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家族性高胆固醇血症治疗的基因疗法最新进展。

Recent progress in gene therapy for familial hypercholesterolemia treatment.

作者信息

Luo Yaxin, Hou Yaofeng, Zhao Wenwen, Yang Bei

机构信息

Shanghai Institute for Advanced Immunochemical Studies, ShanghaiTech University, Shanghai 201210, China.

Gene Editing Center, School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, China.

出版信息

iScience. 2024 Aug 10;27(9):110641. doi: 10.1016/j.isci.2024.110641. eCollection 2024 Sep 20.

Abstract

Familial hypercholesterolemia (FH) is a genetic disorder that affects 1 in 300 people, leading to high cholesterol levels and significantly increased cardiovascular risk. The limitations of existing FH treatments underscore the need for innovative therapeutics, and gene therapy offers a promising alternative to address FH more effectively. In this review, we survey approved gene therapy drugs first and then delve into the landscape of gene addition, gene inactivation, and gene editing therapies for hypercholesterolemia, highlighting both approved interventions and those in various stages of development. We also discussed recent advancements in gene editing tools that are essential for their application in gene therapy. Safety considerations inherent to gene therapy are also discussed, emphasizing the importance of mitigating potential risks associated with such treatments. Overall, this review highlights the progress and prospects of gene therapies for FH treatments, underscoring their potential to revolutionize the management of this prevalent and challenging condition.

摘要

家族性高胆固醇血症(FH)是一种遗传性疾病,每300人中就有1人受其影响,会导致胆固醇水平升高,并显著增加心血管疾病风险。现有FH治疗方法的局限性凸显了创新疗法的必要性,而基因疗法为更有效地治疗FH提供了一种有前景的替代方案。在本综述中,我们首先调查已获批的基因治疗药物,然后深入探讨用于高胆固醇血症的基因添加、基因失活和基因编辑疗法的情况,重点介绍已获批的干预措施以及处于不同开发阶段的疗法。我们还讨论了基因编辑工具的最新进展,这些进展对于其在基因治疗中的应用至关重要。同时也讨论了基因治疗固有的安全考量,强调了减轻此类治疗相关潜在风险的重要性。总体而言,本综述突出了基因疗法在FH治疗方面的进展和前景,强调了它们有可能彻底改变这种常见且具有挑战性疾病的治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d97d/11387600/a5ee6e280ee3/fx1.jpg

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