RE: our trial6 Jan 2022 15:55
iPad
Following on from Bojo's post earlier. There are key differences between Gritstone Bio's self-amplifying RNA and our DNA vaccine.
We have seen across the pandemic the use of mRNA vaccines. These consist of modified messenger RNA molecules which code for the C-19 spike protein, encapsulated with lipid nanoparticles and delivered to the patient. To achieve clinical benefit, doses of these mRNA vaccines are 30 ug for Pfizer/BioNTech and 100 ug for the Moderna vaccine. These are relatively high because the body relatively rapidly breaks the mRNA molecule down inside the cell.
Gritstone are using what is termed a self-amplifying RNA. This contains the target protein sequence region (in this case coding for the spike protein and other protein elements from the C-19 virus) and also the structural protein elements which code for a separate protein called a replicase. Once inside the cell, the patient's cell machinery translates this mRNA into both the target proteins (Spike and others) and the replicase. In turn the replicase is able to copy the mRNA molecule. Amplifying this and in turn amplifying the amount of target protein produced. As such, a far lower dose is required (0.1-10 ug) to achieve clinical benefit.
Obviously the benefit for saRNA vaccines, is the dose lowering - meaning less mRNA associated side effects for patients and also more patients dosed per ug of product - hence reducing costs and increasing availability. However, there still remains some of the drawbacks that mRNA has - mainly lower stability (so the need for cold chaining) and also the need for a robust delivery vehicle that is able to deliver this saRNA to the patients cells. Furthermore, the actual size of the individual transcript is longer - meaning problems may be met with formulation.
SCLP has taken a different approach and instead is using a DNA based vaccine - this is easier to produce in large volumes at low cost with relatively simple materials, the platform itself is able to encode far greater amounts of genetic information (allowing multiple targets to be constructed into a single vaccine molecule). DNA is also far more stable than mRNA (it can be stored at room temperature) and so is less susceptible to problems with cold chain and delivery networks. Due to the nature of DNA vaccines, they are generally lower dose in ug than RNA - as they too are transcribed inside the cell into their mRNA molecule - so a single DNA molecule can produce numerous copies of mRNA.
So some similarities, a number of differences. I believe the lower dose AND stability that a DNA vaccine offers is a strength in a pandemic setting.
For more information:
This is a relatively easy to understand publication on saRNA.
https://portlandpress.com/biochemist/article/43/4/14/229206/The-next-generation-of-RNA-vaccines-self
Slightly more in depth on the technical front.
https://www.nature.com/articles/s41434-020-00204-y