Over 200 years ago,鈥疊ritish physician Edward Jenner鈥痬ade one of the greatest medical advancements of all time鈥痑nd鈥痙eveloped鈥痶he world鈥檚 first鈥痸accine.鈥疛enner鈥痮bserved that鈥痓y taking the fluid from a cowpox blister鈥痑nd injecting鈥痠t鈥痠nto a patient鈥痗ould鈥痵top them from contracting smallpox.鈥疭ince then,鈥痵cientists have created鈥痸irtually all鈥�蝉耻肠肠别蝉蝉蹿耻濒鈥痸补肠肠颈苍别蝉鈥痑gainst viruses using that same concept:鈥痝iving patients a small dose of the virus itself.鈥�
That was until鈥痬RNA鈥痗ame along鈥痑nd鈥痗reated game-changing possibilities for鈥痶he鈥�future of鈥痟ealthcare.鈥疻ith their high effectiveness,鈥痗apacity for rapid development, and potential for low鈥痯roduction costs,鈥痬RNA vaccines鈥痮ffer an鈥痑lternative to鈥痶he鈥痶raditional vaccine approach.鈥� The fast delivery of the world鈥檚 first mRNA-based vaccine, for COVID-19, put a global spotlight on the promise of mRNA technology. However, it is widely believed that this is only the beginning and there is huge potential for this innovative medical advancement to be used to treat a wide range of conditions from cancer to rare genetic diseases.
What is mRNA?
mRNA,鈥痮r messenger ribonucleic acid,鈥痠s a single-stranded RNA molecule鈥痶hat鈥痗arries the genetic information鈥痶hat is derived from DNA.鈥��
How do mRNA vaccines work?
An mRNA vaccine is a type of immunisation that uses a copy of messenger RNA to produce an immune response. The vaccine transfects molecules of synthetic RNA into immunity cells.鈥�
Put simply,鈥痬RNA vaccines work by providing a genetic code to cells that allow them to produce viral proteins.鈥疧nce the proteins have been鈥痗reated,鈥痶he body is then able to鈥痜orm an immune response to protect against the virus, enabling the body to鈥痙evelop鈥痠mmunity.鈥�
What are the advantages of mRNA over other vaccine approaches?
One of the main advantages of mRNA vaccines is that they can be a lot quicker to produce than traditional vaccines.鈥疓etting the body to produce the protein, rather than creating the protein in a lab,鈥痗uts out some of the manufacturing process,鈥痬aking鈥痷pscaling of production鈥痬ore straight-forward鈥痑nd making it possible to vaccinate on a large scale鈥痺ithin a鈥痵hort period of time.鈥疶his鈥痵hortened鈥痬anufacturing process also makes鈥痬RNA vaccines鈥痗heaper to produce鈥痶han traditional methods鈥痑nd less鈥痸ulnerable to unnecessary batch losses due to batch-to-batch variability.鈥疉s this manufacturing process is鈥痵equence dependent, it鈥痟ighly adaptable to鈥痙ifferent viruses. As use of the technology becomes more鈥痺idespread, the cost鈥痮f producing a vaccine through mRNA is鈥痚xpected to decrease.鈥�
Unlike viral-vectored vaccines, mRNA vaccines are considered safer鈥痓ecause they are not infecting the person receiving the immunisation with the virus.鈥疧ther methods also require chemicals and cell鈥痗ultures鈥痶o produce鈥痑n immunity response;鈥痺hereas mRNA is created through a cell-dependent process,鈥痺hich does not require inactivation,鈥痵o there is no risk of鈥痗ontamination鈥痺ith鈥痯otentially鈥痶oxic agents.鈥�
While it is still early days鈥痺ith mRNA vaccines, they have been proven to be highly effective in鈥痯reventing disease.鈥疪esearch has鈥痵hown that compared to traditional vaccines, mRNA vaccines can generate a strong form of鈥痠mmunity as they鈥痵timulate鈥痶he immune system to鈥痯roduce鈥痭ot just鈥痑ntibodies,鈥痓ut also鈥痥iller cells,鈥痝enerating a more effective response.鈥�
What opportunities are there for mRNA vaccines?
The success of the Covid-19 vaccines, that were first approved in鈥�2020, has made scientists extremely鈥痮ptimistic鈥痜or this new era in vaccination technology.鈥疪esearch has demonstrated mRNA vaccines鈥痯otency and versatility to protect against a wide variety of infectious鈥痸iruses, including鈥痸iruses such as influenza,鈥疎bola鈥痑nd Zika.鈥��
In addition to its鈥痑pplication in鈥痠nfectious diseases,鈥痵cientific鈥痳esearchers have been鈥痯ursuing鈥痶he potential for鈥痬RNA鈥痸accines to treat conditions such as cancer. In the same way that we can train our immune systems to recognise viral proteins, we could also use the technology to train them to recognise proteins on cancer cells. This approach would allow treatments to be personalised as scientists could study the cells of a specific person鈥檚 tumor and create a custom-made treatment that would help that individual鈥檚 own immune system defeat the cancer. However, this is no simple solution because there is often no clear protein target in cancer, yet ongoing clinical trials are showing mRNA to be effective for some cancer treatments such as melanoma.
In the future, mRNA therapies could also be available for rare diseases that are currently untreatable. If scientists can identify the genetic cause of a disease, in theory they should be able to go and edit that out and repair it using mRNA-based technology, but research into this area is still ongoing.
Found this blog interesting? Find out more about the RNA technology by checking out our RNAi blog.