González-Alegre P
Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.
Rev Neurol. 2008;47(12):641-7.
The discovery of RNA interference (RNAi), a biological way to control gene expression, has revolutionised the field of biomedical research. Of the many applications of RNAi, perhaps its use for therapeutic purposes is the most promising. One group of diseases where the use of therapeutic RNAi is being actively explored is that of neurodegenerative disorders.
To provide both the clinical neurologist and the basic researcher with an updated summary of the development of therapeutic RNAi for neurodegenerative diseases.
The technical progress made in the manipulation of RNAi in neurons and the recent advances in our knowledge of the pathogenesis of neurodegenerative processes have been valuable aids in designing therapeutic RNAi for both hereditary and idiopathic diseases. Several pre-clinical trials have been successfully completed in animal models, thus clearing the way towards the design of clinical trials in humans. Nevertheless, before reaching that point more experimental studies need to be carried out in animals to prove the effectiveness of this mode of therapy and, still more important, to be able to predict the possible side effects of this procedure in the human brain.
Although it is still in the pre-clinical stages, the use of RNAi for therapeutic purposes in neurodegenerative diseases is producing some very promising results. The evolution of this field over the next few years may be critical for beginning its clinical application.
RNA干扰(RNAi)作为一种控制基因表达的生物学方法的发现,彻底改变了生物医学研究领域。在RNAi的众多应用中,其用于治疗目的或许最具前景。正在积极探索治疗性RNAi应用的一类疾病是神经退行性疾病。
为临床神经科医生和基础研究人员提供关于神经退行性疾病治疗性RNAi发展的最新综述。
在神经元中操纵RNAi方面取得的技术进步以及我们对神经退行性病变发病机制认识的最新进展,在为遗传性和特发性疾病设计治疗性RNAi方面提供了宝贵帮助。多项临床前试验已在动物模型中成功完成,从而为开展人体临床试验铺平了道路。然而,在达到这一阶段之前,需要在动物身上进行更多实验研究,以证明这种治疗方式的有效性,更重要的是,能够预测该程序在人类大脑中可能产生的副作用。
尽管仍处于临床前阶段,但将RNAi用于神经退行性疾病的治疗目的正在产生一些非常有前景的结果。该领域在未来几年的发展对于启动其临床应用可能至关重要。