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线粒体替代疗法的发展:综述

Development of mitochondrial replacement therapy: A review.

作者信息

Sharma Hitika, Singh Drishtant, Mahant Ankush, Sohal Satwinder Kaur, Kesavan Anup Kumar

机构信息

Department of Zoology, Khalsa College Amritsar, Punjab, 143005, India.

Department of Molecular Biology and Biochemistry, Guru Nanak Dev University, Amritsar, Punjab, 143005, India.

出版信息

Heliyon. 2020 Sep 14;6(9):e04643. doi: 10.1016/j.heliyon.2020.e04643. eCollection 2020 Sep.

Abstract

Mitochondrial replacement therapy (MRT) is a new form of reproductive invitro fertilization (IVF) which works on the principle of replacing a women's abnormal mitochondrial DNA (mt-DNA) with the donor's healthy one. MRT include different techniques like spindles transfer (ST), pronuclear transfer (PNT) or polar body transfer (PBT). Transmission of defective mitochondrial DNA to the next generation can also be prevented by using these approaches. The development of healthy baby free from genetic disorders and to terminate the lethal mitochondrial disorders are the chief motive of this technique. In aged individuals, through in vitro fertilization, MRT provides the substitution of defective cytoplasm with cured one to enhance the expectation of pregnancy rates. However, moral, social, and cultural objections have restricted its exploration. Therefore, this review summarizes the various methods involved in MRT, its global status, its exaggerated censure over the years which depicts a strong emphasis for social acceptance and clinical application in the world of medical science.

摘要

线粒体替代疗法(MRT)是一种新型的体外受精(IVF)生殖方式,其原理是用供体的健康线粒体DNA(mt-DNA)替换女性异常的线粒体DNA。MRT包括不同的技术,如纺锤体转移(ST)、原核转移(PNT)或极体转移(PBT)。使用这些方法还可以防止有缺陷的线粒体DNA向下一代传递。生出无遗传疾病的健康婴儿以及终止致命的线粒体疾病是这项技术的主要目的。在老年个体中,通过体外受精,MRT用治愈的细胞质替代有缺陷的细胞质,以提高妊娠率的期望。然而,道德、社会和文化方面的反对意见限制了对它的探索。因此,本综述总结了MRT所涉及的各种方法、其全球现状以及多年来对它的过度指责,这表明在医学领域强烈强调社会接受度和临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfbd/7492815/83a558632b20/gr1.jpg

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