Gene therapy for myocardial infarction-associated congestive heart failure: how far have we got?

H Kirk Hammond, Tong Tang
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Abstract

With the advancement of vectors, delivery methods, and newly identified molecular targets, preclinical studies have shown that gene transfer is effective in improving left ventricular contractility and attenuating deleterious left ventricular remodeling in myocardial infarction-associated congestive heart failure (CHF). We are optimistic that these favorable effects will also be seen when tested in patients with CHF associated with myocardial infarction, as well as in patients with CHF from other etiologies. Gene therapy has the potential to be tailored to meet the needs of individual patients. Moreover, when used in conjunction with pharmacological and device management of the patient with CHF, it provides hope for a brighter future for the 23 million patients worldwide with this devastating disease.

基因治疗心肌梗死相关充血性心力衰竭:我们取得了多大进展?
随着载体、传递方法和新发现的分子靶点的进步,临床前研究表明,基因转移可有效改善心肌梗死相关性充血性心力衰竭(CHF)患者左心室收缩力和减轻左心室重构。我们乐观地认为,当在伴有心肌梗死的CHF患者以及其他病因的CHF患者中进行试验时,也会看到这些有利的效果。基因治疗有可能量身定制,以满足个别患者的需求。此外,当与CHF患者的药理学和器械管理结合使用时,它为全球2300万患有这种毁灭性疾病的患者带来了更光明的未来的希望。
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