Evidence map›Paper›PMID 41009557›Full record

ReviewInternational journal of molecular sciences2025

The Interplay Between Therapeutic Self-Amplifying RNA and the Innate Immune System: Balancing Efficiency and Reactogenicity.

Dmitry Kunyk, Marina Plotnikova, Mikhail Bespalov, Daniil Shevyrev, Sergey Klotchenko, Roman Ivanov, Vasiliy Reshetnikov

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
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  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dmitry KunykTranslational Medicine Research Center, Sirius University of Science and Technology, 354340 Sochi, Russia.ORCID 0009-0006-9408-8454
Marina PlotnikovaSmorodintsev Research Institute of Influenza, The Ministry of Health of the Russian Federation, 197022 Saint-Petersburg, Russia.ORCID 0000-0001-8196-3156
Mikhail BespalovTranslational Medicine Research Center, Sirius University of Science and Technology, 354340 Sochi, Russia.ORCID 0009-0003-4011-7625
Daniil ShevyrevTranslational Medicine Research Center, Sirius University of Science and Technology, 354340 Sochi, Russia.ORCID 0000-0002-7084-081X
Sergey KlotchenkoSmorodintsev Research Institute of Influenza, The Ministry of Health of the Russian Federation, 197022 Saint-Petersburg, Russia.ORCID 0000-0003-0289-6560
Roman IvanovTranslational Medicine Research Center, Sirius University of Science and Technology, 354340 Sochi, Russia.ORCID 0000-0002-9573-4183
Vasiliy ReshetnikovTranslational Medicine Research Center, Sirius University of Science and Technology, 354340 Sochi, Russia.ORCID 0000-0002-2932-0804

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-amplifying RNA (saRNA) is a promising platform for the production of vaccines, anti-tumor therapeutics, and gene therapy solutions. One of the advantages of the saRNA platform is the ability to use small doses of the therapeutic while maintaining prolonged expression of the target protein. However, the presence of auxiliary sequences encoding non-structural alphavirus proteins, which facilitate the replication of saRNA in cells, necessitates a thorough assessment of the biosafety of this platform. In our review, we focus on saRNA functions in the context of its interaction with the innate immune system. Firstly, an analysis is conducted of the side effects of candidate saRNA therapeutics, as observed in preclinical and clinical trials. Then, the mechanisms underlying the function of saRNA products derived from various alphavirus genomes in cell systems are discussed, as well as the reasons for their reactogenicity. The key approaches to optimizing the saRNA platform, which are aimed at reducing the activation of the innate immune response and cytopathic effects, are described. To summarize, this review enables us to systematize our knowledge on the advantages and disadvantages of saRNA, as well as potential approaches to improving this platform in order to develop more effective and safer therapeutics.

Indexed as

Immunity, InnateRNA, ViralAlphavirusAnimalsGenetic TherapyHumansRNA, Viralclinical developmentimmunityoptimizationreactogenicityrepliconRLRsaRNAself-amplifying RNAtherapeuticsvaccineVEEV

Identifiers

PMID41009557
PMCPMC12469313

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.