Sep 29, 2004

Development and application of gene therapy technologies

Uirusu
Keiya Ozawa

Abstract

The success of hematopoietic stem cell gene therapy for X-linked severe combined immunodeficiency (X-SCID) was a major breakthrough in the field of gene therapy. However, two patients treated with this gene therapy developed leukemia at a later time, and retroviral vector-mediated gene transfer was considered to trigger leukemogenesis; i.e. insertional mutagenesis caused activation of LMO 2 gene, which was one step toward leukemia development. To cope with this serious problem, basic studies are required to improve the safety of retroviral vectors and to develop the method for site-specific integration of transgenes. In addition, we have to develop technologies such as selective amplifier genes (SAGs), the system for selective expansion of transduced cells, in order to obtain therapeutic efficacy of hematopoietic stem cell gene therapy in many other disorders. Moreover, clinical applications of AAV vector are promising from the standpoint of safety issue, because this vector is derived from non-pathogenic virus. AAV vector is appropriate for gene transfer into neurons, muscles, and hepatocytes. For example, gene therapy for Parkinson's disease is investigated using AAV vectors. Genetic manipulation is also one of the indispensa...Continue Reading

Mentioned in this Paper

LMO2 protein, human
Shuttle Vectors
Gene Transfer Techniques
Colony-Forming Units, Hematopoietic
Pathogenic Organism
One Step (dimethicone)
LIM Domain Protein
Adeno-Associated Virus
Neurons
One-Step Dentin Bonding System

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