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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="review-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Acta Naturae</journal-id><journal-title-group><journal-title xml:lang="en">Acta Naturae</journal-title><trans-title-group xml:lang="ru"><trans-title>Acta Naturae</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2075-8251</issn><publisher><publisher-name xml:lang="en">Acta Naturae Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">27707</article-id><article-id pub-id-type="doi">10.32607/actanaturae.27707</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Reviews</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Обзоры</subject></subj-group><subj-group subj-group-type="article-type"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">mRNA-based personalized cancer vaccines: opportunities, challenges and outcomes</article-title><trans-title-group xml:lang="ru"><trans-title>Персонализированные мРНК-вакцины в онкологии: возможности, сложности и перспективы</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-1728-0723</contrib-id><contrib-id contrib-id-type="researcherid">NPJ-0555-2025</contrib-id><contrib-id contrib-id-type="spin">3726-8132</contrib-id><name-alternatives><name xml:lang="en"><surname>Ibragimova</surname><given-names>Arina A.</given-names></name><name xml:lang="ru"><surname>Ибрагимова</surname><given-names>Арина Александровна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cancer Research Institute</p></bio><bio xml:lang="ru"><p>Научно-исследовательский институт онкологии</p></bio><email>arina.budnitskaya@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5121-2535</contrib-id><contrib-id contrib-id-type="scopus">57211136209</contrib-id><name-alternatives><name xml:lang="en"><surname>Fedorov</surname><given-names>Anton A.</given-names></name><name xml:lang="ru"><surname>Федоров</surname><given-names>Антон Андреевич</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cancer Research Institute</p></bio><bio xml:lang="ru"><p>Научно-исследовательский институт онкологии</p></bio><email>anton.fedorov.2014@mail.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0005-5208-2495</contrib-id><name-alternatives><name xml:lang="en"><surname>Kirilenko</surname><given-names>Kirill M.</given-names></name><name xml:lang="ru"><surname>Кириленко</surname><given-names>Кирилл Михайлович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Center for Systems Bioinformatics</p></bio><bio xml:lang="ru"><p>Центр системной биоинформатики</p></bio><email>kirillkirilenko.tomsk@gmail.com</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3651-0665</contrib-id><contrib-id contrib-id-type="scopus">6603352329</contrib-id><contrib-id contrib-id-type="researcherid">C-9892-2012</contrib-id><contrib-id contrib-id-type="spin">2240-8730</contrib-id><name-alternatives><name xml:lang="en"><surname>Choynzonov</surname><given-names>Evgeny L.</given-names></name><name xml:lang="ru"><surname>Чойнзонов</surname><given-names>Евгений Лхамацыренович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cancer Research Institute</p></bio><bio xml:lang="ru"><p>Научно-исследовательский институт онкологии</p></bio><email>choinzonov.el@ssmu.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2923-9755</contrib-id><contrib-id contrib-id-type="scopus">26653961800</contrib-id><contrib-id contrib-id-type="researcherid">C-8662-2012</contrib-id><name-alternatives><name xml:lang="en"><surname>Denisov</surname><given-names>Evgeny V.</given-names></name><name xml:lang="ru"><surname>Денисов</surname><given-names>Евгений Владимирович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cancer Research Institute</p></bio><bio xml:lang="ru"><p>Научно-исследовательский институт онкологии</p></bio><email>d_evgeniy@oncology.tomsk.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2865-7576</contrib-id><contrib-id contrib-id-type="scopus">57200569624</contrib-id><contrib-id contrib-id-type="researcherid">Q-9364-2017</contrib-id><name-alternatives><name xml:lang="en"><surname>Patysheva</surname><given-names>Marina R.</given-names></name><name xml:lang="ru"><surname>Патышева</surname><given-names>Марина Ринатовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Cancer Research Institute</p></bio><bio xml:lang="ru"><p>Научно-исследовательский институт онкологии</p></bio><email>patysheva_mr@onco.tnimc.