继续医学教育

范可尼贫血基因治疗研究进展

  • 习必鑫 ,
  • 胡群 ,
  • 刘爱国
展开
  • 华中科技大学同济医学院附属同济医院儿童血液科(湖北武汉 430030)

收稿日期: 2021-10-20

  网络出版日期: 2023-02-16

Advances in the gene therapy for Fanconi anemia

  • Bixin XI ,
  • Qun HU ,
  • Aiguo LIU
Expand
  • Department of Pediatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China

Received date: 2021-10-20

  Online published: 2023-02-16

摘要

范可尼贫血是一种罕见的单基因缺陷疾病,以进行性骨髓造血功能衰竭为主要特征。异基因造血干细胞移植是范可尼贫血最主要的治疗方式,但是移植相关并发症的发病率和致死率较高,严重影响患儿的生活质量。近30年来,随着医学的进步与发展,基因治疗有望成为治愈儿童范可尼贫血的新型低毒性治疗方式。文章旨在综述儿童范可尼贫血基因治疗的研究进展。

本文引用格式

习必鑫 , 胡群 , 刘爱国 . 范可尼贫血基因治疗研究进展[J]. 临床儿科杂志, 2023 , 41(2) : 156 -160 . DOI: 10.12372/jcp.2023.21e1465

Abstract

Fanconi anemia is a rare monogenic disease with the hallmark of bone marrow failure. Although allogeneic hematopoietic stem cell transplantation constitutes the preferred therapy for bone marrow failure in Fanconi anemia patients, the increased incidence and mortality of transplant-related complications have seriously affected their quality of life. As medical science advances in recent 30 years, gene therapy may emerge as an innovative low-toxicity therapeutic option for this life-threatening disorder. In this paper, attention is focused on the advances in gene therapy for Fanconi anemia in children.

参考文献

[1] Guitton-Sert L, Gao Y, Masson JY. Animal models of Fanconi anemia: A developmental and therapeutic perspective on a multifaceted disease[J]. Semin Cell Dev Biol, 2021, 55(113): 113-131.
[2] Río P, Navarro S, Bueren JA. Advances in gene therapy for Fanconi anemia[J]. Hum Gene Ther, 2018, 29(10): 1114-1123.
[3] Brody H. Gene therapy[J]. Nature, 2018, 564(7735): S5.
[4] Río P, Navarro S, Wang W, et al. Successful engraftment of gene-corrected hematopoietic stem cells in non-conditioned patients with Fanconi anemia[J]. Nat Med, 2019, 25(9): 1396-1401.
[5] Liu JM, Kim S, Read EJ, et al. Engraftment of hematopoietic progenitor cells transduced with the Fanconi anemia group C gene (FANCC)[J]. Hum Gene Ther, 1999, 10(14): 2337-2346.
[6] Hanenberg H, Roellecke K, Wiek C. Stem cell genetic therapy for fanconi anemia - a new hope[J]. Curr Gene Ther, 2017, 16(5): 309-320.
[7] Kelly PF, Radtke S, von Kalle C, et al. Stem cell collection and gene transfer in Fanconi anemia[J]. Mol Ther, 2007, 15(1): 211-219.
[8] Gaspar HB, Parsley KL, Howe S, et al. Gene therapy of X-linked severe combined immunodeficiency by use of a pseudotyped gammaretroviral vector[J]. Lancet, 2004, 364(9452): 2181-2187.
[9] Verhoeyen E, Roman-Rodriguez FJ, Cosset FL, et al. Gene therapy in Fanconi anemia: a matter of time, safety and gene transfer tool efficiency[J]. Curr Gene Ther, 2017, 16(5): 297-308.
[10] Adair JE, Chandrasekaran D, Sghia-Hughes G, et al. Novel lineage depletion preserves autologous blood stem cells for gene therapy of Fanconi anemia complementation group A[J]. Haematologica, 2018, 103(11): 1806-1814.
[11] Shafqat S, Tariq E, Parnes AD, et al. Role of gene therapy in Fanconi anemia: A systematic and literature review with future directions[J]. Hematol Oncol Stem Cell Ther, 2021, 14(4): 290-301.
[12] Shakeel S, Rajendra E, Alcón P, et al. Structure of the Fanconi anaemia monoubiquitin ligase complex[J]. Nature, 2019, 575(7781): 234-237.
[13] Sevilla J, Navarro S, Rio P, et al. Improved collection of hematopoietic stem cells and progenitors from Fanconi anemia patients for gene therapy purposes[J]. Mol Ther Methods Clin Dev, 2021, 22: 66-75.
[14] Czechowicz A, Rio P, Bueren JE, et al. Changing the natural history of Fanconi anemia complementation Group-A with gene therapy: early results of US Phase I study of lentiviral-mediated ex-vivo FANCA gene insertion in human stem and progenitor cells[J]. Biol Blood Marrow Transplant, 2020, 26: S39-S40.
[15] Flotte TR, Gao G. Prime editing: a novel Cas9-reverse transcriptase fusion may revolutionize genome editing[J]. Hum Gene Ther, 2019, 30(12): 1445-1446.
文章导航

/