基因疗法在癌症治疗中的进展:全面回顾。

IF 2.9 4区 医学 Q2 PATHOLOGY Pathology, research and practice Pub Date : 2024-07-30 DOI:10.1016/j.prp.2024.155509
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引用次数: 0

摘要

癌症是导致全球死亡的主要因素。可供选择的传统疗法有化疗、放疗和手术。然而,这些疗法在大多数情况下很难针对特定细胞。如今,人们正在进行广泛的研究和调查,以便在治疗癌症之前开发出针对特定细胞的方法。其中包括光动力疗法、热疗、免疫疗法、干细胞移植和靶向疗法。这篇综述文章将重点介绍癌症基因疗法的发展。基因治疗的目的是纠正导致细胞过度增殖并引发癌症的特定突变基因。在改造基因的方法上有很多探索。这种疗法的成功与否,传递方式起着重要作用。如果插入的基因没有找到靶点,治疗就会失败。因此,需要使用载体,常用的载体有病毒载体、非病毒载体或合成载体、聚合物载体和脂质载体。基因疗法在癌症治疗方面的进展将集中在世界三大癌症病例上,即乳腺癌、肺癌和结肠癌。在乳腺癌中,讨论的疗法有 CRISPR/Cas9、siRNA 和基因沉默,而在结肠癌中,讨论的疗法有 miRNA 和自杀基因疗法,在肺癌中,讨论的疗法有替换肿瘤抑制基因、CRISPR/Cas9 和 miRNA。
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Advancements of gene therapy in cancer treatment: A comprehensive review

Cancer is the main contributor for mortality in the world. Conventional therapy that available as the treatment options are chemotherapy, radiotherapy and surgery. However, these treatments are hardly cell-specific most of the time. Nowadays, extensive research and investigations are made to develop cell-specific approaches prior to cancer treatment. Some of them are photodynamic therapy, hyperthermia, immunotherapy, stem cell transplantation and targeted therapy. This review article will be focusing on the development of gene therapy in cancer. The objective of gene therapy is to correct specific mutant genes causing the excessive proliferation of the cell that leads to cancer. There are lots of explorations in the approach to modify the gene. The delivery of this therapy plays a big role in its success. If the inserted gene does not find its way to the target, the therapy is considered a failure. Hence, vectors are needed and the common vectors used are viral, non viral or synthetic, polymer based and lipid based vectors. The advancement of gene therapy in cancer treatment will be focussing on the top three cancer cases in the world which are breast, lung and colon cancer. In breast cancer, the discussed therapy are CRISPR/Cas9, siRNA and gene silencing whereas in colon cancer miRNA and suicide gene therapy and in lung cancer, replacement of tumor suppressor gene, CRISPR/Cas9 and miRNA.

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来源期刊
CiteScore
5.00
自引率
3.60%
发文量
405
审稿时长
24 days
期刊介绍: Pathology, Research and Practice provides accessible coverage of the most recent developments across the entire field of pathology: Reviews focus on recent progress in pathology, while Comments look at interesting current problems and at hypotheses for future developments in pathology. Original Papers present novel findings on all aspects of general, anatomic and molecular pathology. Rapid Communications inform readers on preliminary findings that may be relevant for further studies and need to be communicated quickly. Teaching Cases look at new aspects or special diagnostic problems of diseases and at case reports relevant for the pathologist''s practice.
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