2021
DOI: 10.1021/acscentsci.1c00197
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Modifications in an Emergency: The Role of N1-Methylpseudouridine in COVID-19 Vaccines

Abstract: The novel coronavirus SARS-CoV-2, the cause of the COVID-19 pandemic, has inspired one of the most efficient vaccine development campaigns in human history. A key aspect of COVID-19 mRNA vaccines is the use of the modified nucleobase N1-methylpseudouridine (m1Ψ) to increase their effectiveness. In this Outlook, we summarize the development and function of m1Ψ in synthetic mRNAs. By demystifying how a novel element within these medicines works, we aim to foster understanding and highlight future opportunities f… Show more

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Cited by 269 publications
(324 citation statements)
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“…Both mRNA vaccines have modulated 5′ and 3′ untranslated sequences to optimize mRNA stability and translation efficiency 44 , 45 , and all uridines are replaced by N1-methylpseudouridine (m1Ψ) to further increase RNA stability and to reduce innate immune responses (Fig. 3a ; see section “Vaccine-specific differences of innate responses”) 51 , 52 . Details of manufacturing processes may differ between the companies, and subtle product-specific variations of RNA sequences were recently confirmed by comparative analyses of RNA extracted from original vials of the two vaccines ( https://github.com/NAalytics/Assemblies-of-putative-SARS-CoV2-spike-encoding-mRNA-sequences-for-vaccines-BNT-162b2-and-mRNA-1273/blob/main/Assemblies%20of%20putative%20SARS-CoV2-spike-encoding%20mRNA%20sequences%20for%20vaccines%20BNT-162b2%20and%20mRNA-1273.docx.pdf ).…”
Section: Vaccine-specific Differences Of S-antigen Structure and Presentationmentioning
confidence: 99%
“…Both mRNA vaccines have modulated 5′ and 3′ untranslated sequences to optimize mRNA stability and translation efficiency 44 , 45 , and all uridines are replaced by N1-methylpseudouridine (m1Ψ) to further increase RNA stability and to reduce innate immune responses (Fig. 3a ; see section “Vaccine-specific differences of innate responses”) 51 , 52 . Details of manufacturing processes may differ between the companies, and subtle product-specific variations of RNA sequences were recently confirmed by comparative analyses of RNA extracted from original vials of the two vaccines ( https://github.com/NAalytics/Assemblies-of-putative-SARS-CoV2-spike-encoding-mRNA-sequences-for-vaccines-BNT-162b2-and-mRNA-1273/blob/main/Assemblies%20of%20putative%20SARS-CoV2-spike-encoding%20mRNA%20sequences%20for%20vaccines%20BNT-162b2%20and%20mRNA-1273.docx.pdf ).…”
Section: Vaccine-specific Differences Of S-antigen Structure and Presentationmentioning
confidence: 99%
“…However, the main motivation in the field has been the use of CL-based NA vectors in gene therapeutics [ 44 , 45 , 46 ], a concept explored in numerous clinical trials [ 45 , 47 , 48 ]. Major discoveries in the biochemical arena, such as gene silencing via RNA interference (RNAi) [ 49 , 50 ] induced by double-stranded small interfering RNA (siRNA) [ 18 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 ] and microRNA [ 59 ], gene editing via CRISPR/Cas-9 [ 60 , 61 , 62 ], and expression of base-modified mRNA [ 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 ], have greatly expanded the therapeutic potential of NAs. The first culmination of these efforts was the FDA approval of a lipid-based siRNA vector (patisiran/ONPATTRO ® , Alnylam Pharmaceuticals) in 2018 for treatment of the polyneuropathy caused by hereditary transthyretin amyloidosis [ 71 , 72 ].…”
Section: Introductionmentioning
confidence: 99%
“…Recently, the scale of this first breakthrough was dwarfed by the success and use (in potentially billions of patients) of two lipid-based mRNA vaccines [ 73 ] against SARS-CoV2. Building on decades of work on both the lipid vector [ 72 , 74 , 75 ] and the mRNA payload [ 70 ], the vaccines developed by Pfizer/BioNTech [ 76 , 77 , 78 ] and Moderna [ 79 , 80 ] became the first vaccines approved against COVID-19 in December 2020. The lipid compositions of the vaccine nanoparticles are similar to that of patisiran [ 81 , 82 ], albeit employing ionizable cationic lipids with branched rather than unsaturated tails and different PEG-lipids ( Figure 2 and Figure 3 ).…”
Section: Introductionmentioning
confidence: 99%
“…The PSC mRNA vaccine constructs resulted in elevated antigen‐specific T‐cells and are the first vaccine approved by the FDA against prostate cancer. Recently, Nance and the group have proposed modifications in mRNA vaccines developed against COVID‐19 (Nance & Meier, 2021 ). In these mRNA vaccines, the uridine nucleobase suggested being replaced with N1‐methylpseudouridine (m1Ψ) to augment the efficacy of these mRNA vaccines.…”
Section: Posttranslational Modifications In Vaccine Candidatesmentioning
confidence: 99%