神经精神疾病的基因治疗:潜在目标和工具。

IF 2.7 4区 医学 Q3 NEUROSCIENCES CNS & neurological disorders drug targets Pub Date : 2023-01-01 DOI:10.2174/1871527321666220304153719
Seyed Hossein Shahcheraghi, Jamshid Ayatollahi, Marzieh Lotfi, Alaa A A Aljabali, Mazhar S Al-Zoubi, Pritam Kumar Panda, Vijay Mishra, Saurabh Satija, Nitin B Charbe, Ángel Serrano-Aroca, Bojlul Bahar, Kazuo Takayama, Rohit Goyal, Amit Bhatia, Abdulmajeed G Almutary, Abdullah M Alnuqaydan, Yachana Mishra, Poonam Negi, Aaron Courtney, Paul A McCarron, Hamid A Bakshi, Murtaza M Tambuwala
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引用次数: 2

摘要

影响中枢神经系统的神经精神疾病对卫生保健系统造成了相当大的压力,并对现代社会造成了沉重的经济负担。目前基于现有药物的治疗大多无效且往往昂贵。神经精神疾病的分子过程与遗传或由损伤、有毒化学物质和一些当前疾病引起的遗传结构的改变密切相关。基因治疗目前是神经系统疾病的实验概念。临床应用致力于缓解症状,减缓疾病进展,修复缺陷基因。在遗传性和获得性神经系统疾病中实施基因治疗需要整合多个科学学科,包括病毒学、神经病学、神经外科、分子遗传学和免疫学。基因操作具有通过诱导内源性位点的基因改变来减少或治愈疾病的能力。基因疗法包括通过删除、沉默或编辑有缺陷的基因来治疗疾病,并传递遗传物质以产生治疗分子,作为治疗神经精神疾病的新方法具有巨大的潜力。随着靶向治疗中基因选择和载体设计质量的提高,基因治疗有望成为有效的治疗手段。本文将对神经精神疾病基因治疗中最新、最关键的分子和因子进行综述和报道。将评估现有的不同基因组编辑技术,并将重点介绍神经精神疾病基因组编辑的临床前研究,同时评估当前的局限性和克服基因组编辑进步的潜在策略。
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Gene Therapy for Neuropsychiatric Disorders: Potential Targets and Tools.

Neuropsychiatric disorders that affect the central nervous system cause considerable pressures on the health care system and have a substantial economic burden on modern societies. The present treatments based on available drugs are mostly ineffective and often costly. The molecular process of neuropsychiatric disorders is closely connected to modifying the genetic structures inherited or caused by damage, toxic chemicals, and some current diseases. Gene therapy is presently an experimental concept for neurological disorders. Clinical applications endeavor to alleviate the symptoms, reduce disease progression, and repair defective genes. Implementing gene therapy in inherited and acquired neurological illnesses entails the integration of several scientific disciplines, including virology, neurology, neurosurgery, molecular genetics, and immunology. Genetic manipulation has the power to minimize or cure illness by inducing genetic alterations at endogenous loci. Gene therapy that involves treating the disease by deleting, silencing, or editing defective genes and delivering genetic material to produce therapeutic molecules has excellent potential as a novel approach for treating neuropsychiatric disorders. With the recent advances in gene selection and vector design quality in targeted treatments, gene therapy could be an effective approach. This review article will investigate and report the newest and the most critical molecules and factors in neuropsychiatric disorder gene therapy. Different genome editing techniques available will be evaluated, and the review will highlight preclinical research of genome editing for neuropsychiatric disorders while also evaluating current limitations and potential strategies to overcome genome editing advancements.

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来源期刊
CiteScore
5.10
自引率
3.30%
发文量
158
审稿时长
6-12 weeks
期刊介绍: Aims & Scope CNS & Neurological Disorders - Drug Targets aims to cover all the latest and outstanding developments on the medicinal chemistry, pharmacology, molecular biology, genomics and biochemistry of contemporary molecular targets involved in neurological and central nervous system (CNS) disorders e.g. disease specific proteins, receptors, enzymes, genes. CNS & Neurological Disorders - Drug Targets publishes guest edited thematic issues written by leaders in the field covering a range of current topics of CNS & neurological drug targets. The journal also accepts for publication original research articles, letters, reviews and drug clinical trial studies. As the discovery, identification, characterization and validation of novel human drug targets for neurological and CNS drug discovery continues to grow; this journal is essential reading for all pharmaceutical scientists involved in drug discovery and development.
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