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刺激伤口愈合过程的基因增强技术:进展与前景

Gene Augmentation Techniques to Stimulate Wound Healing Process: Progress and Prospects.

作者信息

Dwivedi Jyotsana, Kaushal Shubhi, Jeslin D, Karpagavalli L, Kumar Rajesh, Dev Dhruv, Wal Pranay

机构信息

PSIT- Pranveer Singh Institute of Technology (Pharmacy), Kanpur, India.

Department of Pharmaceutics, Sree Balaji Medical College and Hospital Campus, Bharath Institute of Higher Education and Research, Chromepet, Chennai-44, India.

出版信息

Curr Gene Ther. 2025;25(4):394-416. doi: 10.2174/0115665232316799241008073042.

DOI:10.2174/0115665232316799241008073042
PMID:39444185
Abstract

Gene therapy has traditionally been used to treat individuals with late-stage cancers or congenital abnormalities. Numerous prospects for therapeutic genetic modifications have emerged with the discovery that gene therapy applications are far more extensive, particularly in skin and exterior wounds. Cutaneous wound healing is a complex, multistep process involving multiple steps and mediators that operate in a network of activation and inhibition processes. This setting presents a unique obstacle for gene delivery. Many gene delivery strategies have been developed, including liposomal administration, high-pressure injection, viral transfection, and the application of bare DNA. Among several gene transfer techniques, categorical polymers, nanoparticles, and liposomalbased constructs show great promise for non-viral gene transfer in wounds. Clinical experiments have shown that efficient transportation of certain polypeptides to the intended wound location is a crucial factor in wound healing. Genetically engineered cells can be used to produce and control the delivery of specific growth factors, thereby addressing the drawbacks of mechanically administered recombinant growth factors. We have discussed how repair mechanisms are based on molecules and cells, as well as their breakdown, and provided an overview of the methods and research conducted on gene transmission in tissue regeneration.

摘要

传统上,基因疗法一直用于治疗晚期癌症或先天性异常患者。随着基因疗法应用范围远比以往广泛的发现,尤其是在皮肤和外部伤口方面,出现了众多治疗性基因改造的前景。皮肤伤口愈合是一个复杂的多步骤过程,涉及多个步骤和介质,这些步骤和介质在激活和抑制过程的网络中发挥作用。这种情况给基因传递带来了独特的障碍。已经开发了许多基因传递策略,包括脂质体给药、高压注射、病毒转染和裸DNA的应用。在几种基因转移技术中,阳离子聚合物、纳米颗粒和基于脂质体的构建体在伤口的非病毒基因转移方面显示出巨大的前景。临床实验表明,某些多肽有效运输到预期的伤口部位是伤口愈合的关键因素。基因工程细胞可用于产生和控制特定生长因子的递送,从而解决机械施用重组生长因子的缺点。我们已经讨论了修复机制如何基于分子和细胞及其分解,并概述了在组织再生中进行基因传递的方法和研究。

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