Analiza przeprowadzona na podstawie danych bibliometrycznych biblioteki PubMed. Dane dotycza publikacji zawierajacych w tytulach i abstraktach zwrot "vaccine*“,”mRNA" oraz deskryptor “human[HT]” wraz z translacją słownika MeSH

Dane wejściowe

Zastosowana kwerenda:

## [1] "(mrna vaccine*[Title/Abstract]) AND human[mh]"

Translacja MeSH zapytania:

## [1] "(mrna vaccine[Title/Abstract] OR mrna vaccines[Title/Abstract]) AND \"humans\"[MeSH Terms]"

Liczba otrzymanych wyników:

## [1] 97

Charakterystyka otrzymanego zbioru

Zakres czasowy otrzymanych publikacji obejmuje lata 2009-2020. Do analizy włączono 94 dokumenty, z czego 59 dotyczy publikacji naukowych. Liczba publikacji wzrastała średnio o 33,5% w porównaniu do roku poprzedniego. Najwięcej publikacji zostało opublikowanych w 2020 r. W 2020 r. opublikowano 24 publikacje dotyczące poruszanej tematyki.

Description Results
Timespan 2009:2020
Sources (Journals, Books, etc) 61
Documents 96
Average years from publication 3.98
Average citations per documents 0
Average citations per year per doc 0
References 10

Roczny wskaźnik wzrostu liczby publikacji

## [1] 34.47264

Rozkład publikacji w ujęciu rocznym


Analiza bibliograficzna

Przegląd zawiera 77 artykułów opublikowanych w czasopismach naukowych. 6 publikacji dotyczy badań klinicznych I fazy.

Description Results
clinical trial, phase i 6
comparative study 1
editorial 2
journal article 79
letter 5
news 3

Sieć współpracy naukowej

Sieć współpracy naukowej określa relację, w której obiektami są autorzy, natomiast nicie pomiędzy obiektami oznaczają autorów współtworzących publikację. Kolor oznacza utworzone klastry.

Rozkład produktywności autorów i liczby cytowań w ujęciu rocznym

Wykres przedstawia liczbę publikacji oraz całkowitą liczbę cytowań autorów (top n=10) poszczególnych latach objętych analizą.


Charakterystyka ośrodków naukowych


Liczba artykułów w podziale na źródło publikacji - top n=10

Sources Articles
MOLECULAR THERAPY : THE JOURNAL OF THE AMERICAN SOCIETY OF GENE THERAPY 7
EXPERT REVIEW OF VACCINES 4
METHODS IN MOLECULAR BIOLOGY (CLIFTON N.J.) 4
THE NEW ENGLAND JOURNAL OF MEDICINE 4
CELL RESEARCH 3
FRONTIERS IN IMMUNOLOGY 3
NATURE 3
NATURE BIOTECHNOLOGY 3
BIOMATERIALS 2
BIOTECHNOLOGY ADVANCES 2

Współwystępowanie słów kluczowych

Analiza CO-WORD

Eksploracja wyrazów ze względu na częstotliwość wystąpień w przeglądzie literatury

Hierarchiczna analiza klastrów HCA

Wysokość klamry osi y wskazuje dystans między klastrami. Im wyższa wysokość połączenia między obserwacjami, tym mniej podobne są do siebie obiekty. Odległość na osi x nie stanowi kryterium podobieństwa.

Analiza struktur pojęciowych

W analizie wykorzystano analizę korespondencji w celu wydobycia struktury pojęciowej wyrazów przez redukcję ich odmian i pochodnych. Na podstawie otrzymanej struktury metodą k-średnich wyznaczono współrzędne k-punktów, będących środkiem klastra. Otrzymane klastry skupiają wyrazy o wspólnych pojęchach zredukowane do ich podstaw lub rdzenia.

Mapa tematyczna

Mapa tematyczna klasyfikuje klastry wyrazów na podstawie stopnia jej wykorzystania w literaturze.

  1. Prawa górna ćwiartka - terminologia techniczna (niezwiązana bezpośrednio z poruszanym tematem)
  2. Prawa dolna ćwiartka - terminologia podstawowa (tworząca fundament literatury)
  3. Lewa górna ćwiartka - terminologia bardzo specjalistyczna lub niszowa
  4. Lewa dolna ćwiartka- terminologia dodatkowa (terminy związane z analizowanym tematem, które w literaturze pojawiają się fakultatywnie)

