整合全球视网膜疾病队列和单细胞分析对遗传性视网膜疾病基因治疗候选基因进行系统鉴定
Systematic Identification of Candidate Genes for Inherited Retinal Disease Gene Therapy Integrating Worldwide IRD Cohort and Single-Cell Analysis.
作者信息
Wang Ching-Yun, Chen Lawrence, Lin Ting-Yi, Huang Shun-Ping
机构信息
Department of Medical Education, Taichung Veterans General Hospital, Taichung, Taiwan.
Department of Ophthalmology, Chang Gung Memorial Hospital, Chiayi, Taiwan.
出版信息
J Ophthalmol. 2025 Jun 12;2025:7014745. doi: 10.1155/joph/7014745. eCollection 2025.
Inherited retinal dystrophies (IRDs) constitute a heterogeneous group of primarily monogenic orphan diseases caused by mutations in over 300 genes, collectively affecting millions of individuals worldwide with visual impairment. Despite significant advances, the development of gene replacement therapy for IRDs has predominantly focused on single-gene approaches, lacking a unified strategy driven by factors such as global prevalence, disease burden, and feasibility of therapeutic delivery. In this review, we propose a comprehensive protocol integrating multifaceted methodologies to refine the identification of suitable gene therapy candidates. We assessed gene prevalence, transcript size compatibility with vector packaging, and cell-type-specific expression, enabling the prioritization of promising therapeutic targets. Our approach focuses on assessing enzyme-coding genes as prime, more suitable candidates for therapeutic intervention due to their relatively similar replacement mechanism. Our findings provide a framework for identifying additional genes that may benefit from similar translational pipelines. This approach revealed a spectrum of potential candidates, including several underexplored genes with high therapeutic potential. Our findings underscore the necessity of adopting a strategic, data-driven framework to prioritize clinically impactful and scalable gene therapy targets, paving the way for broader and more effective therapeutic applications in the field of IRDs. ClinicalTrials.gov identifier: NCT01482195, NCT03316560, NCT06333249, NCT06275620, NCT04850118, NCT05926583.
遗传性视网膜营养不良(IRDs)是一组异质性的主要单基因罕见病,由300多个基因的突变引起,全球共有数百万视力受损者受其影响。尽管取得了重大进展,但IRDs基因替代疗法的发展主要集中在单基因方法上,缺乏由全球患病率、疾病负担和治疗递送可行性等因素驱动的统一策略。在本综述中,我们提出了一个综合方案,整合多方面方法以优化合适基因治疗候选物的鉴定。我们评估了基因患病率、与载体包装的转录本大小兼容性以及细胞类型特异性表达,从而能够对有前景的治疗靶点进行优先排序。我们的方法侧重于评估酶编码基因作为治疗干预的主要且更合适的候选物,因为它们的替代机制相对相似。我们的研究结果为鉴定可能受益于类似转化流程的其他基因提供了一个框架。这种方法揭示了一系列潜在候选物,包括几个具有高治疗潜力但未被充分探索的基因。我们的研究结果强调了采用战略、数据驱动框架对具有临床影响力和可扩展性的基因治疗靶点进行优先排序的必要性,为IRDs领域更广泛、更有效的治疗应用铺平道路。ClinicalTrials.gov标识符:NCT01482195、NCT03316560、NCT06333249、NCT06275620、NCT04850118、NCT05926583。