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基因治疗作为 COVID-19 患者的一种潜在治疗方法。

Gene Therapy as a Potential Treatment for Patients with COVID-19.

机构信息

SynerGene Therapeutics, Inc., Potomac, MD 20854, USA.

Department of Oncology, Georgetown University Medical Center, Washington, DC 20007, USA.

出版信息

Viruses. 2022 Mar 31;14(4):739. doi: 10.3390/v14040739.

Abstract

SGT-53 is a novel investigational agent that comprises an immunoliposome carrying a plasmid vector driving expression of the human gene that encodes wild-type human p53. SGT-53 is currently in phase II human trials for advanced pancreatic cancer. Although p53 is best known as a tumor suppressor, its participation in both innate and adaptive immune responses is well documented. It is now clear that p53 is an important component of the host response to various viral infections. To facilitate their viral life cycles, viruses have developed a diverse repertoire of strategies for counteracting the antiviral activities of host immune system by manipulating p53-dependent pathways in host cells. Coronaviruses reduce endogenous p53 levels in the cells they infect by enhancing the degradation of p53 in proteasomes. Thus, interference with p53 function is an important component in viral pathogenesis. Transfection of cells by SGT-53 has been shown to transiently produce exogenous p53 that is active as a pleiotropic transcription factor. We herein summarize the rationale for repurposing SGT-53 as a therapy for infection by SARS-CoV-2, the pathogen responsible for the COVID-19 pandemic. Because p53 regulation was found to play a crucial role in different infection stages of a wide variety of viruses, it is rational to believe that restoring p53 function based on SGT-53 treatment may lead to beneficial therapeutic outcomes for infectious disease at large including heretofore unknown viral pathogens that may emerge in the future.

摘要

SGT-53 是一种新型的研究制剂,它由一个免疫脂质体组成,携带一个质粒载体,驱动编码野生型人 p53 的基因表达。SGT-53 目前正在进行 II 期人体试验,用于治疗晚期胰腺癌。尽管 p53 最常被认为是一种肿瘤抑制因子,但它在固有和适应性免疫反应中的参与已得到充分证实。现在很清楚,p53 是宿主对各种病毒感染反应的重要组成部分。为了促进它们的病毒生命周期,病毒已经开发了多种策略来对抗宿主免疫系统的抗病毒活性,通过操纵宿主细胞中依赖 p53 的途径。冠状病毒通过增强蛋白酶体中 p53 的降解来降低感染细胞中的内源性 p53 水平。因此,干扰 p53 功能是病毒发病机制的重要组成部分。SGT-53 转染细胞会短暂产生作为多效转录因子发挥作用的外源性 p53。我们在此总结了将 SGT-53 重新用作治疗 SARS-CoV-2 感染的原理,SARS-CoV-2 是导致 COVID-19 大流行的病原体。由于发现 p53 调节在各种病毒的不同感染阶段发挥着关键作用,因此基于 SGT-53 治疗恢复 p53 功能可能会导致包括迄今为止未知的未来可能出现的未知病毒病原体在内的传染病的有益治疗结果是合理的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9875/9027273/0132846fa206/viruses-14-00739-g001.jpg

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