Tariq Hamza, Khurshid Fatima, Khan Muhammad Hamza, Dilshad Aamna, Zain Ahmad, Rasool Warda, Jawaid Alishba, Kunwar Digbijay, Khanduja Sneha, Akbar Anum
Nishtar Medical University and Hospital, Multan.
Department of Radiation and Oncology, Shifa International Hospital Ltd.
Ann Med Surg (Lond). 2024 Aug 14;86(10):5938-5946. doi: 10.1097/MS9.0000000000002478. eCollection 2024 Oct.
Sickle cell disease (SCD) is a common hereditary blood disorder that profoundly impacts individuals' health, causing chronic pain, anemia, organ damage, increased susceptibility to infections, and social and psychological effects. Over the years, advances in treatment have improved the long-term outcomes of SCD patients. However, problems such as limited access to hematopoietic stem cell transplantation (HSCT) and potential complications associated with the available therapies underscore the importance of continued research and development. The recent FDA approval of Casgevy (Exagamglogene autotemcel), a genetic therapy based on CRISPR/Cas9 technology, demonstrates a comprehensive effort to address the complexity of SCD using new technologies. This review explores the potential of CRISPR/Cas9 for treating SCD and evaluates its efficacy, safety, and long-term outcomes compared to traditional treatment approaches. Long-term research is needed to comprehensively assess the safety, effectiveness, and inclusion of CRISPR/Cas9, ensuring its overall efficacy.
镰状细胞病(SCD)是一种常见的遗传性血液疾病,对个体健康产生深远影响,会导致慢性疼痛、贫血、器官损伤、感染易感性增加以及社会和心理影响。多年来,治疗方面的进展改善了SCD患者的长期预后。然而,诸如造血干细胞移植(HSCT)可及性有限以及现有疗法相关的潜在并发症等问题凸显了持续研发的重要性。美国食品药品监督管理局(FDA)最近批准了基于CRISPR/Cas9技术的基因疗法Casgevy(Exagamglogene autotemcel),这表明人们正在全面努力利用新技术解决SCD的复杂性。本综述探讨了CRISPR/Cas9治疗SCD的潜力,并与传统治疗方法相比评估了其疗效、安全性和长期预后。需要进行长期研究以全面评估CRISPR/Cas9的安全性、有效性和包容性,确保其整体疗效。