Improving the Efficacy of Cancer mRNA Vaccines.

Cancer journal (Sudbury, Mass.)
Authors
Abstract

mRNA vaccines consist of antigen-encoding mRNA, which produces the antigenic protein upon translation. Coupling antigen production with innate immune activation can generate a potent, antigen-specific T-cell response. Clinical reports have demonstrated the ability of mRNA vaccines to elicit an anticancer immune response against various tumor types. Here, we discuss strategies to enhance the potency of mRNA vaccines. We provide an overview of existing knowledge regarding the activation and trafficking mechanisms of mRNA vaccines and share optimization strategies to boost mRNA-mediated antigen production. In addition, we address methods to target mRNA vaccines to dendritic cells and lymph nodes, key initiators of the immune response. Finally, we review strategies for enhancing immune activation using adjuvants compatible with mRNA vaccines. mRNA vaccines offer unique advantages that can be utilized for oncology applications. However, significant work is needed to understand their underlying mechanisms and develop technologies to improve their effectiveness.

Year of Publication
2025
Journal
Cancer journal (Sudbury, Mass.)
Volume
31
Issue
2
Date Published
12/2025
ISSN
1540-336X
DOI
10.1097/PPO.0000000000000764
PubMed ID
40126883
Links