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FROM TETRAPLOID-COMPLEMENTING MOUSE ıPS CELLS TO FULLY PLURIPOTENT PATIENT-SPECIFIC iPS CELLS 从四倍体互补小鼠ıPS细胞到完全多能的患者特异性iPS细胞
Pub Date : 2011-11-20 DOI: 10.1142/S156855861000015X
Wei Li, Liu Wang, Lei Liu, Xiao-Yang Zhao, F. Zeng, Qi Zhou
Induced pluripotent stem (iPS) cells hold great promise for regenerative medicine and drug discovery. Since the invention of iPS technology, a central goal of this field has been to derive safer and better iPS cells for human research and therapeutic applications. From the first generation of iPS cells that were only partially pluripotent, through iPS cells that were capable of germ line transmission, to current iPS cells that can produce viable mice through tetraploid complementation, the accumulating knowledge gained through mouse models is expected to extend to humans for selection and characterization of fully pluripotent human iPS cell lines. Here we review the progress and strategies toward generating fully pluripotent iPS cells, discuss the potential of patient-specific iPS cells in disease modeling and drug discovery, and discuss the potential for novel gene therapy systems combined with iPS cell-based cell replacement therapy.
诱导多能干细胞(iPS)在再生医学和药物发现方面具有很大的前景。自从iPS技术发明以来,该领域的中心目标一直是为人类研究和治疗应用获得更安全、更好的iPS细胞。从只有部分多能性的第一代iPS细胞,到能够生殖系传播的iPS细胞,再到目前能够通过四倍体互补产生存活小鼠的iPS细胞,通过小鼠模型积累的知识有望扩展到人类,用于选择和表征完全多能性的人类iPS细胞系。在此,我们回顾了多能诱导多能干细胞的研究进展和策略,讨论了患者特异性诱导多能干细胞在疾病建模和药物发现方面的潜力,并讨论了结合基于诱导多能干细胞的细胞替代疗法的新型基因治疗系统的潜力。
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引用次数: 0
CARDINAL REGENERATIVE FEATURES OF THE MRL MOUSE — AN UPDATE MRL小鼠的主要再生特征-一个更新
Pub Date : 2011-11-20 DOI: 10.1142/S1568558611000246
L. Arthur, P. Sachadyn, Dmitri Gourevitch, E. Heber-Katz
In this review, we discuss recent studies relating to major features of adult MRL mouse biology that contribute to the regenerative responses seen. These include an increased inflammatory cell profile, a unique glycolytic metabolic state typically found during embryogenesis, and a cell cycle phenotype of DNA damage and G2/M arrest. These traits have been found in other mammalian and non-mammalian regenerative systems. How these physiological systems interact with each other and bring about regeneration is explored.
在这篇综述中,我们讨论了与成年MRL小鼠生物学的主要特征有关的最新研究,这些特征有助于所见的再生反应。这些包括增加的炎症细胞特征,在胚胎发生期间通常发现的独特的糖酵解代谢状态,以及DNA损伤和G2/M停滞的细胞周期表型。在其他哺乳动物和非哺乳动物的再生系统中也发现了这些特征。这些生理系统如何相互作用,并带来再生的探索。
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引用次数: 0
Erratum: A new recombinant adeno-associated virus (AAV)-based random peptide display library system: Infection-defective AAV1.9-3 as a novel detargeted platform for vector evolution (Gene Therapy and Regulation (2010) 5 (31-55) DOI: 10.1142/S1568558610000197) 校误:一个新的重组腺相关病毒(AAV)为基础的随机肽展示文库系统:感染缺陷的AAV1.9-3作为载体进化的一个新的去靶向平台(基因治疗和调控(2010)5 (31-55)DOI: 10.1142/S1568558610000197)
Pub Date : 2011-03-01 DOI: 10.1142/S156855861100026X
K. Adachi, H. Nakai
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引用次数: 1
ADVANCES IN MOLECULAR THERAPY RESEARCH ON DYSTROPHIN-DEFICIENT MUSCULAR DYSTROPHY 肌营养不良蛋白缺乏的分子治疗研究进展
Pub Date : 2010-10-01 DOI: 10.1142/S1568558610000203
T. Okada, S. Takeda
Duchenne muscular dystrophy (DMD) is a lethal muscle disorder caused by mutations of the DMD gene, which encodes a 427-kDa spectrin-like cytoskeletal protein, dystrophin. Exon skipping induced by antisense oligonucleotides is a novel method to restore the reading frame of the mutated DMD gene and rescue dystrophin expression. We recently demonstrated that systemic delivery of antisense phosphorodiamidate morpholino oligonucleotides (PMOs) targeting exons 6 and 8 of the canine DMD gene efficiently recovered functional dystrophin at the sarcolemma of dystrophic dogs, and improved performance of the affected dogs without serious side effects. As a strategy to target hot spots of mutation in the DMD gene, we also tried exon 51-skipping using PMOs in mdx52 mice to convert an out-of-frame mutation into an in-frame mutation with restoration of dystrophin expression in various muscles and improvement of pathology and function. Progress in adeno-associated virus vector serotype 9 (AAV-9)-mediated DMD gene therapy has enabled the delivery of the therapeutic gene to the whole musculature, including cardiac muscle, while evoking minimal immunological reactions in mice, dogs, and non-human primates. Furthermore, DMD-derived patient-specific induced pluripotent stem (iPS) cells could be a potential source for cell therapy, although there are at present hurdles to be overcome. In the future, this technology could be used in combination with exon skipping or AAV-mediated gene therapy to achieve clinical benefits.
