Department of Health Science, University of Jaén, Jaén; 23071, Spain.
Recent Pat Anticancer Drug Discov. 2012 Sep;7(3):297-312. doi: 10.2174/157489212801820093.
Cancer is the second leading cause of death in the Western world. The limited successes of available treatments for cancer mean that new strategies need to be developed. The possibility of modifying the cancer cell with the introduction of genetic material opens the way to a new approach based on gene therapy. There are still many technical difficulties to be overcome, but recent advances in the molecular and cellular biology of gene transfer have made it likely that gene therapy will soon start to play an increasing role in clinical practice, particularly in the treatment of cancer. Gene therapy will probably be the therapeutic option in cases in which conventional treatments such as surgery, radiotherapy and chemotherapy have failed. The development of modified vectors, and an improved understanding of interactions between the vector and the human host, are generating inventions that are being protected by patents due to the considerable interest of industry for their possible commercialization. We review the latest strategies, patented and/or under clinical trial, in cancer gene therapy. These include patents that cover the use of modified vectors to increase the security and specificity, recombining adenovirus that leads to loss or gain of gene function, activation of the patient's own immune cells to eliminate cancer cells by expression of molecules that enhance immune responses, silencing genes related to the development of drug resistance in patients, inhibition of angiogenesis of solid tumors by targeting the tumor vasculature, and the development of enzymes that destroy viral or cancerous genetic material.
癌症是西方世界的第二大死亡原因。现有的癌症治疗方法取得的有限成功意味着需要开发新的策略。通过引入遗传物质来修饰癌细胞为基于基因治疗的新方法开辟了道路。虽然还有许多技术难题需要克服,但基因转移的分子和细胞生物学的最新进展使得基因治疗很可能很快开始在临床实践中发挥越来越重要的作用,特别是在癌症治疗中。在常规治疗(如手术、放疗和化疗)失败的情况下,基因治疗可能是治疗选择。改良载体的发展以及对载体与人体宿主之间相互作用的更好理解,正在产生因潜在的商业化而受到工业界极大关注的发明,这些发明正在通过专利得到保护。我们回顾了癌症基因治疗中最新的、有专利和/或处于临床试验阶段的策略。这些策略包括使用改良载体来提高安全性和特异性的专利、重组腺病毒导致基因功能丧失或获得的专利、通过表达增强免疫反应的分子激活患者自身免疫细胞以消除癌细胞的专利、沉默与患者耐药性发展相关的基因的专利、通过靶向肿瘤血管抑制实体瘤血管生成的专利以及开发破坏病毒或癌症遗传物质的酶的专利。