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基因治疗作为一种针对突变引起的自闭症谱系障碍的新兴治疗方法。

Gene therapy as an emerging treatment for mutation-induced autism spectrum disorders.

作者信息

Ghosh Arkadeep, Nadella Nitin, Monaghan-Nichols A Paula, Chu Xiang-Ping

机构信息

Department of Biomedical Sciences, University of Missouri-Kansas City School of Medicine, Kansas City, MO 64108, United States.

出版信息

Fundam Res. 2023 Feb 18;4(6):1401-1404. doi: 10.1016/j.fmre.2023.02.004. eCollection 2024 Nov.

Abstract

Autism spectrum disorder (ASD) is a complex neurological and developmental disorder that affects how a person acts, communicates, learns, and interacts with others. It affects the structure and function of the brain and nervous system. How ASD is caused remains uncertain and there is no effective treatment for this disorder. Searching for new technologies for treatment of this disorder becomes a priority. Genetic alterations have been implicated in the generation of this disorder. One of the most promising genes for potential treatment of ASD is sodium voltage-gated channel alpha subunit 2 gene , encoding the neuronal voltage-gated Na channel Na1.2, is one of the most commonly affected loci linked to ASD. Here, we discuss the implications of loss of function (LOF) mutations in and the potential efficacy of gene therapy by highlighting the usage of CRISPR restoration of various -insufficiencies. Various therapeutics exist that can be extrapolated to address the needs of LOF induced ASD. The current treatment that exists for ASD can be seen as outdated in comparison to the advent of new technologies that build upon CRISPR. Due to complications in treatment of ASD, genetic therapies may induce alterations such as insertion-deletion mutations, which may lead to further complications along with a negative public outlook on CRISPR technologies. Gene therapy can be applied to ASD but much work is yet to be done in order to address both biochemical and ethical considerations.

摘要

自闭症谱系障碍(ASD)是一种复杂的神经和发育障碍,会影响一个人的行为、沟通、学习以及与他人互动的方式。它会影响大脑和神经系统的结构与功能。ASD的病因尚不确定,且尚无有效的治疗方法。寻找治疗该疾病的新技术成为当务之急。基因改变与该疾病的发生有关。对于ASD潜在治疗而言,最有前景的基因之一是钠电压门控通道α亚基2基因,它编码神经元电压门控钠通道Na1.2,是与ASD相关的最常受影响的基因座之一。在此,我们通过强调使用CRISPR恢复各种基因功能不足的情况,来讨论该基因功能丧失(LOF)突变的影响以及基因治疗的潜在疗效。存在多种可推断用于满足因基因功能丧失导致的ASD需求的治疗方法。与基于CRISPR的新技术出现相比,目前针对ASD的治疗方法可能显得过时。由于ASD治疗存在并发症,基因治疗可能会引发诸如插入缺失突变等改变,这可能导致进一步的并发症以及公众对CRISPR技术的负面看法。基因治疗可应用于ASD,但为解决生化和伦理问题仍有许多工作要做。

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