Liver-targeted gene therapy: Approaches and challenges.
Liver-targeted gene therapy: Approaches and challenges.
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DOI:
10.1002/lt.24122
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发表时间:
2015-06
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影响因子:
--
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Liver plays a major role in many inherited and acquired genetic disorders. It is also the site for the treatment of certain inborn errors of metabolism that do not directly cause injury to the liver. The advancement of nucleic acid-based therapies for liver maladies has been severely limited due to the myriad of untoward side effects and methodological limitations. To address these issues, research efforts in recent years have been intensified towards the development of targeted gene approaches using novel genetic tools, such as the zinc-finger nucleases (ZFNs), transcription activator-like effector nucleases (TALENs) and clustered regularly interspaced short palindromic repeats (CRISPRs), as well as various non-viral vectors, such as Sleeping Beauty transposons, piggyBac transposons and PhiC31 integrase. While each of these methods utilizes a distinct mechanism of gene modification, all of them are dependent upon the efficient delivery of DNA and RNA molecules into the cell. This review will provide an overview on current and emerging therapeutic strategies for liver-directed gene therapy and gene repair.
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