Dai Xu-feng, Pang Ji-jing
School of Optometry and Ophthalmology, Wenzhou Medical College, Wenzhou, China.
Zhonghua Yan Ke Za Zhi. 2012 Aug;48(8):755-8.
Achromatopsia is an early onset retinal dystrophy that causes severe visual impairment. To date, four genes have been found to be implicated in achromatopsia-associated mutations: guanine nucleotide-binding protein (GNAT2), cyclic nucleotide-gated channel alpha-3 (CNGA3), cyclic nucleotide-gated channel beta-3 (CNGB3) and phosphodiesterase 6C (PDE6C). Even with early onset, the slow progress and the good responses to gene therapy in animal models render achromatopsia a very attractive candidate for human gene therapy after the successful of the Phase I clinical trials of Leber's congenital amaurosis. With the development of molecular genetics and the therapeutic gene replacement technology, the adeno-associated viral (AAV) vector-mediated gene therapy for achromatopsia in the preclinical animal experiments achieved encouraging progress in the past years. This article briefly reviews the recent research achievements of achromatopsia with gene therapy.
全色盲是一种早发性视网膜营养不良,可导致严重视力损害。迄今为止,已发现四个基因与全色盲相关突变有关:鸟嘌呤核苷酸结合蛋白(GNAT2)、环核苷酸门控通道α-3(CNGA3)、环核苷酸门控通道β-3(CNGB3)和磷酸二酯酶6C(PDE6C)。即使发病早,但进展缓慢且在动物模型中对基因治疗反应良好,这使得在莱伯先天性黑蒙症I期临床试验成功后,全色盲成为人类基因治疗非常有吸引力的候选对象。随着分子遗传学和治疗性基因替代技术的发展,在过去几年中,腺相关病毒(AAV)载体介导的全色盲基因治疗在临床前动物实验中取得了令人鼓舞的进展。本文简要综述了全色盲基因治疗的最新研究成果。