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. 2023 May 5;15(5):mjad031. doi: 10.1093/jmcb/mjad031

Table 1.

Comparison of circRNA therapy and other approaches.

Viral vector DNA mRNA CircRNA
Expression duration Years Weeks Days Weeks
Delivery Efficient transduction into postmitotic cells The non-viral delivery system is inefficient, but its cytotoxicity and immunogenicity are generally low The non-viral delivery system is inefficient, but its cytotoxicity and immunogenicity are generally low The non-viral delivery system is inefficient, but its cytotoxicity and immunogenicity are generally low
Safety May induce mutagenesis, with high cytotoxicity and immunogenicity May induce mutagenesis Do not induce mutagenesis Do not induce mutagenesis
Manufacture Cell-based production and high manufacturing cost Easy to produce and manufacture cost-effectively Easy to produce and manufacture cost-effectively Easy to produce and manufacture cost-effectively
Limitation It is not suitable for repeated doses because of its immunogenicity and the size of the cargo is limited It is very difficult to transduce into postmitotic cells It is unstable and not suitable for long-term expression It is more stable than mRNA, but its expression duration depends on the life cycle of the host cell