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婴儿恶性骨硬化症的基因治疗:临床前研究综述及表型逆转的概念验证

Gene therapy for infantile malignant osteopetrosis: review of pre-clinical research and proof-of-concept for phenotypic reversal.

作者信息

Moscatelli Ilana, Almarza Elena, Schambach Axel, Ricks David, Schulz Ansgar, Herzog Christopher D, Henriksen Kim, Askmyr Maria, Schwartz Jonathan D, Richter Johan

机构信息

Department of Molecular Medicine and Gene Therapy, Lund Strategic Center for Stem Cell Biology, Lund University, Lund, Sweden.

Rocket Pharmaceuticals, Inc., New York, NY, USA.

出版信息

Mol Ther Methods Clin Dev. 2020 Dec 25;20:389-397. doi: 10.1016/j.omtm.2020.12.009. eCollection 2021 Mar 12.

DOI:10.1016/j.omtm.2020.12.009
PMID:33575431
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7848732/
Abstract

Infantile malignant osteopetrosis is a devastating disorder of early childhood that is frequently fatal and for which there are only limited therapeutic options. Gene therapy utilizing autologous hematopoietic stem and progenitor cells represents a potentially advantageous therapeutic alternative for this multisystemic disease. Gene therapy can be performed relatively rapidly following diagnosis, will not result in graft versus host disease, and may also have potential for reduced incidences of other transplant-related complications. In this review, we have summarized the past sixteen years of research aimed at developing a gene therapy for infantile malignant osteopetrosis; these efforts have culminated in the first clinical trial employing lentiviral-mediated delivery of in autologous hematopoietic stem and progenitor cells.

摘要

婴儿恶性骨硬化症是一种严重的幼儿疾病,常常致命,且治疗选择有限。利用自体造血干细胞和祖细胞进行基因治疗是这种多系统疾病一种潜在的有利治疗选择。基因治疗在诊断后可相对迅速地进行,不会导致移植物抗宿主病,还可能降低其他移植相关并发症的发生率。在这篇综述中,我们总结了过去十六年中旨在开发婴儿恶性骨硬化症基因治疗方法的研究;这些努力最终促成了首例使用慢病毒介导在自体造血干细胞和祖细胞中递送[具体物质未给出]的临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/60489cfd1965/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/4e21fc4d84dd/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/86b3eeb95515/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/f1a9bc48f188/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/bff27f0445af/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/5f2384cc5ac2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/60489cfd1965/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/4e21fc4d84dd/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/86b3eeb95515/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/f1a9bc48f188/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/bff27f0445af/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/5f2384cc5ac2/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8017/7848732/60489cfd1965/gr5.jpg

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Haematologica. 2021 Jan 1;106(1):74-86. doi: 10.3324/haematol.2019.238261.
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Generation of an immunodeficient mouse model of tcirg1-deficient autosomal recessive osteopetrosis.
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Cancers (Basel). 2022 Sep 21;14(19):4583. doi: 10.3390/cancers14194583.
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Clinical and molecular characterization of five Chinese patients with autosomal recessive osteopetrosis.五例常染色体隐性遗传骨硬化症中国患者的临床和分子特征。
Mol Genet Genomic Med. 2021 Nov;9(11):e1815. doi: 10.1002/mgg3.1815. Epub 2021 Sep 21.
生成tcirg1缺陷型常染色体隐性骨硬化症的免疫缺陷小鼠模型。
Bone Rep. 2020 Jan 7;12:100242. doi: 10.1016/j.bonr.2020.100242. eCollection 2020 Jun.
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