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囊性纤维化遗传医学的观点。

Perspectives on Genetic Medicine for Cystic Fibrosis.

机构信息

Laboratory of Genome Editing, Research Centre for Medical Genetics, Moskvorechye 1, Moscow 115522, Russian Federation.

出版信息

Curr Gene Ther. 2022;22(5):386-396. doi: 10.2174/1566523222666220720102556.

Abstract

Like any inherited protein deficiency disease, cystic fibrosis (CF) is a good candidate for gene replacement therapy. Despite the tremendous efforts of scientists worldwide invested in developing this approach, it did not lead to the expected results for various reasons discussed in this review. At the same time, the emergence of new methods of genome editing, as well as their latest modifications, makes it possible to bypass some of the problems of "classical" CF gene therapy. The review examines potential therapeutic agents for CF gene therapy, methods and routes of delivery, as well as discusses the problem of target cells for defect correction. Based on the results of these studies, editing genetic defects in the basal cells of the lungs and their counterparts in other organs will make it possible to create a drug for treating CF with a single administration.

摘要

与任何遗传性蛋白质缺乏疾病一样,囊性纤维化 (CF) 是基因替代治疗的一个很好的候选对象。尽管全世界的科学家都在不遗余力地开发这种方法,但由于本综述中讨论的各种原因,它并未带来预期的结果。与此同时,基因组编辑的新方法的出现及其最新的改进,使得绕过“经典” CF 基因治疗的某些问题成为可能。本综述检查了 CF 基因治疗的潜在治疗剂、给药方法和途径,并讨论了缺陷校正的靶细胞问题。基于这些研究的结果,编辑肺部基底细胞和其他器官中对应细胞的遗传缺陷,将有可能制造出一种只需单次给药即可治疗 CF 的药物。

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