Synteza wyników abstraktów

## [[1]]
## [1] " In conclusion, we show here that direct injection of  protamine-protected mRNA is feasible and safe."                                                                                                                                                                                                                                                  
## [2] " The significant influence of the  treatment on the frequency of immunosuppressive cells, the increase of  vaccine-directed T cells upon treatment in a subset of patients together with  the demonstration of a complete clinical response encourage further clinical  investigation of the protamine-mRNA vaccine.  DOI: 10.1097/CJI.0b013e3181a00068"
## 
## [[2]]
## [1] " RECENT FINDINGS: Conventional as well as self-replicating mRNA vaccines have  demonstrated their potential to prevent the induction of an allergic phenotype  in terms of allergen-specific IgE, allergy-associated cytokine profiles,  eosinophilic lung infiltration, and airway hyperreactivity."                                                                              
## [2] " Preliminary data  raise the question whether TH1 immune deviation induced by mRNA vaccination  resembles the natural phenotype of a certain proportion of nonatopic  individuals.Reservations regarding Good Manufacturing Practices manufacture  costs, shelf life stability, and lack of immunogenicity due to rapid in-vivo  degradation have been overcome by novel findings."
## [3] " SUMMARY: mRNA vaccines open the field for a safety-optimized prophylactic  vaccination against allergic diseases."                                                                                                                                                                                                                                                                
## [4] " Future studies concerning long-term  effects and vaccine-induced versus natural immune responses will be needed to  transfer this knowledge to the clinics.  DOI: 10.1097/ACI.0b013e32833fd5b6"                                                                                                                                                                                   
## 
## [[3]]
## [1] " In conclusion, two-component mRNA vaccines with self-adjuvanting  activity induce balanced adaptive immune responses and mediate sustained  antitumor activity.  DOI: 10.1097/CJI.0b013e3181f7dbe8"
## 
## [[4]]
## [1] " mRNA vaccination as a safe approach for specific protection from type I allergy.  Weiss R(1), Scheiblhofer S, Roesler E, Weinberger E, Thalhamer J.  Author information: (1)University of Salzburg, Christian Doppler Laboratory for Allergy Diagnosis &  Therapy, Hellbrunnerstrasse 34, 5020 Salzburg, Austria.  Allergic diseases are on the increase and current therapies are lacking in  efficacy and patient compliance."                                                                                                                                         
## [2] " In recent years, the idea of prophylactic  measures, especially for children at high risk for allergy, has become  increasingly popular."                                                                                                                                                                                                                                                                                                                                                                                                                                
## [3] " This review summarizes the available preclinical data for  protective allergy vaccines, with a focus on one of the most promising vaccine  candidates; mRNA vaccines."                                                                                                                                                                                                                                                                                                                                                                                                   
## [4] " Recently, mRNA vaccines have been rediscovered as an  alternative to their more prominent counterparts, the DNA vaccines.  Allergen-encoding mRNA vaccines elicit long-lasting protection from  sensitization, and induce a type of immunity similar to the natural protective  response that is acquired in the presence of microbial burden early in life.  Owing to their excellent safety profile, they represent the ideal candidates for  a vaccine that aims to protect at-risk children who have not yet been sensitized  to allergens.  DOI: 10.1586/erv.11.168"
## 
## [[5]]
## [1] " The two-component mRNA vaccines induce a very fast and boostable  immune response."                                                                                                                                                                                                                                                         
## [2] " Therefore, the vaccination schedules can be adjusted to suit  the clinical situation."                                                                                                                                                                                                                                                      
## [3] " Moreover, by combining the mRNA vaccines with therapies  in clinical use (chemotherapy or anti-CTLA-4 antibody therapy), an even more  effective anti-tumor response can be elicited."                                                                                                                                                      
## [4] " The first clinical data obtained  from two separate Phase I/IIa trials conducted in PCA (prostate cancer) and  NSCLC (non-small cell lung carcinoma) patients have shown that the two-component  mRNA vaccines are safe, well tolerated and highly immunogenic in humans.  Copyright © 2012 John Wiley & Sons, Ltd.  DOI: 10.1002/jgm.2605"
## 
## [[6]]
## [1] " Based on in situ  protein expression, mRNA vaccines are capable of inducing a balanced immune  response comprising both cellular and humoral immunity while not subject to MHC  haplotype restriction."                                                                                                                     
## [2] " In addition, mRNA is an intrinsically safe vector as it  is a minimal and only transient carrier of information that does not interact  with the genome."                                                                                                                                                                   
## [3] " Because any protein can be expressed from mRNA without the need  to adjust the production process, mRNA vaccines also offer maximum flexibility  with respect to development."                                                                                                                                              
## [4] " Taken together, mRNA presents a promising vector  that may well become the basis of a game-changing vaccine technology platform.  Here, we outline the current knowledge regarding different aspects that should  be considered when developing an mRNA-based vaccine technology.  DOI: 10.4161/rna.22269 PMCID: PMC3597572"
## 
## [[7]]
## [1] " Here we show that mRNA vaccines induce balanced, long-lived  and protective immunity to influenza A virus infections in even very young and  very old mice and that the vaccine remains protective upon thermal stress."
## [2] " This  vaccine format elicits B and T cell-dependent protection and targets multiple  antigens, including the highly conserved viral nucleoprotein, indicating its  usefulness as a cross-protective vaccine."           
## [3] " In ferrets and pigs, mRNA vaccines  induce immunological correlates of protection and protective effects similar to  those of a licensed influenza vaccine in pigs."                                                    
## [4] " Thus, mRNA vaccines could address  substantial medical need in the area of influenza prophylaxis and the broader  realm of anti-infective vaccinology.  DOI: 10.1038/nbt.2436"                                          
## 
## [[8]]
## NULL
## 
## [[9]]
## [1] " This greatly reduces general  complications associated with biological vaccine production, such as handling of  infectious agents, genetic variability, environmental risks, or restrictions to  vaccine distribution. (3) RNA can be tailored to provide potent adjuvant stimuli  to the innate immune system by direct activation of RNA-specific receptors; this  may reduce the need for additional adjuvants."
## [2] " The formation of native antigen in  situ affords great versatility, including intracellular localization, membrane  association, posttranslational modification, supra-molecular assembly, or  targeted structural optimization of delivered antigen."                                                                                                                                                             
## [3] " Messenger RNA vaccines  induce balanced immune responses including B cells, helper T cells, and  cytotoxic T lymphocytes, rendering them an extremely adaptable platform."                                                                                                                                                                                                                                         
## [4] " This  article surveys the design, mode of action, and capabilities of state-of-the-art  mRNA vaccines, focusing on the paradigm of influenza prophylaxis.  Copyright © 2013 John Wiley & Sons, Ltd.  DOI: 10.1002/wrna.1189"                                                                                                                                                                                      
## 
## [[10]]
## [1] " Whereas initial studies were limited  to the ex vivo loading of dendritic cells (DCs) with antigen-encoding mRNA,  recent progress has led to the development of improved mRNA vaccines that enable  direct in vivo targeting of DCs."                                                                   
## [2] " Although preclinical studies demonstrated their  potency in inducing antitumor immunity, several bottlenecks hinder the broader  application of mRNA vaccines."                                                                                                                                          
## [3] " In this review, we discuss the challenges  associated with mRNA-based vaccination strategies, the technological advances  that have been made to overcome these limitations, and the hurdles that remain  to be tackled for the development of an optimal mRNA vaccine.  Copyright © 2013 Elsevier Ltd."
## [4] " All rights reserved.  DOI: 10.1016/j.molmed.2013.09.002"                                                                                                                                                                                                                                                 
## 
## [[11]]
## [1] " As an alternative to allergen-specific  immunotherapy, prophylactic vaccination against type I allergic diseases could  slow down or even stop the progress of the allergy pandemic."                                                                             
## [2] " Allergen-encoding  gene-based vaccines, i.e., plasmid DNA and mRNA vaccines, provide the advantage  of purity over crude allergen extracts, which involve the risk of de novo  sensitizations."                                                                   
## [3] " Furthermore, these formulations have been demonstrated to induce  T helper 1 as well as T regulatory immune responses--a pre-requisite for  prophylactic intervention against allergies."                                                                         
## [4] " However, prophylactic vaccines  against environmental allergens strikingly differ from conventional vaccines  against infectious diseases or therapeutic approaches concerning the underlying  immunological mechanisms.  DOI: 10.4161/hv.27183 PMCID: PMC4130253"
## 
## [[12]]
## [1] " Curevacs' mRNA containing  vaccines (RNActive®) combine the beneficial properties of sufficient  antigen-expression, autologous immune-stimulation and a high flexibility with  respect to production and application."                                                                                                                             
## [2] " CV9103 and CV9104 are novel  RNActive®-derived anticancer vaccines for the treatment of patients with  prostate cancer."                                                                                                                                                                                                                            
## [3] " After successful phase I/II studies with documentation of good  tolerability and favorable immune-activation of CV9103, the vaccine CV9104 is  currently undergoing clinical testing in specific clinical settings such as  castration resistant prostate cancer and as a neoadjuvant agent in men with high  risk prostate cancer prior to surgery."
## [4] " This review discusses the available  preclinical and clinical data on the anticancer vaccination treatment with  RNActive®-derived anticancer-vaccines CV9103 and CV9104.  DOI: 10.4161/hv.29553 PMCID: PMC4514038"                                                                                                                                 
## 
## [[13]]
## [1] " Like other  types of nucleic acid vaccines, mRNA vaccines have the potential to combine the  positive attributes of live attenuated vaccines while obviating many potential  safety limitations."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
## [2] " Although data from initial clinical trials appear  encouraging, mRNA vaccines are far from a commercial product."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
## [3] " These initial  approaches have spurred innovations in vector design, non-viral delivery,  large-scale production and purification of mRNA to quickly move the technology  forward."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
## [4] " Some improvements have already been tested in preclinical models for  both prophylactic and therapeutic vaccine targets and have demonstrated their  ability to elicit potent and broad immune responses, including functional  antibodies, type 1 T helper cells-type T cell responses and cytotoxic T cells.  Though the initial barriers for this nucleic acid vaccine approach seem to be  overcome, in our opinion, the future and continued success of this approach lies  in a more extensive evaluation of the many non-viral delivery systems described  in the literature and gaining a better understanding of the mechanism of action  to allow rational design of next generation technologies.  