血友病的基因治疗

A. Asghar, Z. Asjad, H. Tahir, Z. Maheen, S. Hanif
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引用次数: 0

摘要

血友病这种血液疾病的根源深深植根于遗传疾病的历史。欧洲皇室是受这种疾病影响最突出的家族之一,因此被称为“皇家病”。血友病的类型根据患者凝血因子突变的类型分为两种。对于治疗血友病,基因治疗是通过使用不同的载体进行的,如慢病毒和逆转录病毒载体,但由于产生有限的表达,使用不同的腺相关病毒(AAV)株。一些工程上修改的矢量目前被用来获得最好的结果。临床试验证明了这些载体的有效性,因此,通过其获得的统计考虑、患者经验和人群研究,可以为血友病患者设计疫苗和药物,但由于既往存在nab和既往存在HCV或HBV感染,目前AAV基因治疗的普遍应用受到限制。基因编辑修复突变的可能性即将出现。
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GENE THERAPY FOR HAEMOPHILIA
The blood disorder, Hemophilia, has its roots embedded deep into the history of genetic disorders. The European royal family is one of the most prominent families to be affected by this disease thus, dubbing it 'the royal disease'. The types of Hemophilia are divided into two based on the type of coagulation factor mutation found in the patient. For treating haemophilia, gene therapy is done by using different vectors such as lentiviral and retroviral vectors but due to the production of limited expression different adeno associated virus (AAV) strains are used. Some engineerly modified vectors are currently used to get the best possible results. The clinical trials prove the efficacy of these vectors so through their obtained statistical consideration, patient experience and population study once can design vaccines and drugs for haemophilia patients but also due to pre-existing Nabs and pre-existing HCV or HBV infection, the general application of AAV gene therapy is currently limited. The possibility of gene editing for the repair of the mutation is on the horizon.
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