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Tomsk National Research Medical Center, Russian Academy of Sciences</institution></aff><aff><institution xml:lang="ru">Томский национальный исследовательский медицинский центр Российской академии наук</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2025-12-04" publication-format="electronic"><day>04</day><month>12</month><year>2025</year></pub-date><volume>17</volume><issue>4</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>17</fpage><lpage>37</lpage><history><date date-type="received" iso-8601-date="2025-05-31"><day>31</day><month>05</month><year>2025</year></date><date date-type="accepted" iso-8601-date="2025-08-06"><day>06</day><month>08</month><year>2025</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2025, Ibragimova A.A., Fedorov A.A., Kirilenko K.M., Choynzonov E.L., Denisov E.V., Patysheva M.R.</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2025, Ибрагимова А.А., Федоров А.А., Кириленко К.М., Чойнзонов Е.Л., Денисов Е.В., Патышева М.Р.</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="en">Ibragimova A.A., Fedorov A.A., Kirilenko K.M., Choynzonov E.L., Denisov E.V., Patysheva M.R.</copyright-holder><copyright-holder xml:lang="ru">Ибрагимова А.А., Федоров А.А., Кириленко К.М., Чойнзонов Е.Л., Денисов Е.В., Патышева М.Р.</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://actanaturae.ru/2075-8251/article/view/27707">https://actanaturae.ru/2075-8251/article/view/27707</self-uri><abstract xml:lang="en"><p>mRNA-based cancer vaccines represent an innovative approach to cancer treatment. Cancer mRNA vaccines are structurally based on specific tumor antigens, a technique which enables the patient’s immune system to become activated against cancer cells. Clinical trials of mRNA vaccines against various types of tumors, including melanoma, lung cancer, pancreatic carcinoma, breast cancer and others, are currently underway. Because of their favorable safety profile and adaptability, these therapeutics hold considerable promise in efforts to enhance cancer treatment efficacy and prolong patient life. This review outlines steps in the development of manufacturing technologies for mRNA-based therapeutics, describes the algorithm used to design personalized anti-tumor mRNA vaccines, discusses their practical implementation, and summarizes current clinical trials in cancer immunotherapy.</p></abstract><trans-abstract xml:lang="ru"><p>Противоопухолевые вакцины на основе мРНК представляют собой инновационный подход к лечению онкологических заболеваний. Противоопухолевые мРНК-вакцины структурно основаны на специфических опухолевых антигенах, что позволяет активировать иммунную систему пациента для борьбы с раковыми клетками. На сегодняшний день проводятся клинические испытания мРНК-вакцин против различных типов опухолей, включая меланому, рак легкого, рак поджелудочной железы, рак молочной железы и другие. Благодаря безопасности и гибкости применения, эти препараты имеют значительный потенциал для повышения эффективности лечения злокачественных новообразований и увеличения продолжительности жизни пациентов. В обзоре представлена информация о развитии технологии производства препаратов на основе мРНК, алгоритме создания персонализированных противоопухолевых мРНК-вакцин, практических аспектах их применения, а также рассмотрены актуальные клинические исследования персонализированных мРНК-вакцин в онкологии.</p></trans-abstract><kwd-group xml:lang="en"><kwd>mRNA vaccine</kwd><kwd>cancer</kwd><kwd>immunotherapy</kwd><kwd>neoantigens</kwd><kwd>liposomes</kwd><kwd>clinical trials</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>мРНК-вакцина</kwd><kwd>рак</kwd><kwd>иммунотерапия</kwd><kwd>неоантигены</kwd><kwd>липосомы</kwd><kwd>клинические исследования</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">Министерство науки и высшего образования РФ</institution></institution-wrap><institution-wrap><institution xml:lang="en">Ministry of Science and Higher Education of the Russian Federation</institution></institution-wrap></funding-source><award-id>075-00490-25-04</award-id></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Kaprin AD, Starinsky VV, Shakhzadova AO. 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