DOI: 10.1517/17425247.2014.901308"
## 
## [[14]]
## [1] " Although antigen-specific immunotherapy induced by therapeutic  HPV vaccines was proved extremely efficacious in pre-clinical models, its  progression through clinical trials suffered poor responses in the initial  trials."                                                                                                                                                                                                                                                                                                                                                                            
## [2] " Later attempts seem to have been more promising, particularly against  the well-defined precursors of cervical, anal or vulvar cancer, where the local  immunosuppressive milieu is less active."                                                                                                                                                                                                                                                                                                                                                                                                          
## [3] " This review focuses on the advances  made in these fields, highlighting several new technologies (such as mRNA  vaccine, plant-derived vaccine)."                                                                                                                                                                                                                                                                                                                                                                                                                                                          
## [4] " The most promising immunotherapies used in  clinical trials are also summarized, along with integrated strategies,  particularly promising in controlling tumor metastasis and in eliminating cancer  cells altogether.After the early promising clinical results, the development of  therapeutic HPV vaccines need to be implemented and applied to the users in  order to eradicate HPV-associated malignancies, eradicating existing perception  (after the effectiveness of commercial preventive vaccines) that we have already  solved the problem.  DOI: 10.1186/1756-9966-33-29 PMCID: PMC3986944"
## 
## [[15]]
## [1] " Pharmacodynamic analyses  include the assessment of immune responses to the antigens encoded by CV9202 and  others not included in the panel (antigen spreading) and standard efficacy  assessments."
## [2] " DISCUSSION: RNActive self-adjuvanted mRNA vaccines offer the potential for  simultaneously inducing immune responses to a wide panel of antigens commonly  expressed in tumors."                     
## [3] " This trial will assess the feasibility of this approach in  combination with local radiotherapy in NSCLC patients."                                                                                  
## [4] " TRIAL REGISTRATION: Clinicaltrials.gov: NCT01915524/EudraCT No.: 2012-004230-41.  DOI: 10.1186/1471-2407-14-748 PMCID: PMC4195907"                                                                   
## 
## [[16]]
## [1] " Today, these issues are no longer perceived as  barriers in the widespread implementation of the technology."                                                                                                                                                                                                  
## [2] " Currently,  nonamplifying mRNA vaccines are under investigation in human clinical trials and  can be produced at a sufficient quantity and quality to meet regulatory  requirements."                                                                                                                          
## [3] " If the encouraging preclinical data with self-amplifying mRNA  vaccines are matched by equivalently positive immunogenicity, potency, and  tolerability in human trials, this platform could establish nucleic acid  vaccines as a versatile new tool for human immunization.  Copyright © 2015 Elsevier Inc."
## [4] " All rights reserved.  DOI: 10.1016/bs.adgen.2014.10.005"                                                                                                                                                                                                                                                       
## 
## [[17]]
## [1] " Although immune responses are generated by  naked mRNAs, their formulations with chemical carriers are expected to provide  more specificity and internalization in dendritic cells (DCs) for better immune  responses and dose reduction."           
## [2] " This review reports lipid-based formulations  (LBFs) that have proved preclinical efficacy."                                                                                                                                                          
## [3] " The selective delivery of mRNA  LBFs to favor intracellular accumulation in DCs and reduction of the effective  doses is discussed, notably to decorate LBFs with carbohydrates or glycomimetics  allowing endocytosis in DCs."                       
## [4] " We also report how smart intracellular delivery is  achieved using pH-sensitive lipids or polymers for an efficient mRNA escape from  endosomes and limitations regarding cytosolic mRNA location for translation.  DOI: 10.1586/14760584.2015.986104"
## 
## [[18]]
## [1] " Current Developments in Actively Personalized Cancer Vaccination with a Focus on  RNA as the Drug Format.  Diken M, Kreiter S, Kloke B, Sahin U.  Developments in sequencing technologies have not only led to a rapid generation  of genomic and transcriptional data from cancer patients, but also revealed the  vast diversity of cancer-specific changes in patient tumors."                 
## [2] " Among these,  mutation changes in the protein sequence can result in novel epitopes recognized  by the immune system and, therefore, can be employed in the development of  personalized vaccines."                                                                                                                                                                                               
## [3] " Thanks to its easy design and scalable GMP production,  vaccines based on mRNAs coding for mutated epitopes have emerged as a reliable  strategy for the exploitation of the potential of patient-specific genomic data.  In this review, we provide an overview of recent developments in actively  personalized vaccinations, with a special focus on the promise of mRNA vaccines.  © 2015 S."
## [4] " Karger AG, Basel.  DOI: 10.1159/000437184"                                                                                                                                                                                                                                                                                                                                                        
## 
## [[19]]
## [1] " RNA-Based Vaccines in Cancer Immunotherapy.  McNamara MA(1), Nair SK(2), Holl EK(3).  Author information: (1)Department of Medicine, Duke University Medical Center, Durham, NC 27710,  USA. (2)Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA  ; Department of Pathology, Duke University Medical Center, Durham, NC 27710,  USA. (3)Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.  RNA vaccines traditionally consist of messenger RNA synthesized by in vitro  transcription using a bacteriophage RNA polymerase and template DNA that encodes  the antigen(s) of interest."
## [2] " Once administered and internalized by host cells,  the mRNA transcripts are translated directly in the cytoplasm and then the  resulting antigens are presented to antigen presenting cells to stimulate an  immune response."                                                                                                                                                                                                                                                                                                                                                                                                                
## [3] " Alternatively, dendritic cells can be loaded with either tumor  associated antigen mRNA or total tumor RNA and delivered to the host to elicit a  specific immune response."                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
## [4] " In this review, we will explain why RNA vaccines  represent an attractive platform for cancer immunotherapy, discuss modifications  to RNA structure that have been developed to optimize mRNA vaccine stability and  translational efficiency, and describe strategies for nonviral delivery of mRNA  vaccines, highlighting key preclinical and clinical data related to cancer  immunotherapy.  DOI: 10.1155/2015/794528 PMCID: PMC4668311"                                                                                                                                                                                                
## 
## [[20]]
## [1] " Mutanome Engineered RNA Immunotherapy: Towards Patient-Centered Tumor  Vaccination.  Vormehr M(1), Schrörs B(2), Boegel S(2), Löwer M(2), Türeci Ö(2), Sahin U(3).  Author information: (1)Research Center for Immunotherapy (FZI), Langenbeckstr. 1, Building 708,  55131 Mainz, Germany; Biopharmaceutical New Technologies (BioNTech) Corporation,  An der Goldgrube 12, 55131 Mainz, Germany. (2)TRON-Translational Oncology at the University Medical Center of Johannes  Gutenberg University, Freiligrathstr. 12, 55131 Mainz, Germany. (3)Research Center for Immunotherapy (FZI), Langenbeckstr. 1, Building 708,  55131 Mainz, Germany; Biopharmaceutical New Technologies (BioNTech) Corporation,  An der Goldgrube 12, 55131 Mainz, Germany; TRON-Translational Oncology at the  University Medical Center of Johannes Gutenberg University, Freiligrathstr. 12,  55131 Mainz, Germany.  Advances in nucleic acid sequencing technologies have revolutionized the field  of genomics, allowing the efficient targeting of mutated neoantigens for  personalized cancer vaccination."
## [2] " Due to their absence during negative selection  of T cells and their lack of expression in healthy tissue, tumor mutations are  considered as optimal targets for cancer immunotherapy."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
## [3] " Preclinical and early  clinical data suggest that synthetic mRNA can serve as potent drug format  allowing the cost efficient production of highly efficient vaccines in a timely  manner."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
## [4] " In this review, we describe a process, which integrates next generation  sequencing based cancer mutanome mapping, in silico target selection and  prioritization approaches, and mRNA vaccine manufacturing and delivery into a  process we refer to as MERIT (mutanome engineered RNA immunotherapy).  DOI: 10.1155/2015/595363 PMCID: PMC4710911"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
## 
## [[21]]
## [1] " AREAS COVERED: This editorial highlights the key milestones in the discovery and  development of self-amplifying mRNA vaccines, and reviews how they might be used  as a rapid response platform."                                                                                                                                                                                                                                                            
## [2] " The paper points out how future improvements in  RNA vector design and non-viral delivery may lead to decreases in effective dose  and increases in production capacity."                                                                                                                                                                                                                                                                                     
## [3] " EXPERT OPINION: The prospects for non-viral delivery of self-amplifying mRNA  vaccines are very promising."                                                                                                                                                                                                                                                                                                                                                   
## [4] " Like other types of nucleic acid vaccines, these  vaccines have the potential to draw on the positive attributes of  live-attenuated vaccines while obviating many potential safety limitations.  Hence, this approach could enable the concept of vaccines on demand as a rapid  response to a real threat rather than the deployment of strategic stockpiles  based on epidemiological predictions for possible threats.  DOI: 10.1517/17460441.2015.996128"
## 
## [[22]]
## [1] " Encouraged by these findings, we established a process by  which mutations identified by exome sequencing could be selected as vaccine  targets solely through bioinformatic prioritization on the basis of their  expression levels and major histocompatibility complex (MHC) class II-binding  capacity for rapid production as synthetic poly-neo-epitope messenger RNA  vaccines."                                                                                                                                                                      
## [2] " We show that vaccination with such polytope mRNA vaccines induces  potent tumour control and complete rejection of established aggressively growing  tumours in mice."                                                                                                                                                                                                                                                                                                                                                                                       
## [3] " Moreover, we demonstrate that CD4(+) T cell neo-epitope  vaccination reshapes the tumour microenvironment and induces cytotoxic T  lymphocyte responses against an independent immunodominant antigen in mice,  indicating orchestration of antigen spread."                                                                                                                                                                                                                                                                                                 
## [4] " Finally, we demonstrate an abundance  of mutations predicted to bind to MHC class II in human cancers as well by  employing the same predictive algorithm on corresponding human cancer types.  Thus, the tailored immunotherapy approach introduced here may be regarded as a  universally applicable blueprint for comprehensive exploitation of the  substantial neo-epitope target repertoire of cancers, enabling the effective  targeting of every patient's tumour with vaccines produced 'just in time'.  DOI: 10.1038/nature14426 PMCID: PMC4838069"
## 
## [[23]]
## [1] " Apart from being used directly to vaccinate patients, mRNAs can  also be used in cellular therapies to transfect patient-derived cells in vitro  and infuse the manipulated cells back into the patient."                                
