病毒--基因治疗中有效的载体系统

基因治疗面临的首要问题是如何选择适当的基因载体将具有治疗价值的基因导入靶细胞并使其有效表达,以达到治疗疾病的目的。目前基因治疗临床试验中采用的载体大多数为病毒载体。本文主要介绍基因治疗中常用的4种病毒载体的生物学特性,以及各个载体在基因治疗中的优缺点。     

病毒载体与造血干细胞基因治疗

多种获得性和遗传性疾病累及造血细胞。造血干细胞是人类基因治疗的重要靶细胞。成功的造血干细胞基因治疗不仅需要高效基因转移,还需要治疗基因的长期、高水平表达。反转录病毒载体是造血干细胞基因治疗的常用载体,结合优化的造血干细胞转导条件,其介导的腺苷脱氨酶缺陷引起的严重联合免疫缺陷和X染色体连锁的严重联合免疫缺陷的基因治疗已经获得初步成功;其他整合型病毒载体如慢病毒和腺相关病毒载体,也在临床前造血干细胞基因治疗研究中得到广泛应用。从病毒载体、基因转移和基因表达等几个方面综述了造血干细胞基因治疗的临床前和临床研究的重要进展。     

基因转移技术中几种常见的病毒载体

在疾病的基因治疗过程中,需要用直接或间接的方法把目的基因导入细胞,使目的基因得到表达,或封闭、剪切致病基因的mRNA介导其特异性地降解,而达到治疗疾病的目的。介绍目前病毒载体基因转侈技术中最常用的载体如逆转录病毒载体、腺病毒载体、腺相关病毒(adeno-associated virus,AAV)载体等。     

基因治疗的病毒载体系统

病毒载体是基因治疗中应用最为广泛的载体系统。该文就RNA病毒载体、DNA病毒载体和杂合病毒载体的生物学特性、基因组特点以及其在基因治疗中的优缺点进行综述,并对病毒载体系统的发展前景进行了展望。     

基因治疗的输送屏障及输送载体的研究

基因治疗是将可具有治疗性的基因导入病变细胞以达到治疗遗传性疾病或获得性功能缺损疾病的治疗手段,是一种极具潜力的新型治疗方法。然而基因治疗面临着一系列一陆床应用障碍,其中缺乏理想的基因输送载体是首要问题。绝大多数基因治疗方案受困缺乏安全有效的基因输送手段,载体要达到目的地发挥作用,需要克服一系列复杂的体内生物屏障,包括细胞外屏障和细胞内屏障。目前基因输送载体主要分为病毒载体和非病毒载体,其中病毒载体天然进化至可进入宿主细胞,具有输送效率高,靶向性好的特点,但存在长期安全性的缺点。非病毒载体主要包括阳离子脂质体和阳离子聚合物,由于易于制备和无免疫原性、安全性好,被认为是更有潜力的输送载体,是目前研究的重点。本文结合基因治疗输送屏障的理论基础及临床研究,对基因输送载体系统的现状进行了综述。     

慢病毒载体介导RNAi的研究进展

RNAi通过双链RNA的介导,特异性阻抑相关序列的表达,从而导致转录后水平的基因沉默.广泛存在于真菌、植物和动物等真核生物中.慢病毒载体是理想的真核细胞基因转移工具,被广泛应用于相关的RNAi研究领域,例如抗病毒研究、癌症及其治疗、遗传性疾病的治疗、基因治疗.现已发现,慢病毒载体能够介导组织特异、时间特异的RNAi,在疾病的基因靶向性治疗上必有广阔的前景.     

综述——纳米材料与药物输递：基因治疗药物输递系统的研究现状及发展趋势

基因治疗是一种有效的治疗方法,可用于治疗多种严重威胁人类健康的疾病．然而,裸露的基因治疗药物存在易被核酶降解、细胞内吞效果差和细胞靶向能力差等缺点．因此,需要寻求合适的载体,将基因治疗药物有效地输递到靶细胞,实现高效的基因治疗．本文主要综述了近年来基因治疗药物输递系统的研究进展,分别总结和阐述了病毒载体,脂质体、聚合物和树状大分子等非病毒载体,以及具有示踪功能的输递系统的特点及研究和发展现状．     

黄病毒载体技术

随着人们对病毒生活周期、分子生物学及其与疾病发生发展关系的深入认识,病毒载体逐渐成为科学研究的焦点和热点.病毒载体作为一种基因导入系统,在疫苗和基因治疗中发挥极其重要的作用,一些以病毒作为载体的疫苗和基因治疗药物已进入临床研究阶段,并取得了很大的进展.本文拟对目前黄病毒载体技术的最新进展作一综述.     

