Multivalent mRNA-exosome vaccines: Reshaping epigenetic and immune landscapes to turn “cold” tumors “hot”
Peer-Reviewed Publication
Updates every hour. Last Updated: 23-Oct-2026 11:17 ET (23-Oct-2026 15:17 GMT/UTC)
The cutting-edge advances in multivalent mRNA–exosome vaccines provides a mechanistic blueprint showing how these customized mRNA payloads can systematically reprogram the immunosuppressive architecture of “cold” tumor microenvironments and mobilize potent, antigen-specific cytotoxic T-lymphocyte responses to overcome cancer immunotherapy resistance.A primary challenge in oncology vaccinology is delivering payloads to lymphoid-resident antigen-presenting cells (APCs) without triggering systemic toxicities or rapid hepatic clearance. While synthetic lipid nanoparticles (LNPs) are standard for systemic delivery, they face hepatocyte sequestration driven by blood-borne apolipoprotein E (ApoE) binding, which limits extrahepatic bioavailability. To bypass this constraint, engineered exosomes offer a biological alternative. These cell-derived vesicles feature a native lipid bilayer enriched with cholesterol and sphingomyelin that shields mRNA from ribonuclease degradation. By presenting surface markers like CD47—a “don’t eat me” signal blocking macrophage phagocytosis via SIRPα—exosomes achieve extended circulation half-lives (Figure 1).
Hepatocellular carcinoma (HCC) remains one of the most lethal malignancies worldwide, ranking as the third leading cause of cancer-related mortality, with limited therapeutic targets and dismal prognosis for advanced disease. This study identifies P53 and DNA damage-regulated gene 1 (PDRG1) as a novel oncogenic driver in HCC, revealing a previously unrecognized regulatory axis promoting tumor progression. The researchers demonstrate that PDRG1 expression is significantly upregulated in HCC tissues compared with normal liver, and that high PDRG1 expression correlates with advanced tumor stage, higher histological grade, and poor patient survival, establishing PDRG1 as a potential prognostic biomarker. Functional studies reveal that PDRG1 knockdown suppresses HCC cell proliferation, migration, and invasion in vitro, and inhibits tumor growth and lung metastasis in vivo, while PDRG1 overexpression exerts opposite effects. Mechanistically, PDRG1 activates Wnt/β-catenin signaling, elevating levels of β-catenin, c-Myc, and phosphorylated GSK-3β, and the oncogenic effects of PDRG1 are reversed by the Wnt pathway inhibitor XAV939, confirming functional dependence on this pathway. Furthermore, the study identifies transcription factor Specificity Protein 1 (SP1) as an upstream regulator that binds directly to the PDRG1 promoter and activates its transcription, with rescue experiments confirming that SP1 exerts its pro-tumor effects through PDRG1.
A new review in Medicine Plus traces the evolution of mRNA lipid nanoparticles (mRNA-LNPs) from prophylactic vaccine vehicles to programmable therapeutic platforms. The authors detail clinical and preclinical progress across infectious disease, cancer, autoimmunity, rare genetic disease and tissue repair, while identifying key translational hurdles including extrahepatic targeting, repeat-dose immunogenicity, off-target editing risks, and scalable manufacturing.
Generative AI is increasingly being explored across cancer care, yet the patients, survivors and carers that AI intends to support have had little opportunity to shape how these tools are developed, evaluated and used - a Flinders University-led review has found.
People with lung cancer are more likely to have microplastics in their lungs and to have larger quantities of microplastics in their lungs, according to research that will be presented at the European Respiratory Society Congress in Barcelona, Spain. Researchers say their study adds to evidence that microplastics are entering our bodies via the air we breathe and suggests that there may be a link between microplastics and lung disease.
In two new studies, UCLA researchers used lab-grown brain organoids, donated human tissue and fused "assembloids" to investigate how radial glia — the stem cells that build the human cerebral cortex — decide which types of brain cells to make.