## [2] " One such application is  the transfection of patient-derived dendritic cells (DCs) with mRNAs encoding  TAAs, which leads to the presentation of TAA-derived peptides on the DCs and an  activation of antigen-specific T cells in vivo."
## [3] " A second application is the  transfection of patient-derived T cells with mRNAs encoding chimeric antigen  receptors, which allows the T cells to directly recognize a specific antigen  expressed on the tumor."                        
## [4] " In this chapter, we will review preclinical and clinical  data for the different approaches.  DOI: 10.1007/978-3-319-42934-2_5"                                                                                                          
## 
## [[24]]
## [1] " Our data  demonstrate that E7-TriMix mRNA vaccine-induced CD8(+) T lymphocytes migrate  into the tumour nest and control tumour growth, although they do not express  mucosa-associated markers such as CD103 or CD49a."                                                                                    
## [2] " We additionally show that  despite the presence of the antigen-specific T cells in the tumour lesions, the  therapeutic outcomes in the genital tract model remain limited."                                                                                                                                
## [3] " Here, we report  that such a hostile tumour microenvironment can be reversed by cisplatin  treatment, leading to a complete regression of clinically relevant tumours when  combined with mRNA immunization."                                                                                               
## [4] " We thereby demonstrate the necessity of  utilizing clinically relevant models for preclinical evaluation of anticancer  therapies and the importance of a simultaneous combination of anticancer immune  response induction with targeting of tumour environment.  DOI: 10.1038/srep22509 PMCID: PMC4773884"
## 
## [[25]]
## [1] " The  delivery vehicle containing CP 2k and mRNA overcame the epithelial barrier by  reversibly opening the tight junctions, enhanced the paracellular delivery of  mRNA and consequently minimized absorption of toxins in the nasal cavity.  Together with the excellent intracellular delivery and prolonged nasal residence  time, strong system and mucosal anti-HIV immune responses as well as cytokine  productions were achieved with a balanced Th1/Th2/Th17 type."
## [2] " Our study provided  the first proof of evidence that cationic polymers can be used as safe and  potent intranasal mRNA vaccine carriers to overcome the nasal epithelial  barrier."                                                                                                                                                                                                                                                                                         
## [3] " The safe and versatile polymeric delivery system represents a promising  vaccination platform for infectious diseases.  Copyright © 2016 Elsevier B.V."                                                                                                                                                                                                                                                                                                                    
## [4] " All rights reserved.  DOI: 10.1016/j.jconrel.2016.02.043"                                                                                                                                                                                                                                                                                                                                                                                                                   
## 
## [[26]]
## [1] " They promise the flexibility of plasmid DNA vaccines,  without the need for electroporation, but with enhanced immunogenicity and  safety."              
## [2] " In addition, they avoid the limitations of anti-vector immunity seen  with viral vectors, and can be dosed repeatedly."                                  
## [3] " This review highlights the key  papers published over the past few years and summarizes prospects for the near  future.  Copyright © 2016 Elsevier Ltd."
## [4] " All rights reserved.  DOI: 10.1016/j.coi.2016.05.008"                                                                                                    
## 
## [[27]]
## [1] " Inhibition of viral replication by  vaccination was verified by qRT-PCR."                                                                                                                                                                                  
## [2] " Furthermore, we demonstrate that CD4+ T  cells are crucial for the generation of neutralizing antibodies."                                                                                                                                                 
## [3] " In domestic  pigs we were able to induce VN titers that correlate with protection in adult  and newborn pigs."                                                                                                                                             
## [4] " This study demonstrates the feasibility of a non-replicating  mRNA rabies vaccine in small and large animals and highlights the promises of  mRNA vaccines for the prevention of infectious diseases.  DOI: 10.1371/journal.pntd.0004746 PMCID: PMC4918980"
## 
## [[28]]
## [1] " Here, we  demonstrate that mRNA lipoplexes induce a potent type I interferon (IFN)  response upon subcutaneous, intradermal and intranodal injection."                                                                                                                                                                                                            
## [2] " Regardless of  the route of immunization applied, these type I IFNs interfered with the  generation of potent cytolytic T cell responses."                                                                                                                                                                                                                        
## [3] " Most importantly, blocking type  I IFN signaling at the site of immunization through the use of an IFNAR blocking  antibody greatly enhanced the prophylactic and therapeutic antitumor efficacy of  mRNA lipoplexes in the highly aggressive B16 melanoma model."                                                                                                
## [4] " As type I IFN  induction appears to be inherent to the mRNA itself rather than to unique  properties of the mRNA lipoplex formulation, preventing type I IFN induction  and/or IFNAR signaling at the site of immunization might constitute a widely  applicable strategy to improve the potency of mRNA vaccination.  DOI: 10.1038/mt.2016.161 PMCID: PMC5154477"
## 
## [[29]]
## [1] " The simplicity of mRNA vaccines  greatly reduces complications generally associated with the production of  biological vaccines."                                                                                                                                                                                                               
## [2] " Intrinsic costimulatory and inflammatory triggers in  addition to the provision of the antigenic information makes mRNA an all- in-one  molecule that does not need additional adjuvants and that does not pose the risk  of genomic integration."                                                                                              
## [3] " Clinical studies in various cancer types are moving  forward and promising results with favorable clinical outcome are awaited."                                                                                                                                                                                                                
## [4] " This  review will recapitulate conceptual, mechanistic and immune-related features of  this highly versatile molecule, elucidate how these features have been addressed  in the past, and how comprehensive understanding can foster further optimization  for broad application possibilities in cancer treatment.  DOI: 10.21775/cimb.022.113"
## 
## [[30]]
## [1] " In conclusion, the lipid nanoparticle  formulation presented here is a promising vector for mRNA vaccine delivery, one  that is capable of inducing a strong cytotoxic T cell response."
## [2] " Further  optimization, including the incorporation of different adjuvants, will likely  enhance the potency of the vaccine.  DOI: 10.1021/acs.nanolett.6b03329 PMCID: PMC5523404"       
## 
## [[31]]
## [1] " Methods Mol Biol. 2017;1499:143-153. doi: 10.1007/978-1-4939-6481-9_8.  Measuring the Adjuvant Activity of RNA Vaccines.  Pardi N(1), Weissman D(2).  Author information: (1)Department of Medicine, University of Pennsylvania, 52 Johnson Pavilion,  Philadelphia, PA, 19104, USA. (2)Department of Medicine, University of Pennsylvania, 52 Johnson Pavilion,  Philadelphia, PA, 19104, USA. dreww@mail.med.upenn.edu.  mRNA has recently arisen as a promising new drug class with the potential to be  applied to various therapeutic modalities, including protein replacement and  vaccination against cancer and infectious diseases."
## [2] " Numerous approaches have  been pursued to develop potent mRNA vaccines, many of them have proved to be  successful and have already entered human clinical trials."                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
## [3] " RNA, especially in  vitro transcribed, is extremely immunogenic as it induces innate immune  responses through the activation of a variety of pattern recognition receptors.  This feature of RNA is potentially beneficial for vaccine development, where  antigen-encoding RNA might also function as an adjuvant to elicit potent  antigen-specific T and B cell immune responses."                                                                                                                                                                                                                                                        
## [4] " Here, we describe the methods  that can be used to evaluate the immunogenicity of RNA vaccines in vitro and in  vivo.  DOI: 10.1007/978-1-4939-6481-9_8"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
## 
## [[32]]
## NULL
## 
## [[33]]
## [1] " In the EU no regulatory guidelines presently exist that  specifically address mRNA-based vaccines."                                                                                                                                                  
## [2] " The existing regulatory framework,  however, clearly defines that mRNA-based vaccines in most cases have to be  centrally approved."                                                                                                                 
## [3] " Interestingly, depending on whether RNA-based vaccines are  directed against tumors or infectious disease, they are formally considered gene  therapy products or not, respectively."                                                                
## [4] " Besides an overview on the current  clinical use of mRNA vaccines in various therapeutic areas a detailed discussion  of the current regulatory situation is provided and regulatory perspectives are  discussed.  DOI: 10.1007/978-1-4939-6481-9_13"
## 
## [[34]]
## [1] " Considerations for Producing mRNA Vaccines for Clinical Trials.  Schmid A(1).  Author information: (1)University of Applied Sciences Albstadt-Sigmaringen, Anton-GĂĽnther-Str. 51,  72488, Sigmaringen, Germany. schmida@hs-albsig.de.  The approval of clinical trials by the competent authorities requires  comprehensive quality documentation on the new drug to be used on the clinical  trial participant."
## [2] " In the EU quality data is summarized as Investigational  Medicinal Product Dossier (IMPD), in the USA as Investigational New Drug (IND)  Application."                                                                                                                                                                                                                                                            
## [3] " For that, several preconditions concerning production, quality  control, and assurance have to be fulfilled."                                                                                                                                                                                                                                                                                                     
## [4] " Here, specific requirements related  to mRNA vaccines are addressed on the basis of European standards.  DOI: 10.1007/978-1-4939-6481-9_15"                                                                                                                                                                                                                                                                       
## 
## [[35]]
## [1] " Induction of T-cell immunity is a multi-faceted  process comprising antigen acquisition, antigen processing and presentation, as  well as immune stimulation."                                           
## [2] " The effectiveness of mRNA vaccines is critically  dependent on making the antigen(s) of interest available to professional  antigen-presenting cells, especially DCs."                                   
## [3] " Efficient delivery of mRNA into DCs in  vivo remains a major challenge in the mRNA vaccine field."                                                                                                       
## [4] " This review summarizes  the principles of mRNA vaccines and highlights the importance of in vivo mRNA  delivery and recent advances in harnessing their therapeutic potential.  DOI: 10.1007/82_2017_509"
## 
## [[36]]
## [1] " CONCLUSION: This translational approach not only allowed for identification of  the basic mechanisms of self-adjuvantation from the mRNA vaccine but also for  comparison of the response across species, a response that appears relatively  conserved or at least convergent between the in vitro human and in vivo mouse  models.  DOI: 10.1186/s12967-016-1111-6 PMCID: PMC5210268"
## 
## [[37]]
## [1] " The mechanisms behind this duality are unclear."                                                                                                                                                                                                                                                                                                                                      
## [2] " Disentangling the  factors governing the beneficial or detrimental impact of type I IFNs on CD8+ T  cell responses is vital to the design of mRNA vaccines of increased potency."                                                                                                                                                                                                     
## [3] " In  light of recent advancements regarding the complex role of type I IFNs in  regulating CD8+ T cell immunity to infectious diseases, we posit that the dual  outcome of type I IFNs on CD8+ T cell responses to mRNA vaccination is  determined by the timing and intensity of type I IFN induction relative to T  cell receptor (TCR) activation.  Copyright © 2017 Elsevier Ltd."
## [4] " All rights reserved.  DOI: 10.1016/j.molmed.2017.01.006"                                                                                                                                                                                                                                                                                                                              
## 
## [[38]]
## NULL
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## [[39]]
