Department of Medical Genetics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G2H7, Canada.
The Friends of Garrett Cumming Research & Muscular Dystrophy Canada, HM Toupin Neurological Science Research Chair, Edmonton, AB T6G2H7, Canada.
Int J Mol Sci. 2020 Jan 22;21(3):733. doi: 10.3390/ijms21030733.
Cardiomyopathies are diseases of heart muscle, a significant percentage of which are genetic in origin. Cardiomyopathies can be classified as dilated, hypertrophic, restrictive, arrhythmogenic right ventricular or left ventricular non-compaction, although mixed morphologies are possible. A subset of neuromuscular disorders, notably Duchenne and Becker muscular dystrophies, are also characterized by cardiomyopathy aside from skeletal myopathy. The global burden of cardiomyopathies is certainly high, necessitating further research and novel therapies. Genome editing tools, which include zinc finger nucleases (ZFNs), transcription activator-like effector nucleases (TALENs) and clustered regularly interspaced short palindromic repeats (CRISPR) systems have emerged as increasingly important technologies in studying this group of cardiovascular disorders. In this review, we discuss the applications of genome editing in the understanding and treatment of cardiomyopathy. We also describe recent advances in genome editing that may help improve these applications, and some future prospects for genome editing in cardiomyopathy treatment.
心肌病是一种心脏肌肉疾病,其中很大一部分是遗传性的。心肌病可以分为扩张型、肥厚型、限制型、致心律失常性右室心肌病或左室心肌致密化不全,尽管也可能存在混合形态。一组神经肌肉疾病,特别是杜氏肌营养不良症和贝克肌营养不良症,除了骨骼肌病外,还以心肌病为特征。心肌病的全球负担肯定很高,需要进一步的研究和新的治疗方法。基因组编辑工具,包括锌指核酸酶 (ZFNs)、转录激活因子样效应物核酸酶 (TALENs) 和成簇规律间隔短回文重复 (CRISPR) 系统,已成为研究这组心血管疾病的越来越重要的技术。在这篇综述中,我们讨论了基因组编辑在理解和治疗心肌病中的应用。我们还描述了基因组编辑的最新进展,这些进展可能有助于改进这些应用,以及基因组编辑在心肌病治疗中的一些未来前景。