TERAPIA GENICA

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A pesar de que os vírus representam o sistema mais eficiente, o desenvolvimento de vetores hibridos que combinem vantagens de vetores virais e não virais trarão novas perspectivas para o aumento da eficiência dos protocolos de terapia gênica
beyer9.jpg Autor:
Nance Beyer nardi,
Columnista Experto de SIIC

Institución:
Departamento de Genética Universidad Federal do Rio Grande do Sul (UFRGS) RS, Brasil


Artículos publicados por Nance Beyer nardi,
Coautores
Melissa Camassola*  Luisa Maria Braga** 
Bióloga, Mestranda junto ao Programa de Pós-Graduação em Genética e Biologia Molecular UFRGS.*
M Sc, Doutoranda junto ao Programa de Pós-Graduação em Genética e Biologia Molecular UFRGS.**
Recepción del artículo
20 de Abril, 2004
Primera edición
8 de Octubre, 2004
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
A terapia gênica surgiu no meio médico e científico como uma abordagem molecular visando tratamentos e profilaxias para diversos tipos doenças, inclusive aquelas que não respondem a terapias convencionais. O princípio básico deste procedimento é a transferência de material genético para tecidos ou células alvo. A aplicação de protocolos de terapia gênica tem encontrado bem mais problemas que o esperado quando a idéia foi inicialmente estabelecida, há quase duas décadas. Uma baixa eficiência dos métodos de transferência gênica, bem como dificuldades na manutenção da expressão dos transgenes, têm sido as principais limitações. Três tecnologias de transferência gênica principais estão em desenvolvimento: o desenho de vetores sintéticos, o aperfeiçoamento de vetores virais, e protocolos para a transferência ex vivo principalmente para células tronco. Muitos métodos diferentes têm sido descritos para a transferência gênica para células tronco. Apesar de que os vírus representam o sistema mais eficiente, o desenvolvimento de vetores hibridos que combinem vantagens de vetores virais e não virais trarão novas perspectivas para o aumento da eficiência dos protocolos de terapia gênica. Vários ensaios clínicos estão em andamento e prometem grandes benefícios no futuro.

Palabras clave
Terapia gênica, vetores virais e não virais, transgene, MPS I, IDUA


Artículo completo

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Extensión:  +/-6.71 páginas impresas en papel A4
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Abstract
Gene therapy was introduced in the scientific and medical areas as a molecular approach for the treatment and prevention of several kinds of diseases, including those which do not answer to conventional therapies. The basis of the procedure is the transfer of genetic material to target cells or tissues. The application of gene therapy protocols has faced many more problems than what was foreseen when the idea was first developed almost two decades ago. Low gene transfer effectiveness and the lack of long-term expression maintenance have been the main limitations. Three main gene transfer technologies are under development: design of synthetic vectors, improvement of virus-derived vectors, and protocols for the ex vivo gene transfer to (mainly stem) cells. Many different methods have been described to transfer genes to stem cells. Although retroviruses represent the most effective transfer system, the development of hybrid vectors which sum up viral and non-viral advantages will certainly bring new perspectives for the effectiveness of gene therapy protocols. Several clinical trials are now under experimentation and promise great benefits in a near future.

Key words
Gene therapy, viral and non-viral vectors, transgene, MPS I, IDUA


Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Genética Humana
Relacionadas: Farmacología, Inmunología, Medicina Interna



