Liu Fanfei, Li Ruiting, Zhu Zilin, Yang Yang, Lu Fang
Department of Ophthalmology West China Hospital Chengdu Sichuan China.
State Key Laboratory of Biotherapy West China Hospital Chengdu Sichuan China.
MedComm (2020). 2024 Aug 16;5(9):e645. doi: 10.1002/mco2.645. eCollection 2024 Sep.
Gene therapy has witnessed substantial advancements in recent years, becoming a constructive tactic for treating various human diseases. This review presents a comprehensive overview of these developments, with a focus on their diverse applications in different disease contexts. It explores the evolution of gene delivery systems, encompassing viral (like adeno-associated virus; AAV) and nonviral approaches, and evaluates their inherent strengths and limitations. Moreover, the review delves into the progress made in targeting specific tissues and cell types, spanning the eye, liver, muscles, and central nervous system, among others, using these gene technologies. This targeted approach is crucial in addressing a broad spectrum of genetic disorders, such as inherited lysosomal storage diseases, neurodegenerative disorders, and cardiovascular diseases. Recent clinical trials and successful outcomes in gene therapy, particularly those involving AAV and the clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR-associated proteins, are highlighted, illuminating the transformative potentials of this approach in disease treatment. The review summarizes the current status of gene therapy, its prospects, and its capacity to significantly ameliorate patient outcomes and quality of life. By offering comprehensive analysis, this review provides invaluable insights for researchers, clinicians, and stakeholders, enriching the ongoing discourse on the trajectory of disease treatment.
近年来,基因治疗取得了重大进展,成为治疗各种人类疾病的一种建设性策略。本综述全面概述了这些进展,重点关注它们在不同疾病背景下的多样应用。它探讨了基因递送系统的演变,包括病毒(如腺相关病毒;AAV)和非病毒方法,并评估了它们固有的优势和局限性。此外,本综述深入研究了利用这些基因技术在靶向特定组织和细胞类型方面取得的进展,这些组织和细胞类型包括眼睛、肝脏、肌肉和中枢神经系统等。这种靶向方法对于解决广泛的遗传疾病至关重要,如遗传性溶酶体贮积病、神经退行性疾病和心血管疾病。文中突出介绍了基因治疗最近的临床试验和成功案例,特别是那些涉及AAV和成簇规律间隔短回文重复序列(CRISPR)-CRISPR相关蛋白的试验,阐明了这种方法在疾病治疗中的变革潜力。本综述总结了基因治疗的现状、前景以及它显著改善患者预后和生活质量的能力。通过提供全面分析,本综述为研究人员、临床医生和利益相关者提供了宝贵的见解,丰富了关于疾病治疗轨迹的持续讨论。