Department of Neurosurgery, Desert Regional Medical Center, Palm Springs, CA 92262, USA.
College of Arts & Science, University of Michigan-Flint, Flint, MI 48502, USA.
Regen Med. 2021 Feb;16(2):175-188. doi: 10.2217/rme-2020-0147. Epub 2021 Mar 12.
The world of biomedical research has led to several breakthroughs in the treatment of various spinal pathologies. As we investigate chronic pathologies of the spine, we start to unravel the underlying molecular mechanisms through a careful analysis of mutated genetic sequences. Investigations have led to gene therapy being explored for its potential as a treatment modality. Despite only about 2% of current gene therapy trials being centered for spinal pathologies, spinal diseases are valuable targets in gene therapy administration. Through a comprehensive literature review, our objective is to discuss the molecular mechanisms behind gene therapy for spinal pathologies, the genetic targets, along with the outcomes, success, and possible pitfalls in gene therapy research and administration. The emerging development of robotic technologies and intelligent carriers are recognized as a promising innovative technique for increasing the efficiency of gene therapy and potentially resolving spinal pathologies.
生物医学研究领域在各种脊柱病理学的治疗方面取得了多项突破。在研究慢性脊柱病理学时,我们通过仔细分析突变的基因序列,开始揭示潜在的分子机制。研究表明,基因疗法具有作为一种治疗方式的潜力。尽管目前只有大约 2%的基因治疗试验集中在脊柱病理上,但脊柱疾病是基因治疗应用的有价值的靶点。通过全面的文献回顾,我们的目标是讨论基因治疗脊柱病理学的分子机制、基因靶点,以及基因治疗研究和管理的结果、成功和可能的陷阱。机器人技术和智能载体的新兴发展被认为是提高基因治疗效率并有可能解决脊柱疾病的有前途的创新技术。