杜氏肌营养不良症(DMD)是一种由DMD基因突变引起的致命肌肉疾病,DMD基因编码427 kda的谱蛋白样细胞骨架蛋白,肌营养不良蛋白。反义寡核苷酸诱导外显子跳变是恢复DMD突变基因阅读框和挽救肌营养不良蛋白表达的一种新方法。我们最近证明,系统递送针对犬DMD基因外显子6和8的反义磷酸二酯morpholino寡核苷酸(PMOs)可以有效地恢复肌营养不良犬肌膜上的功能性营养不良蛋白,并改善受影响犬的表现,而没有严重的副作用。作为一种针对DMD基因突变热点的策略,我们还尝试在mdx52小鼠中使用PMOs跳过51外显子,将框外突变转化为框内突变,恢复各种肌肉中肌营养不良蛋白的表达,改善病理和功能。腺相关病毒载体血清型9 (AAV-9)介导的DMD基因治疗取得进展,使治疗基因能够传递到包括心肌在内的整个肌肉组织,同时在小鼠、狗和非人灵长类动物中引起最小的免疫反应。此外,dmd衍生的患者特异性诱导多能干细胞(iPS)可能是细胞治疗的潜在来源,尽管目前有一些障碍需要克服。在未来,该技术可与外显子跳跃或aav介导的基因治疗联合使用,以获得临床效益。
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引用次数: 0
CLINICAL DEVELOPMENT OF AAV VECTORS aav载体的临床发展
Pub Date : 2010-10-01 DOI: 10.1142/S1568558610000215
B. Carter
Impressive progress has been made in clinical development of adeno-associated virus (AAV) vectors over the last 15 years in more than 40 clinical trials, involving many hundreds of subjects with vector delivery by many different routes and at a wide range of doses. Preclinical expectations, including an excellent safety profile, the tendency to remain at a local delivery site, and the persistence of expression for years after delivery, are being borne out in clinical trials. Immune responses to the vectors in human subjects, less well anticipated by preclinical studies, are now being examined in current AAV vector clinical trials, in order to determine in what circumstances such responses might occur or be problematic. Development of AAV vectors is likely to continue to be an expanding field. The current successes in the subjects with retinal degeneration and Parkinson's disease are highly encouraging for AAV vectors and for the whole field of gene therapy.
