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Silencing of B4Galnt1 Gene Prevents GM2 Accumulation in Tay-Sachs Cells 抑制 B4Galnt1 基因可防止 Tay-Sachs 细胞中 GM2 的积累
Pub Date : 2024-03-26 DOI: 10.1155/2024/1099113
Nurselin Ateş, Orhan Kerim İnci, Seçil Akyıldız Demir, Volkan Seyrantepe

Introduction. The Tay-Sachs disease (TSD) is a progressive neurodegenerative disorder resulting from genetic mutations in the HEXA gene encoding the α-subunit of β-hexosaminidase A leading to the accumulation of GM2 ganglioside in the central nervous system. Multiple therapeutical strategies have been investigated such as gene therapy for Tay-Sachs patients; however, there is still no cure. In the present study, we suggest a new approach for the treatment of the Tay-Sachs disease with the concept of substrate reduction therapy by using AAV9-mediated RNAi technology targeting the B4Galnt1 gene at the upstream of the enzymatic defect in TSD pathology to decrease GM2 biosynthesis and accumulation in cell models of TSD. Material and Methods. We employed AAV9-mediated shRNA transduction for mice and human Tay-Sachs cells. After transduction, expression levels of ganglioside metabolism genes were analyzed by RT-PCR and GM2 and lysosome-associated membrane protein 1 (LAMP1) protein levels were evaluated by immunocytochemistry analysis. Results. Here, we have shown that AAV9-shRNA transduction effectively reduced B4Galnt1 expression in TSD cells demonstrating a reduction in GM2 accumulation and LAMP1. Discussion. Our data shows that AAV-mediated B4Galnt1-shRNA transduction can ameliorate disease pathologies by decreasing the lysosomal accumulation of GM2 through selectively reducing B4Gant1 activity in cell models of the Tay-Sachs disease. Therefore, we suggest promising novel experimental therapy for this devastating disease using a mouse model in the future.

简介泰-萨克斯病(Tay-Sachs disease,TSD)是一种进行性神经退行性疾病,是由于编码 β-己糖胺酸酶 A 的 α 亚基的 HEXA 基因发生突变,导致 GM2 神经节苷脂在中枢神经系统中积累所致。目前已研究出多种治疗策略,如对泰雅-萨克斯病患者进行基因治疗,但仍无法治愈。在本研究中,我们提出了一种治疗 Tay-Sachs 病的新方法,即利用 AAV9 介导的 RNAi 技术,靶向 TSD 病理学酶缺陷上游的 B4Galnt1 基因,减少 TSD 细胞模型中 GM2 的生物合成和积累,从而实现底物减少疗法的概念。材料与方法。我们采用 AAV9 介导的 shRNA 转导小鼠和人类 Tay-Sachs 细胞。转导后,通过 RT-PCR 分析神经节苷脂代谢基因的表达水平,并通过免疫细胞化学分析评估 GM2 和溶酶体相关膜蛋白 1 (LAMP1) 蛋白水平。结果。在此,我们证明了 AAV9-shRNA 转导可有效降低 B4Galnt1 在 TSD 细胞中的表达,从而减少 GM2 的积累和 LAMP1 的含量。讨论。我们的数据表明,AAV介导的B4Galnt1-shRNA转导可通过选择性降低B4Gant1在泰-萨克斯病细胞模型中的活性,减少溶酶体中GM2的积累,从而改善疾病病理。因此,我们建议将来利用小鼠模型对这种破坏性疾病进行新型实验治疗。
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引用次数: 0
Induction of Exocytosis Rescues Lysosomal GM2 Accumulation in Tay-Sachs Disease 诱导外泌可挽救泰勒-萨克斯病溶酶体 GM2 的积累
Pub Date : 2024-03-19 DOI: 10.1155/2024/4047025
Nurselin Ateş, Secil Akyildiz Demir, Volkan Seyrantepe

Introduction. The Tay-Sachs disease is a progressive neurodegenerative disorder that is caused by a genetic mutation in the HEXA gene coding the lysosomal α-subunit of β-hexosaminidase A. Currently, there is no effective treatment for Tay-Sachs. Induction of exocytosis as a potential treatment approach is suggested to restore lysosomal enlargement in several lysosomal storage diseases. Here, we aimed to test the therapeutic potential of two small molecules, δ-tocopherol and hydroxypropyl-β-cyclodextrin, in fibroblast and neuroglia cells derived from Hexa-/-Neu3-/- mice and Tay-Sachs patients. Method. The effect of two small molecules on lysosomal enlargement and GM2 accumulation in lysosomes was examined by LysoTracker staining and immunocytochemical colocalization analysis for GM2 and LAMP1. qRT-PCR and fluorometric enzyme assay were also used to investigate the effect of combined treatment on the level of neuraminidase 1, a negative regulator of exocytosis. Results. Single treatment with δ-tocopherol (5-40 μM) and hydroxypropyl-β-cyclodextrin (10-50 μM) for 48 hours led to significant induction of lysosomal exocytosis. We demonstrated that the combined treatment with δ-tocopherol (10 μM) and hydroxypropyl-β-cyclodextrin (25 μM) resulted in a significant reduction of lysosomal GM2 and downregulation of lysosomal Neu1 expression. Conclusion. In this study, we demonstrated that inducing exocytosis by δ-tocopherol and hydroxypropyl-β-cyclodextrin might have therapeutic potential to reduce GM2 storage and pathology in Tay-Sachs cells.

