RNA vaccines: The dawn of a new age for tuberculosis?

Hum Vaccin Immunother. 2025 Dec;21(1):2469333. doi: 10.1080/21645515.2025.2469333. Epub 2025 Feb 27.

Abstract

Since 2019, there has been a growing focus on mRNA vaccines for infectious disease prevention, particularly following the emergence of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). mRNA vaccines offer advantages such as rapid production and the ability to induce robust cellular and antibody responses, which are essential for combating infections that require cell-mediated immunity, including Tuberculosis (TB). This review explores recent progress in TB mRNA vaccines and addresses several key areas: (1) the urgent need for new TB vaccines; (2) current advancements in TB vaccine development, and the advantages and challenges of mRNA technology; (3) the design and characteristics of TB mRNA vaccines; (4) the immunological mechanisms of TB mRNA vaccines; (5) manufacturing processes for TB mRNA vaccines; and (6) safety and regulatory considerations. This interdisciplinary review aims to provide insights for researchers working to address critical questions in TB mRNA vaccine development.

Keywords: Mycobacterium tuberculosis; Tuberculosis; immunological mechanisms; mRNA vaccines; manufacture and quality control.

Publication types

  • Review

MeSH terms

  • Animals
  • COVID-19 / prevention & control
  • Humans
  • Mycobacterium tuberculosis / immunology
  • RNA, Messenger / immunology
  • SARS-CoV-2
  • Tuberculosis Vaccines* / administration & dosage
  • Tuberculosis Vaccines* / genetics
  • Tuberculosis Vaccines* / immunology
  • Tuberculosis* / immunology
  • Tuberculosis* / prevention & control
  • Vaccine Development
  • Vaccines, Synthetic / immunology
  • mRNA Vaccines / immunology

Substances

  • Tuberculosis Vaccines
  • Vaccines, Synthetic
  • mRNA Vaccines
  • RNA, Messenger