Department of Clinical Laboratory Medicine, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan.
Department of Systems BioMedicine, National Research Institute for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo 157-8535, Japan.
Int J Mol Sci. 2023 Oct 16;24(20):15230. doi: 10.3390/ijms242015230.
RNA-based therapy has been an expanding area of clinical research since the COVID-19 outbreak. Often, its comparison has been made to DNA-based gene therapy, such as adeno-associated virus- and lentivirus-mediated therapy. These DNA-based therapies show persistent expression, with maximized therapeutic efficacy. However, accumulating data indicate that proper control of gene expression is occasionally required. For example, in cancer immunotherapy, cytokine response syndrome is detrimental for host animals, while excess activation of the immune system induces supraphysiological cytokines. RNA-based therapy seems to be a rather mild therapy, and it has room to fit unmet medical needs, whereas current DNA-based therapy has unclear issues. This review focused on RNA-based therapy for cancer immunotherapy, hematopoietic disorders, and inherited disorders, which have received attention for possible clinical applications.
自 COVID-19 爆发以来,基于 RNA 的治疗已成为临床研究的一个不断扩展的领域。通常,它与基于 DNA 的基因治疗(如腺相关病毒和慢病毒介导的治疗)进行比较。这些基于 DNA 的治疗方法具有持续表达的特点,可达到最大的治疗效果。然而,越来越多的数据表明,偶尔需要对基因表达进行适当的控制。例如,在癌症免疫治疗中,细胞因子反应综合征对宿主动物有害,而过度激活免疫系统会导致超生理细胞因子。基于 RNA 的治疗似乎是一种相对温和的治疗方法,它有满足未满足的医疗需求的空间,而当前基于 DNA 的治疗存在不明确的问题。本综述重点介绍了 RNA 治疗在癌症免疫治疗、血液疾病和遗传疾病方面的应用,这些疾病因其可能的临床应用而受到关注。