Cited by 257RNA Interference and Gene DeliveryImmunotherapy and Immune ResponsesImmune responses and vaccinations

The DOI matches its Crossref record; 35 of the 36 references it cites were found in a registry or an index; 22 of the 35 sources its claims cite were checked for support.

Unmodified mRNA in LNPs constitutes a competitive technology for prophylactic vaccines

Open access

Abstract

mRNA represents a promising new vaccine technology platform with high flexibility in regard to development and production. Here, we demonstrate that vaccines based on sequence optimized, chemically unmodified mRNA formulated in optimized lipid nanoparticles (LNPs) are highly immunogenic and well tolerated in non-human primates (NHPs). Single intramuscular vaccination of NHPs with LNP-formulated mRNAs encoding rabies or influenza antigens induced protective antibody titers, which could be boosted and remained stable during an observation period of up to 1 year. First mechanistic insights into the mode of action of the LNP-formulated mRNA vaccines demonstrated a strong activation of the innate immune response at the injection site and in the draining lymph nodes (dLNs). Activation of the innate immune system was reflected by a transient induction of pro-inflammatory cytokines and chemokines and activation of the majority of immune cells in the dLNs. Notably, our data demonstrate that mRNA vaccines can compete with licensed vaccines based on inactivated virus or are even superior in respect of functional antibody and T cell responses. Importantly, we show that the developed LNP-formulated mRNA vaccines can be used as a vaccination platform allowing multiple, sequential vaccinations against different pathogens. These results provide strong evidence that the mRNA technology is a valid approach for the development of effective prophylactic vaccines to prevent infectious diseases.

Overview

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Written from the paper’s full text.

TL;DR

Sequence-optimized, chemically unmodified mRNA formulated in lipid nanoparticles (LNPs) induced protective antibody titers and durable immune responses in non-human primates after intramuscular vaccination. The platform was well tolerated, boostable, usable for sequential vaccination against different pathogens, and competitive with or superior to licensed inactivated-virus vaccines in humoral and T cell responses.

Key findings

  • A single intramuscular dose of LNP-formulated RABV-G mRNA induced rabies virus neutralization titers at or above the WHO protective threshold of 0.5 IU/ml in all non-human primates at day 28; a 10-fold higher mRNA dose yielded 10-fold higher titers. A single 10 µg dose of H1N1-HA mRNA/LNP induced H1N1 hemagglutination inhibition titers at or above the protective 1:40 threshold.
  • Boosting increased rabies VNTs 20-fold; titers stabilized at about 40 IU/ml for the 10 µg dose and about 4 IU/ml for the 1 µg dose. Recall vaccination 5 months later produced a rapid 10-fold VNT increase. H1N1-HI titers stabilized at about 640 and remained above the protective limit for 5 months, with stable titers until the end of a 1-year observation period.
  • Compared with licensed vaccines, RABV-G mRNA/LNP after one shot gave median VNTs of 4.9 IU/ml (10 µg) and 71.2 IU/ml (100 µg) versus 1.8 IU/ml for Rabipur®; after boost, 100 µg mRNA reached median 842 IU/ml versus 31.3 IU/ml for Rabipur®. H3N2-HA mRNA/LNP was comparable to or higher than Fluad®, and mRNA/LNP induced antigen-specific CD4+ and CD8+ T cell responses that were absent in Rabipur®- or Fluad®-vaccinated animals.
  • LNP-formulated mRNA induced transient local pro-inflammatory cytokines and chemokines, with TNF and IL-6 peaking at 14 h; more than 90% of T and B cells in draining lymph nodes expressed CD69 at 24 h, and CD11b+ Gr1+ cells increased 10-fold within 4 h. Injection-site reactions were limited to slight erythema and/or edema resolving in 1–6 days, with no pain on palpation.

Methods

  • Mice (BALB/c, 7–9 weeks) were vaccinated intramuscularly into the tibialis anterior with 25 µl at days 0 and 21; cynomolgus monkeys were vaccinated intramuscularly into the biceps femoris with 500 µl at days 0 and 28, with NHP groups of n = 2 male and 2 female per group.
  • Vaccines used sequence-optimized, chemically unmodified mRNA in LNPs composed of an ionizable amino lipid, phospholipid, cholesterol, and PEGylated lipid, encoding RABV-G, H1N1-HA, H3N2-HA, luciferase, or non-translatable fluorescent mRNA; licensed comparators were Rabipur® and Fluad®.
  • Analyses included in vivo luciferase imaging, cytokine/chemokine measurement by cytometric bead array or Luminex, flow cytometry of draining lymph nodes, rabies VNT by FAVN, influenza HI assays, intracellular cytokine staining, safety observations, and Mann–Whitney statistical tests.

