Gene therapy for neurotransmitter‐related disorders DOI Creative Commons
Wing Chu, Joanne Ng, Simon N. Waddington

et al.

Journal of Inherited Metabolic Disease, Journal Year: 2024, Volume and Issue: 47(1), P. 176 - 191

Published: Jan. 1, 2024

Abstract Inborn errors of neurotransmitter (NT) metabolism are a group rare, heterogenous diseases with predominant neurological features, such as movement disorders, autonomic dysfunction, and developmental delay. Clinical overlap other disorders has led to delayed diagnosis treatment, some conditions refractory oral pharmacotherapies. Gene therapies have been developed translated clinics for paediatric inborn metabolism, 38 interventional clinical trials ongoing date. Furthermore, efforts in restoring dopamine synthesis neurotransmission through viral gene therapy Parkinson's disease. Along the recent European Medicines Agency (EMA) Healthcare Products Regulatory (MHRA) approval an AAV2 supplementation AADC deficiency, promising efficacy safety profiles can be achieved this diseases. In review, we present preclinical advances address NT‐related diseases, summarise potential challenges that require careful considerations NT studies.

Language: Английский

Adeno-associated virus as a delivery vector for gene therapy of human diseases DOI Creative Commons
Jiang-Hui Wang, Dominic J. Gessler, Wei Zhan

et al.

Signal Transduction and Targeted Therapy, Journal Year: 2024, Volume and Issue: 9(1)

Published: April 2, 2024

Abstract Adeno-associated virus (AAV) has emerged as a pivotal delivery tool in clinical gene therapy owing to its minimal pathogenicity and ability establish long-term expression different tissues. Recombinant AAV (rAAV) been engineered for enhanced specificity developed treating various diseases. However, rAAV is being more widely used therapy, the increased demand created challenges existing manufacturing methods. Seven rAAV-based products have received regulatory approval, but there continue be concerns about safely using high-dose viral therapies humans, including immune responses adverse effects such genotoxicity, hepatotoxicity, thrombotic microangiopathy, neurotoxicity. In this review, we explore biology with an emphasis on current vector engineering strategies technologies. We discuss how rAAVs are employed ongoing trials ocular, neurological, metabolic, hematological, neuromuscular, cardiovascular diseases well cancers. outline triggered by rAAV, address associated side effects, mitigate these reactions. hope that discussing recent advancements field will helpful guide researchers clinicians navigating ever-evolving landscape of therapy.

Language: Английский

Citations

185

Viral Vectors for the in Vivo Delivery of CRISPR Components: Advances and Challenges DOI Creative Commons
Misganaw Asmamaw Mengstie

Frontiers in Bioengineering and Biotechnology, Journal Year: 2022, Volume and Issue: 10

Published: May 12, 2022

The Clustered Regularly Interspaced Short Palindromic Repeat (CRISPR) and its accompanying protein (Cas9) are now the most effective, efficient, precise genome editing techniques. Two essential components of CRISPR/Cas9 system guide RNA (gRNA) CRISPR-associated proteins. Choosing implementing safe effective delivery systems in therapeutic application has proven to be a significant problem. For vivo delivery, viral vectors natural specialists. Due their higher effectiveness than other methods, such as adenoviral (AdVs), adeno-associated viruses (AAVs), lentivirus (LVs) commonly employed methods. This review thoroughly examined recent achievements using variety means well benefits limitations each vector. Future thoughts for overcoming current restrictions adapting technology also discussed.

Language: Английский

Citations

83

RNA editing: Expanding the potential of RNA therapeutics DOI Creative Commons

Brian J. Booth,

Sami Nourreddine, Dhruva Katrekar

et al.

Molecular Therapy, Journal Year: 2023, Volume and Issue: 31(6), P. 1533 - 1549

Published: Jan. 7, 2023

RNA therapeutics have had a tremendous impact on medicine, recently exemplified by the rapid development and deployment of mRNA vaccines to combat COVID-19 pandemic. In addition, RNA-targeting drugs been developed for diseases with significant unmet medical needs through selective knockdown or modulation pre-mRNA splicing. Recently, editing, particularly antisense RNA-guided adenosine deaminase acting (ADAR)-based programmable A-to-I has emerged as powerful tool manipulate enable correction disease-causing mutations modulate gene expression protein function. Beyond correcting pathogenic mutations, technology is well suited therapeutic applications that require transient pharmacodynamic effect, such treatment acute pain, obesity, viral infection, inflammation, where it would be undesirable introduce permanent alterations genome. Furthermore, function, altering active sites enzymes interface protein-protein interactions, opens door avenues ranging from regenerative medicine oncology. These emerging RNA-editing-based toolsets are poised broadly biotechnology applications. Here, we review field highlight recent laboratory advancements, discuss key challenges path clinical development.

Language: Английский

Citations

83

Poloxamer 188 as surfactant in biological formulations – An alternative for polysorbate 20/80? DOI
Lukas Bollenbach,

Julia Buske,

Karsten Mäder

et al.

