Farrar G Jane, Millington-Ward Sophia, Chadderton Naomi, Mansergh Fiona C, Palfi Arpad
Smurfit Institute of Genetics,School of Genetics and Microbiology,Trinity College Dublin,Dublin 2,Ireland.
Vis Neurosci. 2014 Sep;31(4-5):289-307. doi: 10.1017/S0952523814000133. Epub 2014 Jun 20.
Significant advances have been made over the last decade or two in the elucidation of the molecular pathogenesis of inherited ocular disorders. In particular, remarkable successes have been achieved in exploration of gene-based medicines for these conditions, both in preclinical and in clinical studies. Progress in the development of gene therapies targeted toward correcting the primary genetic defect or focused on modulating secondary effects associated with retinal pathologies are discussed in the review. Likewise, the recent utilization of genes encoding light-sensing molecules to provide new functions to residual retinal cells in the degenerating retina is discussed. While a great deal has been learned over the last two decades, the next decade should result in an increasing number of preclinical studies progressing to human clinical trial, an exciting prospect for patients, those active in research and development and bystanders alike.
在过去的一二十年里,在阐明遗传性眼部疾病的分子发病机制方面取得了重大进展。特别是,在针对这些病症的基于基因的药物研发方面,无论是临床前研究还是临床研究都取得了显著成功。本综述讨论了针对纠正原发性基因缺陷或专注于调节与视网膜病变相关的继发性效应的基因治疗的发展进展。同样,也讨论了最近利用编码光感分子的基因,为退化视网膜中的残余视网膜细胞提供新功能的情况。虽然在过去二十年里我们学到了很多,但未来十年应该会有越来越多的临床前研究进入人体临床试验阶段,这对患者、从事研发工作的人员以及旁观者来说都是一个令人兴奋的前景。