Ørstavik K H, Apold J
Avdeling for medisinsk genetikk Rikshospitalet 0027 Oslo.
Tidsskr Nor Laegeforen. 2001 Jan 30;121(3):349-50.
Monogenic inherited disorders are caused by a mutation in one single gene. Each of these disorders is very rare, but as there are many thousand different monogenic disorders, they represent a significant health problem. Most monogenic disorders are severe and have no cure. Gene therapy will therefore often be the only possible treatment.
Characterisation of the gene is necessary for the development of gene therapy, and at the present time only a limited number of the genes in relation to the total number of the severe monogenic disorders is known.
Clinical trials for some of the monogenic disorders, such as cystic fibrosis, have been going on for many years.
In spite of the tremendous effort, it is so far not documented that patients have been cured of a monogenic disorder by gene therapy.
单基因遗传病由单个基因突变引起。这些疾病中的每一种都非常罕见,但由于有成千上万种不同的单基因疾病,它们构成了一个重大的健康问题。大多数单基因疾病都很严重且无法治愈。因此,基因治疗往往是唯一可能的治疗方法。
基因治疗的发展需要对基因进行表征,而目前相对于严重单基因疾病的总数而言,已知的基因数量有限。
一些单基因疾病,如囊性纤维化,其临床试验已经进行了多年。
尽管付出了巨大努力,但迄今为止,尚无文献记载基因治疗已治愈了单基因疾病患者。