One study showed that how neural glia process nutrients helps determine which neurons they make. The other showed that physical contact from a neighboring region — the thalamus — drives the same cells to produce more of the neurons most expanded in the human brain.
Together, the findings recast radial glia's surroundings — its nutrients and physical connections — as active drivers of human brain development, offering new insight into how the cortex is built and how that process can go awry in neurodevelopmental disorders and cancer.
Molecules called reactive oxygen species, which include so-called 'free radicals', have long been viewed as damaging byproducts of our body’s metabolism – a reason why antioxidant supplements have been considered as a potential way of reducing cancer risk. Now, scientists have discovered that certain immune cells depend on these very molecules to activate and destroy cancer cells, and that tumours exploit this dependency by releasing natural antioxidants to shut down the immune attack.
In a breakthrough study, researchers at The University of Texas MD Anderson Cancer Center discovered that psilocybin given before chemotherapy prevented the onset of nerve injury in preclinical models, even after repeated treatment cycles, which could help prevent pain, numbness and other common chemotherapy side effects.
A psychedelic compound best known for its effects on the brain may help prevent one of chemotherapy's most debilitating side effects – chemotherapy-induced peripheral neuropathy (CIPN), researchers report. In mouse models, as few as two doses of psilocybin given before treatment durably prevented CIPN through multiple cycles of chemotherapy, while preserving both nerve function and the therapies’ tumor-killing effects. No previous studies have examined the prophylactic potential of psilocybin for CIPN, the authors say. CIPN is a common and often debilitating consequence of platinum-based cancer treatments. Affecting more than 60% of patients, CIPN causes persistent pain, burning sensation, and numbness. This condition often limits or interrupts potential lifesaving cancer treatment and can greatly reduce the quality of life of survivors. However, despite its clinical burden, there are no effective preventative strategies, and current treatments provide only modest relief. Here, Mario Heles and colleagues investigated psilocybin, a naturally occurring psychedelic compound, as a potential treatment for CIPN.
CIPN is linked to failures in mitochondrial function and the progressive degeneration of the farthest-reaching portions of sensory nerve fibers. Previous research has suggested that psilocybin promotes neural plasticity through the 5HT2A receptor. Because 5HT2A receptors may also influence mitochondrial production and sensory pain pathways, Heles et al. hypothesized that psilocybin could potentially produce lasting remodeling and protection within the nervous system. In tumor-bearing animals undergoing repeated, clinically relevant cycles of platinum- and taxane-based chemotherapy, the authors showed that psilocybin administration before chemotherapy durably prevented CIPN through as many as six chemotherapy cycles without reducing chemotherapy's antitumor effects. “The study reframes CIPN not simply as an inevitable consequence of neuronal injury but as a failure of resilience that may be amenable to early intervention,” writes Maria Maiarú in a related Perspective. “The challenge now is to translate these mechanistic insights into carefully designed clinical trials…” she says. Maiarú also notes that the effect of the findings extends beyond chemotherapy-induced neuropathy in terms of potential for disease-modifying approaches to chronic pain.
***A related embargoed news briefing was held at 11:00 a.m. U.S. ET on Tuesday, 01 September, as a Zoom webinar. Reporters interested in a recording of the briefing may email scipak@aaas.org to inquire about access.***
New research reveals a promising new target for treating cancer by harnessing a type of molecule previously thought to do more harm than good.
For decades, reactive oxygen species, or ROS, often called free radicals, have been viewed primarily as harmful molecules linked to aging, DNA damage and cancer. A new study co-led by Oregon Health & Science University finds that cancer-fighting T cells need small amounts of ROS to attack tumors.
The investigators discovered that cancers exploit the T cell need for ROS by releasing an antioxidant protein that removes ROS from the tumor environment, effectively shutting down the attack by the immune system upon the cancer.
Published today in the journal Science, the findings identify a previously unknown way tumors escape immune attack and point to a promising new target for cancer immunotherapy.