Limitations

  • The paper states that further investigations are required to determine whether monocytes and granulocytes contribute to antigen transport to draining lymph nodes. It also notes that the vaccinated non-human primates were naïve to the influenza strains used, unlike most adult humans who have prior exposure or vaccination, so human responses may differ.
  • Evident from the text: NHP immunogenicity groups were small (n = 2 male, 2 female per group), and protection in NHPs was inferred from antibody correlates rather than live-virus challenge. The paper also states that the technology warrants clinical testing, so no human efficacy data are reported.

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Integrity signals

Registry

Crossref · 10.1038/s41541-017-0032-6

Cites

35 of 35 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Figures

Fig. 1 LNP formulation enhances protein expression in vivo after i.m. application. BALB/c mice (n = 4/group) were injected i.m. with non-formulated (mRNA) or LNP-formulated (mRNA/LNP) PpLuc mRNA. a 24 and 48 h after injection, luciferase expression was visualized in vivo by optical imaging. b Quantification of luciferase expression by luminescence. Values from individual mice (dots) and the median (solid lines) are reported for each group. Statistical analysis was performed using Mann–Whitney test. *p = 0.0286
Fig. 1 LNP formulation enhances protein expression in vivo after i.m. application. BALB/c mice (n = 4/group) were injected i.m. with non-formulated (mRNA) or LNP-formulated (mRNA/LNP) PpLuc mRNA. a 24 and 48 h after injection, luciferase expression was visualized in vivo by optical imaging. b Quantification of luciferase expression by luminescence. Values from individual mice (dots) and the median (solid lines) are reported for each group. Statistical analysis was performed using Mann–Whitney test. *p = 0.0286CC BY · PubMed Central
Fig. 2 LNP-formulated mRNA induces a pro-inflammatory environment. a–f BALB/c mice (n = 6/group) were vaccinated i.m. with 10 µg non-formulated (mRNA) or LNP-formulated RABV-G mRNA (mRNA/LNP), or with buffer. Muscle tissues, dLNs and serum samples were isolated and cytokine (a–c) or chemokine content (d–f) was measured in protein lysates and sera by cytometric bead array (CBA). g, h BALB/c mice (n = 3/group) were injected i.m. in both legs with 10 µg non-formulated (F*mRNA) or LNP-formulated F*mRNA (F*mRNA/LNP), or with buffer. Right and left dLNs were isolated and analyzed separately by flow cytometry. Numbers of each cell population (g) and frequency of activated immune cells (h) in the dLNs are shown. Values represent mean of six samples with SD
Fig. 2 LNP-formulated mRNA induces a pro-inflammatory environment. a–f BALB/c mice (n = 6/group) were vaccinated i.m. with 10 µg non-formulated (mRNA) or LNP-formulated RABV-G mRNA (mRNA/LNP), or with buffer. Muscle tissues, dLNs and serum samples were isolated and cytokine (a–c) or chemokine content (d–f) was measured in protein lysates and sera by cytometric bead array (CBA). g, h BALB/c mice (n = 3/group) were injected i.m. in both legs with 10 µg non-formulated (F*mRNA) or LNP-formulated F*mRNA (F*mRNA/LNP), or with buffer. Right and left dLNs were isolated and analyzed separately by flow cytometry. Numbers of each cell population (g) and frequency of activated immune cells (h) in the dLNs are shown. Values represent mean of six samples with SDCC BY · PubMed Central
Fig. 3 LNP-formulated mRNA vaccine induces humoral and cellular immune responses in mice. BALB/c mice (n = 10/group) were vaccinated i.m. at days 0 and 21 with non-formulated RABV-G mRNA (mRNA), LNP-formulated RABV-G mRNA (mRNA/LNP) or with buffer. Rabies VNTs were analyzed in the sera 3 weeks after prime (a) and 2 weeks after boost vaccination (b). Splenocytes were stimulated 2 weeks after boost vaccination with an overlapping peptide library covering the RABV-G protein. Frequencies of antigen-specific, multifunctional (IFN-γ+/TNF+) CD8+ (c) and CD4+ (d) T cells were detected by intracellular cytokine staining. Values from individual mice (dots) and the median (solid lines) are reported for each group. The dashed line indicates the conventionally defined protective titers of 0.5 IU/ml for rabies VNTs. Statistical analysis was performed using Mann–Whitney test. ****p < 0.0001
Fig. 3 LNP-formulated mRNA vaccine induces humoral and cellular immune responses in mice. BALB/c mice (n = 10/group) were vaccinated i.m. at days 0 and 21 with non-formulated RABV-G mRNA (mRNA), LNP-formulated RABV-G mRNA (mRNA/LNP) or with buffer. Rabies VNTs were analyzed in the sera 3 weeks after prime (a) and 2 weeks after boost vaccination (b). Splenocytes were stimulated 2 weeks after boost vaccination with an overlapping peptide library covering the RABV-G protein. Frequencies of antigen-specific, multifunctional (IFN-γ+/TNF+) CD8+ (c) and CD4+ (d) T cells were detected by intracellular cytokine staining. Values from individual mice (dots) and the median (solid lines) are reported for each group. The dashed line indicates the conventionally defined protective titers of 0.5 IU/ml for rabies VNTs. Statistical analysis was performed using Mann–Whitney test. ****p < 0.0001CC BY · PubMed Central
