# Circular RNA as a New Vaccine Platform: Considerations, Challenges, and Perspectives

**Authors:** Kyung Hyun Lee, Jaejin Lee, Seong-Wook Lee

PMC · DOI: 10.3390/vaccines14030221 · Vaccines · 2026-02-28

## TL;DR

Circular RNA is being explored as a new vaccine platform due to its stability and ability to trigger strong immune responses for both preventive and cancer vaccines.

## Contribution

The paper reviews circRNA vaccine design strategies and their impact on immunological outcomes in prophylactic and cancer settings.

## Key findings

- circRNA vaccines show sustained antigen availability and robust immune responses.
- circRNA enables multivalent vaccine designs and targeted delivery for effective antibody generation.
- circRNA-based cancer vaccines induce strong CD8+ T cell immunity and support combination immunotherapy.

## Abstract

Circular RNA (circRNA) has emerged as an alternative RNA modality for vaccine development due to its covalently closed structure and enhanced molecular stability compared with linear messenger RNA (mRNA). Following the clinical success of mRNA vaccines, circRNA-based platforms have gained attention in both prophylactic and cancer immunization. Unlike linear mRNA, circRNA relies on cap-independent translation and is commonly produced through in vitro transcription coupled with ribozyme-mediated self-circularization. In prophylactic vaccination, circRNA vaccines have demonstrated sustained antigen availability, robust humoral and cellular immune responses, and flexibility in multivalent designs and targeted delivery strategies that support germinal center reactions and neutralizing antibody generation. In cancer vaccines, circRNA has been applied to tumor-associated antigens, neoantigens, and non-canonical peptides, with a primary focus on inducing potent antigen-specific CD8+ T cell immunity and enabling combination immunotherapy approaches. This review summarizes recent applications of circRNA-based vaccines in prophylactic and cancer settings, emphasizing in vitro transcription-compatible self-circularization strategies and discussing how methodological choices in RNA design, translation control, purification, and delivery shape immunological outcomes.