在过去15年中,通过40多项临床试验,腺相关病毒(AAV)载体的临床开发取得了令人印象深刻的进展,涉及数百名受试者,载体通过许多不同途径和大剂量递送。临床前的预期,包括良好的安全性,倾向于留在当地的分娩地点,以及分娩后数年的持续表达,正在临床试验中得到证实。临床前研究没有预料到的人类受试者对载体的免疫反应,目前正在目前的AAV载体临床试验中进行检查,以确定在什么情况下可能发生这种反应或有问题。AAV载体的开发可能会继续成为一个不断扩大的领域。目前在视网膜变性和帕金森氏症患者中的成功对于AAV载体和整个基因治疗领域都是非常令人鼓舞的。
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引用次数: 0
GENE THERAPY FOR PARKINSON'S DISEASE: STRATEGIES FOR THE LOCAL PRODUCTION OF DOPAMINE 帕金森病的基因治疗:局部产生多巴胺的策略
Pub Date : 2010-10-01 DOI: 10.1142/S1568558610000173
S. Muramatsu, Sayaka Asari, K. Fujimoto, K. Ozawa, I. Nakano
The cardinal motor symptoms of Parkinson's disease (PD) are associated with the profound depletion of dopamine in the striatum. The replacement of dopamine is the most straightforward strategy to improve motor performance in PD. Researchers have been developing gene therapy aimed at local production of dopamine via the introduction of dopamine-synthesizing enzyme genes into the putamen. Two phase I clinical studies have used recombinant adeno-associated virus (AAV) vectors to transfer the aromatic L-amino acid decarboxylase (AADC) gene into the putamen to restore efficient conversion of orally administered L-3,4-dihydroxyphenylalanine (L-dopa). The initial results of these studies have not only confirmed the safety of AAV vectors, but have also demonstrated the alleviation of motor symptoms associated with PD. Interestingly motor performance in the "off" medication state was improved after gene therapy, suggesting long-term modulation of dopaminergic signals in the striatal neurons was induced by gene transfer. Gene delivery of tyrosine hydroxylase (TH) and guanosine triphosphate cyclohydrolase I (GCH) in addition to AADC may help to avoid motor fluctuations associated with intermittent intake of L-dopa by continuously supplying dopamine in the putamen. A clinical study of such triple gene transfer is presently underway using equine infectious anemia virus (EIAV) vector.
帕金森病(PD)的主要运动症状与纹状体中多巴胺的严重消耗有关。多巴胺的替代是改善PD患者运动表现的最直接的策略。研究人员一直在开发基因疗法,通过将多巴胺合成酶基因引入壳核,旨在局部产生多巴胺。两项I期临床研究使用重组腺相关病毒(AAV)载体将芳香l -氨基酸脱羧酶(AADC)基因转移到壳核中,以恢复口服l -3,4-二羟基苯丙氨酸(L-dopa)的有效转化。这些研究的初步结果不仅证实了AAV载体的安全性,而且还证明了与PD相关的运动症状的缓解。有趣的是,基因治疗后,“关闭”药物状态下的运动表现得到改善,表明纹状体神经元中多巴胺能信号的长期调节是通过基因转移诱导的。除AADC外,酪氨酸羟化酶(TH)和鸟苷三磷酸环水解酶(GCH)的基因传递可能有助于通过在壳核中持续供应多巴胺来避免与间歇性摄入左旋多巴相关的运动波动。目前正在使用马传染性贫血病毒(EIAV)载体进行这种三重基因转移的临床研究。
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引用次数: 5
CLINICAL DEVELOPMENT OF A THIRD-GENERATION ONCOLYTIC HSV-1 (G47Δ) FOR MALIGNANT GLIOMA 第三代溶瘤hsv-1 (g47Δ)治疗恶性胶质瘤的临床进展
Pub Date : 2010-10-01 DOI: 10.1142/S1568558610000185
Y. Ino, T. Todo
Genetically engineered, conditionally replicating herpes simplex viruses type 1 (HSV-1) are promising therapeutic agents for cancer. We have developed a triple-mutated, third-generation oncolytic HSV-1, G47Δ, by introducing an additional genetic mutation to the viral genome of G207, a second generation HSV-1, used in clinical trials for malignant glioma in the United States. Preclinical studies demonstrated that G47Δ exhibited increased antitumor efficacy in various tumor models while preserving the safety of G207. Prior to the first-in-man clinical trial, G47Δ genome structure analysis, stability tests, and preclinical safety evaluation using HSV-1-susceptible A/J mice were performed. After development and optimization of manufacturing processes, clinical-grade G47Δ was produced at the GMP vector production facility of the University of Tokyo. Quality tests under GLP were completed for clinical products at 4 manufacturing steps. The first clinical trial of G47Δ is designed as an open labeled, single armed, phase I-II study for patients with recurrent glioblastoma. Patients with a single lesion, age 18 or older, and with Karnofsky Performance Scale (KPS) 70% or higher are enrolled. G47Δ is administered stereotactically into multiple sites of the tumor, twice within 14 days. The primary endpoint is to assess the safety of G47Δ, and the secondary endpoint is to assess the efficacy by tumor size and progression-free survival. After 3 years of contact with and review by regulatory authorities, the final governmental approval was obtained in May 2009, and the patient registration began in November 2009. In this paper, we also review the background of the clinical development of G47Δ.