简介Tay-Sachs 病是一种进行性神经退行性疾病,由编码溶酶体 α-β-hexosaminidase A 亚基的 HEXA 基因突变引起。有人建议将诱导外泌作为一种潜在的治疗方法,以恢复几种溶酶体贮积疾病的溶酶体增大。在此,我们旨在测试两种小分子(δ-生育酚和羟丙基-β-环糊精)在来自 Hexa-/-Neu3-/- 小鼠和 Tay-Sachs 患者的成纤维细胞和神经胶质细胞中的治疗潜力。方法通过LysoTracker染色和GM2与LAMP1的免疫细胞化学共定位分析,研究两种小分子对溶酶体增大和溶酶体中GM2积累的影响。结果用δ-生育酚(5-40 μM)和羟丙基-β-环糊精(10-50 μM)单次处理 48 小时可显著诱导溶酶体外渗。我们证实,δ-生育酚(10 μM)和羟丙基-β-环糊精(25 μM)联合处理可显著减少溶酶体 GM2 和下调溶酶体 Neu1 的表达。结论在这项研究中,我们证明了用δ-生育酚和羟丙基-β-环糊精诱导外泌可能具有治疗潜力,可减少Tay-Sachs细胞中GM2的储存和病理变化。
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引用次数: 0
Therapeutic Effect of Hydrodynamics-Based Delivery of Matrix Metalloproteinase-13 Gene on Thioacetamide-Induced Liver Fibrosis in Rats 基质金属蛋白酶-13基因水动力学传递对硫代乙酰胺致大鼠肝纤维化的治疗作用
Pub Date : 2023-10-11 DOI: 10.1155/2023/8842424
Takeshi Yokoo, Kenya Kamimura, Ryosuke Nozawa, Moeno Sugita, Osamu Shibata, Yuji Kobayashi, Hiroyuki Abe, Hiromi Miura, Masato Ohtsuka, Shuji Terai
Liver cirrhosis is the final stage of chronic liver disease and can be life-threatening. Despite extensive studies on its treatment, a standard therapy is yet to be developed. Considering the complex mechanism of fibrogenic and fibrolytic processes in liver cirrhosis, combined therapy may have clinically significant effects on cirrhotic livers. In this study, we used thioacetamide (TAA) administration and matrix metalloproteinase-13 (MMP13) gene delivery to induce extracellular matrix generation and degradation in rats. The aim of this study was to determine whether hydrodynamics-based gene delivery of MMP13 to cirrhotic liver has regressive and suppressive effects on fibrogenesis. MMP13-encoding plasmids were hydrodynamically delivered to TAA-induced cirrhotic livers, and intravascular pressure was monitored. Therapeutic effect with and without continuous TAA exposure was assessed 8 weeks after the gene delivery. Test results indicated successful gene delivery and gene expression in the cirrhotic livers. Furthermore, microscopic imaging showed that MMP13 delivery resulted in significant degradation of fibrotic areas. Quantitative analysis of hydroxyproline content supported the microscopic findings. These results suggest that transgene delivery of MMP13 can be a promising candidate to treat liver fibrosis and that hydrodynamics-based gene delivery can be a good option for delivery of MMP13 to cirrhotic livers.
