Liver gene transfer for metabolite detoxification in inherited metabolic diseases

被引:7
作者
D'Alessio, Alfonso M. [1 ,2 ]
Boffa, Iolanda [1 ,3 ]
De Stefano, Lucia [1 ]
Soria, Leandro R. [1 ]
Brunetti-Pierri, Nicola [1 ,2 ,4 ,5 ]
机构
[1] Telethon Inst Genet & Med TIGEM, Pozzuoli, Italy
[2] Univ Naples Federico II, Sch Adv Studies, Scuola Super Meridionale SSM, Genom & Expt Med Program, Naples, Italy
[3] Azienda Osped Univ Federico II, Naples, Italy
[4] Federico II Univ Naples, Dept Translat Med, Naples, Italy
[5] Telethon Inst Genet & Med, Pozzuoli, Italy
关键词
AAV; gene therapy; inherited metabolic disorders; liver; lipid nanoparticles; metabolite detoxification; ORNITHINE TRANSCARBAMYLASE DEFICIENCY; ADENOASSOCIATED VIRUS VECTOR; MESSENGER-RNA THERAPY; INBORN-ERRORS; PHENYLKETONURIA; TRANSPLANTATION; IMMUNITY; MOUSE; RECOMMENDATIONS; TRANSDUCTION;
D O I
10.1002/1873-3468.14957
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Inherited metabolic disorders (IMDs) are a growing group of genetic diseases caused by defects in enzymes that mediate cellular metabolism, often resulting in the accumulation of toxic substrates. The liver is a highly metabolically active organ that hosts several thousands of chemical reactions. As such, it is an organ frequently affected in IMDs. In this article, we review current approaches for liver-directed gene-based therapy aimed at metabolite detoxification in a variety of IMDs. Moreover, we discuss current unresolved challenges in gene-based therapies for IMDs. The liver is a highly metabolically active organ. In several inherited metabolic disorders (IMDs), the enzyme deficiency results in increased concentrations of toxic metabolites and tissue damage. Delivery of nucleic acids (DNA or RNA) to hepatocytes by viral or nonviral vectors can prevent metabolite intoxication. In this article, we review approaches and challenges for liver-directed gene therapy in selected IMDs. image
引用
收藏
页码:2372 / 2384
页数:13
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