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基因疗法标志着血友病B患者潜在“临床治愈”的开端。

[Gene therapy marks the beginning of a potential "clinical cure" for hemophilia B patients].

作者信息

Zhang L

机构信息

National Clinical Research Center for Blood Diseases, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China.

出版信息

Zhonghua Xue Ye Xue Za Zhi. 2025 May 14;46(5):385-388. doi: 10.3760/cma.j.cn121090-20250304-00111.

DOI:10.3760/cma.j.cn121090-20250304-00111
PMID:40623895
Abstract

Hemophilia B is a monogenic inherited disorder characterized by spontaneous or trauma-induced bleeding. In China, the primary treatment strategy for hemophilia B is factor Ⅸ (FⅨ) replacement therapy, requiring patients to undergo frequent venipunctures throughout their lifetime. In recent years, significant advancements have been made in gene therapy for hemophilia B. As gene therapy for hemophilia B is nearing clinical implementation in China, the Thrombosis and Hemostasis Group of the Chinese Society of Hematology of the Chinese Medical Association and the Hemophilia Treatment Center Collaborative Network of China have jointly developed the "Chinese guidance for clinical application of Adeno-associated virus vector-based gene therapy for hemophilia B (2025)", offering comprehensive recommendations for standardizing the entire gene therapy process. This article will introduce the background, key points, and clinical value of the guidelines to enhance awareness and emphasis on gene therapy for hemophilia B in China.

摘要

血友病B是一种单基因遗传性疾病,其特征为自发性出血或创伤后出血。在中国,血友病B的主要治疗策略是凝血因子Ⅸ(FⅨ)替代疗法,这要求患者终生频繁接受静脉穿刺。近年来,血友病B的基因治疗取得了重大进展。随着血友病B的基因治疗在中国即将进入临床应用阶段,中华医学会血液学分会血栓与止血学组和中国血友病治疗中心协作网络联合制定了《腺相关病毒载体介导的血友病B基因治疗临床应用中国指导原则(2025年版)》,为规范整个基因治疗过程提供了全面建议。本文将介绍该指南的背景、要点及临床价值,以提高中国对血友病B基因治疗的认识和重视程度。

相似文献

1
[Gene therapy marks the beginning of a potential "clinical cure" for hemophilia B patients].基因疗法标志着血友病B患者潜在“临床治愈”的开端。
Zhonghua Xue Ye Xue Za Zhi. 2025 May 14;46(5):385-388. doi: 10.3760/cma.j.cn121090-20250304-00111.
2
[Chinese guidance for the clinical application of Adeno-associated virus vector-based gene therapy for hemophilia B (2025)].[腺相关病毒载体基因治疗血友病B临床应用中国指导原则(2025年)]
Zhonghua Xue Ye Xue Za Zhi. 2025 May 14;46(5):410-416. doi: 10.3760/cma.j.cn121090-20250304-00110.
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Sustained Clinical Benefit of AAV Gene Therapy in Severe Hemophilia B.腺相关病毒基因疗法对重度乙型血友病的持续临床益处
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J Manag Care Spec Pharm. 2018 Jul;24(7):632-642. doi: 10.18553/jmcp.2018.24.7.632.

本文引用的文献

1
Adeno-associated virus-based gene therapy for hemophilia A and B: a systematic review and meta-analysis.腺相关病毒为基础的血友病 A 和 B 的基因治疗:系统评价和荟萃分析。
Blood Adv. 2024 Dec 10;8(23):5957-5974. doi: 10.1182/bloodadvances.2024014111.
2
Gene Therapy with Fidanacogene Elaparvovec in Adults with Hemophilia B.用 Fidanacogene Elaparvovec 进行基因治疗治疗乙型血友病成人患者。
N Engl J Med. 2024 Sep 26;391(12):1108-1118. doi: 10.1056/NEJMoa2302982.
3
Gene therapy for people with hemophilia B: a proposed care delivery model in Italy.
用于乙型血友病患者的基因治疗:意大利提出的一种护理提供模式。
J Thromb Haemost. 2024 Nov;22(11):3084-3096. doi: 10.1016/j.jtha.2024.07.029. Epub 2024 Aug 22.
4
Adeno-associated virus as a delivery vector for gene therapy of human diseases.腺相关病毒作为人类疾病基因治疗的递送载体。
Signal Transduct Target Ther. 2024 Apr 3;9(1):78. doi: 10.1038/s41392-024-01780-w.
5
Long-term safety and efficacy outcomes of valoctocogene roxaparvovec gene transfer up to 6 years post-treatment.长达 6 年的治疗后,valoctocogene roxaparvovec 基因转移的长期安全性和疗效结果。
Haemophilia. 2024 Mar;30(2):320-330. doi: 10.1111/hae.14936. Epub 2024 Feb 5.
6
Adeno-associated viruses for gene therapy - clinical implications and liver-related complications, a guide for hepatologists.腺相关病毒基因治疗 - 临床意义与肝脏相关并发症,肝病学家指南。
J Hepatol. 2024 Feb;80(2):352-361. doi: 10.1016/j.jhep.2023.10.029. Epub 2023 Oct 27.
7
Gene Therapy with Etranacogene Dezaparvovec for Hemophilia B.用依特那考基因德扎帕罗韦克治疗B型血友病的基因疗法。
N Engl J Med. 2023 Feb 23;388(8):706-718. doi: 10.1056/NEJMoa2211644.
8
Total Knee Arthroplasty after Gene Therapy for Hemophilia B.B型血友病基因治疗后的全膝关节置换术。
N Engl J Med. 2022 Oct 27;387(17):1622-1624. doi: 10.1056/NEJMc2211173.
9
Worldwide use of factor IX Padua for hemophilia B gene therapy.全球范围内使用帕多瓦因子IX进行B型血友病基因治疗。
Mol Ther. 2022 Jul 6;30(7):2394-2396. doi: 10.1016/j.ymthe.2022.06.002. Epub 2022 Jun 14.
10
Safety and activity of an engineered, liver-tropic adeno-associated virus vector expressing a hyperactive Padua factor IX administered with prophylactic glucocorticoids in patients with haemophilia B: a single-centre, single-arm, phase 1, pilot trial.携带高活性帕多瓦因子 IX 的工程化、肝脏靶向腺相关病毒载体在接受预防性糖皮质激素治疗的乙型血友病患者中的安全性和活性:一项单中心、单臂、1 期、初步试验。
Lancet Haematol. 2022 Jul;9(7):e504-e513. doi: 10.1016/S2352-3026(22)00113-2. Epub 2022 May 19.