## [1] " Interim results  from a first-in-human, escalating-dose, phase 1 H10N8 study show very high  seroconversion rates, demonstrating robust prophylactic immunity in humans.  Adverse events (AEs) were mild or moderate with only a few severe and no serious  events."
## [2] " These data show that LNP-formulated, modified mRNA vaccines can induce  protective immunogenicity with acceptable tolerability profiles.  Copyright © 2017 The Authors."                                                                                           
## [3] " Published by Elsevier Inc."                                                                                                                                                                                                                                         
## [4] " All rights reserved.  DOI: 10.1016/j.ymthe.2017.03.035 PMCID: PMC5475249"                                                                                                                                                                                           
## 
## [[40]]
## [1] " For over two decades,  researchers have been trying to overcome major challenges for utilizing such  RNAs in a therapeutic context, including intracellular delivery, stability, and  immune response activation."                                                                                                                                                                                                                   
## [2] " This research is finally beginning to bear fruit as  the first RNA drugs gain FDA approval and more advance to the final phases of  clinical trials."                                                                                                                                                                                                                                                                                
## [3] " Furthermore, the recent advent of CRISPR, an RNA-guided  gene-editing technology, as well as new strides in the delivery of messenger RNA  transcribed in vitro, have triggered a major expansion of the RNA-therapeutics  field."                                                                                                                                                                                                   
## [4] " In this review, we discuss the challenges for clinical translation of  RNA-based therapeutics, with an emphasis on recent advances in delivery  technologies, and present an overview of the applications of RNA-based drugs for  modulation of gene/protein expression and genome editing that are currently  being investigated both in the laboratory as well as in the clinic.  DOI: 10.1186/s13073-017-0450-0 PMCID: PMC5485616"
## 
## [[41]]
## [1] " We tested in mice two vaccine  platforms, a lipid nanoparticle-encapsulated modified mRNA vaccine encoding ZIKV  prM and E genes and a live-attenuated ZIKV strain encoding an NS1 protein  without glycosylation, for their ability to protect against transmission to the  fetus."
## [2] " Vaccinated dams challenged with a heterologous ZIKV strain at embryo day  6 (E6) and evaluated at E13 showed markedly diminished levels of viral RNA in  maternal, placental, and fetal tissues, which resulted in protection against  placental damage and fetal demise."          
## [3] " As modified mRNA and live-attenuated vaccine  platforms can restrict in utero transmission of ZIKV in mice, their further  development in humans to prevent congenital ZIKV syndrome is warranted.  Copyright © 2017 Elsevier Inc."                                                
## [4] " All rights reserved.  DOI: 10.1016/j.cell.2017.06.040 PMCID: PMC5546158"                                                                                                                                                                                                            
## 
## [[42]]
## NULL
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## [[43]]
## [1] " Live vaccines  that may be contraindicated in pregnancy are also in development for potential  inclusion in national immunization programmes in childhood or pre-teenage age  groups."                                                                  
## [2] " WHO developed a target product profile for Zika vaccines for use in an  emergency."                                                                                                                                                                     
## [3] " Expert commentary: Although ZIKV vaccine development had a quick head  start, further development may be hampered because of the inability to conduct  large efficacy trials with the decline in cases globally and unpredictability of  new outbreaks."
## [4] " Furthermore, there are complex ethical issues involved in  conducting efficacy trials in pregnant women.  DOI: 10.1080/14760584.2017.1345309"                                                                                                           
## 
## [[44]]
## [1] " Several forms of ZIKV VLPs have been reported featuring the  co-expression of the prM-E, prM-E-NS1, C-prM-E, and NS2B/NS3 viral genes in  human cells."                                                                                      
## [2] " To minimize the effect of the cross-reactive ADE-facilitating  antibodies between ZIKV and DENV, several novel mutations have been reported  either in or near the FL of DII or DIII to dampen the production of  cross-reactive antibodies."
## [3] " Future ZIKV vaccine design efforts should be focused  on eliciting improved neutralizing antibodies with a reduced level of  cross-reactivity to confer sterilizing immunity.  Copyright © 2017 Elsevier Inc."                              
## [4] " All rights reserved.  DOI: 10.1016/j.biotechadv.2017.09.004"                                                                                                                                                                                 
## 
## [[45]]
## [1] " We also demonstrated that mRNA:pU activation of  mouse and human dendritic cells was significantly more effective than activation  using single stranded mRNA."                                                                        
## [2] " In vivo mouse immunization experiments using  ovalbumin showed that mRNA:pU significantly enhanced the intensity of specific  cellular and humoral immune responses, compared to single stranded mRNA."                               
## [3] " Our  novel mRNA:pU formulation can be delivered using a variety of mRNA carriers  depending on the purpose and delivery route, providing a versatile platform for  improving mRNA vaccine efficiency.  Copyright © 2017 Elsevier Ltd."
## [4] " All rights reserved.  DOI: 10.1016/j.biomaterials.2017.09.033"                                                                                                                                                                         
## 
## [[46]]
## [1] " The enhanced T cell response had a profound inhibitory effect on  tumor growth and metastasis."                                                                                                   
## [2] " Generally, the work provided a paradigm for the  development of an mRNA vaccine carrier to boost the anticancer immune response.  Copyright © 2017 The American Society of Gene and Cell Therapy."
## [3] " Published by  Elsevier Inc."                                                                                                                                                                       
## [4] " All rights reserved.  DOI: 10.1016/j.ymthe.2017.11.009 PMCID: PMC5835019"                                                                                                                          
## 
## [[47]]
## [1] " In vivo studies demonstrated that the NP-based mRNA  vaccine, targeted to mannose receptors on DCs, could successfully express tumor  antigen in the DCs of the lymph node; that the NP vaccine could induce a strong,  antigen-specific, in vivo cytotoxic T lymphocyte response against TNBC 4T1  cells; and that combination immunotherapy of the vaccine and anti-CTLA-4  monoclonal antibody could significantly enhance anti-tumor immune response  compared to the vaccine or monoclonal antibody alone."
## [2] " These data support both  the NP as a carrier for delivery of mRNA vaccine and a potential combination  immunotherapy of the NP-based mRNA vaccine and the CTLA-4 inhibitor for TNBC.  Copyright © 2017 The American Society of Gene and Cell Therapy."                                                                                                                                                                                                                                                          
## [3] " Published by  Elsevier Inc."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
## [4] " All rights reserved.  DOI: 10.1016/j.ymthe.2017.10.020 PMCID: PMC5763160"                                                                                                                                                                                                                                                                                                                                                                                                                                         
## 
## [[48]]
## [1] " When sa-RNA was combined in a trivalent  formulation, it protected against sequential H1N1 and H3N2 challenges."                 
## [2] " From this  we conclude that sa-RNA is a promising platform for vaccines against viral  diseases.  Copyright © 2017 The Authors."
## [3] " Published by Elsevier Inc."                                                                                                      
## [4] " All rights reserved.  DOI: 10.1016/j.ymthe.2017.11.017 PMCID: PMC5835025"                                                        
## 
## [[49]]
## NULL
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## [[50]]
## [1] "2018 Jan 12.  mRNA vaccines - a new era in vaccinology.  Pardi N(1), Hogan MJ(1), Porter FW(2), Weissman D(1).  Author information: (1)Department of Medicine, University of Pennsylvania, Philadelphia,  Pennsylvania 19104, USA. (2)Duke Human Vaccine Institute, Duke University School of Medicine, Durham,  North Carolina 27710, USA.  mRNA vaccines represent a promising alternative to conventional vaccine  approaches because of their high potency, capacity for rapid development and  potential for low-cost manufacture and safe administration."
## [2] " However, their  application has until recently been restricted by the instability and  inefficient in vivo delivery of mRNA."                                                                                                                                                                                                                                                                                                                                                                                                                                  
## [3] " Recent technological advances have now  largely overcome these issues, and multiple mRNA vaccine platforms against  infectious diseases and several types of cancer have demonstrated encouraging  results in both animal models and humans."                                                                                                                                                                                                                                                                                                                  
## [4] " This Review provides a detailed  overview of mRNA vaccines and considers future directions and challenges in  advancing this promising vaccine platform to widespread therapeutic use.  DOI: 10.1038/nrd.2017.243 PMCID: PMC5906799"                                                                                                                                                                                                                                                                                                                           
## 
## [[51]]
## [1] " Since the  protective correlates in pregnant women and transplant recipients may differ, we  developed an additional mRNA vaccine expressing the immunodominant CMV T cell  antigen pp65."                                                      
## [2] " Administration of pp65 vaccine with PC and gB elicited robust  multi-antigenic T cell responses in mice."                                                                                                                                       
## [3] " Our data demonstrate that mRNA/LNP is  a versatile platform that enables the development of vaccination strategies that  could prevent CMV infection and consequent disease in different target  populations.  Copyright © 2018 The Author(s)."
## [4] " Published by Elsevier Ltd.. All rights reserved.  DOI: 10.1016/j.vaccine.2018.01.029"                                                                                                                                                           
## 
## [[52]]
## [1] "Apr 24.  Current Status of Messenger RNA Delivery Systems.  Stanton MG(1).  Author information: (1)Generation Bio , Cambridge, Massachusetts.  Messenger RNA is emerging as a highly versatile biological construct for  creation of impactful medicines. mRNA vaccines directed toward infectious  disease and cancer are in clinical development with encouraging early reads on  tolerability and efficacy."                                   
## [2] " The use of mRNA to direct intense but transient  expression of paracrine factors is finding utility in reprogramming progenitor  cells for wound healing and cardiac regeneration and for stimulation of  antitumor immune responses, at least preclinically as we await clinical results.  The use of mRNA for prolonged and repeated expression of proteins and enzymes to  treat rare, typically monogenic disease is nearing clinical entry."
