Paul Abhik, Collins Michael G, Lee Hye Young
Department of Cellular and Integrative Physiology, The University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.
Front Genome Ed. 2022 Jun 22;4:899209. doi: 10.3389/fgeed.2022.899209. eCollection 2022.
Neurological conditions like neurodevelopmental disorders and neurodegenerative diseases are quite complex and often exceedingly difficult for patients. Most of these conditions are due to a mutation in a critical gene. There is no cure for the majority of these neurological conditions and the availability of disease-modifying therapeutics is quite rare. The lion's share of the treatments that are available only provide symptomatic relief, as such, we are in desperate need of an effective therapeutic strategy for these conditions. Considering the current drug development landscape, gene therapy is giving us hope as one such effective therapeutic strategy. Consistent efforts have been made to develop gene therapy strategies using viral and non-viral vectors of gene delivery. Here, we have discussed both of these delivery methods and their properties. We have summarized the relative advantages and drawbacks of viral and non-viral vectors from the perspectives of safety, efficiency, and productivity. Recent developments such as clustered regularly interspaced short palindromic repeats (CRISPR)/Cas9-mediated gene editing and its use have been described here as well. Given recent advancements, gene therapy shows great promise to emerge as a next-generation therapeutic for many of the neurodevelopmental and neurodegenerative conditions.
神经发育障碍和神经退行性疾病等神经系统疾病非常复杂,对患者来说往往极其困难。这些疾病大多是由关键基因突变引起的。大多数这类神经系统疾病无法治愈,而且能够改善病情的治疗方法非常罕见。现有的大多数治疗方法只能缓解症状,因此,我们迫切需要针对这些疾病的有效治疗策略。考虑到当前的药物研发形势,基因治疗作为一种有效的治疗策略,给我们带来了希望。人们一直在不断努力,利用病毒和非病毒基因递送载体来开发基因治疗策略。在此,我们讨论了这两种递送方法及其特性。我们从安全性、效率和生产力的角度总结了病毒载体和非病毒载体的相对优缺点。本文还描述了近期的一些进展,如成簇规律间隔短回文重复序列(CRISPR)/Cas9介导的基因编辑及其应用。鉴于最近的进展,基因治疗有望成为许多神经发育和神经退行性疾病的下一代治疗方法。