临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (10): 794-.doi: 10.3969/j.issn.1000-3606.2020.10.018

• 继续医学教育 • 上一篇    下一篇

罕见病的基因治疗应用与展望

桂怡婷,李强,桂永浩   

  1. 复旦大学附属儿科医院(上海 201102)
  • 出版日期:2020-10-15 发布日期:2020-10-10

Application and prospect of gene therapy for rare diseases

GUI Yiting, LI Qiang, GUI Yonghao   

  1. Children’s Hospital of Fudan University, Shanghai 201102, China
  • Online:2020-10-15 Published:2020-10-10

摘要: 罕见病发病率极低、但大多病情严重且好发于儿童时期,多由遗传变异所引起。因患者数少、市场需求低,罕 见病药物的研发成本极高,有药可治的罕见病仅不足1%。随着基因诊断技术进步,基因治疗凭借其“一次性彻底治愈”的 特点,为遗传性罕见病患者带来了希望。本文介绍罕见病的基因治疗现状,论述传统基因递送技术和以CRISPR-Cas9为 代表的基因编辑技术在罕见病中的应用及发展。

关键词: 罕见病; 基因治疗; 基因递送技术;? CRISPR-Cas9基因编辑技术

Abstract: The?incidence?of?rare?diseases?is?extremely?low,?but?most?of?them?are?serious?and?tend?to?occur?in?childhood.? Mostly?they?are?caused?by?genetic?mutations.?Due?to?the?small?number?of?patients?and?low?market?demand,?the?research?and? development?cost?of?rare?disease?drugs?is?very?high,?and?only?less?than?1%?of?rare?diseases?have?drugs?available?for?treatment.? With?the?advancement?of?genetic?diagnosis?technology,?gene?therapy?by?virtue?of?its?"one-time?complete?cure"?feature?has? brought?hope?to?patients?with?hereditary?rare?diseases.?This?article?reviews?the?current?status?of?gene?therapy?for?rare?diseases,?and? discusses?the?application?and?development?of?traditional?gene?delivery?technologies?and?gene?editing?technologies?represented?by? CRISPR-Cas9?in?rare?diseases.

Key words: rare?disease;? gene?therapy;? gene?delivery?technology;? CRISPR-Cas9?gene?editing?technology