Department of Bioengineering, Yildiz Technical University, Istanbul, Turkey.
Health Biotechnology Joint Research and Application Center of Excellence, Istanbul, Turkey.
Adv Exp Med Biol. 2023;1436:19-53. doi: 10.1007/5584_2023_761.
Stem cells, which can self-renew and differentiate into different cell types, have become the keystone of regenerative medicine due to these properties. With the achievement of superior clinical results in the therapeutic approaches of different diseases, the applications of these cells in the treatment of genetic diseases have also come to the fore. Foremost, conventional approaches of stem cells to genetic diseases are the first approaches in this manner, and they have brought safety issues due to immune reactions caused by allogeneic transplantation. To eliminate these safety issues and phenotypic abnormalities caused by genetic defects, firstly, basic genetic engineering practices such as vectors or RNA modulators were combined with stem cell-based therapeutic approaches. However, due to challenges such as immune reactions and inability to target cells effectively in these applications, advanced molecular methods have been adopted in ZFN, TALEN, and CRISPR/Cas genome editing nucleases, which allow modular designs in stem cell-based genetic diseases' therapeutic approaches. Current studies in genetic diseases are in the direction of creating permanent treatment regimens by genomic manipulation of stem cells with differentiation potential through genome editing tools. In this chapter, the stem cell-based therapeutic approaches of various vital genetic diseases were addressed wide range from conventional applications to genome editing tools.
干细胞具有自我更新和分化为不同细胞类型的能力,由于这些特性,已成为再生医学的基石。由于在治疗不同疾病的治疗方法中取得了优异的临床效果,这些细胞在治疗遗传疾病中的应用也崭露头角。首先,干细胞治疗遗传疾病的传统方法是这种方法的第一步,由于同种异体移植引起的免疫反应,这些方法带来了安全性问题。为了消除这些安全问题和由遗传缺陷引起的表型异常,首先,将基本的基因工程实践(如载体或 RNA 调节剂)与基于干细胞的治疗方法相结合。然而,由于这些应用中存在免疫反应和无法有效靶向细胞等挑战,先进的分子方法已被采用于 ZFN、TALEN 和 CRISPR/Cas 基因组编辑核酶中,这使得基于干细胞的遗传疾病治疗方法的模块化设计成为可能。目前,遗传疾病的研究方向是通过基因组编辑工具对具有分化潜能的干细胞进行基因组操纵,从而创造出永久性的治疗方案。在本章中,广泛讨论了基于干细胞的各种重要遗传疾病的治疗方法,从传统应用到基因组编辑工具。