肝硬化是慢性肝病的最后阶段,可能危及生命。尽管对其治疗方法进行了广泛的研究,但尚未开发出标准的治疗方法。考虑到肝硬化纤维化和纤溶过程的复杂机制,联合治疗对肝硬化可能具有显著的临床疗效。在本研究中,我们使用硫代乙酰胺(TAA)和基质金属蛋白酶-13 (MMP13)基因传递诱导大鼠细胞外基质的生成和降解。本研究的目的是确定基于水动力学的MMP13基因传递到肝硬化肝脏是否对纤维化具有退行性和抑制性作用。将编码mmp13的质粒通过流体动力学传递到taa诱导的肝硬化中,并监测血管内压力。在基因传递后8周,评估连续暴露和不暴露TAA的治疗效果。检测结果显示,基因在肝硬化中成功传递和表达。此外,显微镜成像显示MMP13的递送导致纤维化区域的显著降解。羟基脯氨酸含量的定量分析支持了显微镜下的发现。这些结果表明,转基因MMP13递送可能是治疗肝纤维化的一个有希望的候选者,基于流体动力学的基因递送可能是向肝硬化肝脏递送MMP13的一个很好的选择。
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引用次数: 0
Intra-Articular AAV9 α-l-Iduronidase Gene Replacement in the Canine Model of Mucopolysaccharidosis Type I ⅰ型粘多糖病犬关节内AAV9 α-l-伊杜糖醛酸酶基因替代研究
Pub Date : 2023-09-14 DOI: 10.1155/2023/7419017
Raymond Yu-Jeang Wang, Shih-Hsin Kan, Haoyue Zhang, Jodi D. Smith, Afshin Aminian, Elizabeth Snella, Jackie K. Jens, Sarah P. Young, Patricia I. Dickson, N. Matthew Ellinwood
Mucopolysaccharidosis type I (MPS I), an inherited lysosomal storage disorder characterized by deficiency of α-l-iduronidase (IDUA) activity, causes multisystemic pathology due to sequelae of accumulated heparan and dermatan sulfates (HS and DS), the substrates of IDUA. Current treatments, though life-prolonging, inadequately address skeletal dysplasia and do not forestall progressive and painful degenerative joint disease. Previous studies demonstrated that intra-articular enzyme replacement cleared cellular lysosomal storage and reduced joint inflammation. Three nontolerized MPS I canines were studied to assess safety, efficacy, and durability of IDUA gene replacement therapy delivered via intra-articular injection. After baseline joint tissue biopsies, the right shoulder and stifle of each animal were injected in the intra-articular space with AAV9-IDUA and contralateral joints with AAV9-eGFP. Animals received either 5E11 or 5E12 vector genomes/joint. Necropsy was performed at 2- or 52-week postinjection. All animals tolerated injections without adverse effects. At two weeks, supraphysiologic IDUA enzyme activity was measured in AAV9-IDUA-treated but not AAV9-eGFP-treated synovium, with corresponding normalization of HS content and synoviocyte morphology. The AAV9-IDUA-treated cartilage had normal physiologic levels of IDUA enzyme, reduced but not normalized HS and DS levels compared to untreated MPS I cartilage, and healthy chondrocyte morphology. Liver IDUA transgene and IDUA enzyme activity were identified, as was serum IDUA activity which was 40% of wild-type serum enzyme activity. At 52-week postinjection, AAV9-IDUA-treated synovium and cartilage IDUA enzyme activity declined in both animals, corresponding to high tissue HS and DS levels and severe lysosomal storage. Liver and serum IDUA activity levels were undetectable. A dose-dependent serum anti-IDUA antibody response was observed which, together with loss of transgene with age, likely contributed to decline in tissue enzyme activity and treatment efficacy. Our study demonstrates successful proof-of-concept for intra-articular gene replacement therapy as a treatment for MPS-related joint dysplasia. Our observations suggest the possibility of multimodal gene replacement therapy to address multiple refractory manifestations of MPS I. Subsequent studies, in conjunction with immune tolerization and functional assessments of joint pathology, will investigate this possibility.
