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用于神经基因治疗的病毒载体的安全性。

Safety of viral vectors for neurological gene therapies.

作者信息

Maguire-Zeiss Kathleen A, Federoff Howard J

机构信息

University of Rochester School of Medicine and Dentistry, Department of Neurology and Center for Aging and Developmental Biology, 601 Elmwood Avenue, Rochester, New York, NY 14642, USA.

出版信息

Curr Opin Mol Ther. 2004 Oct;6(5):473-81.

Abstract

Viral-based gene therapy for neurological diseases provides a daunting challenge. Many neurological diseases, especially neurodegenerative conditions, have unknown etiologies and current viral platforms are largely inadequate for human therapy. The challenges appear surmountable through systematic definition and solution. This review highlights three problem areas for gene therapy; genomic integration, immunogenic responses and regulated gene expression, as well as current progress in those areas. Successful neurological gene therapy will require efficacy along with clear biosafety. Different vector platforms manifest characteristic properties that affect their suitability for human gene therapy and among these are their propensity to integrate, elicit immune responses and enable regulated gene expression.

摘要

基于病毒的神经疾病基因治疗面临着艰巨的挑战。许多神经疾病,尤其是神经退行性疾病,病因不明,目前的病毒载体平台在很大程度上不足以用于人类治疗。通过系统的定义和解决方案,这些挑战似乎是可以克服的。本综述重点介绍了基因治疗的三个问题领域:基因组整合、免疫原性反应和基因表达调控,以及这些领域的当前进展。成功的神经基因治疗需要有效性以及明确的生物安全性。不同的载体平台表现出影响其对人类基因治疗适用性的特性,其中包括它们整合的倾向、引发免疫反应的能力以及实现基因表达调控的能力。

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