How Did mRNA Technology—Ranked #1 in 2021's "10 Breakthrough Technologies"—Gradually Reach the Clinic?

mRNA technology topped MIT Technology
Review's 2021 "10 Breakthrough Technologies" list, with the
significant recognition that mRNA COVID-19 vaccines achieved ~95% efficacy
despite never having been clinically applied before, potentially transforming
medicine. Although mRNA's journey from discovery to market took just 60
years—relatively brief in pharmaceutical terms—it involved countless
researchers overcoming numerous technical hurdles.
mRNA was first discovered in 1961. The
prototype for mRNA therapy dates to 1990, when the Jon Wolff laboratory at the
University of Wisconsin first reported that in vitro-transcribed (IVT)
mRNA injected into mice expressed active protein in a dose-dependent
manner, eliciting an immune response. While this demonstrated mRNA's
vaccine-like potential, progress was slow due to two major limitations: (1)
mRNA's instability and rapid degradation—it is one of the shortest-lived RNA
species, with a half-life of minutes to hours; and (2) the lack of safe,
effective delivery vehicles capable of protecting mRNA from rapid degradation
and delivering it into the cytoplasm.
As Dr. Katalin Karikó of the University of
Pennsylvania said: "mRNA therapy could become an alternative to
DNA therapy. Unfortunately, due to technical limitations, no one was interested
at the time. But the direction was there, and someone had to rise to the
challenge."
In 2005, after years of difficult research,
Karikó and Dr. Drew Weissman discovered that the key to mRNA's immune response
lay in uridine—by simply modifying uridine nucleotides to pseudouridine,
they could evade immune surveillance, solving the immune response problem. They
received numerous awards including the 2021 Lasker Award.
The exploration of delivery technology also
continued. Since the 1960s, scientists had been studying how to encapsulate and
deliver large molecules. Dr. Pieter Cullis of the University of British
Columbia began researching how to get mRNA into cells without degradation in
the 1980s, discovering that anticancer drugs could diffuse and remain in
liposomes, which then crossed tumor vasculature to deliver drugs into cells.
Through continuous optimization, LNPs gradually became
applicable for nucleic acid delivery, enabling large-scale human clinical
studies. In April 2022, Cullis received the Gairdner Award—often called
Canada's "Nobel Prize."
With LNP delivery and sequence modification
technologies maturing, the mRNA industry gained momentum. In 2018, the FDA
approved the first LNP-delivered nucleic acid drug Patisiran—the
world's first siRNA drug. In the fight against COVID-19, mRNA therapy
succeeded: in December 2020, the first mRNA vaccine BNT162b2 received EUA in
the U.K., and in August 2021, it received FDA approval. mRNA research entered a
new phase of explosive growth, driving the entire drug development field in new
directions.
As Dr. Cullis said when faced with
recognition: "I never imagined that my curiosity would play a key
role in vaccine development, yet these vaccines are now tangibly benefiting
billions of people worldwide."



