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Glioblastoma (GBM) remains lethal despite multimodal therapy, with median survival under 15 months. Immunotherapy has failed in over 100 clinical trials due to three fundamental barriers: inadequate immune priming in "cold" tumors, blood–brain barrier (BBB) exclusion of therapeutics, and profound local immunosuppression.

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A Translational Framework for a Hybrid mRNA Vaccine Targeting Glioblastoma

Integrating Innate Priming, Personalized Neoantigens, and Blood–Brain Barrier Penetrating Delivery

License: CC BY 4.0 LaTeX

Repository Description: A theoretical framework proposing a hybrid mRNA vaccine strategy for Glioblastoma (GBM). It integrates innate immune priming, personalized neoantigens, and focused ultrasound (FUS) for blood-brain barrier (BBB) penetration to overcome immunoresistance.


Author Information

Collin B. George, BS


Project Metadata

Attribute Details
Repository Initialization November 25, 2025
Document Type Narrative Review and Translational Framework
Status Pre-print / Manuscript Under Preparation
Keywords glioblastoma; mRNA vaccine; blood-brain barrier; neoantigens; focused ultrasound; immunotherapy; IL-12; RIG-I ligands

Abstract

Glioblastoma (GBM) remains lethal despite multimodal therapy, with median survival under 15 months. Immunotherapy has failed in over 100 clinical trials due to three fundamental barriers: inadequate immune priming in "cold" tumors, blood–brain barrier (BBB) exclusion of therapeutics, and profound local immunosuppression.

We present a translational framework for a hybrid mRNA vaccine that addresses all three barriers simultaneously:

  1. Innate Priming: Universal innate immune primers (poly(I:C)/RIG-I ligands, IL-12) activate dendritic cells
  2. Adaptive Targeting: Patient-specific neoantigen mRNA drives tumor-targeted T-cell responses
  3. BBB Penetration: Peptide-modified lipid nanoparticles or focused ultrasound-guided delivery

Timed checkpoint blockade exploits vaccine-induced PD-L1 upregulation to unleash infiltrating T cells.

Validation Strategy

We propose stepwise validation:

  • Computational modeling to optimize dosing
  • In-vitro co-cultures to confirm antigen presentation
  • Patient-derived xenografts to demonstrate BBB crossing and tumor control
  • Phase I trial using post-resection focused ultrasound delivery with PET and ctDNA endpoints

This approach aligns with current two-week manufacturing timelines and offers a modular strategy to convert GBM from immunologically cold to responsive.


Repository Contents

.
├── main.tex              # Primary LaTeX source file
├── references.bib        # BibTeX citation database (2024-2025 focus)
├── figures/              # TikZ/PGFPlots source code and generated diagrams
│   ├── figure1_bbb.tex
│   ├── figure2_mechanism.tex
│   └── figure3_validation.tex
└── README.md             # This file

File Descriptions

  • main.tex: The primary LaTeX manuscript configured for standard academic document classes
  • references.bib: BibTeX database with citations from clinical trials and translational studies (2024–2025)
  • figures/: Source code (TikZ/PGFPlots) and generated assets for manuscript diagrams

Compilation Instructions

This manuscript is written in LaTeX. To compile the PDF from source, a standard TeX distribution is required.

Requirements

  • TeX Distribution: TeX Live, MacTeX, or MiKTeX
  • LaTeX Packages:
    • geometry, amsmath, siunitx, booktabs
    • graphicx, tikz, pgfplots
    • enumitem, lineno, natbib, hyperref

Build Commands

Using latexmk (Recommended)

latexmk -pdf -pvc main.tex

Manual Compilation

pdflatex main.tex
bibtex main
pdflatex main.tex
pdflatex main.tex

Overleaf

  1. Upload all files to a new Overleaf project
  2. Set compiler to pdfLaTeX
  3. Compile normally

Citation Information

To cite this repository or the draft manuscript:

BibTeX

@misc{George2025GBM,
  author       = {George, Collin B.},
  title        = {A Translational Framework for a Hybrid mRNA Vaccine Targeting Glioblastoma: 
                  Integrating Innate Priming, Personalized Neoantigens, and 
                  Blood--Brain Barrier Penetrating Delivery},
  year         = {2025},
  month        = {November},
  note         = {Pre-print repository},
  howpublished = {\url{https://github.com/[USERNAME]/gbm-hybrid-mrna-framework}},
  doi          = {[DOI if available]}
}

APA Format

George, C. B. (2025). A translational framework for a hybrid mRNA vaccine targeting 
glioblastoma: Integrating innate priming, personalized neoantigens, and blood-brain 
barrier penetrating delivery [Manuscript in preparation]. University of Washington 
Medical Center. https://github.com/[USERNAME]/gbm-hybrid-mrna-framework

Disclaimer

This independent narrative review was conducted as part of premedical research and does not represent the views of UW Medicine.

  • No external funding was received for this conceptual framework
  • No conflicts of interest declared
  • No patents or proprietary technologies claimed

License

This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

CC BY 4.0

You are free to:

  • Share — copy and redistribute the material in any medium or format
  • Adapt — remix, transform, and build upon the material for any purpose, even commercially

Under the following terms:

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made

Related Resources


Project Status

  • Manuscript drafted
  • Figures generated (TikZ/inline)
  • Peer review submission
  • Pre-print publication
  • Journal submission

Acknowledgments

The author thanks mentors and colleagues at UW Medicine for valuable discussions on translational immunotherapy, focused ultrasound applications in neuro-oncology, and mRNA vaccine development. Special appreciation to the GBM research community for openly sharing clinical trial data and preclinical insights that informed this framework.


Last Updated: November 25, 2025
Repository Version: 1.0.0

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Glioblastoma (GBM) remains lethal despite multimodal therapy, with median survival under 15 months. Immunotherapy has failed in over 100 clinical trials due to three fundamental barriers: inadequate immune priming in "cold" tumors, blood–brain barrier (BBB) exclusion of therapeutics, and profound local immunosuppression.

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