Dr. Hans-Joachim Muhr

"METTLER TOLEDO's analytical instruments facilitate accurate measurement of key parameters such as purity and concentration, crucial for optimizing yield and ensuring product integrity in mRNA therapeutics.

Dr. Hans-Joachim Muhr, Segment Business Development Manager

Stability

Scientist's finger holding a liquid

mRNA is an inherently unstable molecule that is highly temperature sensitive and prone to spontaneous autohydrolysis. This has implications for its durability during transport, storage, and therapeutic application. mRNA must be stored at very low temperatures to remain stable, but it can degrade over time, even in optimal conditions.

Immunogenicity

scientist working in a lab with mRNA

Exogenous RNA is immunogenic, which means that mRNA therapies can cause severe immune reactions that exceed the required response to the target antigen and present a significant obstacle to their implementation in humans. Modifying uridine bases and designing sequences to reduce the abundance of double-stranded RNA helps to reduce unwanted immunogenicity but it remains an important issue that future formulations must address. Residual DNA used in the production of mRNA therapies can significantly contribute to unwanted immune responses in recipients if not adequately removed from formulations.

Translational Efficiency

scientists working on computers

mRNA therapies must be translated using endogenous translation machinery to have their therapeutic effect. However, early iterations of mRNA therapies suffered from inefficient rates of translation, which reduced the effective therapeutic dosage.

Production bottlenecks

large scale production pipettes

Large-scale production of mRNA is constrained by reagent costs and complex technical processes. A particularly costly step is RNA capping, which requires a large quantity of expensive reagents. Early reagents used for capping also had low capping efficiency and had a chance to yield untranslatable mRNA molecules

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mRNA Formats

mRNA molecules are now produced in various formats, including circular RNA and self-amplifying RNA. These formats help to overcome issues with stability, immunogenicity, and dosage. Improvements in codon optimization have helped with translational efficiency and structural stability issues.

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Production Innovations

The emergence of new capping reagents has removed a significant bottleneck in large-scale mRNA production. Furthermore, general improvements in laboratory automation, storage, weighing, and analytical instrumentation contribute significantly to faster development cycles. Innovations have also enabled specific processes that previously required separate reactions to be completed in a single production step. For instance, in vitro transcription and capping can now be carried out in the same mixture, simplifying the production workflows.

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Delivery Systems

Rapid advances have been made in mRNA delivery systems, particularly in lipid nanoparticles (LNPs). LNP delivery systems help maintain mRNA stability during delivery and reduce immunogenicity.

Oncology

doctors walking in the hospital

Due to their genetic instability, cancers often display neoantigens, which distinguish them from healthy tissue. This means the immune system can be trained to destroy cancer cells, similarly to how it destroys an invading pathogen. mRNA cancer vaccines work by delivering mRNA that encodes specific cancer antigens, which in turn trains the immune system to recognize and attack cancer cells. mRNA vaccines represent a leading technology for personalized medicine approaches to cancer treatment and there are over one hundred clinical trials underway to evaluate mRNA therapies for the treatment of diverse cancer types.

Infectious Disease

scientist in a lab

mRNA technologies have the potential for rapid design and development, which makes them incredibly useful as a therapy against infectious diseases. mRNA can theoretically code for a virtually limitless number of unique proteins. This means it can be readily applied to address emerging pathogens, such as during the COVID-19 pandemic, but also allows them to be employed for rapidly evolving diseases like HIV and influenza viruses. mRNA vaccines could speed up the annual development of flu vaccines, freeing up resources and ensuring efficient vaccine rollouts. An mRNA-based vaccine against the Epstein-Barr virus is in phase I trials.

Autoimmune Diseases

dosctor speaking to a patient

These diseases occur when the immune system attacks healthy host tissue. mRNA technologies could be implemented to induce immune tolerance and prevent inflammatory reactions against self-antigens or specific tissue types. By encoding proteins or peptides that modulate immune responses, mRNA therapies can promote the generation of regulatory immune cells or tolerogenic proteins. An mRNA-based therapy from Moderna that encodes interleukin 2 to expand T-regulatory cell populations is now in clinical development.

Despite advances in mRNA technology and improvements in the efficiency of its production, the technology is far from optimized, with many essential areas still needing to be addressed.

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Slow Production

Current processes have not fully implemented automation and continuous processing, which leads to slower mRNA therapeutic development. Production inefficiencies can also increase the number of freeze-thaw cycles the mRNA is exposed to during development, reducing production yield and impacting quality.

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Storage

Larger-scale mRNA production faces issues with long-term storage. Lyophilization has emerged as a way to store encapsulated mRNA therapies at higher temperatures, which may help alleviate logistical problems in the distribution chain. However, this storage method is known to affect encapsulation efficiency.

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Costs

Automation will help to reduce the costs of large-scale production; however, smaller-scale production of patient-specific mRNA will likely continue to be very expensive and prone to the inefficiencies of lower-scale output. This could limit the use of mRNA for personalized medicine, while applications like large vaccination programs will be less affected.

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Immunogenicity and Toxicity

Scaling quality control processes such as chromatography is another challenge that must be overcome to remove inappropriate immunostimulatory molecules from mRNA therapeutic formulations. Some mRNA delivery systems tend to accumulate in the liver and lead to hepatic toxicity. Thus, developing technologies that target LNPs to specific organs is important.

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