## [3] " These uses of  mRNA require delivery solutions, and the application of and improvement to  existing nanoparticle nucleic acid delivery systems have jump started the pace  of development and reenergized the field of particle based nucleic acid  delivery."                                                                                                                                                                                   
## [4] " The current status of mRNA delivery is reviewed in this article with  an eye toward clinical tractability.  DOI: 10.1089/nat.2018.0726"                                                                                                                                                                                                                                                                                                          
## 
## [[53]]
## [1] " Here we describe the  development and evaluation of a versatile and highly efficient mRNA  vaccine-delivery system that employs charge-altering releasable transporters  (CARTs) to deliver antigen-coding mRNA to antigen-presenting cells (APCs)."                                 
## [2] " We  demonstrate in human peripheral blood mononuclear cells that CART vaccines can  activate a robust antigen-specific immune response against mRNA-encoded viral  epitopes."                                                                                                        
## [3] " In an established mouse model, we demonstrate that CARTs  preferentially target professional APCs in secondary lymphoid organs upon i.v.  injections and target local APCs upon s.c. injection."                                                                                     
## [4] " Finally, we show that  CARTs coformulated with mRNA and a Toll-like receptor ligand simultaneously  transfect and activate target cells to generate an immune response that can  treat and cure mice with large, established tumors.  DOI: 10.1073/pnas.1810002115 PMCID: PMC6166849"
## 
## [[54]]
## [1] " In recent  years, the rapid spread of severe infections such as HIV, SARS, Ebola, and Zika  have highlighted the dire need for global preparedness for pandemics, which  necessitates the extremely rapid development and comprehensive distribution of  vaccines against potentially previously unknown pathogens."
## [2] " What is more, the  emergence of antibiotic resistant bacteria calls for new approaches to prevent  infections."                                                                                                                                                                                                     
## [3] " Given these changes, established methods for the identification of  new vaccine candidates are no longer sufficient to ensure global protection.  Hence, new vaccine technologies able to achieve rapid development as well as  large scale production are of pivotal importance."                                  
## [4] " This review will discuss viral  vector and nucleic acid-based vaccines (DNA and mRNA vaccines) as new approaches  that might be able to tackle these challenges to global health.  DOI: 10.3389/fimmu.2018.01963 PMCID: PMC6156540"                                                                                 
## 
## [[55]]
## [1] " Moreover, by targeting the encoded allergen to subcellular  compartments for degradation, release of native allergen can be avoided."                                                                                                                             
## [2] " Due to  inherent safety features, mRNA vaccines could be the candidates of choice for  preventive allergy immunizations."                                                                                                                                         
## [3] " The subtle priming of T helper 1 immunity  induced by this vaccine type closely resembles responses of non-allergic  individuals and-by boosting via natural allergen exposure-could suffice for  long-term protection from type I allergy.  © 2018 The Authors."
## [4] " Pediatric Allergy and Immunology Published by John Wiley &  Sons Ltd.  DOI: 10.1111/pai.12964 PMCID: PMC6283005"                                                                                                                                                  
## 
## [[56]]
## [1] " The formulations are assembled in two steps:  (1) formation of a polyplex between mRNAs and amphipathic cationic peptides  (RALA, LAH4 or LAH4-L1), and (2) adsorption of polyplexes onto PLA-NPs.  LAH4-L1/mRNA polyplexes and PLA-NP/LAH4-L1/mRNA nanocomplexes are taken up by  DCs via phagocytosis and clathrin-dependent endocytosis, and induce strong  protein expression in DCs in vitro."
## [2] " They modulate DC innate immune response by  activating both endosome and cytosolic Pattern Recognition Receptors (PRRs), and  induce markers of adaptive responses in primary human DCs in vitro, with  prevalent Th1 signature."                                                                                                                                                                  
## [3] " Thus, LAH4-L1/mRNA and PLA-NP/LAH4-L1/mRNA represent a  promising platform for ex vivo treatment and mRNA vaccine development.  Copyright © 2018 Elsevier Ltd."                                                                                                                                                                                                                                   
## [4] " All rights reserved.  DOI: 10.1016/j.biomaterials.2018.12.019"                                                                                                                                                                                                                                                                                                                                     
## 
## [[57]]
## [1] " Recently, mRNA emerged as a  promising alternative to traditional vaccine strategies due to its high  immunogenicity, suitability for large-scale and low-cost production, and  superior safety profile."                                                                                  
## [2] " However, the clinical application of mRNA-based  anti-cancer vaccines has been limited by their instability and inefficient in  vivo delivery."                                                                                                                                            
## [3] " Recent technological advances have now largely overcome these  issues and lipid-based vectors have demonstrated encouraging results as mRNA  vaccine platforms against several types of cancers."                                                                                          
## [4] " This review intends to  provide a detailed overview of lipid-based vectors for the development of  therapeutic mRNA-based anti-tumor vaccines.  Copyright© Bentham Science Publishers; For any queries, please email at  epub@benthamscience.net.  DOI: 10.2174/1381612825666190619150221"
## 
## [[58]]
## [1] " In addition, mRNA vaccines have  the potential to streamline vaccine discovery and development, and facilitate a  rapid response to emerging infectious diseases."                                                                                                                                                         
## [2] " In this review, we overview the  unique attributes of mRNA vaccine approaches, review the data of mRNA vaccines  against infectious diseases, discuss the current challenges, and highlight  perspectives about the future of this promising technology.  Copyright © 2019 The American Society of Gene and Cell Therapy."
## [3] " Published by  Elsevier Inc."                                                                                                                                                                                                                                                                                               
## [4] " All rights reserved.  DOI: 10.1016/j.ymthe.2019.01.020 PMCID: PMC6453507"                                                                                                                                                                                                                                                  
## 
## [[59]]
## [1] " The clinical translation of mRNA therapeutics has been made possible  through advances in the design of mRNA manufacturing and intracellular delivery  methods."                                                                                                                                                              
## [2] " However, broad application of mRNA is still limited by the need for  improved delivery systems."                                                                                                                                                                                                                              
## [3] " In this review, we discuss the challenges for  clinical translation of mRNA-based therapeutics, with an emphasis on recent  advances in biomaterials and delivery strategies, and we present an overview of  the applications of mRNA-based delivery for protein therapy, gene editing, and  vaccination.  Copyright © 2019."
## [4] " Published by Elsevier Inc.  DOI: 10.1016/j.ymthe.2019.02.012 PMCID: PMC6453548"                                                                                                                                                                                                                                               
## 
## [[60]]
## NULL
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## [[61]]
## [1] " Coulter Department of Biomedical Engineering, Georgia Tech and  Emory University, Atlanta, GA, USA. philip.santangelo@bme.gatech.edu.  Comment in     Nat Biomed Eng. 2019 May;3(5):331-332.  Visualization of the spatio-temporal trafficking of vaccines after their  delivery would help evaluate the efficacy of candidate formulations and aid  their rational design for preclinical and translational studies."
## [2] " Here, we show  that a dual radionuclide-near-infrared probe allows for quantitative,  longitudinal and non-invasive monitoring, via positron emission  tomography-computed tomography and near-infrared imaging of cynomolgus macaques,  of the trafficking dynamics to draining lymph nodes of a model messenger RNA  vaccine labelled with the probe."                                                              
## [3] " After intramuscular administration of the  vaccine to the monkeys, we observed the dynamics of the mRNA vaccine at the  injection site and in the draining lymph nodes, performed cellular analyses of  the involved tissues using flow cytometry and identified through  immunofluorescence that professional antigen-presenting cells are the primary  cells containing the injected mRNA and encoding the antigen."
## [4] " This approach may  reveal spatio-temporal determinants of vaccine efficacy in preclinical and  translational studies employing large mammals.  DOI: 10.1038/s41551-019-0378-3"                                                                                                                                                                                                                                        
## 
## [[62]]
## [1] " New Vaccine Design and Delivery Technologies.  Kanekiyo M(1), Ellis D(2)(3), King NP(2)(4).  Author information: (1)Vaccine Research Center, National Institute of Allergy and Infectious  Diseases, National Institutes of Health, Bethesda, Maryland. (2)Institute for Protein Design, University of Washington, Seattle. (3)Graduate Program in Molecular and Cellular Biology, University of Washington,  Seattle. (4)Department of Biochemistry, University of Washington, Seattle.  Technological advances in immunology, protein design, and genetic delivery have  unlocked new possibilities for vaccine concepts and delivery technologies that  were previously inaccessible."
## [2] " These next-generation vaccine design efforts are  particularly promising in their potential to provide solutions to challenging  targets for which conventional approaches have proven ineffective-for example, a  universal influenza vaccine."                                                                                                                                                                                                                                                                                                                                                                                                                                         
## [3] " In this perspective, we discuss emerging approaches  to vaccine design and engineering based on recent insights into immunology,  structural biology, computational biology, and immunoengineering."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
## [4] " We anticipate  that these cutting-edge, interdisciplinary approaches will lead to breakthrough  vaccine concepts for ever-evolving and (re)emerging influenza viruses, with  important ramifications for global public health.  Published by Oxford University Press for the Infectious Diseases Society of  America 2019.  DOI: 10.1093/infdis/jiy745 PMCID: PMC6452296"                                                                                                                                                                                                                                                                                                                
## 
## [[63]]
## [1] " We show that the proposed λN-Î\262Lac  chimeric protein specifically targets its cognate RNA aptamer, boxB, using both  gel shift and biolayer interferometry assays."                                                                                                                   
## [2] " More importantly, the results  presented confirm the biosensor performs reliably, with a wide dynamic range and  a proportional response at different percentages of full-length RNA, even when  gene-sized mRNAs were used."                                                          
## [3] " Thus, the features of the proposed biosensor would  allow to end-users of products such as mRNA vaccines to test the integrity of  the product before its application in a low-cost fashion, enabling a more  reliable application of these products.  Copyright © 2019 Elsevier B.V."
## [4] " All rights reserved.  DOI: 10.1016/j.bios.2019.05.008"                                                                                                                                                                                                                                 
## 
## [[64]]
## [1] " CONCLUSIONS: The first mRNA vaccines against H10N8 and H7N9 influenza viruses  were well tolerated and elicited robust humoral immune responses.  ClinicalTrials.gov NCT03076385 and NCT03345043.  Copyright © 2019 The Author(s)."
## [2] " Published by Elsevier Ltd.. All rights reserved.  