基因治疗的新载体——腺联病毒

基因治疗将一种全新的概念引入医学界，给现有条件尚难治愈的疾病患者带来一线希望。基因治疗主要是利用病毒介导的基因转移，腺联病毒ＡＡＶ载体，由于其得天独厚的特点，正广泛地用于基因治疗研究。文中简单地介绍了ＡＡＶ的生物学特点、载体结构及其在基因治疗研究中的优越性。     

基因治疗中的动物病毒载体

动物病毒载体在基因转移和治疗中有着重要意义。逆转录病毒载体是目前用子基因治疗最为成功的,已用于多种病例的临床研究;腺病毒载体成功地对多种基因进行了转移,并用于囊性纤维病的基因治疗临床研究;腺病毒相关病毒载体和单纯疤疾病毒载体介导的基因转移在体外培养细胞和动物实验中都取得成功,在某些疾病的基因治疗中显示出特殊的应用价值。     

基于EBNA1和oriP的载体在基因治疗中的应用研究进展

非病毒载体用于基因治疗的主要问题是导入靶细胞的效率较低,目的基因表达水平低,疗效持续时间也较短。EBNA1和oriP元件使引入该元件的质粒在真核细胞内保持为游离体、转运入核、转录增强。质粒携带的目的基因能够获得较高的转染效率,高水平、持续的表达。基于EBNA1/oriP的质粒在肿瘤、单基因缺陷先天性疾病、TNF相关的炎性疾病的基因治疗中显示了良好的应用前景。EBNA1/oriP元件用于构建人工染色体,携带目的基因的调控序列,可望实现可调控的基因治疗。     

人腺病毒工程化应用研究进展

人腺病毒流行广泛,感染常诱发呼吸道疾病、流行性结膜炎等疾病。腺病毒是研究较为深入的一类病原体,并且作为病毒载体已广泛应用,也是基因治疗最常用的病毒载体,尤其在肿瘤基因治疗和病毒溶瘤方面具有较大的研究价值和临床应用潜力。文中对腺病毒的生物学特性以及应用范围等方面进行综述,以期为腺病毒的工程化与临床应用提供参考。     

Gene therapy: light is finally in the tunnel

After two decades of ups and downs, gene therapy has recently achieved a milestone in treating patients with Leber’s congenital amaurosis (LCA). LCA is a group of inherited blinding diseases with retinal degeneration and severe vision loss in early infancy. Mutations in several genes, including RPE65, cause the disease. Using adeno-associated virus as a vector, three independent teams of investigators have recently shown that RPE65 can be delivered to retinal pigment epithelial cells of LCA patients by subretinal injections resulting in clinical benefits without side effects. However, considering the whole field of gene therapy, there are still major obstacles to clinical applications for other diseases. These obstacles include innate and immune barriers to vector delivery, toxicity of vectors and the lack of sustained therapeutic gene expression. Therefore, new strategies are needed to overcome these hurdles for achieving safe and effective gene therapy. In this article, we shall review the major advancements over the past two decades and, using lung gene therapy as an example, discuss the current obstacles and possible solutions to provide a roadmap for future gene therapy research.     

Clinical translation of gene medicine

Gene therapy has recently witnessed accelerated progress as a new therapeutic strategy with the potential to treat a range of inherited and acquired diseases. Billions of dollars have been invested in basic and clinical research on gene medicine, with ongoing clinical trials focused on cancer, monogenic diseases, cardiovascular diseases and other refractory diseases. Advances addressing the inherent challenges of gene therapy, particularly those related to retaining the delivery efficacy and minimizing unwanted immune responses, provide the basis for the widespread clinical application of gene medicine. Several types of genes delivered by viral or non‐viral delivery vectors have demonstrated encouraging results in both animals and humans. As augmented by clinical indications, gene medicine techniques have rapidly become a promising alternative to conventional therapeutic strategies because of their better clinical benefit and lower toxicities. Their application in the clinic has been extensive as a result of the approval of many gene therapy drugs in recent years. In this review, we provide a comprehensive overview of the clinical translation of gene medicine, focusing on the key events and latest progress made regarding clinical gene therapy products. We also discuss the gene types and non‐viral materials with respect to developing gene therapeutics in clinical trials.     

