Itaka Keiji, Kataoka Kazunori
Division of Clinical Biotechnology, The University of Tokyo, Tokyo, Japan.
Eur J Pharm Biopharm. 2009 Mar;71(3):475-83. doi: 10.1016/j.ejpb.2008.09.019. Epub 2008 Oct 14.
The concept of gene therapy includes not only the addition of normal genes to genetically deficient cells, but also the use of transgenes encoding several peptides that function to enhance the capacity of normal cells or to regulate cell differentiation. The application of gene therapy has been widely considered for various diseases, as well as for the field of tissue engineering. To overcome the problems with viral vectors, a broad range of nonviral systems for gene delivery have been developed, including systems composed of cationic lipids (lipoplexes) and cationic polymers (polyplexes). However, most of these systems are still much less efficient than viral vectors, especially for in vivo gene delivery. Paradoxically, to achieve a maximum transgene expression in the targeted cells, there is no question that natural viruses are the most effective nanocarriers. In this article, we highlight the approaches currently being taken to improve nonviral gene delivery systems so that they better replicate the typical structures and mechanisms of viruses, such as DNA (RNA) condensation in the core, surrounding structures with targeting molecules for specific receptors, as well as the toxic and immunogenic problems which should be avoided, with the ultimate goal of bringing these systems into a clinical setting.
基因治疗的概念不仅包括向基因缺陷细胞中添加正常基因,还包括使用编码多种肽的转基因,这些肽的功能是增强正常细胞的能力或调节细胞分化。基因治疗已被广泛应用于各种疾病以及组织工程领域。为了克服病毒载体的问题,人们开发了多种非病毒基因递送系统,包括由阳离子脂质(脂质体复合物)和阳离子聚合物(聚合物复合物)组成的系统。然而,这些系统中的大多数仍远不如病毒载体高效,尤其是在体内基因递送方面。矛盾的是,要在靶细胞中实现最大程度的转基因表达,毫无疑问天然病毒是最有效的纳米载体。在本文中,我们重点介绍了目前为改进非病毒基因递送系统所采取的方法,以便它们能更好地复制病毒的典型结构和机制,如核心中的DNA(RNA)浓缩、带有针对特定受体的靶向分子的周围结构,以及应避免的毒性和免疫原性问题,最终目标是将这些系统应用于临床。