基因工程,有条件地复制1型单纯疱疹病毒(HSV-1)是很有前途的癌症治疗药物。我们开发了一种三突变的第三代溶瘤性HSV-1, G47Δ,通过在G207的病毒基因组中引入一个额外的基因突变,这是第二代HSV-1,用于美国恶性胶质瘤的临床试验。临床前研究表明,G47Δ在多种肿瘤模型中表现出增强的抗肿瘤功效,同时保持G207的安全性。在首次人体临床试验之前,对hsv -1易感A/J小鼠进行G47Δ基因组结构分析、稳定性测试和临床前安全性评估。经过生产工艺的开发和优化,在东京大学的GMP载体生产设施生产出了临床级G47Δ。在GLP下完成了临床产品的4个生产步骤的质量测试。G47Δ的首个临床试验是为复发性胶质母细胞瘤患者设计的一项开放标记、单臂、I-II期研究。患者为单一病变,年龄≥18岁,Karnofsky表现量表(KPS)≥70%。G47Δ在肿瘤的多个部位立体定向注射,14天内两次。主要终点是评估G47Δ的安全性,次要终点是通过肿瘤大小和无进展生存期来评估疗效。经过3年与监管部门的联系和审查,于2009年5月获得最终的政府批准,并于2009年11月开始患者注册。本文还对G47Δ的临床发展背景进行了综述。
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引用次数: 9
RECENT PROGRESS AND FUTURE DIRECTIONS USING ENGINEERED T CELLS FOR THE TREATMENT OF CANCER 利用工程t细胞治疗癌症的最新进展和未来方向
Pub Date : 2010-10-01 DOI: 10.1142/S1568558610000161
N. Chinnasamy, R. Morgan
Adoptive immunotherapy with tumor infiltrating lymphocytes (TILs) is a potent therapy for metastatic melanoma. In this process, naturally occurring tumor reactive TILs that bear T-cell receptors (TCR) targeted against tumor cells are generated ex vivo and administrated into the patients. The generation of tumor-reactive T cells is not always possible in all of the patients. To overcome this limitation, we can now insert highly avid TCRs into T cells that can recognize tumor antigens. Genetic engineering of TCR genes into normal T cells is a powerful new strategy to generate large numbers of defined antigen-specific cells for therapeutic application. This approach has evolved beyond experimental stage into a clinical reality. The feasibility of TCR-engineered T cells has been shown to be an effective clinical strategy resulting in the regression of established tumors in recent clinical trials. In this review, we discuss the progress and prospects of TCR-engineered T cells as a therapeutic strategy for treating patients with melanoma and other cancers.
肿瘤浸润淋巴细胞过继免疫治疗是治疗转移性黑色素瘤的有效方法。在这个过程中,自然产生的肿瘤反应性til携带靶向肿瘤细胞的t细胞受体(TCR),在体内产生并给药到患者体内。并非所有患者都能产生肿瘤反应性T细胞。为了克服这一限制,我们现在可以将高度活跃的tcr插入到能够识别肿瘤抗原的T细胞中。将TCR基因转入正常T细胞是一种强大的新策略,可以产生大量用于治疗的抗原特异性细胞。这种方法已经从实验阶段发展到临床现实。在最近的临床试验中,tcr工程T细胞的可行性已被证明是一种有效的临床策略,可导致已建立的肿瘤消退。在这篇综述中,我们讨论了tcr工程T细胞作为治疗黑色素瘤和其他癌症患者的治疗策略的进展和前景。
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引用次数: 1
SMART ADENOVIRUS NANOCOMPLEXES FOR SYSTEMIC DELIVERY 用于系统递送的智能腺病毒纳米复合物
Pub Date : 2010-10-01 DOI: 10.1142/S1568558610000227
E. Kang, C. Yun
A challenge to develop adenovirus (Ad)-mediated therapeutics has been issued to treat metastatic cancer via systemic administration. For effective gene therapeutics against primary and metastatic lesions, a systemically injectable tumor-targeting Ad vector system must be developed. Systemic delivery of Ad, however, is hampered by immune response against Ad, short half-life in the circulation, liver uptake, and low accumulation at target disease sites. Modification of the Ad surface allows Ad to circulate in the bloodstream for a longer time, to be not targeted to the liver, and to passively accumulate in tumor sites via enhanced permeation and retention effects. The addition of affinity tags results in active targeting and high efficacy. Strategies including addition of polymer complexes, chemical modifications, and targeting moieties have been applied to develop systemically injectable Ad gene therapeutic carriers. More versatile designs of Ad hybrid complexes have been developed with inorganic nanoparticles, polymers, and lipids, making smart nanomedicine possible. Integration of viral and nonviral nanomaterials can substantially synergize both fields, creating a new concept of gene therapeutics. Here, we describe the various Ad hybrid complex systems used to overcome the limited clinical applicability of conventional Ads and enable effective treatment of distant metastatic tumors via systemic injection.
