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Messenger RNA vaccines for cancer immunotherapy: progress promotes promise
Amanda L. Huff, Elizabeth M. Jaffee, Neeha Zaidi
Amanda L. Huff, Elizabeth M. Jaffee, Neeha Zaidi
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Review

Messenger RNA vaccines for cancer immunotherapy: progress promotes promise

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Abstract

The COVID-19 pandemic has elevated mRNA vaccines to global recognition due to their unprecedented success rate in protecting against a deadly virus. This international success is underscored by the remarkable versatility, favorable immunogenicity, and overall safety of the mRNA platform in diverse populations. Although mRNA vaccines have been studied in preclinical models and patients with cancer for almost three decades, development has been slow. The recent technological advances responsible for the COVID-19 vaccines have potential implications for successfully adapting this vaccine platform for cancer therapeutics. Here we discuss the lessons learned along with the chemical, biologic, and immunologic adaptations needed to optimize mRNA technology to successfully treat cancers.

Authors

Amanda L. Huff, Elizabeth M. Jaffee, Neeha Zaidi

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Figure 3

Outstanding questions for RNA-based cancer therapeutics.

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Outstanding questions for RNA-based cancer therapeutics.
Several questio...
Several questions remain as to how mRNA vaccines can be best applied for cancer treatment. These include questions related to optimal cell-specific targeting; balancing of antigen expression with immunogenicity of the mRNA construct; optimal cancer antigens to be targeted; route of injection; manufacturability and stability of the vaccine; minimizing of off-target effects; and optimization of combinatorial therapies to synergize with mRNA vaccines.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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