Biological Science Department, Bharathiar University, Coimbatore, Tamil Nadu-641046, India.
Department of Medical Biotechnology, Yeungnam University, Gyeongsan 38541, South Korea.
Curr Gene Ther. 2021;21(1):11-22. doi: 10.2174/1566523220999200917114101.
Gene therapy is one of the frontier fields of medical breakthroughs that poses as an effective solution to previously incurable diseases. The delivery of the corrective genetic material or a therapeutic gene into the cell restores the missing gene function and cures a plethora of diseases, incurable by the conventional medical approaches. This discovery holds the potential to treat many neurodegenerative disorders such as muscular atrophy, multiple sclerosis, Parkinson's disease (PD) and Alzheimer's disease (AD), among others. Gene therapy proves as a humane, cost-effective alternative to the exhaustive often arduous and timely impossible process of finding matched donors and extensive surgery. It also overcomes the shortcoming of conventional methods to cross the blood-brain barrier. However, the use of gene therapy is only possible after procuring the in-depth knowledge of the immuno-pathogenesis and molecular mechanism of the disease. The process of gene therapy can be broadly categorized into three main steps: elucidating the target gene, culling the appropriate vector, and determining the best mode of transfer; each step mandating pervasive research. This review aims to dissertate and summarize the role, various vectors and methods of delivery employed in gene therapy with special emphasis on therapy directed at the central nervous system (CNS) associated with neurodegenerative diseases.
基因治疗是医学突破的前沿领域之一,为以前无法治愈的疾病提供了有效的解决方案。将纠正基因材料或治疗性基因递送到细胞中,可以恢复缺失的基因功能,治愈大量传统医学方法无法治愈的疾病。这一发现有可能治疗许多神经退行性疾病,如肌肉萎缩症、多发性硬化症、帕金森病(PD)和阿尔茨海默病(AD)等。基因治疗是一种人性化、具有成本效益的替代方法,避免了寻找匹配供体和广泛手术的繁琐、耗时且有时不可能的过程。它还克服了传统方法跨越血脑屏障的缺点。然而,只有在深入了解疾病的免疫发病机制和分子机制后,才能使用基因治疗。基因治疗的过程可以大致分为三个主要步骤:阐明目标基因、筛选合适的载体和确定最佳的转移方式;每个步骤都需要广泛的研究。本文旨在论述和总结基因治疗中使用的各种载体和传递方法的作用,特别强调针对与神经退行性疾病相关的中枢神经系统(CNS)的治疗。