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血红蛋白病的基因治疗。

Gene Therapy for Hemoglobinopathies.

机构信息

San Raffaele-Telethon Institute for Gene Therapy (SR-TIGET), San Raffaele Scientific Institute, Milan, Italy; and.

University Vita-Salute San Raffaele, Milan, Italy.

出版信息

Hum Gene Ther. 2023 Sep;34(17-18):793-807. doi: 10.1089/hum.2023.138.

Abstract

β-Thalassemia and sickle cell disease are autosomal recessive disorders of red blood cells due to mutations in the adult β-globin gene, with a worldwide diffusion. The severe forms of hemoglobinopathies are fatal if untreated, and allogeneic bone marrow transplantation can be offered to a limited proportion of patients. The unmet clinical need and the disease incidence have promoted the development of new genetic therapies based on the engineering of autologous hematopoietic stem cells. Here, the steps of gene therapy development are reviewed along with results from clinical trials and recent new approaches employing cutting edge gene editing tools.

摘要

β-地中海贫血和镰状细胞病是由于成人β-珠蛋白基因突变导致的红细胞常染色体隐性遗传病,在全球范围内广泛传播。如果未经治疗,血红蛋白病的严重形式是致命的,并且可以为有限比例的患者提供同种异体骨髓移植。未满足的临床需求和疾病发病率促进了基于自体造血干细胞工程的新型基因治疗的发展。本文回顾了基因治疗的发展步骤,以及临床试验的结果和最近利用前沿基因编辑工具的新方法。

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