Health
What to Know About mRNA Vaccines
Health Secretary Robert F. Kennedy, Jr., has repeatedly questioned the safety of mRNA vaccines against Covid-19. Scientists with funding from the National Institutes of Health were advised to scrub their grants of any reference to mRNA. Around the country, state legislatures are considering bills to ban or limit such vaccines, with one describing them as weapons of mass destruction.
While mRNA, or messenger RNA, has received widespread attention in recent years, scientists first discovered it in 1961. They have been studying it and exploring its promise in preventing infectious diseases and treating cancer and rare diseases ever since.
What is mRNA?
A large molecule found in all of our cells, mRNA is used to make every protein that our DNA directs our bodies to build. It does so by carrying information from DNA in the nucleus out to a cell’s protein-making machinery. A single mRNA molecule can be used to make many copies of a protein, but it is naturally programmed to die eventually, said Jeff Coller, a professor of RNA biology and therapeutics at Johns Hopkins University and a co-founder of an RNA therapeutics company.
How do mRNA vaccines work?
Right now, there are three FDA-approved vaccines available that use mRNA, two for Covid-19 and one for R.S.V., or respiratory syncytial virus, in older adults. These vaccines consist of strands of mRNA that code for specific viral proteins.
Say you get a Covid-19 vaccine. The strands of mRNA, packaged into tiny fat particles, go into your muscle and immune cells, said Robert Alexander Wesselhoeft, director of RNA therapeutics at the Gene and Cell Therapy Institute at Mass General Brigham. Protein factories in the cells then take instructions from the mRNA and manufacture a protein like the one found on the surface of a Covid-19 virus. Your body recognizes that protein as foreign, and mounts an immune response.
Most of the mRNA will be gone within a few days, but the body retains a “memory” of it in the form of antibodies, Dr. Coller said. As with other types of vaccines, immunity wanes both over time and as a virus evolves into new variants.
Why are mRNA vaccines being used now?
In the mid-2000s, scientists at the University of Pennsylvania figured out how to get foreign mRNA into human cells without it degrading first. That enabled researchers to develop it for use in vaccines.
The main use for such vaccines right now is to prevent infectious diseases, like Covid-19 and R.S.V., said Dr. Wesselhoeft, who founded a company that develops RNA therapies. The mRNA vaccines can be made very quickly because all of the components, other than the RNA sequence, remain the same across different vaccines.
This feature could be helpful for developing the annual flu vaccine, said Florian Krammer, a virologist at the Icahn School of Medicine at Mount Sinai, who has previously consulted for Pfizer and CureVac on mRNA therapies. Typically, scientists decide in February or March which influenza virus strains to include in a vaccine that will be rolled out in the United States in September. But by that time, a different strain may be dominant. Because an mRNA vaccine can be manufactured more quickly than the current flu shot, scientists could wait until May or June to see which strains are circulating, Dr. Krammer said, increasing the likelihood the vaccine will be effective.
Do these vaccines have risks?
A common question patients ask is whether an mRNA vaccine can affect their DNA, Dr. Boucher said. The answer is no. Our cells cannot convert mRNA into DNA, which means that it can’t be incorporated into our genome.
The vaccine for Covid-19 can cause muscle aches and flulike symptoms, but these are expected side effects for vaccines generally, Dr. Krammer said.
It’s been more than four years since the Covid-19 vaccine was first rolled out “and there are not long-term safety signals,” said Dr. Adam Ratner, a pediatric infectious disease specialist in New York. Many parents were concerned about myocarditis, an inflammation of the heart muscle that was reported as a possible side effect of the vaccine. But, Dr. Ratner said, the risk of such inflammation from an actual Covid-19 infection, or of long Covid or multisystem inflammatory syndrome in children, was far greater.
What else can mRNA be used for?
Vaccines using mRNA are currently being studied for a wide range of diseases, including cancer, cardiovascular disease, autoimmune disorders like Type 1 diabetes and rare diseases like cystic fibrosis, a genetic condition that results in excessively thick, sticky mucus that can plug the airways and damage the lungs.
In cancer, the idea is that the mRNA codes for a tumor protein that the immune system will recognize as foreign, telling the body to attack the tumor. In a genetic disorder like cystic fibrosis, it codes for a functioning version of a deficient protein to replace the faulty one and restore the mucus to healthy state.