开发腺病毒(Ad)介导的治疗方法的挑战已经通过全身给药来治疗转移性癌症。为了对原发性和转移性病变进行有效的基因治疗,必须开发一种全身可注射的肿瘤靶向Ad载体系统。然而,Ad的全身递送受到针对Ad的免疫应答、循环中的半衰期短、肝脏摄取和目标疾病部位的低蓄积的阻碍。Ad表面的修饰使Ad在血液中循环的时间更长,不靶向肝脏,并通过增强的渗透和滞留作用被动地积聚在肿瘤部位。亲和性标签的加入导致了主动靶向和高效率。包括添加聚合物配合物、化学修饰和靶向部分在内的策略已被应用于开发可全身注射的Ad基因治疗载体。更多功能的Ad杂化复合物设计已经与无机纳米颗粒、聚合物和脂质一起开发,使智能纳米医学成为可能。病毒和非病毒纳米材料的整合可以有效地协同这两个领域,创造一个新的基因治疗概念。在这里,我们描述了各种Ad混合复杂系统,用于克服传统Ad有限的临床适用性,并通过全身注射有效治疗远处转移性肿瘤。
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引用次数: 5
A NEW RECOMBINANT ADENO-ASSOCIATED VIRUS (AAV)-BASED RANDOM PEPTIDE DISPLAY LIBRARY SYSTEM: INFECTION-DEFECTIVE AAV1.9-3 AS A NOVEL DETARGETED PLATFORM FOR VECTOR EVOLUTION. 一种新的基于重组腺相关病毒(AAV)的随机多肽展示文库系统:感染缺陷AAV1.9-3作为载体进化的新型非靶向平台。
Pub Date : 2010-10-01 DOI: 10.1142/S1568558610000197
Kei Adachi, Hiroyuki Nakai

Directed evolution through genetic engineering of viral capsids followed by selection has emerged as a powerful means to create novel recombinant adeno-associated virus (rAAV) vectors with desired tropism and enhanced properties. One of the most effective approaches uses rAAV-based random peptide display libraries. Here we report a novel system based on an infection-defective rAAV1.9-3 as a platform for random peptide display, and show that biopanning of the libraries in vitro effectively identifies the peptides that restore and enhance rAAV transduction. rAAV1.9-3 has a genetically engineered AAV1 capsid with amino acids 445-568 being replaced with those of AAV9, and has been identified as a variant exhibiting significantly impaired infectivity and delayed blood clearance when infused into mice. In this study, we generated rAAV1.9-3 variant libraries in which 7- or 12-mer random peptides were expressed at the capsid amino acid position 590. Three rounds of positive selection for primary human dermal fibroblasts successfully identified new rAAV-peptide variants that transduce them more efficiently than the prototype rAAV2. Thus our study demonstrates that an infection-defective rAAV variant serves as a novel detargeted platform for random peptide display libraries. We also describe a brief review of recent progress in rAAV-based random peptide display library approaches.

通过对病毒衣壳进行基因工程改造,然后进行选择,从而实现定向进化,已成为创造新型重组腺相关病毒(rAAV)载体的有力手段,这种载体具有所需的滋养性和更强的特性。最有效的方法之一是使用基于 rAAV 的随机多肽展示文库。rAAV1.9-3 有一个经过基因工程改造的 AAV1 荚膜,其 445-568 个氨基酸被 AAV9 的氨基酸取代,已被确定为一种变体,在输注到小鼠体内时感染性明显减弱,血液清除延迟。在这项研究中,我们生成了rAAV1.9-3变体文库,其中在荚膜氨基酸590位表达了7-或12-mer随机肽。对原代人类真皮成纤维细胞进行了三轮阳性选择,成功鉴定出了新的 rAAV 多肽变体,其转导效率高于原型 rAAV2。因此,我们的研究表明,感染缺陷rAAV变体可作为随机多肽展示文库的新型非靶向平台。我们还简要回顾了基于 rAAV 的随机多肽展示文库方法的最新进展。
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引用次数: 0
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Gene therapy and regulation
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