Fig. 4 mRNA vaccines induce protective antibody titers against RABV-G and H1N1-HA in NHPs. NHPs (n = 2 m, 2 f per group) were vaccinated i.m. with the respective mRNA/LNP vaccines. a Rabies VNTs in the sera before and 28 days after prime vaccination with RABV-G mRNA/LNP. b Kinetic of rabies VNTs in the sera. c Rabies VNTs in the plasma before and 5 days after recall vaccination, which was performed 5 months after boost vaccination. d H1N1-HI titers in the sera of NHPs before and 28 days after prime vaccination with H1N1-HA mRNA/LNP. e Kinetic of H1N1-HI titers after H1N1-HA mRNA/LNP vaccinations. Animals received also an explorative H3N2-HA mRNA/non-LNP vaccine at days 182 and 210, which turned out to be not immunogenic. Values from individual animals (dots) are reported for each group. The median (solid lines) is reported in a, c, d. Dashed lines indicate the conventionally defined protective titers of 0.5 IU/ml for rabies VNTs and 1:40 for HI
Fig. 4 mRNA vaccines induce protective antibody titers against RABV-G and H1N1-HA in NHPs. NHPs (n = 2 m, 2 f per group) were vaccinated i.m. with the respective mRNA/LNP vaccines. a Rabies VNTs in the sera before and 28 days after prime vaccination with RABV-G mRNA/LNP. b Kinetic of rabies VNTs in the sera. c Rabies VNTs in the plasma before and 5 days after recall vaccination, which was performed 5 months after boost vaccination. d H1N1-HI titers in the sera of NHPs before and 28 days after prime vaccination with H1N1-HA mRNA/LNP. e Kinetic of H1N1-HI titers after H1N1-HA mRNA/LNP vaccinations. Animals received also an explorative H3N2-HA mRNA/non-LNP vaccine at days 182 and 210, which turned out to be not immunogenic. Values from individual animals (dots) are reported for each group. The median (solid lines) is reported in a, c, d. Dashed lines indicate the conventionally defined protective titers of 0.5 IU/ml for rabies VNTs and 1:40 for HICC BY · PubMed Central
Fig. 5 mRNA vaccines induce in NHPs stronger humoral and cellular responses against rabies or H3N2 influenza than licensed vaccines. a Rabies VNTs in the sera of NHPs (n = 2 m, 2 f per group) vaccinated with RABV-G mRNA/LNP at days 0 and 28, or with the inactivated rabies virus vaccine Rabipur® at days 0 and 28 (one boost) or days 0, 7, and 28 (two boosts). b H3N2-HI titers in the sera of NHPs (n = 2 m, 2 f per group) vaccinated at days 0 and 28 with H3N2-HA mRNA/LNP or the adjuvanted vaccine Fluad®. c, d Frequencies of RABV-G-specific IFNγ+/IL-2+ CD4+ and IFNγ+/GrzB+ CD8 T cells in the blood 7 days after the last vaccination (day 35). PBMCs were either stimulated with an overlapping peptide library covering the RABV-G protein (RABV-G peptides) or unstimulated (media) and analyzed by ICS. e Frequencies of H3N2-HA-specific IFNγ+/IL-2+ CD4+ cells in the blood 7 days after the last vaccination (day 35). PBMCs were either stimulated with an overlapping peptide library covering the H3N2-HA protein (H3N2-HA peptides) or unstimulated (media) and analyzed by ICS. Gating is shown in Supplementary Fig. 2. Values from individual animals (dots) and the median (solid lines) are reported for each group. Dashed lines indicate the conventionally defined protective titers of 0.5 IU/ml for rabies VNTs and 1:40 for HI
Fig. 5 mRNA vaccines induce in NHPs stronger humoral and cellular responses against rabies or H3N2 influenza than licensed vaccines. a Rabies VNTs in the sera of NHPs (n = 2 m, 2 f per group) vaccinated with RABV-G mRNA/LNP at days 0 and 28, or with the inactivated rabies virus vaccine Rabipur® at days 0 and 28 (one boost) or days 0, 7, and 28 (two boosts). b H3N2-HI titers in the sera of NHPs (n = 2 m, 2 f per group) vaccinated at days 0 and 28 with H3N2-HA mRNA/LNP or the adjuvanted vaccine Fluad®. c, d Frequencies of RABV-G-specific IFNγ+/IL-2+ CD4+ and IFNγ+/GrzB+ CD8 T cells in the blood 7 days after the last vaccination (day 35). PBMCs were either stimulated with an overlapping peptide library covering the RABV-G protein (RABV-G peptides) or unstimulated (media) and analyzed by ICS. e Frequencies of H3N2-HA-specific IFNγ+/IL-2+ CD4+ cells in the blood 7 days after the last vaccination (day 35). PBMCs were either stimulated with an overlapping peptide library covering the H3N2-HA protein (H3N2-HA peptides) or unstimulated (media) and analyzed by ICS. Gating is shown in Supplementary Fig. 2. Values from individual animals (dots) and the median (solid lines) are reported for each group. Dashed lines indicate the conventionally defined protective titers of 0.5 IU/ml for rabies VNTs and 1:40 for HICC BY · PubMed Central

