Treating Immunodeficiency through HSC Gene Therapy

被引:78
作者
Booth, Claire [1 ,2 ]
Gaspar, H. Bobby [1 ,2 ]
Thrasher, Adrian J. [1 ,2 ]
机构
[1] UCL Inst Child Hlth, Mol & Cellular Immunol Sect, London, England
[2] Great Ormond St Hosp Sick Children, Dept Paediat Immunol, London, England
基金
英国惠康基金;
关键词
CHRONIC GRANULOMATOUS-DISEASE; LEUKOCYTE ADHESION DEFICIENCY; HEMATOPOIETIC STEM-CELLS; ADENOSINE-DEAMINASE-DEFICIENCY; WISKOTT-ALDRICH SYNDROME; LENTIVIRAL VECTOR; LYMPHOPROLIFERATIVE DISEASE; MURINE MODEL; X-CGD; MICE;
D O I
10.1016/j.molmed.2016.02.002
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
Haematopoietic stem cell (HSC) gene therapy has been successfully employed as a therapeutic option to treat specific inherited immune deficiencies, including severe combined immune deficiencies (SCID) over the past two decades. Initial clinical trials using first-generation gamma-retroviral vectors to transfer corrective DNA demonstrated clinical benefit for patients, but were associated with leukemogenesis in a number of cases. Safer vectors have since been developed, affording comparable efficacy with an improved biosafety profile. These vectors are now in Phase I/II clinical trials for a number of immune disorders with more preclinical studies underway. Targeted gene editing allowing precise DNA correction via platforms such as ZFNs, TALENs and CRISPR/Cas9 may now offer promising strategies to improve the safety and efficacy of gene therapy in the future.
引用
收藏
页码:317 / 327
页数:11
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