PMID- 34756012 OWN - NLM STAT- MEDLINE DCOM- 20220113 LR - 20220113 IS - 1520-4898 (Electronic) IS - 0001-4842 (Linking) VI - 54 IP - 23 DP - 2021 Dec 7 TI - Therapeutic mRNA Engineering from Head to Tail. PG - 4272-4282 LID - 10.1021/acs.accounts.1c00541 [doi] AB - Synthetic messenger RNA (mRNA), once delivered into cells, can be readily translated into proteins by ribosomes, which do not distinguish exogenous mRNAs from endogenous transcripts. Until recently, the intrinsic instability and immunostimulatory property of exogenous RNAs largely hindered the therapeutic application of synthetic mRNAs. Thanks to major technological innovations, such as introduction of chemically modified nucleosides, synthetic mRNAs have become programmable therapeutic reagents. Compared to DNA or protein-based therapeutic reagents, synthetic mRNAs bear several advantages: flexible design, easy optimization, low-cost preparation, and scalable synthesis. Therapeutic mRNAs are commonly designed to encode specific antigens to elicit organismal immune response to pathogens like viruses, express functional proteins to replace defective ones inside cells, or introduce novel enzymes to achieve unique functions like genome editing. Recent years have witnessed stunning progress on the development of mRNA vaccines against SARS-Cov2. This success is built upon our fundamental understanding of mRNA metabolism and translational control, a knowledge accumulated during the past several decades. Given the astronomical number of sequence combinations of four nucleotides, sequence-dependent control of mRNA translation remains incompletely understood. Rational design of synthetic mRNAs with robust translation and optimal stability remains challenging. Massively paralleled reporter assay (MPRA) has been proven to be powerful in identifying sequence elements in controlling mRNA translatability and stability. Indeed, a completely randomized sequence in 5' untranslated region (5'UTR) drives a wide range of translational outputs. In this Account, we will discuss general principles of mRNA translation in eukaryotic cells and elucidate the role of coding and noncoding regions in the translational regulation. From the therapeutic perspective, we will highlight the unique features of 5' cap, 5'UTR, coding region (CDS), stop codon, 3'UTR, and poly(A) tail. By focusing on the design strategies in mRNA engineering, we hope this Account will contribute to the rational design of synthetic mRNAs with broad therapeutic potential. FAU - Jia, Longfei AU - Jia L AD - Division of Nutritional Sciences, Cornell University, Ithaca, New York 14853, United States. FAU - Qian, Shu-Bing AU - Qian SB AUID- ORCID: 0000-0002-4127-1136 AD - Division of Nutritional Sciences, Cornell University, Ithaca, New York 14853, United States. LA - eng GR - R01 GM122814/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20211110 PL - United States TA - Acc Chem Res JT - Accounts of chemical research JID - 0157313 RN - 0 (RNA, Messenger) RN - 0 (RNA, Viral) RN - 0 (mRNA Vaccines) SB - IM MH - *COVID-19 MH - Humans MH - *Protein Biosynthesis/genetics MH - RNA, Messenger/genetics/metabolism MH - RNA, Viral MH - SARS-CoV-2 MH - mRNA Vaccines EDAT- 2021/11/11 06:00 MHDA- 2022/01/14 06:00 CRDT- 2021/11/10 13:04 PHST- 2021/11/11 06:00 [pubmed] PHST- 2022/01/14 06:00 [medline] PHST- 2021/11/10 13:04 [entrez] AID - 10.1021/acs.accounts.1c00541 [doi] PST - ppublish SO - Acc Chem Res. 2021 Dec 7;54(23):4272-4282. doi: 10.1021/acs.accounts.1c00541. Epub 2021 Nov 10.