A paper in the journal Nature earlier this year showed that an experimental mRNA vaccine for pancreatic cancer provoked an immune response in some patients after they had undergone surgery for the cancer. Patients who experienced that immune response lived longer without cancer than patients who did not.
Another recent paper showed that, in monkeys, an inhaled mRNA therapy could produce a protein needed to form cilia, the hairlike structures that line our airways and move mucus out of them. These proteins malfunction in a debilitating respiratory disorder called primary ciliary dyskinesia.
This research is still in early stages: The pancreatic cancer study, a Phase I trial, included only 16 patients, and there may have been other differences between the two groups that accounted for the different survival times. There is a long history of research showing that interventions may lead to immune responses without actually changing patients’ outcomes, explained Dr. Steven Rosenberg, chief of the surgery branch at the National Cancer Institute and an expert in cancer immunotherapy.
Dr. Richard Boucher, a pulmonologist at the University of North Carolina at Chapel Hill, noted that for lung diseases, it’s extremely difficult to safely get the particles carrying mRNA into exactly the right cells.
In general, Dr. Ratner said, mRNA vaccines are “exciting” in that they offer hope for disease treatments where prior technologies have failed. But mRNA therapy is still a drug technology like any other: In some diseases it likely will work, he said, “and in other cases it probably won’t.”
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A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.
The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.
More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.
The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.
As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.
The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)
Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.
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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”
“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.
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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”
Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)
Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”
The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.
The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.
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“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”
Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.
Moving more is one part of protecting a healthy heart, according to experts. (iStock)
Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.
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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.
The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.
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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”
“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”
The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.
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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.
“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”
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Nearsightedness (myopia) is skyrocketing globally, with nearly half of the world’s population expected to be myopic by 2050, according to the World Health Organization.
Heavy use of smartphones and other devices is associated with an 80% higher risk of myopia when combined with excessive computer use, but a new study suggests that dim indoor lighting could also be a factor.
For years, scientists have been puzzled by the different ways myopia is triggered. In lab settings, it can be induced by blurring vision or using different lenses. Conversely, it can be slowed by something as simple as spending time outdoors, research suggests.
Nearsightedness occurs when the eyeball grows too long from front to back, according to the American Optometric Association (AOA). This physical elongation causes light to focus in front of the retina rather than directly on it, making distant objects appear blurry.
The study suggests that myopia isn’t caused by the digital devices themselves, but by the low-light environments where they are typically used. (iStock)
Researchers at the State University of New York (SUNY) College of Optometry identified a potential specific trigger for this growth. When someone looks at a phone or a book up close, the pupil naturally constricts.
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“In bright outdoor light, the pupil constricts to protect the eye while still allowing ample light to reach the retina,” Urusha Maharjan, a SUNY Optometry doctoral student who conducted the study, said in a press release.
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“When people focus on close objects indoors, such as phones, tablets or books, the pupil can also constrict — not because of brightness, but to sharpen the image,” she went on. “In dim lighting, this combination may significantly reduce retinal illumination.”
High-intensity natural light prevents myopia because it provides enough retinal stimulation to override the “stop growing” signal, even when pupils are constricted. (iStock)
The hypothesis suggests that when the retina is deprived of light during extended close-up work, it sends a signal for the eye to grow.
In a dim environment, the narrowed pupil allows so little light through that the retinal activity isn’t strong enough to signal the eye to stop growing, the researchers found.
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In contrast, being outdoors provides light levels much brighter than indoors. This ensures that even when the pupil narrows to focus on a nearby object, the retina still receives a strong signal, maintaining healthy eye development.
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The team noted some limitations of the study, including the small subject group and the inability to directly measure internal lens changes, as the bright backgrounds used to mimic the outdoors made pupils too small for standard equipment.
Researchers believe that increasing indoor brightness during close-up work could be a simple, testable way to slow the global nearsightedness epidemic. (iStock)
“This is not a final answer,” Jose-Manuel Alonso, MD, PhD, SUNY distinguished professor and senior author of the study, said in the release.
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“But the study offers a testable hypothesis that reframes how visual habits, lighting and eye focusing interact.”
The study was published in the journal Cell Reports.
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