Evidence map›Paper›PMID 42318873›Full record

ReviewDrug development research2026

Bacterial mRNA Vaccines: Programming Immunity Against Antimicrobial Resistance.

Rui Liao, Mingxing Luo, Fating Yang, Lifeng Xu, Jingjing Zhang, Weijun Zhang, Shan Guan, Yi Zhang, Ping Luo, Ping Cheng and 3 more

Abstract readReview
In one paragraph

Review in Drug development research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Rui LiaoDepartment of Pharmacy, Southwest Hospital, Third Military Medical University, Chongqing, Chongqing, China.
Mingxing LuoNational Engineering Research Center of Immunological Products, Third Military Medical University, Chongqing, Chongqing, China.
Fating YangNational Engineering Research Center of Immunological Products, Third Military Medical University, Chongqing, Chongqing, China.
Lifeng XuDepartment of Pediatrics, Ludwig-Maximilians University, Munich, Bavaria, Germany.
Jingjing ZhangNational Engineering Research Center of Immunological Products, Third Military Medical University, Chongqing, Chongqing, China.
Weijun ZhangNational Engineering Research Center of Immunological Products, Third Military Medical University, Chongqing, Chongqing, China.
Shan GuanDepartment of Pharmacy, Southwest Hospital, Third Military Medical University, Chongqing, Chongqing, China.ORCID https://orcid.org/0009-0004-2991-1112
Yi ZhangNational Engineering Research Center of Immunological Products, Third Military Medical University, Chongqing, Chongqing, China.
Ping LuoNational Engineering Research Center of Immunological Products, Third Military Medical University, Chongqing, Chongqing, China.
Ping ChengNational Engineering Research Center of Immunological Products, Third Military Medical University, Chongqing, Chongqing, China.
Jing YangDepartment of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan, China.
Yang LiDepartment of Pharmacy, Southwest Hospital, Third Military Medical University, Chongqing, Chongqing, China.
Qian WangDepartment of Pharmacy, Southwest Hospital, Third Military Medical University, Chongqing, Chongqing, China.

Funding

National Natural Science Foundation of China 32370993National Natural Science Foundation of China 82173764National Science and Technology Major Project 2021YFC2302500National Science and Technology Major Project 2024YFC2310804National Science and Technology Major Project 2025ZD01903302Natural Science Foundation of Chongqing CSTB2025NSCQ-GPX0624
6 · The paper itself

Abstract

The relentless rise of antimicrobial resistance poses a critical threat to global health, urgently demanding the development of antibacterial vaccines. Messenger RNA (mRNA) technology, validated during the COVID-19 pandemic, offers a powerful platform of fast development and flexibility. However, its application against bacterial pathogens remains an emerging frontier due to the structural complexity of bacterial antigens, challenges in achieving effective mucosal and cellular delivery, and the need to elicit balanced Th1/Th17-dominated immune responses for durable protection. Progress in antigen design, mRNA engineering, and lipid nanoparticle (LNP) delivery has enabled early preclinical success against Mycobacterium tuberculosis, Pseudomonas aeruginosa, and Streptococcus pneumoniae. Yet, challenges such as complex antigen expression, mucosal targeting, and immune durability persist. This review provides a brief overview of recent advances in bacterial mRNA vaccine design, including antigen selection, mRNA engineering, and delivery platform optimization. Additionally, we summarize current preclinical progress across key bacterial pathogens and highlight emerging strategies that integrate AI-guided antigen discovery, synthetic biology, and next-generation delivery systems to accelerate clinical translation. Finally, we highlight the prospects of bacterial mRNA vaccines by integrating synthetic biology, AI-driven antigen prediction, and advanced delivery systems. These cutting-edge technologies hold the promise of overcoming existing barriers, ultimately establishing mRNA vaccines as a viable and powerful strategy to curb the tide of antibiotic-resistant infections.

Indexed as

Bacterial VaccinesDrug Resistance, BacterialmRNA VaccinesRNA, MessengerAnimalsAntigens, BacterialHumansNanoparticlesVaccine DevelopmentVaccines, SyntheticAntigens, BacterialBacterial VaccinesmRNA VaccinesRNA, MessengerVaccines, Syntheticantimicrobial resistancebacterial vaccineinfectious diseasesin vitro transcribed mRNAlipid nanoparticle

Identifiers

PMID42318873
PMCPMC13280970

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.