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基因治疗色素性视网膜炎:当前挑战与新进展。

Gene Therapy for Retinitis Pigmentosa: Current Challenges and New Progress.

机构信息

Department of Ophthalmology, Renmin Hospital of Wuhan University, Jiefang Road #238, Wuhan 430060, China.

出版信息

Biomolecules. 2024 Jul 25;14(8):903. doi: 10.3390/biom14080903.

Abstract

Retinitis pigmentosa (RP) poses a significant threat to eye health worldwide, with prevalence rates of 1 in 5000 worldwide. This genetically diverse retinopathy is characterized by the loss of photoreceptor cells and atrophy of the retinal pigment epithelium. Despite the involvement of more than 3000 mutations across approximately 90 genes in its onset, finding an effective treatment has been challenging for a considerable time. However, advancements in scientific research, especially in gene therapy, are significantly expanding treatment options for this most prevalent inherited eye disease, with the discovery of new compounds, gene-editing techniques, and gene loci offering hope for more effective treatments. Gene therapy, a promising technology, utilizes viral or non-viral vectors to correct genetic defects by either replacing or silencing disease-causing genes, potentially leading to complete recovery. In this review, we primarily focus on the latest applications of gene editing research in RP. We delve into the most prevalent genes associated with RP and discuss advancements in genome-editing strategies currently employed to correct various disease-causing mutations.

摘要

色素性视网膜炎(RP)对全球的眼部健康构成了重大威胁,全球发病率为每 5000 人中有 1 人患病。这种遗传性视网膜病变具有多样性,其特征是感光细胞丧失和视网膜色素上皮萎缩。尽管在其发病过程中涉及到大约 90 个基因中的 3000 多个突变,但在相当长的一段时间内,找到有效的治疗方法一直具有挑战性。然而,科学研究的进展,特别是基因治疗方面的进展,正在极大地扩展这种最常见的遗传性眼病的治疗选择,新化合物、基因编辑技术和基因座的发现为更有效的治疗提供了希望。基因治疗是一种很有前途的技术,它利用病毒或非病毒载体通过替换或沉默致病基因来纠正遗传缺陷,可能导致完全康复。在这篇综述中,我们主要关注基因编辑研究在 RP 中的最新应用。我们深入探讨了与 RP 相关的最常见基因,并讨论了目前用于纠正各种致病突变的基因组编辑策略的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aa1/11352491/2ace28209e08/biomolecules-14-00903-g001.jpg

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