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高雪氏病中多能干细胞技术的当前观点:挑战与未来前景

Current opinion on pluripotent stem cell technology in Gaucher's disease: challenges and future prospects.

作者信息

Gurra Pankaj, Babu Raja, Pancholi Bhaskaranand, Mohanta Bibhash Chandra, Garabadu Debapriya

机构信息

Department of Pharmacy, Central University of South Bihar, Gaya, 824236 India.

Department of Pharmacology, School of Health Sciences, Central University of Punjab, Bathinda, 151001 India.

出版信息

Cytotechnology. 2025 Feb;77(1):26. doi: 10.1007/s10616-024-00687-2. Epub 2024 Dec 27.

Abstract

Gaucher's disease (GD) is a rare autosomal recessive genetic disorder caused by mutations in the gene. Mutations in the gene lead to the deficiency of glucocerebrosidase, an enzyme that helps in the breakdown of glucosylceramide (GlcCer) into ceramide and glucose. The lack of the enzyme causes GlcCer accumulation in macrophages, resulting in various phenotypic characteristics of GD. The currently available therapies, including enzyme replacement therapy and substrate reduction therapy, only provide symptomatic relief. However, they grapple with limitations in efficacy, accessibility, and potential side effects. These observations laid the foundation to search for new approaches in the management of GD. Induced pluripotent stem cells (iPSCs) technology emerges as a beacon of hope, offering novel avenues for future GD therapies. The true magic of iPSCs lies in their ability to differentiate into various cell types. By reprogramming patient-derived cells into iPSCs, researchers can generate personalized models that recapitulate the genetic and phenotypic characteristics of the GD. These models are valuable tools for dissecting intricate disease pathways, developing novel therapeutic targets, and enhancing the drug development process for GD. This review emphasizes the significance of iPSCs technology in GD management. Further, it addresses several challenges that are being encountered in the application of iPSC technology in the management of GD. In addition, it provides several insights into the future aspects of iPSC technology in the management of GD.

摘要

戈谢病(GD)是一种罕见的常染色体隐性遗传疾病,由该基因的突变引起。该基因的突变导致葡糖脑苷脂酶缺乏,这种酶有助于将葡糖神经酰胺(GlcCer)分解为神经酰胺和葡萄糖。该酶的缺乏导致GlcCer在巨噬细胞中积累,从而产生GD的各种表型特征。目前可用的治疗方法,包括酶替代疗法和底物减少疗法,仅能提供症状缓解。然而,它们在疗效、可及性和潜在副作用方面存在局限性。这些观察结果为寻找GD管理的新方法奠定了基础。诱导多能干细胞(iPSC)技术成为希望之光,为未来的GD治疗提供了新途径。iPSC的真正神奇之处在于它们能够分化为各种细胞类型。通过将患者来源的细胞重编程为iPSC,研究人员可以生成重现GD遗传和表型特征的个性化模型。这些模型是剖析复杂疾病途径、开发新治疗靶点以及加速GD药物开发过程的宝贵工具。本综述强调了iPSC技术在GD管理中的重要性。此外,它还讨论了在将iPSC技术应用于GD管理过程中遇到的几个挑战。此外,它还对iPSC技术在GD管理中的未来发展提供了一些见解。

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