History of Gene Therapy

Takashi Shimada
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Abstract

Once a dream cure for genetic diseases, gene therapy came to be considered potentially realizable with the advent of recombinant DNA technology in the 1970s. In the 1980s, viral vectors were developed, and ethical issues regarding human gene manipulation began to be addressed. In 1990, the world’s first gene therapy was launched in the United States. Since then, various gene therapies have been tried around the world, but have failed to show clear efficacy. In addition, safety problems, including a fatal accident and the development of leukemia, have occurred with gene therapy. Consequently, the once high expectations for gene therapy declined. Since the end of the 2000s, however, the efficacy of gene therapies for treatment of genetic diseases and cancer has been confirmed time and again, and expectations for gene therapy have been revived. At present, more than 20 gene therapy products have been approved, and gene therapies are now poised to become practical medicine.
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基因治疗的历史
基因治疗曾经是治疗遗传病的梦想,随着20世纪70年代重组DNA技术的出现,基因治疗被认为是可能实现的。在20世纪80年代,病毒载体被开发出来,有关人类基因操作的伦理问题开始得到解决。1990年,世界上第一个基因疗法在美国推出。从那以后,世界各地尝试了各种基因疗法,但都没有显示出明显的疗效。此外,基因疗法还存在安全问题,包括致命事故和白血病的发展。因此,曾经对基因治疗寄予厚望的人们逐渐减少。但是,进入21世纪后,基因疗法治疗遗传性疾病和癌症的效果不断得到确认,人们对基因疗法的期待再次高涨。目前,已有20多个基因治疗产品获得批准,基因治疗正在成为实用药物。
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Journal of Tokyo Medical University
Journal of Tokyo Medical University Medicine-Medicine (all)
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