Kumar Ramya, Santa Chalarca Cristiam F, Bockman Matthew R, Bruggen Craig Van, Grimme Christian J, Dalal Rishad J, Hanson Mckenna G, Hexum Joseph K, Reineke Theresa M
Department of Chemistry, University of Minnesota, Minneapolis, Minnesota 55455, United States.
Department of Chemical Engineering and Materials Science, University of Minnesota, Minneapolis, Minnesota 55455, United States.
Chem Rev. 2021 Sep 22;121(18):11527-11652. doi: 10.1021/acs.chemrev.0c00997. Epub 2021 May 3.
The advent of genome editing has transformed the therapeutic landscape for several debilitating diseases, and the clinical outlook for gene therapeutics has never been more promising. The therapeutic potential of nucleic acids has been limited by a reliance on engineered viral vectors for delivery. Chemically defined polymers can remediate technological, regulatory, and clinical challenges associated with viral modes of gene delivery. Because of their scalability, versatility, and exquisite tunability, polymers are ideal biomaterial platforms for delivering nucleic acid payloads efficiently while minimizing immune response and cellular toxicity. While polymeric gene delivery has progressed significantly in the past four decades, clinical translation of polymeric vehicles faces several formidable challenges. The aim of our Account is to illustrate diverse concepts in designing polymeric vectors towards meeting therapeutic goals of in vivo and ex vivo gene therapy. Here, we highlight several classes of polymers employed in gene delivery and summarize the recent work on understanding the contributions of chemical and architectural design parameters. We touch upon characterization methods used to visualize and understand events transpiring at the interfaces between polymer, nucleic acids, and the physiological environment. We conclude that interdisciplinary approaches and methodologies motivated by fundamental questions are key to designing high-performing polymeric vehicles for gene therapy.
基因组编辑的出现改变了几种使人衰弱疾病的治疗格局,基因治疗的临床前景从未如此充满希望。核酸的治疗潜力一直受到依赖工程化病毒载体进行递送的限制。化学定义的聚合物可以解决与病毒基因递送模式相关的技术、监管和临床挑战。由于其可扩展性、多功能性和精确的可调性,聚合物是理想的生物材料平台,可有效递送核酸载荷,同时将免疫反应和细胞毒性降至最低。虽然在过去四十年中聚合物基因递送取得了显著进展,但聚合物载体的临床转化面临着几个巨大的挑战。我们这篇综述文章的目的是阐述设计聚合物载体以实现体内和体外基因治疗目标的各种概念。在这里,我们重点介绍了几类用于基因递送的聚合物,并总结了最近关于理解化学和结构设计参数作用的研究工作。我们还涉及了用于可视化和理解聚合物、核酸与生理环境之间界面发生的事件的表征方法。我们得出结论,由基本问题驱动的跨学科方法和方法论是设计用于基因治疗的高性能聚合物载体的关键。