粘多糖病I型(MPS I)是一种以α-l-伊杜糖醛酸酶(IDUA)活性缺乏为特征的遗传性溶酶体贮积性疾病,由于IDUA底物硫酸肝素和硫酸皮肤素(HS和DS)积累的后遗症而引起多系统病理。目前的治疗方法,虽然延长了生命,但不能充分解决骨骼发育不良,也不能预防进行性和疼痛的退行性关节疾病。先前的研究表明,关节内酶替代清除细胞溶酶体储存并减少关节炎症。研究了三只不耐受的MPS I犬,以评估通过关节内注射给药的IDUA基因替代疗法的安全性、有效性和持久性。在基线关节组织活检后,在每只动物的右肩和膝关节关节间隙注射AAV9-IDUA,对侧关节注射AAV9-eGFP。动物接受5E11或5E12载体基因组/关节。在注射后2周或52周进行尸检。所有动物均耐受注射,无不良反应。在2周时,测定aav9 -IDUA处理的滑膜的生理上IDUA酶活性,而不是aav9 - egfp处理的滑膜,HS含量和滑膜细胞形态相应正常化。与未处理的MPS I软骨相比,aav9 -IDUA处理的软骨具有正常的IDUA酶生理水平,HS和DS水平降低但未恢复正常,软骨细胞形态健康。肝脏IDUA转基因和酶活性鉴定,血清IDUA酶活性为野生型血清酶活性的40%。注射后52周,经aav9 -IDUA处理的两种动物滑膜和软骨的IDUA酶活性下降,对应于高组织HS和DS水平和严重的溶酶体储存。肝脏和血清IDUA活性水平未检测到。观察到剂量依赖性血清抗idua抗体反应,加上转基因随年龄的丧失,可能导致组织酶活性下降和治疗效果下降。我们的研究成功地证明了关节内基因替代疗法作为治疗mps相关关节发育不良的概念。我们的观察结果表明,多模式基因替代疗法可能解决多发性粘多糖综合征的多种难治性表现。后续的研究,结合免疫耐受和关节病理功能评估,将探讨这种可能性。
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引用次数: 0
Diagnostic and Therapeutic Application of Proteomics in Infectious Disease 蛋白质组学在传染病诊断和治疗中的应用
Pub Date : 2023-08-24 DOI: 10.1155/2023/5510791
Fanuel Bizuayehu Yihunie, Mequanint Addisu Belete, Gizachew Fentahun, S. Getachew, Teshager Dubie
The study of an organism’s genome, often known as “genomics,” has advanced quickly, producing a wealth of publicly accessible genetic data. Despite how valuable the genome is; proteins essentially control most aspects of cell function. Proteomics, or the comprehensive study of proteins, has emerged as an important technology for disease characterization, diagnosis, prognosis, drug development, and therapy. Proteomics technologies are now used to support the diagnosis and treatment of both infectious and noninfectious diseases. Nevertheless, it is more difficult to describe a proteomic profile since a single gene product may result in a number of unique proteins, and proteins have a wider range of chemical configurations. The proteome profiles of a particular organism, tissue, or cell are impacted by a variety of environmental factors, including those triggered by infectious agents. This review intends to highlight the applications of proteomics in the study of disease diagnosis and treatment. In this review, the different technologies used in proteomics studies, like two-dimensional gel electrophoresis, mass spectrometry, and protein microarray as well as biomarker discovery and drug target identification using proteomics, have also been focused on.
