Table 2 Common linear mRNA sequence modifications53.

From: Breaking the mold with RNA—a “RNAissance” of life science

Region

Modification

Impact on function

5’ cap

Methylation

Reduce immunogenicity and enhance translation

5’ UTR

Incorporation of IRES viral sequences

Initiate translation at lower initiation factor expression levels to improve efficacy

ORF

Codon optimization

Several modifications (such as using more frequent codons, using codon pairs that work better together, using the same proportion of each codon found in highly expressed proteins, or reducing UU and UA dinucleotides) can increase rate and efficiency of translation but may impact function or alter conformation

3’ UTR

Incorporation of specific α- or β-globin mRNA sequences

Addition of α-globin sequence improves stability while β-globin sequence extends duration of protein expression

Poly(A) tail

Increased length

A long poly(A) tail can increase stability and efficiency of protein translation but should be optimized for each target cell type

Incorporation of adenosine analogs

Protect mRNA from 3’-exonuclease activity

Any

Modification of nucleosides

Optimize protein expression through uridine depletion Lower innate immune responses induced by Toll-like receptor by incorporating 5-methylcytidine, N6-methyladenosine, or 5-methyluridine

  1. IRES internal ribosome entry site, mRNA messenger RNA, ORF open reading frame, UTR untranslated regions.