治疗帕金森病的 CRISPR 技术:最新进展和持续挑战

Rishima Mathur, Marissa Seamon
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摘要

帕金森病(PD)是一种神经退行性疾病,由多巴胺减少引起,导致运动功能受损。帕金森病研究中使用了各种基因编辑方法,以了解该疾病的复杂性并开发治疗方法。由于无法治愈且治疗方法有限,了解帕金森病研究的最新进展,尤其是新基因编辑技术的进展非常重要。因此,我们评估了基因治疗和 CRISPR 技术在帕金森病研究中的最新进展,并使用 Pubmed 查找了过去十年中 CRISPR 在帕金森病研究中的应用。我们使用 clinicaltrials.gov 对治疗帕金森病的细胞和基因疗法临床试验进行了汇编,发现目前没有任何疗法被批准用于帕金森病的治疗,CRISPR 也尚未被纳入任何临床试验。我们将用于帕金森病研究的 CRISPR 技术分为三种研究类型:动物模型、干细胞和细胞培养。回顾的研究涉及对遗传形式的帕金森病和病理特征的研究,如α-突触核蛋白积累、线粒体功能障碍和细胞死亡。双转基因或三转基因模型和诱导多能干细胞最近得到了利用,为了解帕金森病提供了重要信息。CRISPR 是一种强大的工具,极大地推动了对帕金森病的研究。然而,要完全揭示病理,并了解 CRISPR 是否可用于治疗,以纠正基因突变并改善帕金森病患者的功能障碍机制,还需要进行大量研究。总体而言,CRISPR 技术在帕金森病治疗中的应用仍处于早期开发阶段,目前正在使用细胞和动物模型进行测试,有望很快进入临床试验阶段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CRISPR technology for Parkinson’s disease: Recent advancements and ongoing challenges
Parkinson’s disease (PD) is a neurodegenerative disorder caused by decreased dopamine, resulting in impaired motor function. Various gene editing methods are used in PD research to understand the disease’s complexity and develop treatments. With no cure and limited treatments, it is important to understand the recent advances in PD research, particularly with new gene editing technologies. Therefore, we evaluated recent advancements in gene therapy and CRISPR technology in PD research, using Pubmed to identify CRISPR use in PD research conducted within the past ten years. We compiled cell and gene therapy clinical trials for PD using clinicaltrials.gov, finding no current therapies approved for PD treatment, and CRISPR has yet to be incorporated in any clinical trials. We organized CRISPR technology used in PD research into three study types: animal models, stem cells, and cell culture. The studies reviewed involve research into genetic forms of PD and pathological hallmarks, such as α-synuclein accumulation, mitochondrial dysfunction, and cell death. Double or triple-transgenic models and induced pluripotent stem cells have been utilized more recently, contributing critical information to the understanding of PD. CRISPR is a powerful tool that has significantly advanced PD research. However, much research is still required to fully unravel the pathology and see whether CRISPR can be used in therapies to correct gene mutations and improve dysfunctional mechanisms across PD patients. Overall, CRISPR techniques for use in PD treatments are still in early development, being tested using cell and animal models that will hopefully move into clinical trials soon.
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