International Journal of Pharmaceutics, Journal Year: 2022, Volume and Issue: 620, P. 121706 - 121706

Published: April 1, 2022

Language: Английский

Citations

81

A Review of Different Types of Liposomes and Their Advancements as a Form of Gene Therapy Treatment for Breast Cancer DOI Creative Commons
Gloria Yi Wei Tseu, Khairul Azfar Kamaruzaman

Molecules, Journal Year: 2023, Volume and Issue: 28(3), P. 1498 - 1498

Published: Feb. 3, 2023

Breast cancer incidence and mortality rates have increased exponentially during the last decade, particularly among female patients. Current therapies, including surgery chemotherapy, significant negative physical mental impacts on As a safer alternative, gene therapy utilising therapeutic with potential to treat various ailments is being considered. Delivery of generally utilises viral vectors. However, immunological reactions even been recorded as side effects. result, non-viral vectors, such liposomes, system composed lipid bilayers formed into nanoparticles, are studied. Liposomes demonstrated tremendous due their limitless ability combine many functions desirable characteristics functionality. This article discusses cationic, anionic, neutral liposomes stability, cytotoxicity, transfection ability, cellular uptake, limitation carrier suitable for specifically cancer. Due more practical approach employing electrostatic contact negatively charged nucleic acid cell membrane absorption purposes, cationic appear be suited formulation delivery breast treatment. other alternatives numerous complicated additional modifications, attachments need made achieve functional treatment, which were also discussed in this review. review aimed increase understanding build viable treatment strategy.

Language: Английский

Citations

62

Successes and challenges in clinical gene therapy DOI Creative Commons
Donald B. Kohn, Yvonne Y. Chen, Melissa J. Spencer

et al.

Gene Therapy, Journal Year: 2023, Volume and Issue: 30(10-11), P. 738 - 746

Published: Nov. 1, 2023

Despite the ups and downs in field over three decades, science of gene therapy has continued to advance provide enduring treatments for increasing number diseases. There are active clinical trials approaching a variety inherited acquired disorders different organ systems. Approaches include ex vivo modification hematologic stem cells (HSC), T lymphocytes other immune cells, as well delivery genes or editing reagents relevant target by either local systemic administration. In this article, we highlight success ongoing challenges areas high activity therapy: blood cell diseases targeting hematopoietic malignant using effector genetically modified with chimeric antigen receptors, ophthalmologic, neurologic, coagulation administration adeno-associated virus (AAV) vectors. recent years, there have been true cures many these diseases, sustained benefit that exceed those from medical approaches. Each faces challenges, namely their one-time costs complexity manufacturing therapeutic agents, which biological viruses products, at pharmacologic standards quality consistency. New models reimbursement needed make innovative widely available patients need.

Language: Английский

Citations

61

Gene Therapy for Retinal Degenerative Diseases: Progress, Challenges, and Future Directions DOI Creative Commons

Selina Drag,

Farokh Dotiwala,

Arun K. Upadhyay

et al.

Investigative Ophthalmology & Visual Science, Journal Year: 2023, Volume and Issue: 64(7), P. 39 - 39

Published: June 30, 2023

Since long before the first approval of gene therapy for retinal disease, ocular has captured hopes patients, clinicians, and scientists alike. Indeed, retina provides a unique system studying treating diseases, it holds distinction as tissue targeted by an approved inherited disorders in United States. There are many methods addressing genetic diseases eyes using wide range potential delivery systems vectors. However, despite immense progress over last several decades, both old new challenges remain, such long-term effects treatments, immunogenicity, targeting, manufacturing. This review discussion history therapy, various approaches, to deliver directly tissues (including routes administration vectors), current clinical trial landscape, future directions field.

Language: Английский

Citations

59

Viral vectors and extracellular vesicles: innate delivery systems utilized in CRISPR/Cas-mediated cancer therapy DOI Open Access
Seyed Esmaeil Ahmadi,

Maral Soleymani,

Fahimeh Shahriyary

et al.

Cancer Gene Therapy, Journal Year: 2023, Volume and Issue: 30(7), P. 936 - 954

Published: Feb. 28, 2023

Language: Английский

Citations

51

Critical challenges and advances in recombinant adeno‐associated virus (rAAV) biomanufacturing DOI Creative Commons
Qiang Fu, Ashli Polanco, Yong Suk Lee

et al.

Biotechnology and Bioengineering, Journal Year: 2023, Volume and Issue: 120(9), P. 2601 - 2621

Published: May 1, 2023

Abstract Gene therapy is a promising therapeutic approach for genetic and acquired diseases nowadays. Among DNA delivery vectors, recombinant adeno‐associated virus (rAAV) one of the most effective safest vectors used in commercial drugs clinical trials. However, current yield rAAV biomanufacturing lags behind necessary dosages use, which embodies concentrated reflection low productivity from host cells, difficult scalability rAAV‐producing bioprocess, high levels impurities materialized during production. Those issues directly impact price gene medicine market, limiting patients’ access to therapy. In this context, practices several critical challenges associated with bioprocesses are reviewed, followed by discussion recent advances rAAV‐mediated other biological fields that could improve if these integrated effectively into systems. This review aims provide state‐of‐the‐art technology perspectives enhance while reducing production rAAV.

Language: Английский

Citations

45

Lipid-based nanoparticles as drug delivery carriers for cancer therapy DOI Creative Commons

Ibtesam Waheed,

Anwar Ali, Huma Tabassum

et al.

Frontiers in Oncology, Journal Year: 2024, Volume and Issue: 14

Published: April 10, 2024

Cancer is a severe disease that results in death all countries of the world. A nano-based drug delivery approach best alternative, directly targeting cancer tumor cells with improved cellular uptake. Different types nanoparticle-based carriers are advanced for treatment cancer, and to increase therapeutic effectiveness safety therapy, many substances have been looked into as carriers. Lipid-based nanoparticles (LBNPs) significantly attracted interest recently. These natural biomolecules alternate other polymers frequently recycled medicine due their amphipathic properties. Lipid typically provide variety benefits, including biocompatibility biodegradability. This review covers different classes LBNPs, characterization synthesis technologies. discusses most significant advancements lipid nanoparticle technology use administration. Moreover, also emphasized applications used types.

Language: Английский

Citations

28