DOI: 10.1016/j.vaccine.2019.04.074"                                                                                                                                               
## 
## [[65]]
## [1] " Nanomedicines  offer unique opportunities to improve the efficacy of these vaccines."                                                                                                                                                                                                                                                                                                                                                                                                           
## [2] " A variety  of nanoplatforms have been investigated to deliver molecular or cellular or  subcellular vaccines to target lymphoid tissues and cells, thereby promoting the  potency and durability of anti-tumor immunity while reducing adverse side  effects."                                                                                                                                                                                                                                  
## [3] " In this article, we reviewed the key parameters and features of  nanovaccines for cancer immunotherapy; we highlighted recent advances in the  development of cancer nanovaccines based on synthetic nanocarriers, biogenic  nanocarriers, as well as semi-biogenic nanocarriers; and we summarized newly  emerging types of nanovaccines, such as those based on stimulator of interferon  genes agonists, cancer neoantigens, mRNA vaccines, as well as artificial  antigen-presenting cells."
## [4] " This article is categorized under: Therapeutic  Approaches and Drug Discovery > Nanomedicine for Oncologic Disease.  © 2019 Wiley Periodicals, Inc.  DOI: 10.1002/wnan.1559 PMCID: PMC7040494"                                                                                                                                                                                                                                                                                                 
## 
## [[66]]
## [1] " To  evaluate the ability of the DENV1-NS poly-epitope to express the antigenic  peptides in the context of different HLA class I molecules, we established its  in vivo immunogenicity by measuring, after DNA immunization and electroporation,  the activation of DENV-specific CD8 T cells in transgenic mice expressing the  human HLA-A*0201, -A*2402, -B*0702, and -B*3502 class I alleles."
## [2] " We then  engineered a lipid nanoparticle (LNP) encapsulated modified mRNA vaccine  encoding DENV1-NS and tested immunogenicity and protection in these human HLA  class I transgenic mice, after transient blockade of the interferon (IFN) type I  receptor."                                                                                                                                    
## [3] " Significant protection was observed, after two injections of the mRNA  vaccine."                                                                                                                                                                                                                                                                                                                  
## [4] " Collectively, these data strongly support the development of T  cell-based vaccines targeting immunodominant T cell epitopes that generate  potent virus-specific T cell responses conferring immunity against DENV  infection.  DOI: 10.3389/fimmu.2019.01424 PMCID: PMC6598640"                                                                                                                 
## 
## [[67]]
## [1] " Using a  three-dimensional multi-component reaction system, we synthesized and evaluated  the vaccine potential of over 1,000 lipid formulations."                                                                                                                                                   
## [2] " The top candidate  formulations induced a robust immune response, and were able to inhibit tumor  growth and prolong survival in melanoma and human papillomavirus E7 in vivo  tumor models."                                                                                                        
## [3] " The top-performing lipids share a common structure: an unsaturated  lipid tail, a dihydroimidazole linker and cyclic amine head groups."                                                                                                                                                             
## [4] " These  formulations induce antigen-presenting cell maturation via the intracellular  stimulator of interferon genes (STING) pathway, rather than through Toll-like  receptors, and result in limited systemic cytokine expression and enhanced  anti-tumor efficacy.  DOI: 10.1038/s41587-019-0247-3"
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## [[68]]
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## [[69]]
## [1] " Focusing on respiratory syncytial virus infection, influenza and  tuberculosis, Fauci and Mascola discuss the impact of structure-based vaccine  design, gene-based vaccine platforms and advances in adjuvant development.  The atomic level structure of the viral surface fusion protein of respiratory  syncytial virus provided key insights that enabled the production of a  stabilized subunit vaccine candidate that elicited robust immunogenicity in a  phase I study."
## [2] " Technical advances in mRNA vaccines have led to improved  intracellular stability and antigen expression, leading to robust and durable  immune responses. mRNA candidate vaccines encoding full length haemagglutinin  from two pandemic influenzas strains were safe and immunogenic in phase I  studies."                                                                                                                                                                      
## [3] " A tuberculosis (TB) subunit recombinant fusion protein (M72) formulated  with a potent adjuvant (ASO1E) was effective at preventing activation of  pulmonary TB in latently infected adults."                                                                                                                                                                                                                                                                                     
## [4] " Bacillus Calmetteâ\200“GuĂ©rin (BCG)  revaccination of uninfected adolescents provided protection against  Mycobacterium tuberculosis infection.  DOI: 10.1038/s41577-019-0243-3 PMCID: PMC7222935"                                                                                                                                                                                                                                                                                  
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## [[70]]
## [1] " Findings elucidated in preclinical studies have  revealed the importance of the interaction between the cellular and humoral  immune system."                                                                                                                                                                                                                      
## [2] " As a result, several new rationally designed vaccine strategies  have been developed and explored in the last 6 years, including native-like  envelope trimers, nanoparticle, and mRNA vaccine design strategies among others.  Several of these strategies have shown enough promise in animal models to  progress toward first-in-human Phase I clinical trials."
## [3] " IMPLICATIONS: Rapid developments in preclinical and early-phase clinical studies  suggest that a tolerable and effective HIV vaccine may be on the horizon.  Copyright © 2020 Elsevier Inc."                                                                                                                                                                      
## [4] " All rights reserved.  DOI: 10.1016/j.clinthera.2020.01.009 PMCID: PMC7102617"                                                                                                                                                                                                                                                                                      
## 
## [[71]]
## [1] " The stability,  immunogenicity, translation efficiency, and delivery are all pivotal issues need  to be addressed."                                                                                                                                                                                                                                          
## [2] " In the recently published research results, these issues are  gradually being overcome by state-of-the-art development technologies."                                                                                                                                                                                                                        
## [3] " In this  review, we describe the structural properties and modification technologies of  mRNA, summarize the latest advances in developing mRNA delivery systems, review  the preclinical and clinical applications, and put forward our views on the  prospect and challenges of developing mRNA into a new class of drug.  Copyright © 2020 Elsevier Inc."
## [4] " All rights reserved.  DOI: 10.1016/j.biotechadv.2020.107534"                                                                                                                                                                                                                                                                                                 
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## [[72]]
## [1] " Many vaccine candidates are under  development, including DNA, modified mRNA, protein subunit, killed virus, and  attenuated live virus vaccines."                                
## [2] " Lessons learned from prior vaccine studies and  select candidate vaccines are discussed, including a trivalent  nucleoside-modified mRNA vaccine that our laboratory is pursuing."
## [3] " We are  optimistic that an effective vaccine for prevention of genital herpes will  emerge in this decade.  Copyright © 2020 Elsevier Inc."                                      
## [4] " All rights reserved.  DOI: 10.1016/j.trsl.2020.03.004 PMCID: PMC7293938"                                                                                                          
## 
## [[73]]
## [1] " [At least 68 vaccine candidates under development].  [Article in Swedish]  Leach S(1).  Author information: (1).  The development of vaccines against SARS-CoV-2 is progressing at an unparalleled  speed."    
## [2] " As of the 29th of March, there were at least 68 vaccine candidates  comprising several different vaccine designs, including whole killed virus,  subunit, attenuated, viral vector, DNA and mRNA vaccines."    
## [3] " Whilst it usually  takes 10-15 years to develop a vaccine, it has only taken just over 9 weeks from  the publication of the viral genetic sequence for the first vaccine candidate to  reach clinical testing."
## [4] " Development has been expediated by using existing  technological platforms and by performing preclinical and clinical testing  simultaneously. "                                                               
## 
## [[74]]
## [1] " LNPs formulated with C24  alkyl derivatives of cholesterol show a polymorphic shape and various degrees of  multilamellarity and lipid partitioning, likely due to phase separation."                                                                                   
## [2] " The  addition of methyl and ethyl groups to the C24 alkyl tail of the cholesterol  backbone induces multilamellarity (>50% increase compared to cholesterol), while  the addition of a double bond induces lipid partitioning (>90% increase compared  to cholesterol)."
## [3] " LNPs with multilamellar and faceted structures, as well as a  lamellar lipid phase, showed higher gene transfection."                                                                                                                                                   
## [4] " Unraveling the structure  of mRNA-LNPs can enable their rational design toward enhanced gene delivery.  DOI: 10.1021/acs.nanolett.0c01386 PMCID: PMC7228479"                                                                                                            
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## [[75]]
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## [[76]]
## [1] " Cationic liposome/protamine complex (LPC) showed  significantly greater efficiency in uptake of vaccine particles in vitro and  stronger capacities to stimulate dendritic cell maturation, which further  induced a potent anti-tumor immune response."
## [2] " Intranasal immunization of mice  with cationic LPC containing mRNA encoding cytokeratin 19 provoked a strong  cellular immune response and slowed tumor growth in an aggressive Lewis lung  cancer model."                                              
## [3] " The results of this study provide evidence that cationic LPC can  be used as a safe and effective adjuvant and this mRNA formulation provides a  basis for anti-cancer vaccination of humans.  Copyright © 2020 Elsevier Inc."                         
## [4] " All rights reserved.  DOI: 10.1016/j.cellimm.2020.104143"                                                                                                                                                                                               
## 
## [[77]]
## [1] " Ad5-nCoV is  based on the replication-defective adenovirus type 5 as the vector to express  2019-nCoV spike protein."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
## [2] " The another vaccine is mRNA-1273 developed by the  National Institute of Allergy and Infectious Diseases and Moderna, Inc..  RNA-1273 is an mRNA vaccine expressing 2019-nCoV spike protein."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
## [3] " Although the  rapid development of 2019-nCoV vaccine, it still faces many unknown challenges,  including the antigenic characteristics of the 2019-nCoV, the influence of  antigenic variation, the protective immune response of host, the protection of  the elderly population, and the downstream manufacturing process of the new  vaccine."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
## [4] " The safety and efficacy of vaccines are the first priority for vaccine  development and should be carefully evaluated.  