenone givenBoth unformulated and nanoparticulate mRNA are used for direct in vivo vaccination.
“Both unformulated and nanoparticulate mRNA are used for direct in vivo vaccination”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenThe choice of amino lipids (cationic or ionizable lipids) and helper lipids impacts the structural arrangement and functional properties of formulated mRNA lipid nanoparticles.
“The choice of the amino lipids (cationic or ionizable lipids) and helper lipids will have an impact on the structural arrangement and functional properties of the formulated mRNA LNPs.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningmRNA approaches that do not necessarily rely on the self-adjuvant effect of mRNA are on the rise, such as replacement of type I IFN responses by more controllable adjuvant systems or using mRNA for passive immunization approaches.
“As such, mRNA approaches which do not necessarily rely on the self-adjuvant effect of mRNA are one the rise, such as the replacement of type I IFN responses by more controllable adjuvant systems, or using mRNA for passive immunization approaches.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationThe establishment of effective combination therapies that could increase the response rate of checkpoint inhibitors is an area of intensive investigation.
“Therefore, the establishment of effective combination therapies that could increase the response rate of checkpoint inhibitors is an area of intensive investigation [220,221].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [220]
Not checked in the free run.
- cites [221]
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisenone givenContradictory results have been reported about the role of type I IFN responses on the immunogenicity of mRNA vaccines.
“Contradictory results have been reported about the role of type I IFN responses on the immunogenicity of mRNA vaccines (see also section 2.3).”
Quote in the paperNot a substantial claim
The authors state this as an assumption.
When mRNA LNPs are prepared by admixing mRNA with pre-formed monolamellar liposomes containing a permanently-charged lipid, the liposomes reorganize to form a multi-lamellar structure in which mRNA molecules are sandwiched between concentric lipid bilayers.
“When mRNA LNPs are prepared by admixing mRNA with pre-formed (monolamellar) liposomes containing a permanently-charged lipid, it is assumed that the liposomes reorganize to form a multi-lamellar structure in which mRNA molecules are”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Modified nucleosides can be used to create mRNA vaccines with significantly improved translation efficiency.
“The modified nucleosides escape the type interferons (IFNs) induced antiviral pathways and are targeted to break and block invading mRNA; therefore they can be used to create mRNA vaccines with significantly improved translation efficiency (Verbeke et al. 2019).”
From Modifications of mRNA vaccine structural elements for improving mRNA stability and translation efficiency (2022) · cites this paper as Verbeke et al. 2019
Modified nucleosides escape type interferons (IFNs) induced antiviral pathways and are targeted to break and block invading mRNA.
“The modified nucleosides escape the type interferons (IFNs) induced antiviral pathways and are targeted to break and block invading mRNA; therefore they can be used to create mRNA vaccines with significantly improved translation efficiency (Verbeke et al. 2019).”
From Modifications of mRNA vaccine structural elements for improving mRNA stability and translation efficiency (2022) · cites this paper as Verbeke et al. 2019
The basic structure of mRNA is made up of a protein-encoding ORF, surrounded by 5′ and 3′ UTRs, a 7-methyl guanosine 5′ cap structure, and a 3′ poly(A) tail.
“The basic structure of mRNA, same as eukaryotic mRNA, is made up of (i) protein encoding ORF, surrounded by (ii) 5′ and 3′ UTRs, and (iii) a 7-methyl guanosine 5′ cap structure and (iv) a 3′poly(A) tail at the end sides (Verbeke et al. 2019; Schlake et al. 2012; Sahin et al. 2014) (Fig. 1).”
From Modifications of mRNA vaccine structural elements for improving mRNA stability and translation efficiency (2022) · cites this paper as Verbeke et al. 2019
The shell of Arteta et al.'s mRNA-LNPs is a monolayer.
“Another interesting finding by Arteta et al. is that the shell of their mRNA-LNPs is a monolayer (Yanez Arteta et al., 2018, Verbeke et al., 2019).”
From mRNA-lipid nanoparticle COVID-19 vaccines: structure and stability (2021) · cites this paper as Verbeke et al., 2019
Research into the use of mRNA as a source of protein has been around for three decades.
“research into the use of mRNA as a source of protein has been around for three decades [1]”
From The dawn of mRNA vaccines: the COVID-19 case (2021) · cites this paper as [1]
Several research groups underlined that the type I interferon response can act as a driving force for mRNA vaccines to elicit cytotoxic T cell responses.
“several research groups underlined that the type I IFN response can act as a driving force for mRNA vaccines to elicit cytotoxic T cell responses [1,60,61]”
From The dawn of mRNA vaccines: the COVID-19 case (2021) · cites this paper as [1]
mRNA transcripts containing modified nucleosides are created with lower immunostimulatory activity and a better safety profile.
“mRNA transcripts containing modified nucleosides, also known as nucleoside-modified mRNAs, are created with lower immunostimulatory activity and a better safety profile.”
From Modifications of mRNA vaccine structural elements for improving mRNA stability and translation efficiency (2022) · cites this paper as Verbeke et al. 2019
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Nano‐Oncologicals: A Tortoise Trail Reaching New Avenues
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- Authors
- Verbeke, R., Lentacker, I., De Smedt, S. C., & Dewitte, H.
- Affiliations
- Ghent University Hospital (BE)
- Vrije Universiteit Brussel (BE)
- Venue
- Nano Today
- Publisher
- Elsevier BV
- Published
- 2019-10
- Volume
- 28
- Pages
- 100766
- ISSN
- 1748-0132 (ISSN-L)
- OpenAlex
- W2969814123
- Cited by
- 342
- References
- 218
- Citations by year
- 2026: 50 · 2025: 45 · 2024: 48 · 2023: 61 · 2022: 55 · 2021: 69 · 2020: 14
- FWCI
- 13.84
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Nano Today (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Funders
- Agentschap voor Innovatie door Wetenschap en Technologie
- Fonds Wetenschappelijk Onderzoek
- Topics
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Keywords
- mRNA vaccines, mRNA, vaccine design, vaccine safety and efficacy, vaccine administration
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