基因治疗产品的开发现状与挑战

基因治疗是将外源性遗传物质通过多种方法转移到靶细胞中,用来治疗特定疾病。基因治疗对某些单基因遗传病有一次治愈的可能,或将成为未来治疗人类疾病的重要手段。但基因治疗仍存在诸多挑战,如长期的安全性和疗效数据、可及性以及监管等。从基因治疗的基本概念和历史出发,结合基因治疗产品的开发现状和未来,进行讨论。     

基于造血干细胞为靶细胞的基因治疗

在基因治疗中,造血干细胞因为具有自我更新及分化为各种血细胞系的能力而成为一种很有吸引力的靶细胞。将外源目的基因导入造血干细胞,以纠正或补偿因基因缺陷和异常引起的疾病,特别是血液疾病已取得重要进展,例如:腺苷脱氨酶缺陷病、血友病、地中海贫血症及镰状细胞性贫血症等。而慢病毒以其转染效率高,能够感染非分裂期细胞的特点成为转染造血干细胞的最适合载体,本文就造血干细胞的特性、载体的选择及临床应用和基因治疗的安全性等方面作一综述。     

哺乳动物中基因持续表达的策略

人类遗传病的治疗越来越依赖于基因水平上的治疗,但外源基因不能在哺乳动物中持续表达的缺陷严重阻碍了这一手段的快速发展。含有转座子载体的染色体基因组整合,裸露质粒DNA转化到肝脏的压力输送,或是在质粒载体中插入真核基因的顺式作用元件如内含子、3’端非翻译区、EBV序列等,都可以在一定程度上赋于外源基因以长期持续的表达,这些策略对于基因治疗的发展具有重要的意义。 Abstract: Gene therapy holds great promises to a variety of inherited diseases. However, the limitations on extended and consistent foreign gene expression has severely hampered the development of applicable gene therapy approaches. Technologies are reviewed here including transponson integration, biolistic measures that pulse the naked plasmid into living organs, or the integration of eukaryotic cis elements into introns, 3′ untranslated regions, or the integration of the EBV sequences, which could assist in the prolonged gene expression of the introduced foreign genes. These strategies may significantly promote the progresses of gene therapy.     

The evolution of heart gene delivery vectors

Gene therapy holds promise for treating numerous heart diseases. A key premise for the success of cardiac gene therapy is the development of powerful gene transfer vehicles that can achieve highly efficient and persistent gene transfer specifically in the heart. Other features of an ideal vector include negligible toxicity, minimal immunogenicity and easy manufacturing. Rapid progress in the fields of molecular biology and virology has offered great opportunities to engineer various genetic materials for heart gene delivery. Several nonviral vectors (e.g. naked plasmids, plasmid lipid/polymer complexes and oligonucleotides) have been tested. Commonly used viral vectors include lentivirus, adenovirus and adeno-associated virus. Among these, adeno-associated virus has shown many attractive features for pre-clinical experimentation in animal models of heart diseases. We review the history and evolution of these vectors for heart gene transfer.     

Gene therapy moves forward - The Second International Meeting on Gene and Cell Therapies of Arthritis and Related Disorders, 17-18 May 2001, Montpellier, France

The field of gene therapy for bone and joint disorders has grown considerably over the last two and a half years. Investigators have shown that ex vivo or in vivo gene transfer is highly effective in blocking arthritis or facilitating repair of damaged cartilage or bone. The feasibility of applying gene therapy for the treatment of arthritis in humans has also been demonstrated. Thus, gene therapy appears poised to make significant contributions to the clinical treatment of joint and bone diseases in the near future.     

中国遗传学会会讯

中国遗传学会常务理事会扩大会于1981年12月 6日在京召开。会议讨论了“中国遗传学会第二届代 表大会暨学术讨论会”的具体事项。