Publisher:  新型冠状病毒ďĽ\2102019-nCoV)感染暴发ćµ\201č\241ŚĺŻąĺ…¨ç\220\203公众ĺ\201Ąĺş·ćž„ć\210\220了严重ĺ¨\201č\203\201,疫苗接种ć\230Żćś‰ć•\210é\242„é\230\262病毒感染ćµ\201č\241Śçš„手段ă\200‚2019-nCoV与ć\200Ąć\200§ĺ‘Ľĺ\220¸ç»Ľĺ\220\210ĺľ\201冠状病毒ďĽ\210SARS-CoV)和中东呼ĺ\220¸ç»Ľĺ\220\210ĺľ\201冠状病毒ďĽ\210MERS-CoV)ĺ\220Śĺ±žäşŽÎ\262-冠状病毒ă\200‚基于对SARS-CoVĺ’ŚMERS-CoV的了解,科学家对2019-nCoV病毒特ĺľ\201的研究ă\200\201ĺ\200\231é\200‰ćŠ—ĺŽźĺŹŠč\241¨ä\275Ťçš„鉴定ă\200\201动物ć¨\241型的建立ă\200\201免疫应答的ćŁ\200测,疫苗的设č®\241等工ä\275śĺŹ–ĺľ—äş†ĺż«é\200źčż›ĺ±•ă\200‚新型冠状病毒疫苗ďĽ\210新冠疫苗)的研发也取得了快é\200źčż›ĺ±•,新冠疫苗类型几乎涵盖了目前疫苗研究的ć‰\200有ĺ\275\242式,包括ç\201­ć´»ç–«č‹—ă\200\201重组蛋ç\231\275ç–«č‹—ă\200\201病毒č\275\275ä\275“ç–«č‹—ă\200\201核酸疫苗ďĽ\210mRNA疫苗与DNA疫苗)等ă\200‚至2020ĺą´3ćś\210,ĺ·\262有2é\241ąć–°ĺ† ç–«č‹—进入了Ⅰ期临床试验,ĺ\210†ĺ\210«ä¸şć\210‘ĺ›\275军事医学科学é\231\242č\201”ĺ\220\210天津康希诺生物č‚\241ä»\275公司研发的基于腺病毒č\275\275ä\275“的重组新冠疫苗和美ĺ›\275Moderna公司的mRNA  疫苗,两种疫苗均以2019-nCoVçš„ĺ\210şçŞ\201蛋ç\231\275为抗原靶标ă\200‚ĺ\220Ść—¶ďĽŚć–°ĺ† ç–«č‹—研发仍éť\242临çť\200许多未知的挑ć\210\230,如2019-nCoV病毒抗原特ĺľ\201ă\200\201抗原ĺŹ\230异ă\200\201ćśşä\275“的保护ć\200§ĺ…Ťç–«ĺş”答特ĺľ\201以及对č\200\201年及基ç\241\200病人群ć\230Żĺ\220¦ĺ…·ćś‰äżťćŠ¤ďĽŚć–°ĺ† ç–«č‹—é‡Źäş§çš„ç”źäş§ĺ·Ąč‰şç­‰ć–ąéť\242仍éś\200č¦\201更多的研究ă\200‚疫苗研发具有其固有规律,在加快é\200źĺş¦çš„ĺ\220Ść—¶ďĽŚäżťčŻ\201疫苗的安全ć\200§ă\200\201有ć•\210ć\200§ć\230Żĺż…é\241»çš„前ćŹ\220ă\200‚.  DOI: 10.3760/cma.j.cn112150-20200317-00366"
## 
## [[78]]
## [1] " Molecular docking simulation between the epitopes and their  corresponding MHC molecules was carried out. 13 epitopes, a highly immunogenic  adjuvant, elements for proper sub-cellular trafficking, a secretion booster, and  appropriate linkers were combined for constructing the vaccine."
## [2] " The vaccine was  found to be antigenic, almost neutral at physiological pH, non-toxic,  non-allergenic, capable of generating a robust immune response and had a decent  worldwide population coverage."                                                                                       
## [3] " Based on these parameters, this design can be  considered a promising choice for a vaccine against SARS-CoV-2.  Copyright © 2020 Elsevier B.V."                                                                                                                                               
## [4] " All rights reserved.  DOI: 10.1016/j.ijbiomac.2020.06.213 PMCID: PMC7319648"                                                                                                                                                                                                                   
## 
## [[79]]
## [1] " CONCLUSIONS: The mRNA-1273 vaccine induced anti-SARS-CoV-2 immune responses in  all participants, and no trial-limiting safety concerns were identified."                                                                                                                                          
## [2] " These  findings support further development of this vaccine. (Funded by the National  Institute of Allergy and Infectious Diseases and others; mRNA-1273  ClinicalTrials.gov number, NCT04283461).  Copyright © 2020 Massachusetts Medical Society.  DOI: 10.1056/NEJMoa2022483 PMCID: PMC7377258"
## 
## [[80]]
## [1] " Nanotechnology benefits modern  vaccine design since nanomaterials are ideal for antigen delivery, as adjuvants,  and as mimics of viral structures."                     
## [2] " In fact, the first vaccine candidate launched  into clinical trials is an mRNA vaccine delivered via lipid nanoparticles."                                                
## [3] " To  eradicate pandemics, present and future, a successful vaccine platform must  enable rapid discovery, scalable manufacturing and global distribution."                 
## [4] " Here, we  review current approaches to COVID-19 vaccine development and highlight the role  of nanotechnology and advanced manufacturing.  DOI: 10.1038/s41565-020-0737-y"
## 
## [[81]]
## [1] " Two doses of ARCoV immunization in mice conferred complete protection  against the challenge of a SARS-CoV-2 mouse-adapted strain."
## [2] " Additionally, ARCoV  is manufactured as a liquid formulation and can be stored at room temperature  for at least 1 week."         
## [3] " ARCoV is currently being evaluated in phase 1 clinical  trials.  Copyright © 2020 Elsevier Inc."                                  
## [4] " All rights reserved.  DOI: 10.1016/j.cell.2020.07.024 PMCID: PMC7377714"                                                           
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## [[82]]
## [1] " Here, we provide a detailed evaluation of the immunogenicity  of lipid nanoparticle-encapsulated, nucleoside-modified mRNA (mRNA-LNP) vaccines  encoding the full-length SARS-CoV-2 spike protein or the spike receptor binding  domain in mice."  
## [2] " We demonstrate that a single dose of these vaccines induces  strong type 1 CD4+ and CD8+ T cell responses, as well as long-lived plasma and  memory B cell responses."                                                                           
## [3] " Additionally, we detect robust and sustained  neutralizing antibody responses and the antibodies elicited by  nucleoside-modified mRNA vaccines do not show antibody-dependent enhancement of  infection in vitro."                               
## [4] " Our findings suggest that the nucleoside-modified mRNA-LNP  vaccine platform can induce robust immune responses and is a promising candidate  to combat COVID-19.  Published by Elsevier Inc.  DOI: 10.1016/j.immuni.2020.07.019 PMCID: PMC7392193"
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## [[83]]
## [1] " Epub 2020 Aug  5.  A novel receptor-binding domain (RBD)-based mRNA vaccine against SARS-CoV-2.  Tai W(1), Zhang X(1), Drelich A(2), Shi J(1), Hsu JC(2), Luchsinger L(1),  Hillyer CD(1), Tseng CK(2), Jiang S(3), Du L(4).  Author information: (1)Lindsley F."
## [2] " Kimball Research Institute, New York Blood Center, New York, NY,  10065, USA. (2)Department of Microbiology and Immunology, University of Texas Medical  Branch, Galveston, TX, 77555, USA. (3)Lindsley F."                                                      
## [3] " Kimball Research Institute, New York Blood Center, New York, NY,  10065, USA. sjiang@nybc.org. (4)Lindsley F."                                                                                                                                                   
## [4] " Kimball Research Institute, New York Blood Center, New York, NY,  10065, USA. ldu@nybc.org.  DOI: 10.1038/s41422-020-0387-5 PMCID: PMC7403570"                                                                                                                   
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## [[84]]
## [1] " Local reactions and  systemic events were dose-dependent, generally mild to moderate, and transient.  A second vaccination with 100 μg was not administered because of the increased  reactogenicity and a lack of meaningfully increased immunogenicity after a  single dose compared with the 30-μg dose."
## [2] " RBD-binding IgG concentrations and  SARS-CoV-2 neutralizing titres in sera increased with dose level and after a  second dose."                                                                                                                                                                                
## [3] " Geometric mean neutralizing titres reached 1.9-4.6-fold that of a  panel of COVID-19 convalescent human sera, which were obtained at least 14 days  after a positive SARS-CoV-2 PCR."                                                                                                                         
## [4] " These results support further evaluation of  this mRNA vaccine candidate.  DOI: 10.1038/s41586-020-2639-4"                                                                                                                                                                                                     
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## [[90]]
## [1] " Through a  comprehensive analysis of endogenous gene expression and de novo design of UTRs,  the optimal combination of 5' and 3' UTR are identified and termed NASAR, which  are 5- to 10-fold more efficient than the tested endogenous UTRs."
## [2] " More  importantly, NASAR mRNAs delivered by lipid-derived TT3 nanoparticles trigger a  dramatic expression of potential SARS-CoV-2 antigens."                                                                                                   
## [3] " The antigen-specific  antibodies induced by TT3-nanoparticles and NASAR mRNAs are over two orders of  magnitude more than that induced by the FDA-approved lipid nanoparticle material  MC3 in vaccinated mice."                                
## [4] " These NASAR mRNAs merit further development as  alternative SARS-CoV-2 vaccines.  © 2020 Wiley-VCH GmbH.  DOI: 10.1002/adma.202004452"                                                                                                         
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## [[92]]
## [1] " Immune sera broadly  neutralized pseudoviruses with diverse SARS-CoV-2 spike variants."                                                                                                                                                                  
## [2] " Most  participants had T helper type 1 (TH1)-skewed T cell immune responses with  RBD-specific CD8+ and CD4+ T cell expansion."                                                                                                                          
## [3] " Interferon-Îł was produced by a  large fraction of RBD-specific CD8+ and CD4+ T cells."                                                                                                                                                                  
## [4] " The robust RBD-specific  antibody, T cell and favourable cytokine responses induced by the BNT162b1 mRNA  vaccine suggest that it has the potential to protect against COVID-19 through  multiple beneficial mechanisms.  DOI: 10.1038/s41586-020-2814-7"
## 
## [[93]]
## [1] " Switching a patient from a reference drug to  a biosimilar or from one biosimilar to another (interchangeability) has so far  been considered harmless."                                                                                                                                    
## [2] " Since February 2020, there has been a provisional  decision in Germany that patients should be switched according to an economic  prescription method."                                                                                                                                       
## [3] " Further scientific findings on the interchangeability of  biosimilars and experiences with the supply practices of biosimilars should be  collected and evaluated.In this article, the current situation regarding  marketing authorizations of biosimilars in the European Union is reviewed."
## [4] " The  role of clinical trials for biosimilars is presented, and challenges of  biosimilar development and views on interchangeability are discussed.  DOI: 10.1007/s00103-020-03225-5"                                                                                                          
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## [[94]]
## [1] "10.1016/j.accpm.2020.10.006."                                                                                                                             
## [2] " Epub 2020 Oct 20.  Vaccines against COVID-19.  Locht C(1).  Author information: (1)Univ."                                                                
## [3] " Lille, CNRS, Inserm, CHU Lille, Institut Pasteur de Lille, U1019 -  UMR9017 - CIIL - Center for Infection and Immunity of Lille, F-59000 Lille,  France."
## [4] " Electronic address: camille.locht@pasteur-lille.fr.  DOI: 10.1016/j.accpm.2020.10.006 PMCID: PMC7574838"                                                 
## 
## [[95]]
## [1] " Here, we directly  compared two vaccine platforms-mRNA vaccines and a recombinant protein  formulated with an MF59-like adjuvant-looking for their abilities to  quantitatively and qualitatively shape SARS-CoV-2-specific primary GC responses  over time."                                                                                                                                                                                                  
## [2] " We demonstrated that a single immunization with SARS-CoV-2 mRNA, but  not with the recombinant protein vaccine, elicited potent SARS-CoV-2-specific GC  B and T follicular helper (Tfh) cell responses as well as LLPCs and MBCs.  Importantly, GC responses strongly correlated with neutralizing antibody  production. mRNA vaccines more efficiently induced key regulators of the Tfh  cell program and influenced the functional properties of Tfh cells."
## [3] " Overall,  this study identifies SARS-CoV-2 mRNA vaccines as strong candidates for  promoting robust GC-derived immune responses.  Copyright © 2020 Elsevier Inc."                                                                                                                                                                                                                                                                                             
## [4] " All rights reserved.  DOI: 10.1016/j.immuni.2020.11.009 PMCID: PMC7680029"                                                                                                                                                                                                                                                                                                                                                                                     
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## [[96]]
## [1] " MMWR Morb Mortal Wkly Rep. 2020 Dec 18;69(50):1922-1924. doi:  10.15585/mmwr.mm6950e2.  The Advisory Committee on Immunization Practices' Interim Recommendation for Use  of Pfizer-BioNTech COVID-19 Vaccine - United States, December 2020.  Oliver SE, Gargano JW, Marin M, Wallace M, Curran KG, Chamberland M, McClung N,  Campos-Outcalt D, Morgan RL, Mbaeyi S, Romero JR, Talbot HK, Lee GM, Bell BP,  Dooling K.  On December 11, 2020, the Food and Drug Administration (FDA) issued an Emergency  Use Authorization (EUA) for the Pfizer-BioNTech COVID-19 (BNT162b2) vaccine  (Pfizer, Inc; Philadelphia, Pennsylvania), a lipid nanoparticle-formulated,  nucleoside-modified mRNA vaccine encoding the prefusion spike glycoprotein of  SARS-CoV-2, the virus that causes coronavirus disease 2019 (COVID-19) (1).  Vaccination with the Pfizer-BioNTech COVID-19 vaccine consists of 2 doses (30  ÎĽg, 0.3 mL each) administered intramuscularly, 3 weeks apart."
## [2] " On December 12,  2020, the Advisory Committee on Immunization Practices (ACIP) issued an interim  recommendation* for use of the Pfizer-BioNTech COVID-19 vaccine in persons aged  ≥16 years for the prevention of COVID-19."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
## [3] " To guide its deliberations regarding  the vaccine, ACIP employed the Evidence to Recommendation (EtR) Framework,â\200   using the Grading of Recommendations, Assessment, Development and Evaluation  (GRADE) approach.§ The recommendation for the Pfizer-BioNTech COVID-19 vaccine  should be implemented in conjunction with ACIP's interim recommendation for  allocating initial supplies of COVID-19 vaccines (2)."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
## [4] " The ACIP recommendation  for the use of the Pfizer-BioNTech COVID-19 vaccine under EUA is interim and  will be updated as additional information becomes available.  DOI: 10.15585/mmwr.mm6950e2 PMCID: PMC7745957"