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以治愈为目的的治疗:镰状细胞贫血症的基因疗法的出现。

"Treatment with curative intent": the emergence of genetic therapies for sickle cell anemia.

机构信息

Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.

Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

出版信息

Blood. 2024 Mar 14;143(11):967-970. doi: 10.1182/blood.2023021598.

DOI:10.1182/blood.2023021598
PMID:38289232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11103077/
Abstract

The root cause of sickle cell anemia has been known for 7 decades, yet no curative therapies have been available other than allogeneic bone marrow transplantation, for which applicability is limited. Two potentially curative therapies based on gene therapy and gene editing strategies have recently received US Food and Drug Administration approval. This review surveys the nature of these therapies and the opportunities and issues raised by the prospect of definitive genetically based therapies being available in clinical practice.

摘要

镰状细胞贫血的根本原因已为人所知 70 年,但除了异体骨髓移植外,尚无其他治愈疗法,而后者的适用性有限。最近,两种基于基因治疗和基因编辑策略的潜在治愈疗法获得了美国食品和药物管理局的批准。本文综述了这些疗法的性质,以及在临床实践中提供基于基因的确定性治疗方法的前景所带来的机遇和问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/11103077/ac27e7f15df8/BLOOD_BLD-2023-021598-C-ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/11103077/ac27e7f15df8/BLOOD_BLD-2023-021598-C-ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07e3/11103077/ac27e7f15df8/BLOOD_BLD-2023-021598-C-ga1.jpg

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本文引用的文献

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CRISPR-Cas9 Editing of the and Promoters to Treat Sickle Cell Disease.CRISPR-Cas9 编辑 和 启动子以治疗镰状细胞病。
N Engl J Med. 2023 Aug 31;389(9):820-832. doi: 10.1056/NEJMoa2215643.
2
In vivo hematopoietic stem cell modification by mRNA delivery.mRNA 递送介导的体内造血干细胞修饰。
Science. 2023 Jul 28;381(6656):436-443. doi: 10.1126/science.ade6967. Epub 2023 Jul 27.
3
In vivo HSC prime editing rescues sickle cell disease in a mouse model.体内 HSC 原核编辑挽救了小鼠模型中的镰状细胞病。
Blood. 2023 Apr 27;141(17):2085-2099. doi: 10.1182/blood.2022018252.
4
The hematopoietic saga of clonality in sickle cell disease.镰状细胞病中克隆性的造血传奇。
J Clin Invest. 2022 Mar 1;132(5). doi: 10.1172/JCI158251.
5
Fetal-like Hemoglobin in Sickle Cell Anemia.镰状细胞贫血中的胎儿血红蛋白
N Engl J Med. 2022 Feb 17;386(7):689-691. doi: 10.1056/NEJMe2119760.
6
Acute Myeloid Leukemia Case after Gene Therapy for Sickle Cell Disease.镰状细胞病基因治疗后发生的急性髓系白血病病例。
N Engl J Med. 2022 Jan 13;386(2):138-147. doi: 10.1056/NEJMoa2109167. Epub 2021 Dec 12.
7
Biologic and Clinical Efficacy of LentiGlobin for Sickle Cell Disease.慢病毒载体基因疗法 LentiGlobin 治疗镰状细胞病的生物学和临床疗效。
N Engl J Med. 2022 Feb 17;386(7):617-628. doi: 10.1056/NEJMoa2117175. Epub 2021 Dec 12.
8
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Nature. 2021 Jul;595(7866):295-302. doi: 10.1038/s41586-021-03609-w. Epub 2021 Jun 2.
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Post-Transcriptional Genetic Silencing of to Treat Sickle Cell Disease.用 治疗镰状细胞病的转录后基因沉默。
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CRISPR-Cas9 Gene Editing for Sickle Cell Disease and β-Thalassemia.CRISPR-Cas9 基因编辑治疗镰状细胞病和 β-地中海贫血。
N Engl J Med. 2021 Jan 21;384(3):252-260. doi: 10.1056/NEJMoa2031054. Epub 2020 Dec 5.