Future Impact of mRNA Therapy on Cardiovascular Diseases

The silver lining of the recent pandemic was that it accelerated the emergence of messenger ribonucleic acid (mRNA) therapeutics. The great promise of mRNA therapeutics was highlighted by the speed at which the vaccines were created, tested, and proven to be relatively safe and highly effective. The...

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Main Authors: John P. Cooke, Keith A. Youker
Format: Article
Language:English
Published: Houston Methodist DeBakey Heart & Vascular Center 2022-12-01
Series:Methodist DeBakey Cardiovascular Journal
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Online Access:https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1169
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author John P. Cooke
Keith A. Youker
author_facet John P. Cooke
Keith A. Youker
author_sort John P. Cooke
collection DOAJ
description The silver lining of the recent pandemic was that it accelerated the emergence of messenger ribonucleic acid (mRNA) therapeutics. The great promise of mRNA therapeutics was highlighted by the speed at which the vaccines were created, tested, and proven to be relatively safe and highly effective. There are a wide variety of mRNA therapeutics now under development, and dozens of these are in clinical trials. These therapeutics are generating a major paradigm shift in medical therapy, including the treatment of cardiovascular disease. Most of the cardiovascular mRNA therapies are still in preclinical development, although a phase 2a trial of mRNA therapy for myocardial ischemia has been completed with promising results.1 The application of mRNA therapies to cardiovascular diseases is virtually limitless, and ongoing work includes mRNA therapies for myocardial ischemia, heart failure, arrhythmias, hypercholesterolemia, and arterial occlusive diseases. In addition, mRNA may be used to enhance cell therapies. In the future, mRNA therapies for cardiovascular disease are destined to supplant some of our current biologics and pharmacotherapies and will be used to treat previously untreatable cardiovascular diseases. Furthermore, mRNA therapies can be personalized, and they can be rapidly generated in current Good Manufacturing Practice facilities with a modest footprint, facilitating the rise of hospital-based regional centers of RNA therapeutics.
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spelling doaj-art-0980d9e39cb04d509595ea92f3cde82c2025-08-20T03:25:50ZengHouston Methodist DeBakey Heart & Vascular CenterMethodist DeBakey Cardiovascular Journal1947-61082022-12-01185647310.14797/mdcvj.11691146Future Impact of mRNA Therapy on Cardiovascular DiseasesJohn P. Cooke0https://orcid.org/0000-0003-0033-9138Keith A. Youker1https://orcid.org/0000-0003-2535-7973Houston Methodist Research Institute, Houston, TexasHouston Methodist Research Institute, Houston, TexasThe silver lining of the recent pandemic was that it accelerated the emergence of messenger ribonucleic acid (mRNA) therapeutics. The great promise of mRNA therapeutics was highlighted by the speed at which the vaccines were created, tested, and proven to be relatively safe and highly effective. There are a wide variety of mRNA therapeutics now under development, and dozens of these are in clinical trials. These therapeutics are generating a major paradigm shift in medical therapy, including the treatment of cardiovascular disease. Most of the cardiovascular mRNA therapies are still in preclinical development, although a phase 2a trial of mRNA therapy for myocardial ischemia has been completed with promising results.1 The application of mRNA therapies to cardiovascular diseases is virtually limitless, and ongoing work includes mRNA therapies for myocardial ischemia, heart failure, arrhythmias, hypercholesterolemia, and arterial occlusive diseases. In addition, mRNA may be used to enhance cell therapies. In the future, mRNA therapies for cardiovascular disease are destined to supplant some of our current biologics and pharmacotherapies and will be used to treat previously untreatable cardiovascular diseases. Furthermore, mRNA therapies can be personalized, and they can be rapidly generated in current Good Manufacturing Practice facilities with a modest footprint, facilitating the rise of hospital-based regional centers of RNA therapeutics.https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1169myocardial infarctionheart failurearrhythmiashypercholesterolemiasenescencetelomerasevaccine
spellingShingle John P. Cooke
Keith A. Youker
Future Impact of mRNA Therapy on Cardiovascular Diseases
Methodist DeBakey Cardiovascular Journal
myocardial infarction
heart failure
arrhythmias
hypercholesterolemia
senescence
telomerase
vaccine
title Future Impact of mRNA Therapy on Cardiovascular Diseases
title_full Future Impact of mRNA Therapy on Cardiovascular Diseases
title_fullStr Future Impact of mRNA Therapy on Cardiovascular Diseases
title_full_unstemmed Future Impact of mRNA Therapy on Cardiovascular Diseases
title_short Future Impact of mRNA Therapy on Cardiovascular Diseases
title_sort future impact of mrna therapy on cardiovascular diseases
topic myocardial infarction
heart failure
arrhythmias
hypercholesterolemia
senescence
telomerase
vaccine
url https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1169
work_keys_str_mv AT johnpcooke futureimpactofmrnatherapyoncardiovasculardiseases
AT keithayouker futureimpactofmrnatherapyoncardiovasculardiseases