用于减轻炎症性肠病的纳米颗粒介导的基因治疗策略。

Nanoparticle-mediated gene therapy strategies for mitigating inflammatory bowel disease.

作者信息

Verma Priyanka, Srivastava Aasheesh, Srikanth C V, Bajaj Avinash

机构信息

Laboratory of Nanotechnology and Chemical Biology, Regional Centre for Biotechnology, NCR Biotech Science Cluster, 3rd Milestone Faridabad-Gurgaon Expressway, Faridabad-121001, Haryana, India.

Department of Chemistry, Indian Institute of Science Education and Research Bhopal, By-pass Road, Bhauri, Bhopal-462030, India.

出版信息

Biomater Sci. 2021 Mar 10;9(5):1481-1502. doi: 10.1039/d0bm01359e.

Abstract

Inflammatory bowel disease (IBD) is an autoimmune disorder of the gastrointestinal tract (GIT) where Ulcerative Colitis (UC) displays localized inflammation in the colon, and Crohn's Disease (CD) affects the entire GIT. Failure of current therapies and associated side-effects bring forth serious social, economic, and health challenges. The gut epithelium provides the best target for gene therapy delivery vehicles to combat IBD. Gene therapy involving the use of nucleic acid (NA) therapeutics faces major challenges due to the hydrophilic, negative-charge, and degradable nature of NAs. Recent success in the engineering of biomaterials for gene therapy and their emergence in clinical trials for various diseases is an inspiration for scientists to develop gene therapy vehicles that can be easily targeted to the desired tissues for IBD. Advances in nanotechnology have enabled the formulations of numerous nanoparticles for NA delivery to mitigate IBD that still faces challenges of stability in the GIT, poor therapeutic efficacy, and targetability. This review presents the challenges of gene therapeutics, gastrointestinal barriers, and recent advances in the engineering of nanoparticles for IBD treatment along with future directions for successful translation of nanoparticle-mediated gene therapeutics in clinics.

摘要

炎症性肠病(IBD)是一种胃肠道(GIT)的自身免疫性疾病,其中溃疡性结肠炎(UC)表现为结肠局部炎症,而克罗恩病(CD)则影响整个胃肠道。当前治疗方法的失败以及相关副作用带来了严重的社会、经济和健康挑战。肠道上皮为对抗IBD的基因治疗递送载体提供了最佳靶点。由于核酸(NA)具有亲水性、负电荷性和可降解性,涉及使用核酸治疗剂的基因治疗面临重大挑战。基因治疗生物材料工程的最新成功以及它们在各种疾病临床试验中的出现,激励科学家开发能够轻松靶向IBD所需组织的基因治疗载体。纳米技术的进步使得能够制备众多用于递送NA以减轻IBD的纳米颗粒,但这些纳米颗粒仍面临胃肠道稳定性、治疗效果不佳和靶向性等挑战。本综述介绍了基因治疗的挑战、胃肠道屏障、用于IBD治疗的纳米颗粒工程的最新进展以及纳米颗粒介导的基因治疗在临床成功转化的未来方向。

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