Update on Clinical Trial Endpoints in Gene Therapy Trials for Inherited Retinal Diseases
J. Igoe,
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Byron L. Lam,
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Ninel Z. Gregori
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et al.
Journal of Clinical Medicine,
Journal Year:
2024,
Volume and Issue:
13(18), P. 5512 - 5512
Published: Sept. 18, 2024
Inherited
retinal
diseases
(IRDs)
encompass
a
wide
spectrum
of
rare
conditions
characterized
by
diverse
phenotypes
associated
with
hundreds
genetic
variations,
often
leading
to
progressive
visual
impairment
and
profound
vision
loss.
Multiple
natural
history
studies
clinical
trials
exploring
gene
therapy
for
various
IRDs
are
ongoing.
Outcomes
ophthalmic
measure
changes
in
three
main
categories-structural,
functional,
patient-focused
outcomes.
Since
may
range
from
congenital
poor
central
birth
affecting
the
peripheral
retina
initially
progressing
insidiously
acuity
affected
late
disease
course,
typical
outcome
measures
such
as
ocular
coherence
tomography
(OCT)
imaging
macula
not
provide
adequate
representation
therapeutic
outcomes
including
alterations
course.
Thus,
alternative
unique
necessary
assess
loss
vision,
color
night
contrast
sensitivity
IRDs.
These
differences
have
complicated
assessment
IRD
therapies,
had
design
novel
specialized
endpoints
demonstrate
treatment
efficacy.
As
engineering
techniques
continue
advance
growing
investment
industry
accelerated
approval
tracks
orphan
conditions,
must
improve
their
assessments
safety
efficacy
new
therapies
that
aim
come
market.
Here,
we
will
an
overview
current
approaches,
review
measuring
function,
highlight
those
utilized
recent
trials,
stage
2
3
through
second
quarter
2024.
Language: Английский
Recent advances and prospects of nanoparticle-based drug delivery for diabetic ocular complications
Theranostics,
Journal Year:
2025,
Volume and Issue:
15(8), P. 3551 - 3570
Published: Feb. 25, 2025
Diabetes
mellitus
(DM)
is
a
chronic
metabolic
disorder
that
significantly
affects
various
organ
systems.
The
systemic
effects
of
DM
lead
to
numerous
complications,
with
ocular
manifestations
being
particular
concern
due
their
severity
and
impact
on
quality
life.
Hyperglycemia-induced
damage
often
results
in
range
lesions,
including
diabetic
retinopathy
(DR),
keratopathy,
cataracts,
glaucoma.
These
conditions
impose
considerable
physical
discomfort
patients
place
substantial
economic
burden
healthcare
advent
nanotechnology
has
facilitated
the
development
innovative
therapeutic
strategies
for
managing
complications.
This
review
highlights
several
common
complications
associated
DM,
focusing
pathogenesis
treatment
strategies.
Emphasis
placed
applications
potential
treating
Language: Английский
Gene therapy shines light on congenital stationary night blindness for future cures
Yi Zhang,
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Siqi Lin,
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Lingqi Yu
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et al.
Journal of Translational Medicine,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: April 3, 2025
Congenital
Stationary
Night
Blindness
(CSNB)
is
a
non-progressive
hereditary
eye
disease
that
primarily
affects
the
retinal
signal
processing,
resulting
in
significantly
reduced
vision
under
low-light
conditions.
CSNB
encompasses
various
subtypes,
each
with
distinct
genetic
patterns
and
pathogenic
genes.
Over
past
few
decades,
gene
therapy
for
disorders
has
made
substantial
progress;
however,
effective
clinical
therapies
are
yet
to
be
discovered.
With
continuous
advancement
of
gene-therapy
tools,
there
potential
these
methods
become
treatments
CSNB.
Nonetheless,
challenges
remain
treatment
CSNB,
including
issues
related
delivery
vectors,
therapeutic
efficacy,
possible
side
effects.
This
article
reviews
diagnosis,
pathogenesis,
associated
mutated
genes
discusses
existing
animal
models,
explores
application
technologies
disorders,
as
well
current
state
research
on
Language: Английский
DNA tetrahedron nanoparticles service as a help carrier and adjvant of mRNA vaccine
Huijun Liu,
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Xianxian Li,
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Ru-Yong Yan
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et al.
Journal of Translational Medicine,
Journal Year:
2024,
Volume and Issue:
22(1)
Published: Nov. 14, 2024
To
investigate
the
potential
of
DNA
nanoparticles
(DNPs)
as
carriers
and
adjuvants
for
mRNA
vaccines.
Customized
oligonucleotides
were
assembled
into
tetrahedra
(DNA-TH),
which
subsequently
complexed
with
streptavidin
encoding
green
fluorescent
protein
(GFP).
Various
assays
conducted
to
evaluat
stability
DNPs,
their
cellular
uptake,
immune
activation
potential,
GFP
transcription
efficiency.
P53-mutant
HSC-3
cells
used
establish
a
subcutaneous
xenograft
tumor
model
explore
effects
DNPs
in
disease
model.
The
remained
stable
extracellularly
rapidly
taken
up
by
antigen-presenting
cells.
Compared
naked
mRNA,
statistically
significantly
activated
responses
facilitated
expression
both
vitro
vivo.
Immunization
DNP-GFP
complexes
induced
higher
antibody
titers
compared
mRNA.
demonstrated
good
biocompatibility.
DNP-p53
inhibited
growth
tumors
mice
p53-mutant
cells,
outperforming
p53
blank
control
groups,
significant
difference
(P
<
0.05).
show
promise
improving
vaccine
delivery
efficacy.
Further
optimization
these
could
lead
highly
effective
broad
applications.
Language: Английский