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转化医学:迈向马凡综合征的基因治疗

Translational Medicine: Towards Gene Therapy of Marfan Syndrome.

作者信息

Kallenbach Klaus, Remes Anca, Müller Oliver J, Arif Rawa, Zaradzki Marcin, Wagner Andreas H

机构信息

Institute for Cardiac Surgery and Interventional Cardiology (INCCI), Department of Cardiac Surgery, 1210 Luxembourg, Luxembourg.

VASCERN HTAD European Reference Center, 1210 Luxembourg, Luxembourg.

出版信息

J Clin Med. 2022 Jul 6;11(14):3934. doi: 10.3390/jcm11143934.

DOI:10.3390/jcm11143934
PMID:35887698
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9319421/
Abstract

Marfan syndrome (MFS) is one of the most common inherited disorders of connective tissue caused by mutations of the fibrillin-1 gene (FBN1). Vascular abnormalities, such as the enlargement of the aorta with the risk of life-threatening rupture are frequently observed. However, current treatment is limited and therapeutic options focus solely on symptomatic therapy. Gene therapy focuses on genetically modifying cells to produce a therapeutic effect and may be a promising treatment option for MFS. Here, we first provide an overview of the historical background and characterization of MFS. Subsequently, we summarise current gene therapy options and possible translational concepts for this inherited disorder that affects connective tissue.

摘要

马凡综合征(MFS)是由原纤维蛋白-1基因(FBN1)突变引起的最常见的遗传性结缔组织疾病之一。经常观察到血管异常,如主动脉扩张并有危及生命的破裂风险。然而,目前的治疗方法有限,治疗选择仅集中在对症治疗上。基因治疗专注于对细胞进行基因改造以产生治疗效果,可能是治疗马凡综合征的一种有前景的治疗选择。在这里,我们首先概述马凡综合征的历史背景和特征。随后,我们总结了目前针对这种影响结缔组织的遗传性疾病的基因治疗选择和可能的转化概念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd33/9319421/c85da3c1b7c5/jcm-11-03934-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd33/9319421/b9932c38ab0a/jcm-11-03934-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd33/9319421/6e564308f5f5/jcm-11-03934-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd33/9319421/c85da3c1b7c5/jcm-11-03934-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd33/9319421/b9932c38ab0a/jcm-11-03934-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd33/9319421/6e564308f5f5/jcm-11-03934-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd33/9319421/c85da3c1b7c5/jcm-11-03934-g003.jpg

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本文引用的文献

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Single-Cell Analysis of Aneurysmal Aortic Tissue in Patients with Marfan Syndrome Reveals Dysfunctional TGF-β Signaling.马凡综合征患者的动脉瘤主动脉组织的单细胞分析揭示了功能失调的 TGF-β 信号传导。
Genes (Basel). 2021 Dec 30;13(1):95. doi: 10.3390/genes13010095.
2
Multi-Omics Profiling in Marfan Syndrome: Further Insights into the Molecular Mechanisms Involved in Aortic Disease.马凡综合征的多组学分析:主动脉疾病相关分子机制的进一步研究。
Int J Mol Sci. 2021 Dec 31;23(1):438. doi: 10.3390/ijms23010438.
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Vascular Smooth Muscle Cells in Aortic Aneurysm: From Genetics to Mechanisms.
孤立性晶状体异位和青光眼相关的悬韧带相关基因变异。
J Glaucoma. 2023 Jul 1;32(7):e80-e89. doi: 10.1097/IJG.0000000000002209. Epub 2023 Mar 20.
主动脉瘤中的血管平滑肌细胞:从遗传学角度到机制。
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4
Effective tools for RNA-derived therapeutics: siRNA interference or miRNA mimicry.用于 RNA 治疗的有效工具:siRNA 干扰或 miRNA 模拟。
Theranostics. 2021 Aug 11;11(18):8771-8796. doi: 10.7150/thno.62642. eCollection 2021.
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An Overview of Investigational and Experimental Drug Treatment Strategies for Marfan Syndrome.马凡氏综合征的研究性和实验性药物治疗策略概述
J Exp Pharmacol. 2021 Aug 11;13:755-779. doi: 10.2147/JEP.S265271. eCollection 2021.
6
Personalised external aortic root support for elective treatment of aortic root dilation in 200 patients.200 例患者选择性主动脉根部扩张治疗的个体化外部主动脉根部支撑。
Heart. 2021 Nov;107(22):1790-1795. doi: 10.1136/heartjnl-2021-319300. Epub 2021 Jul 29.
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siRNA: Mechanism of action, challenges, and therapeutic approaches.siRNA:作用机制、挑战与治疗方法。
Eur J Pharmacol. 2021 Aug 15;905:174178. doi: 10.1016/j.ejphar.2021.174178. Epub 2021 May 24.
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Unresolved Issues in RNA Therapeutics in Vascular Diseases With a Focus on Aneurysm Disease.血管疾病中RNA治疗的未解决问题——以动脉瘤疾病为重点
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Alginate hydrogel polymers enable efficient delivery of a vascular-targeted AAV vector into aortic tissue.藻酸盐水凝胶聚合物能够将血管靶向性腺相关病毒载体有效递送至主动脉组织。
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Genet Med. 2021 Jul;23(7):1296-1304. doi: 10.1038/s41436-021-01132-x. Epub 2021 Mar 17.