Skaggs Pharmaceutical Sciences Center, Department of Pharmacology & Toxicology, R. Ken Coit College of Pharmacy, The University of Arizona, Tucson, AZ, USA.
NCI-designated University of Arizona Comprehensive Cancer Center, Tucson, AZ, USA.
Expert Opin Drug Deliv. 2023 Apr;20(4):523-540. doi: 10.1080/17425247.2023.2200246. Epub 2023 Apr 10.
INTRODUCTION: Despite gene therapy is ideal for genetic abnormality-related diseases, the easy degradation, poor targeting, and inefficiency in entering targeted cells are plaguing the effective delivery of gene therapy. Viral and non-viral vectors have been used for delivering gene therapeutics in vivo by safeguarding nucleic acid agents to target cells and to reach the specific intracellular location. A variety of nanotechnology-enabled safe and efficient systems have been successfully developed to improve the targeting ability for effective therapeutic delivery of genetic drugs. AREAS COVERED: In this review, we outline the multiple biological barriers associated with gene delivery process, and highlight recent advances to gene therapy strategy in vivo, including gene correction, gene silencing, gene activation and genome editing. We point out current developments and challenges exist of non-viral and viral vector systems in association with chemical and physical gene delivery technologies and their potential for the future. EXPERT OPINION: This review focuses on the opportunities and challenges to various gene therapy strategy, with specific emphasis on overcoming the challenges through the development of biocompatibility and smart gene vectors for potential clinical application.
简介:尽管基因治疗对于与遗传异常相关的疾病是理想的,但容易降解、靶向性差以及进入靶细胞的效率低下等问题一直困扰着基因治疗的有效传递。病毒和非病毒载体已被用于通过保护核酸药物到达靶向细胞并到达特定的细胞内位置来在体内递送基因治疗药物。已经成功开发了多种基于纳米技术的安全有效的系统,以提高靶向能力,从而有效传递遗传药物进行治疗。
涵盖领域:在这篇综述中,我们概述了与基因传递过程相关的多种生物学屏障,并强调了体内基因治疗策略的最新进展,包括基因矫正、基因沉默、基因激活和基因组编辑。我们指出了目前非病毒和病毒载体系统与化学和物理基因传递技术相关的发展和挑战,以及它们在未来的潜力。
专家意见:这篇综述重点关注了各种基因治疗策略的机遇和挑战,特别强调了通过开发生物相容性和智能基因载体来克服挑战,以实现潜在的临床应用。
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