a Department of Pharmaceutics , China Pharmaceutical University , Nanjing , PR China.
Expert Opin Drug Deliv. 2019 Apr;16(4):363-376. doi: 10.1080/17425247.2019.1604681. Epub 2019 Apr 22.
Despite the great therapeutic potential of gene therapy for treating critical diseases, the clinical application is limited by lack of safe and effective gene delivery vectors. Nonviral gene vectors have attracted tremendous attention due to the favorable loading capacity and facile manufacture. Among them, polyethylenimine-based gene vectors (PEIs) hold great promise for highly efficient gene delivery.
In this review, we outline the multiple biological barriers associated with gene delivery process and point out several challenges exist in the clinical usage of PEIs. We then provide an overview of the most impressive progresses made to overcome such challenges in recent years, including modifications of PEIs (i.e. to enhance biocompatibility, specific targeting effect, and buffering capacity) and stimuli-responsive strategies (i.e. endogenous and exogenous stimuli) for safe and efficient gene delivery.
Rational modification of PEIs with diverse functionalized segments or the development of stimuli-responsive PEIs is an appealing strategy to meet some requirements involved in gene delivery. Nevertheless, further optimization by combining the two strategies is needed for the maximized transfection efficiency and minimized side effects, shedding new light on the development of nonviral gene delivery for clinical application.
尽管基因治疗在治疗重大疾病方面具有巨大的治疗潜力,但由于缺乏安全有效的基因传递载体,其临床应用受到限制。非病毒基因载体由于具有良好的载药能力和易于制造,因此引起了极大的关注。其中,基于聚乙烯亚胺的基因载体(PEIs)在高效基因传递方面具有很大的应用前景。
在这篇综述中,我们概述了与基因传递过程相关的多个生物学屏障,并指出了在 PEIs 的临床应用中存在的一些挑战。然后,我们概述了近年来为克服这些挑战而取得的最令人印象深刻的进展,包括对 PEIs 的修饰(即增强生物相容性、特异性靶向作用和缓冲能力)和响应性策略(即内源性和外源性刺激)用于安全有效的基因传递。
通过多种功能化片段对 PEIs 进行合理修饰或开发响应性 PEIs 是满足基因传递涉及的一些要求的一种有吸引力的策略。然而,需要通过结合这两种策略进一步优化,以实现最大的转染效率和最小的副作用,为临床应用的非病毒基因传递的发展带来新的曙光。