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Journal ArticleDOI

State-of-the-art gene-based therapies: the road ahead.

Mark A. Kay
- 01 May 2011 - 
- Vol. 12, Iss: 5, pp 316-328
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TLDR
Improvements in the gene transfer vectors used in therapeutic trials have led to substantial clinical successes in patients with serious genetic conditions, such as immunodeficiency syndromes, blindness and some cancer types.
Abstract
Improvements in the gene transfer vectors used in therapeutic trials have led to substantial clinical successes in patients with serious genetic conditions, such as immunodeficiency syndromes, blindness and some cancer types. Several barriers need to be overcome before this type of therapy becomes a widely accepted treatment for a broad group of medical diseases. However, recent progress in the field is finally realizing some of the promises made more than 20 years ago, providing optimism for additional successes in the near future.

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Citations
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Influence of DNA sequence on the structure of minicircles under torsional stress.

TL;DR: It is found that DNA minicircle topoisomers can have multiple bend locations under high torsional stress and that the positions of these sharp bends are determined by the sequence, and by a positive mechanical correlation along the sequence.
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DNA Ministrings: Highly Safe and Effective Gene Delivery Vectors

TL;DR: Ministring DNA that integrated into the genome of human cells caused chromosomal disruption and apoptotic death of possibly oncogenic vector integrants; thus, they may be safer than plasmid and circular DNA vectors.
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Gene therapy for neurological disorders: challenges and recent advancements.

TL;DR: An overview of the latest advances in targeted gene delivery is presented and the challenges and future direction of gene therapy in the treatment of neurological disorders are discussed.
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Gene therapy for haemophilia: Prospects and challenges to prevent or reverse inhibitor formation

TL;DR: This review will describe the laboratory and clinical progress, and the challenges met thus far, in achieving the goal of gene therapy efficacy, with a focus on thegoal of tolerance induction.
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Postprandial dyslipidaemia and diabetes: mechanistic and therapeutic aspects.

TL;DR: Regulating the plasma concentrations of triglyceride-rich lipoproteins may decrease the cardiovascular complications of diabetes and the mechanisms of action of incretin-based treatments on dyslipidaemia and endothelial dysfunction need further investigation.
References
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Journal ArticleDOI

Gene therapy of human severe combined immunodeficiency (SCID)-X1 disease

TL;DR: A gene therapy trial for SCID-X1 was initiated, based on the use of complementary DNA containing a defective gammac Moloney retrovirus-derived vector and ex vivo infection of CD34+ cells, which provided full correction of disease phenotype and clinical benefit.
Journal ArticleDOI

Progress and problems with the use of viral vectors for gene therapy

TL;DR: With the development of a leukaemia-like syndrome in two patients cured of a disease by gene therapy, it is timely to contemplate how far this technology has come, and how far it still has to go.
Journal ArticleDOI

Genome editing with engineered zinc finger nucleases

TL;DR: A broad range of outcomes has resulted from the application of the same core technology: targeted genome cleavage by engineered, sequence-specific zinc finger nucleases followed by gene modification during subsequent repair.
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