对生物体基因组的研究,通常被称为“基因组学”,进展迅速,产生了大量可公开获取的基因数据。尽管基因组很有价值;蛋白质基本上控制着细胞功能的大部分方面。蛋白质组学,或蛋白质的综合研究,已经成为疾病表征、诊断、预后、药物开发和治疗的重要技术。蛋白质组学技术现在被用于支持传染性和非传染性疾病的诊断和治疗。然而,由于单个基因产物可能产生许多独特的蛋白质,并且蛋白质具有更广泛的化学构型,因此描述蛋白质组学特征更加困难。特定生物体、组织或细胞的蛋白质组谱受到各种环境因素的影响,包括由感染因子引发的环境因素。本文就蛋白质组学在疾病诊断和治疗研究中的应用作一综述。本文综述了蛋白质组学研究中使用的不同技术,如二维凝胶电泳、质谱、蛋白质微阵列以及利用蛋白质组学发现生物标志物和药物靶点鉴定。
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引用次数: 0
The Association between Genetic Variants and Gene Expression in RAAS Genes Using Captive-Bred Vervet Monkeys (Chlorocebus aethiops) 圈养猕猴RAAS基因变异与基因表达的关系
Pub Date : 2023-02-17 DOI: 10.1155/2023/6344652
Sanele Khoza, M. Ghai, C. Chauke, Zandisiwe E. Magwebu
Mendelian genetics contribute largely to the development of hypertension; therefore, the identification of genetic variants related to blood pressure (BP) regulation remains crucial and may reveal new therapeutic drug targets. The purpose of the present study was to screen the captive-bred Vervet colony for salt-sensitive sequence variants or single nucleotide polymorphisms (SNPs) in the selected Renin-Angiotensin-Aldosterone System (RAAS) genes associated with salt sensitivity. Blood samples were collected from 16 captive-bred Vervet monkeys for genotyping and gene expression analysis. The impact of the identified sequence variants was determined using online prediction tools. Sanger sequencing analysis revealed 21 sequence variants in AGT, CYP3A5, GRK4, and SCL4A5, of which 19 were novel and two were previously reported in humans. All novel variants were either predicted to be polymorphic, disease-causing, or possibly damaging by prediction tools. Furthermore, the mRNA expression for AGT was significantly higher in the normal BP group ( p value = 0.02), and a similar trend was observed for CYP3A5 and GRK4, whereas SCL4A5 was higher in the hypertensive group. The identified salt-sensitive variants specifically in GRK4 may be suggestive to be the attributing factor of the elevated BP levels in these captive-bred Vervet monkeys. Therefore, RAAS variants could be considered as a biomarker to identify the potential risk of developing hypertension in both humans and nonhuman primates.
孟德尔遗传对高血压的发展有很大贡献;因此,识别与血压(BP)调节相关的遗传变异仍然至关重要,并可能揭示新的治疗药物靶点。本研究的目的是筛选与盐敏感性相关的肾素-血管紧张素-醛固酮系统(RAAS)基因的盐敏感序列变异或单核苷酸多态性(snp)。采集16只人工饲养的长尾猴血样,进行基因分型和基因表达分析。使用在线预测工具确定已识别序列变异的影响。Sanger测序分析显示,在AGT、CYP3A5、GRK4和SCL4A5中有21个序列变异,其中19个是新发现的,2个先前在人类中报道过。通过预测工具预测,所有的新变异要么是多态的,要么是致病的,要么可能具有破坏性。此外,正常血压组AGT mRNA的表达显著升高(p值= 0.02),CYP3A5和GRK4 mRNA的表达也有类似的趋势,而高血压组SCL4A5 mRNA的表达则明显升高。在GRK4中发现的盐敏感变异可能是这些圈养饲养的黑尾猴血压水平升高的原因。因此,RAAS变异可被视为识别人类和非人灵长类动物发生高血压的潜在风险的生物标志物。
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引用次数: 0
Vaccine Boosting CAR-T Cell Therapy: Current and Future Strategies 疫苗促进CAR-T细胞治疗:当前和未来的策略
Pub Date : 2023-01-31 DOI: 10.1155/2023/8030440
E. Ansah, Andy Baah, Emmanuel Boateng Agyenim
Immunotherapy for cancer treatment is growing at an unprecedented rate since the inception of chimeric antigen receptor T (CAR-T) cells. However, the efficacy of CAR-T cells against solid tumors is hampered by various issues, including “on-target, off-tumor toxicities,” T cell exhaustion, and immunosuppressive tumor microenvironment. To overcome these limitations, recent advances focus on optimizing CAR-T cells using vaccines to develop more effective cell immunotherapies. Here, we summarize the most recent studies on how vaccine-based CAR-T therapies are advancing the response of cancer immunotherapy as well as the current state of their clinical and preclinical development. Finally, we share perspectives on how future studies can incorporate other strategies to augment the antitumor response of vaccine-assisted CAR-T cell therapy.