## Full-text entities

- **Genes:** Ts1 (Trichinella spiralis resistance 1) [NCBI Gene 110291] {aka Ts-1}, EIF2AK2 (eukaryotic translation initiation factor 2 alpha kinase 2) [NCBI Gene 5610] {aka PKR, PPP1R83, PRKR}, Psen1 (presenilin 1) [NCBI Gene 19164] {aka Ad3h, PS-1, PS1, S182}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, Ifna (interferon alpha complex region) [NCBI Gene 111654] {aka Ifa, Ifa8}, TLR3 (toll like receptor 3) [NCBI Gene 7098] {aka CD283, IIAE2, IMD83}, BCR (BCR activator of RhoGEF and GTPase) [NCBI Gene 613] {aka ALL, BCR1, CML, D22S11, D22S662, PHL}, CXCL13 (C-X-C motif chemokine ligand 13) [NCBI Gene 10563] {aka ANGIE, ANGIE2, BCA-1, BCA1, BLC, BLR1L}, GLP1R (glucagon like peptide 1 receptor) [NCBI Gene 2740] {aka GLP-1, GLP-1-R, GLP-1R}, RIGI (RNA sensor RIG-I) [NCBI Gene 23586] {aka DDX58, RIG-I, RIG1, RLR-1, SGMRT2}, Cd69 (CD69 antigen) [NCBI Gene 12515] {aka 5830438K24Rik, AIM, VEA}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, GZMB (granzyme B) [NCBI Gene 3002] {aka C11, CCPI, CGL-1, CGL1, CSP-B, CSPB}, TRBV20OR9-2 (T cell receptor beta variable 20/OR9-2 (non-functional)) [NCBI Gene 6962] {aka CDR3, TCRBV20S2, TCRBV2O, TCRBV2S2O}, Itgae (integrin alpha E, epithelial-associated) [NCBI Gene 16407] {aka A530055J10, CD103, aM290, alpha-E1, alpha-M290}, IFIH1 (interferon induced with helicase C domain 1) [NCBI Gene 64135] {aka AGS7, Hlcd, IDDM19, IMD95, MDA-5, MDA5}, CD8A (CD8 subunit alpha) [NCBI Gene 925] {aka CD8, CD8alpha, IMD116, Leu2, p32}, Mpzl2 (myelin protein zero-like 2) [NCBI Gene 14012] {aka Eva, Eva1}, IL4 (interleukin 4) [NCBI Gene 3565] {aka BCGF-1, BCGF1, BSF-1, BSF1, IL-4}, IL12B (interleukin 12B) [NCBI Gene 3593] {aka CLMF, CLMF2, IL-12B, IMD28, IMD29, NKSF}, Ptpn2 (protein tyrosine phosphatase, non-receptor type 2) [NCBI Gene 19255] {aka Ptpt, TC-PTP}, H19 (H19 imprinted maternally expressed transcript) [NCBI Gene 283120] {aka ASM, ASM1, BWS, D11S813E, GMRSP, LINC00008}, CD19 (CD19 molecule) [NCBI Gene 930] {aka B4, CVID3}, CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, CXADRP1 (CXADR pseudogene 1) [NCBI Gene 653108] {aka CAR, CXADRP}, LOC105243590 (Ig heavy chain Mem5-like) [NCBI Gene 105243590] {aka IgH, Igg1}, Serpinb1-ps1 (serine (or cysteine) peptidase inhibitor, clade B, member 1, pseudogene) [NCBI Gene 282665] {aka EID, ovalbumin}, TNFRSF17 (TNF receptor superfamily member 17) [NCBI Gene 608] {aka BCM, BCMA, CD269, TNFRSF13A}, AQP1 (aquaporin 1 (Colton blood group)) [NCBI Gene 358] {aka AQP-CHIP, CHIP28, CO}, ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, CD28 (CD28 molecule) [NCBI Gene 940] {aka IMD123, Tp44}, OAS1 (2'-5'-oligoadenylate synthetase 1) [NCBI Gene 4938] {aka E18/E16, IFI-4, IMD100, OIAS, OIASI}, HLA-A (major histocompatibility complex, class I, A) [NCBI Gene 3105] {aka HLAA}, ADAR (adenosine deaminase RNA specific) [NCBI Gene 103] {aka ADAR1, AGS6, DRADA, DSH, DSRAD, G1P1}, ILF3 (interleukin enhancer binding factor 3) [NCBI Gene 3609] {aka CBTF, DRBF, DRBP76, MMP4, MPHOSPH4, MPP4}, IL21 (interleukin 21) [NCBI Gene 59067] {aka CVID11, IL-21, Za11}, HLA-C (major histocompatibility complex, class I, C) [NCBI Gene 3107] {aka D6S204, HLA-JY3, HLAC, HLC-C, MHC, PSORS1}, EPOR (erythropoietin receptor) [NCBI Gene 2057] {aka EPO-R}, Ivns1abp (influenza virus NS1A binding protein) [NCBI Gene 117198] {aka 1190004M08Rik, 1700126I16Rik, HSPC068, ND1, NS-1, NS1-BP}, IFNG (interferon gamma) [NCBI Gene 3458] {aka IFG, IFI, IMD69}, LY75 (lymphocyte antigen 75) [NCBI Gene 4065] {aka CD205, CLEC13B, DEC-205, GP200-MR6, LY-75}, IL2 (interleukin 2) [NCBI Gene 3558] {aka IL-2, TCGF, lymphokine}, PRF1 (perforin 1) [NCBI Gene 5551] {aka HPLH2, P1, PFP}, NECTIN1 (nectin cell adhesion molecule 1) [NCBI Gene 5818] {aka CD111, CLPED1, ED4, HIgR, HV1S, HVEC}
- **Diseases:** autoimmune (MESH:D001327), SLE (MESH:D008180), viral infections (MESH:D014777), Cancer (MESH:D009369), GC (MESH:C548085), glioblastoma (MESH:D005909), LNP (MESH:D011017), infectious (MESH:D003141), inflammatory (MESH:D007249), hematologic malignancies (MESH:D019337), COVID-19 (MESH:D000086382), infection (MESH:D007239), injury to (MESH:D014947), lung metastasis (MESH:D009362), ADE (MESH:C564835), HCC (MESH:D006528), pancreatic cancer (MESH:D010190)
- **Chemicals:** guanosine (MESH:D006151), N1-methylpseudouridine (MESH:C013608), gemcitabine (MESH:D000093542), nucleosides (MESH:D009705), LNP (-), lipid (MESH:D008055)
- **Species:** Orthopoxvirus vaccinia (species) [taxon 10245], Monkeypox virus (no rank) [taxon 10244], H3N2 subtype (serotype) [taxon 119210], Zika virus (no rank) [taxon 64320], H1N1 subtype (serotype) [taxon 114727], Transmissible gastroenteritis virus (no rank) [taxon 11149], Human papillomavirus (species) [taxon 10566], Mus musculus (house mouse, species) [taxon 10090], Dengue virus (no rank) [taxon 12637], Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Coxsackievirus B3 (no rank) [taxon 12072], Porcine epidemic diarrhea virus (no rank) [taxon 28295], Homo sapiens (human, species) [taxon 9606]
- **Mutations:** A35R, A29L
- **Cell lines:** THP-1 — Homo sapiens (Human), Childhood acute monocytic leukemia, Cancer cell line (CVCL_0006), B16F10 — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_0159), B16 — Mus musculus (Mouse), Hybridoma (CVCL_U043), DC2.4 — Mus musculus (Mouse), Transformed cell line (CVCL_J409), NIH3T3 — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_0594), MC38 — Mus musculus (Mouse), Mouse colon adenocarcinoma, Cancer cell line (CVCL_B288), HEK293T — Homo sapiens (Human), Transformed cell line (CVCL_0063)

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC13029885/full.md

## References

63 references — full list in the complete paper: https://tomesphere.com/paper/PMC13029885/full.md

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Source: https://tomesphere.com/paper/PMC13029885