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肝脏疾病中的基因编辑。

Gene editing in liver diseases.

机构信息

DNA & RNA Medicine Division, Gene Therapy for Rare Diseases Department, Center for Applied Medical Research (CIMA), University of Navarra, IdisNA, Pamplona, Spain.

Grousbeck Gene Therapy Center, Schepens Eye Research Institute, Mass Eye and Ear, Boston, MA, USA.

出版信息

FEBS Lett. 2024 Oct;598(19):2348-2371. doi: 10.1002/1873-3468.14989. Epub 2024 Jul 30.

Abstract

The deliberate and precise modification of the host genome using engineered nucleases represents a groundbreaking advancement in modern medicine. Several clinical trials employing these approaches to address metabolic liver disorders have been initiated, with recent remarkable outcomes observed in patients with transthyretin amyloidosis, highlighting the potential of these therapies. Recent technological improvements, particularly CRISPR Cas9-based technology, have revolutionized gene editing, enabling in vivo modification of the cellular genome for therapeutic purposes. These modifications include gene supplementation, correction, or silencing, offering a wide range of therapeutic possibilities. Moving forward, we anticipate witnessing the unfolding therapeutic potential of these strategies in the coming years. The aim of our review is to summarize preclinical data on gene editing in animal models of inherited liver diseases and the clinical data obtained thus far, emphasizing both therapeutic efficacy and potential limitations of these medical interventions.

摘要

利用工程化核酸酶对宿主基因组进行刻意且精确的修饰,代表着现代医学的一项突破性进展。已经启动了几项采用这些方法来治疗代谢性肝脏疾病的临床试验,最近在转甲状腺素蛋白淀粉样变性患者中观察到了显著的结果,凸显了这些疗法的潜力。最近的技术进步,特别是基于 CRISPR Cas9 的技术,彻底改变了基因编辑,使细胞基因组的体内修饰成为可能,以达到治疗目的。这些修饰包括基因的补充、纠正或沉默,为治疗提供了广泛的可能性。展望未来,我们预计在未来几年将见证这些策略在治疗方面的潜力不断显现。我们的综述旨在总结遗传性肝脏疾病动物模型中基因编辑的临床前数据和迄今为止获得的临床数据,强调这些医学干预的治疗效果和潜在局限性。

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