自嵌合抗原受体T(CAR-T)细胞诞生以来,癌症治疗的免疫疗法正以前所未有的速度发展。然而,CAR-T细胞对实体瘤的疗效受到各种问题的阻碍,包括“靶向、肿瘤外毒性”、T细胞耗竭和免疫抑制肿瘤微环境。为了克服这些限制,最近的进展集中在使用疫苗优化CAR-T细胞,以开发更有效的细胞免疫疗法。在此,我们总结了基于疫苗的CAR-T疗法如何推进癌症免疫疗法的反应的最新研究,以及其临床和临床前发展的现状。最后,我们分享了未来研究如何结合其他策略来增强疫苗辅助CAR-T细胞治疗的抗肿瘤反应的观点。
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引用次数: 2
Comprehensive Comparison of AAV Purification Methods: Iodixanol Gradient Centrifugation vs. Immuno-Affinity Chromatography. AAV 纯化方法的综合比较:碘三醇梯度离心法与免疫亲和层析法的比较
Pub Date : 2023-01-01 Epub Date: 2023-12-11 DOI: 10.1155/2023/2339702
Anh K Lam, Patrick L Mulcrone, Dylan Frabutt, Junping Zhang, Matthew Chrzanowski, Sreevani Arisa, Maite Munoz, Xin Li, Moanaro Biswas, David Markusic, Roland W Herzog, Weidong Xiao

Recombinant adeno-associated viruses (AAVs) have emerged as a widely used gene delivery platform for both basic research and human gene therapy. To ensure and improve the safety profile of AAV vectors, substantial efforts have been dedicated to the vector production process development using suspension HEK293 cells. Here, we studied and compared two downstream purification methods, iodixanol gradient ultracentrifugation versus immuno-affinity chromatography (POROS CaptureSelect AAVX column). We tested multiple vector batches that were separately produced (including AAV5, AAV8, and AAV9 serotypes). To account for batch-to-batch variability, each batch was halved for subsequent purification by either iodixanol gradient centrifugation or affinity chromatography. In parallel, purified vectors were characterized, and transduction was compared both in vitro and in vivo in mice (using multiple transgenes: Gaussia luciferase, eGFP, and human factor IX). Each purification method was found to have its own advantages and disadvantages regarding purity, viral genome (vg) recovery, and relative empty particle content. Differences in transduction efficiency were found to reflect batch-to-batch variability rather than disparities between the two purification methods, which were similarly capable of yielding potent AAV vectors.

重组腺相关病毒(AAV)已成为基础研究和人类基因治疗领域广泛使用的基因递送平台。为了确保和提高 AAV 载体的安全性,人们致力于使用悬浮 HEK293 细胞开发载体生产工艺。在此,我们研究并比较了两种下游纯化方法,即碘克沙醇梯度超速离心法和免疫亲和层析法(POROS™ CaptureSelect™ AAVX 柱)。我们测试了多个单独生产的载体批次(包括 AAV5、AAV8 和 AAV9 血清型)。为了考虑批次间的差异,每批载体都被减半,然后通过碘克沙醇梯度离心法或亲和层析法进行纯化。同时,对纯化的载体进行了特征描述,并比较了体外转导和小鼠体内转导(使用多种转基因:高斯荧光素酶、eGFP 和人因子 IX)。结果发现,每种纯化方法在纯度、病毒基因组(vg)回收率和相对空颗粒含量方面都各有利弊。研究发现,转导效率的差异反映的是批次与批次之间的差异,而不是两种纯化方法之间的差异。
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引用次数: 0
Intravitreally Administered Soluble VEGF Receptor-1 Variant Tested as a Potential Gene Therapeutic for Diabetic Retinopathy 玻璃体内给药可溶性VEGF受体-1变异体作为糖尿病视网膜病变的潜在基因治疗试验
Pub Date : 2022-10-13 DOI: 10.1155/2022/9670992
S. H. Lee, J. Lee, I. K. Kang, Jun-Sub Choi, H. Kim, Jin Kim, S. Cha, Kyoung Jin Lee, H. Woo, Keerang Park, Heuiran Lee
In addition to laser photocoagulation, currently used therapeutic interventions for diabetic retinopathy (DR) include relatively short-lived anti-VEGF drugs targeting vascular endothelial growth factor (VEGF). The latter requires frequent administration via intravitreal injections to effect long-term VEGF suppression. However, due to the patient burden associated with this treatment modality, gene therapy may represent a preferable alternative, providing long-lasting yet patient-friendly effects. Here, we explore the therapeutic efficacy of rAAV2-sVEGFRv-1, a recombinant adeno-associated virus encoding a soluble variant of VEGF receptor-1, upon early DR processes. Bevacizumab, an anti-VEGF agent often prescribed off label to treat DR, was used as an experimental comparator. Administered by intravitreal injection to a streptozotocin-induced diabetic mouse model, rAAV2-sVEGFRv-1 was shown to effectively transduce the mouse retinas and express its transgene therein, leading to significant reductions in pericyte loss and retinal cell layer thinning, two processes that play major roles in DR progression. Acellular capillary formation, vascular permeability, and apoptotic activity, the latter being the cell death mechanism by which retinal neurodegeneration occurs, were also shown to be reduced by the therapeutic virus vector. Immunohistochemistry was used to visualize that rAAV2-sVEGFRv-1 has an effect on cell types important to DR pathophysiology, particularly the ganglion cell layer and glial cells. Combined with our previous work showing that the therapeutic virus vector reduces neovascularization, our current results reveal that rAAV2-sVEGFRv-1 addresses the early aspects of DR as well, thereby demonstrating its potential as a human gene therapeutic versus the condition as a whole.