Verification

Claims the paper makes

60 Own result · 22 Own interpretation · 7 Partly supported · 7 No full text of the sources · 4 Supported · 2 Supported so far · 1 No basis given · accuracy not yet measured

  • It may state two separate claims as one. 32
  • Probably not a substantial claim. 1
33 of 33
  • The paper relies on this without support.

    Muscle tissue has low infiltration by immune cells and lacks costimulatory molecules and optimal antigen presentation on muscle cells.

    “The induction of strong immune responses after intramuscular injection of mRNA represents a very high hurdle due to a low infiltration of muscle tissue by immune cells and the lack of costimulatory molecules and optimal antigen presentation on muscle cells.”
  • The paper relies on this without support.

    Potent intramuscular mRNA vaccines must allow high antigen expression and presentation and induce strong immunostimulatory signals to improve immune cell infiltration.

    “Thus, potent intramuscular mRNA vaccines must allow high antigen expression and presentation and induce strong immunostimulatory signals to improve immune cell infiltration.”
  • The paper relies on this without support.

    Immunogenicity and protection data in non-human primates predict efficacy of prophylactic vaccines in humans.

    “In the present study, we compare mRNA vaccines to licensed vaccines based on inactivated virus and demonstrate that unmodified mRNA, formulated in optimized LNPs, fulfills all the key requirements to be a viable vaccine platform for human prophylaxis.”
  • The paper relies on this without support.

    Fluad® contains the surface antigens HA and neuraminidase of the influenza strains H1N1, H3N2 and B/Brisbane, as well as the adjuvant MF59C.1.

    “Fluad® contains the surface antigens HA and neuraminidase of the influenza strains H1N1, H3N2 and B/Brisbane, as well as the adjuvant MF59C.1.”
  • The paper relies on this without support.

    Nonhuman primates mimic the human situation most closely.

    “we tested whether this also translates to NHPs, which mimic the human situation most closely.”
  • The paper relies on this without support.

    The antibody titers measured serve as correlates of protection for rabies and influenza.

    “were maintained during this period well above the titers that serve as correlate of protection.”
6 of 6

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Metadata

Authors
Lutz, J., Lazzaro, S., Habbeddine, M., Schmidt, K. E., Baumhof, P., Mui, B. L., Tam, Y. K., Madden, T. D., Hope, M. J., Heidenreich, R., & Fotin-Mleczek, M.
Affiliations
  • CureVac (Germany) (DE)
  • Acuitas Therapeutics (Canada) (CA)
Venue
npj Vaccines
Published
2017-10-19
Volume
2
Issue
1
Pages
29-29
ISSN
2059-0105 (ISSN-L)
OpenAlex
W2761745911
Cited by
257
References
36
Citations by year
2026: 13 · 2025: 25 · 2024: 39 · 2023: 39 · 2022: 41 · 2021: 51 · 2020: 26 · 2019: 14 · 2018: 9
FWCI
4.77
Type
journal article
Language
en
Open access
Locations
  • npj Vaccines (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (submittedVersion, cc-by)
  • PubMed Central (submittedVersion, cc-by)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
  • Life Sciences › Immunology and Microbiology › Immunology › Immune responses and vaccinations
Keywords
mRNA vaccines, lipid nanoparticles, rabies vaccine, influenza vaccination, prophylactic vaccination, non-human primates, intramuscular vaccination, antibody response, T cell response, innate immune activation, draining lymph nodes, cytokines and chemokines, sequential vaccination, vaccine platforms

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