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Intro
Introduction: IVT Messenger RNA in the Syringe
Contents
Roadmap to the Development of mRNA Therapeutics: From Molecule Design and Delivery Strategies to Manufacturing, Quality Control, and Regulatory Considerations
1 Introduction
2 mRNA Design Strategies
2.1 Reducing mRNA Immunogenicity
2.2 Optimizing Protein Expression
2.3 Optimizing mRNA Stability
3 Delivery Strategies for mRNA Therapeutics
3.1 Lipid Nanoparticles for mRNA Delivery
3.2 Other Materials for mRNA Delivery
3.3 mRNA Drug Product Route of Administration

4 Manufacturing of mRNA Drug Products
4.1 mRNA Drug Substance Manufacturing
4.2 mRNA Drug Product Manufacturing
5 Quality Control of mRNA Therapeutics
5.1 Drug Substance (mRNA) CQAs and Quality Control Strategy
5.2 Drug Product (mRNA-LNPs) CQAs and Quality Control Strategy
6 Conclusion and Future Directions
References
Messenger RNA for Prophylaxis
1 Introduction
2 mRNA Vaccines: Categories and Biological Function
3 Advances in mRNA Constructs
3.1 5' Capping
3.2 Untranslated Regions (UTRs)
3.3 Poly(A)-Tail

3.4 Nucleotide Modification and Codon Optimization
3.5 Purity
3.6 Self-Amplifying Specific Features
4 mRNA Carrier Technologies
4.1 Tropism and Uptake Efficiency
4.2 The Art of Endosomal Escape
4.3 Formulation
4.4 Stability
5 Conclusions
References
Messenger RNA Therapeutics: Start of a New Era in Medicine
1 Introduction
2 Production of IVT mRNA
3 Immunogenicity of IVT mRNA
4 Strategies to Increase the Stability and Reduce the Immunogenicity of IVT mRNA
4.1 Capping (m7GpppN or m7Gp3N)
4.2 Tailing
4.3 Untranslated Regions (UTRs)

4.4 Coding Region
5 Purification of Synthetic mRNA
6 Synthetic mRNA Platforms and their Features
6.1 Unmodified mRNA
6.2 Modified mRNA
6.3 Sequence-Optimized Unmodified mRNA
6.4 Replicon RNA
7 In Vivo Delivery Strategies of Exogenous mRNA
7.1 Delivery of Naked mRNA
7.2 Cationic Liposome-Mediated or Cationic Nanoemulsion (CNE)-based RNA Transfection
7.3 Peptide-based Delivery
7.4 Electroporation and Nucleoporation
7.5 Gene Gun-Mediated Delivery of mRNA
7.6 Use of Polymer Nanomaterials
7.7 Virus-like Replicon Particle (VRP)-based Delivery of mRNA

7.8 Other Lesser-Known Methods
8 Applications of mRNA Therapeutics
8.1 mRNA as a Therapeutic Agent for Replacement of Defective Protein within the Cell
8.2 mRNA as Vaccines Against Cancer
8.3 Dendritic Cell (DC) Vaccines
8.4 mRNA Vaccines in Prevention of Diseases
8.5 mRNA-Mediated Genome Editing
8.6 Generation of Induced Pluripotent Stem Cells (iPSCs) using mRNA
9 Safety of mRNA Therapeutics
9.1 The Safety Concern Over the Use of Non-Natural Nucleotides/Nucleosides in IVT mRNA
9.2 Safety Considerations Regarding the Encoded Protein
10 Conclusions
References

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