除了激光光凝外,目前用于糖尿病视网膜病变(DR)的治疗干预措施还包括针对血管内皮生长因子(VEGF)的相对短暂的抗VEGF药物。后者需要通过玻璃体内注射频繁给药,以实现长期VEGF抑制。然而,由于与这种治疗方式相关的患者负担,基因治疗可能是一种优选的替代方案,提供持久但对患者友好的效果。在此,我们探讨rAAV2-sVEGFRv-1(一种编码VEGF受体-1可溶性变体的重组腺相关病毒)对早期DR过程的治疗效果。贝伐单抗是一种抗血管内皮生长因子的药物,通常在标签外用于治疗DR,被用作实验对照。通过玻璃体内注射链脲佐菌素诱导的糖尿病小鼠模型,rAAV2-sVEGFRv-1被证明可以有效地转导小鼠视网膜并在其中表达其转基因,从而显著减少周细胞损失和视网膜细胞层变薄,这两个过程在DR进展中起着主要作用。无细胞毛细血管的形成、血管通透性和凋亡活性,后者是视网膜神经退行性变发生的细胞死亡机制,也被证明通过治疗性病毒载体降低。免疫组织化学用于显示rAAV2-sVEGFRv-1对DR病理生理学重要的细胞类型,特别是神经节细胞层和神经胶质细胞具有影响。结合我们之前的研究表明,治疗性病毒载体可以减少新生血管形成,我们目前的结果表明,rAAV2-sVEGFRv-1也解决了DR的早期方面,从而证明了其作为人类基因治疗疾病的潜力。
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引用次数: 1
Ethical Challenges and Controversies in the Practice and Advancement of Gene Therapy 基因治疗实践与进展中的伦理挑战与争议
Pub Date : 2022-08-24 DOI: 10.1155/2022/1015996
E. Ansah
One of the most important technologies in modern medicine is gene therapy, which allows therapeutic genes to be introduced into cells of the body. The approach involves genetics and recombinant DNA techniques that allow manipulating vectors for delivery of exogenous material to target cells. The efficacy and safety of the delivery system are a key step towards the success of gene therapy. Somatic cell gene therapy is the easiest in terms of technology and the least problematic in terms of ethics. Although genetic manipulation of germline cells at the gene level has the potential to permanently eradicate certain hereditary disorders, major ethical issues such as eugenics, enhancement, mosaicism, and the transmission of undesirable traits or side effects to patients’ descendants currently stymie its development, leaving only somatic gene therapy in the works. However, moral, social, and ethical arguments do not imply that germline gene therapy should be banned forever. This review discusses in detail the current challenges surrounding the practice of gene therapy, focusing on the moral arguments and scientific claims that affect the advancement of the technology. The review also suggests precautionary principles as a means to navigate ethical uncertainties.
现代医学中最重要的技术之一是基因治疗,它可以将治疗基因引入身体细胞。该方法涉及遗传学和重组DNA技术,允许操纵载体将外源物质递送到靶细胞。递送系统的有效性和安全性是基因治疗成功的关键一步。体细胞基因治疗在技术上是最简单的,在伦理方面问题最小。尽管在基因水平上对种系细胞进行基因操作有可能永久根除某些遗传性疾病,但主要的伦理问题,如优生学、增强、嵌合以及将不良特征或副作用传递给患者后代,目前阻碍了其发展,只剩下体细胞基因治疗。然而,道德、社会和伦理方面的争论并不意味着生殖系基因治疗应该永远被禁止。这篇综述详细讨论了当前围绕基因治疗实践的挑战,重点是影响技术进步的道德争论和科学主张。审查还提出了预防原则,作为应对道德不确定性的一种手段。
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引用次数: 1
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Advances in cell and gene therapy
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