From gene transfer to gene therapy in lysosomal storage diseases affecting the central nervous system

From gene transfer to gene therapy in lysosomal storage diseases affecting the central nervous system
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从基因转移到影响中枢神经系统的溶酶体贮积病的基因治疗

DOI:
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发表时间:
2001
期刊:
Annals medicus
影响因子:
--
通讯作者:
L. Poenaru
L. Poenaru
中科院分区:
--
文献类型:
--
作者:
L. Poenaru

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基因转移到中枢神经系统(CNS)是当今最重要的科学挑战之一。为了对影响中枢神经系统疾病的基因治疗的可能方法进行简要调查,我们选择了溶酶体贮积病(LDS),它是早发性婴儿神经系统疾病和晚发性成人精神疾病的优秀模型。溶酶体贮积病是由参与大分子分解代谢的溶酶体内酶缺乏引起的一组约 50 种单基因代谢紊乱。临床严重性,包括神经精神症状,以及大多数这些疾病缺乏有效的治疗方法,促使目前正在进行各种基因治疗试验。大多数编码正常溶酶体酶的基因已被克隆,并且相应的cDNA的大小通常与其通过重组载体的转移相容。具有改进的免疫原性、转导功效、插入能力和靶向特异性的新载体正在开发中。在这里,我们讨论了几种纠正 LSD 引起的中枢神经系统异常的基因治疗策略。动物模型大脑获得了有趣的结果,这给大规模临床试验可能很快开始带来了希望。
Gene transfer into the central nervous system (CNS) is one of the foremost scientific challenges today. To give a brief survey of possible approaches to gene therapy in diseases affecting the CNS, we have selected the lysosomal storage diseases (LDS), which are an excellent model of both early-onset infantile neurological forms and late-onset adult psychiatric forms. Lysosomal storage diseases represent a group of about 50 monogenic metabolic disorders resulting from a deficiency in intralysosomal enzymes involved in macromolecule catabolism. The clinical severity, including neuropsychiatric symptoms, and the absence of an efficient therapy for the majority of these disorders prompted the various trials of gene therapy now in progress. Most of the genes encoding the normal lysosomal enzymes have been cloned, and the size of the corresponding cDNAs is generally compatible with their transfer by recombinant vectors. New vectors with improved immunogenicity, transduction efficacy, insert capacity, and specificity of targeting are under development. Here we discuss several gene therapy strategies for the correction of LSD-induced anomalies in the CNS. Interesting results have been obtained by animal model brain, which raises hopes that large-scale clinical trials may soon be started.
腺病毒介导的基因转移至子宫内胎鼠的腹膜和肝实质。
DOI: --
发表时间: 1999
期刊: Surgery
影响因子: 3.8
作者:
Lipshutz,GS;Flebbe-Rehwaldt,L;Gaensler,KM
通讯作者: Gaensler,KM
DOI: 10.1089/hum.1997.8.3-359
发表时间: 1997-02
期刊: Human gene therapy
影响因子: 4.2
作者:
Karen M. Johnston;David R. Jacoby;Peter A. Pechan;C. Fraefel;Paul R. Borghesani;D. Schuback;Robert J. Dunn;Frances I. Smith;X. Breakefield
通讯作者: Karen M. Johnston;David R. Jacoby;Peter A. Pechan;C. Fraefel;Paul R. Borghesani;D. Schuback;Robert J. Dunn;Frances I. Smith;X. Breakefield
DOI: 10.1089/hum.1998.9.8-1181
发表时间: 1998-05-20
期刊: HUMAN GENE THERAPY
影响因子: 4.2
作者:
Bartlett, JS;Samulski, RJ;McCown, TJ
通讯作者: McCown, TJ
DOI: 10.1073/pnas.97.14.8146
发表时间: 2000-07-05
影响因子: 11.1
作者:
Bearer, EL;Breakefield, XO;LaVail, JH
通讯作者: LaVail, JH
人葡萄糖脑苷脂酶和芳基硫酸酯酶 A 基因在腺相关病毒载体转导的小鼠和患者原代成纤维细胞中的表达。
DOI: --
发表时间: 1994
期刊: Gene therapy
影响因子: 5.1
作者:
Wei,JF;Wei,FS;Samulski,RJ;Barranger,JA
通讯作者: Barranger,JA