靶向神经退行性疾病的新型基因治疗方法:聚焦于递送神经营养基因。

Novel Gene Therapy Approaches for Targeting Neurodegenerative Disorders: Focusing on Delivering Neurotrophic Genes.

作者信息

Kumari Shobha, Kamiya Aayush, Karnik Sanika Sanjay, Rohilla Sumedha, Dubey Sunil Kumar, Taliyan Rajeev

机构信息

Indian Council of Medical Research-Senior Research Fellow (ICMR-SRF), Neuropsychopharmacology Division, Department of Pharmacy, Birla Institute of Technology and Science, Pilani Campus, Pilani, 333031, Rajasthan, India.

R&D Healthcare Division, Emami Ltd., Kolkata, 700107, India.

出版信息

Mol Neurobiol. 2025 Jan;62(1):386-411. doi: 10.1007/s12035-024-04260-y. Epub 2024 Jun 10.

Abstract

Neurodegenerative illnesses (NDDs) like Alzheimer's, Parkinson's, amyotrophic lateral sclerosis, spinal muscular atrophy, and Huntington's disease have demonstrated considerable potential for gene therapy as a viable therapeutic intervention. NDDs are marked by the decline of neurons, resulting in changes in both behavior and pathology within the body. Strikingly, only symptomatic management is available without a cure for the NDDs. There is an unmet need for a permanent therapeutic approach. Many studies have been going on to target the newer therapeutic molecular targets for NDDs including gene-based therapy. Gene therapy has the potential to provide therapeutic benefits to a large number of patients with NDDs by offering mechanisms including neuroprotection, neuro-restoration, and rectification of pathogenic pathways. Gene therapy is a medical approach that aims to modify the biological characteristics of living cells by controlling the expression of specific genes in certain neurological disorders. Despite being the most complex and well-protected organ in the human body, there is clinical evidence to show that it is possible to specifically target the central nervous system (CNS). This provides hope for the prospective application of gene therapy in treating NDDs in the future. There are several advanced techniques available for using viral or non-viral vectors to deliver the therapeutic gene to the afflicted region. Neurotrophic factors (NTF) in the brain are crucial for the development, differentiation, and survival of neurons in the CNS, making them important in the context of various neurological illnesses. Gene delivery of NTF has the potential to be used as a therapeutic approach for the treatment of neurological problems in the brain. This review primarily focuses on the methodologies employed for delivering the genes of different NTFs to treat neurological disorders. These techniques are currently being explored as a viable therapeutic approach for neurodegenerative diseases. The article exclusively addresses gene delivery approaches and does not cover additional therapy strategies for NDDs. Gene therapy offers a promising alternative treatment for NDDs by stimulating neuronal growth instead of solely relying on symptom relief from drugs and their associated adverse effects. It can serve as a long-lasting and advantageous treatment choice for the management of NDDs. The likelihood of developing NDDs increases with age as a result of neuronal degradation in the brain. Gene therapy is an optimal approach for promoting neuronal growth through the introduction of nerve growth factor genes.

摘要

像阿尔茨海默病、帕金森病、肌萎缩侧索硬化症、脊髓性肌萎缩症和亨廷顿舞蹈症等神经退行性疾病,已显示出基因治疗作为一种可行的治疗干预手段具有相当大的潜力。神经退行性疾病的特征是神经元衰退,导致身体行为和病理变化。令人惊讶的是,目前对于神经退行性疾病只有对症治疗,尚无治愈方法。对于一种永久性治疗方法存在未满足的需求。许多研究一直在针对神经退行性疾病的更新的治疗分子靶点,包括基于基因的疗法。基因治疗有可能通过提供神经保护、神经修复和纠正致病途径等机制,为大量神经退行性疾病患者带来治疗益处。基因治疗是一种医学方法,旨在通过控制某些神经系统疾病中特定基因的表达来改变活细胞的生物学特性。尽管中枢神经系统是人体中最复杂且保护最严密的器官,但临床证据表明,有可能特异性地靶向中枢神经系统。这为基因治疗未来在治疗神经退行性疾病中的应用提供了希望。有几种先进技术可用于使用病毒或非病毒载体将治疗性基因递送至患病区域。大脑中的神经营养因子对中枢神经系统中神经元的发育、分化和存活至关重要,使其在各种神经系统疾病的背景下具有重要意义。神经营养因子的基因递送有潜力用作治疗大脑神经问题的一种治疗方法。本综述主要关注用于递送不同神经营养因子基因以治疗神经系统疾病的方法。这些技术目前正在作为神经退行性疾病的一种可行治疗方法进行探索。本文专门讨论基因递送方法,不涉及神经退行性疾病的其他治疗策略。基因治疗通过刺激神经元生长,而不是仅仅依赖药物缓解症状及其相关副作用,为神经退行性疾病提供了一种有前景的替代治疗方法。它可以作为神经退行性疾病管理的一种持久且有益的治疗选择。由于大脑中神经元的退化,患神经退行性疾病的可能性会随着年龄的增长而增加。基因治疗是通过引入神经生长因子基因来促进神经元生长的一种最佳方法。

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