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Bibliografía del artículo
  1. Friedmann T. Overcoming the obstacles to gene therapy. Sci Am. 1997 Jun;276(6):96-101.
  2. Cavazzana-Calvo M, Hacein-Bey S, de Saint Basile G, Gross F, Yvon E, Nusbaum P, Selz F, Hue C, Certain S, Casanova JL, Bousso P, Deist FL, Fischer A. Gene therapy of human severe combined immunodeficiency (SCID)-X1 disease. Science. 2000 Apr 28;288(5466):669-72
  3. Romano G, Michell P, Pacilio C, Giordano A. Latest developments in gene transfer technology: achievements, perspectives, and controversies over therapeutic applications. Stem Cells. 2000;18(1):19-39.
  4. Kim CK, Haider KH, Lim SJ. Gene medicine : a new field of molecular medicine. Arch Pharm Res. 2001 Feb;24(1):1-15.
  5. Anderson WF. Human gene therapy. Nature. 1998 Apr 30;392(6679 Suppl):25-30.
  6. Cuthbert AW. Disease genes: flattery and deception. Trends Pharmacol Sci. 2002 Nov;23(11):504-9.
  7. Romano G, Michell P, Pacilio C, Giordano A. Latest developments in gene transfer technology: achievements, perspectives, and controversies over therapeutic applications. Stem Cells. 2000;18(1):19-39.
  8. Nardi NB, Teixeira LA, Silva EFÁ. Terapia gênica. Ciência Saúde Coletiva. 2002;7:109-16.
  9. Gehl J. Electroporation: theory and methods, perspectives for drug delivery, gene therapy and research. Acta Physiol Scand. 2003 Apr;177(4):437-47.
  10. Pouton CW, Seymour LW. Key issues in non-viral gene delivery. Adv Drug Deliv Rev. 1998 Oct 5;34(1):3-19.
  11. Smith KR. Gene therapy: theoretical and bioethical concepts. Arch Med Res. 2003 Jul-Aug;34(4):247-68.
  12. Robbins PD, Ghivizzani SC. Viral vectors for gene therapy. Pharmacol Ther. 1998 Oct;80(1):35-47.
  13. Connelly S. Adenoviral Vectors. In: MEAGER, A., eds.: Gene Therapy Tecnologies, Applications and Regulations. From Laboratory to Clinic. New York: John Wiley & Sons Ltd, 1999, 87-107.
  14. Jooss K, Chirmule N. Immunity to adenovirus and adeno-associated viral vectors: implications for gene therapy. Gene Ther. 2003 Jun;10(11):955-63.
  15. Dani SU. The challenge of vector development in gene therapy. Braz J Med Biol Res. 1999 Feb;32(2):133-45.
  16. Xiao X, Li J, McCown TJ, Samulski RJ. Gene transfer by adeno-associated virus vectors into the central nervous system. Exp Neurol. 1997 Mar;144(1):113-24.
  17. Dani SU. Terapia gênica. Biotecnol Ciência Desenv. 2000;12:28-33.
  18. Miyazawa T, Tomonaga K, Kawaguchi Y, Mikami T. The genome of feline immunodeficiency virus. Arch Virol. 1994;134(3-4):221-34.
  19. Poeschla EM, Wong-Staal F, Looney DJ. Efficient transduction of nondividing human cells by feline immunodeficiency virus lentiviral vectors. Nat Med. 1998 Mar;4(3):354-7.
  20. Burns JC, Friedmann T, Driever W, Burrascano M, Yee JK. Vesicular stomatitis virus G glycoprotein pseudotyped retroviral vectors: concentration to very high titer and efficient gene transfer into mammalian and nonmammalian cells. Proc Natl Acad Sci U S A. 1993 Sep 1;90(17):8033-7.
  21. Soneoka Y, Cannon PM, Ramsdale EE, Griffiths JC, Romano G, Kingsman SM, Kingsman AJ. A transient three-plasmid expression system for the production of high titer retroviral vectors. Nucleic Acids Res. 1995 Feb 25;23(4):628-33.
  22. Curran MA, Kaiser SM, Achacoso PL, Nolan GP. Efficient transduction of nondividing cells by optimized feline immunodeficiency virus vectors. Mol Ther. 2000 Jan;1(1):31-8.
  23. Loewen N, Fautsch MP, Peretz M, Bahler CK, Cameron JD, Johnson DH, Poeschla EM. Genetic modification of human trabecular meshwork with lentiviral vectors. Hum Gene Ther. 2001 Nov 20;12(17):2109-19.
  24. Brooks AI, Stein CS, Hughes SM, Heth J, McCray PM Jr, Sauter SL, Johnston JC, Cory-Slechta DA, Federoff HJ, Davidson BL. Functional correction of established central nervous system deficits in an animal model of lysosomal storage disease with feline immunodeficiency virus-based vectors. Proc Natl Acad Sci U S A. 2002 Apr 30;99(9):6216-21.
  25. Di Natale P, Di Domenico C, Villani GR, Lombardo A, Follenzi A, Naldini L. In vitro gene therapy of mucopolysaccharidosis type I by lentiviral vectors. Eur J Biochem. 2002 Jun;269(11):2764-71.
  26. Djalilian HR, Tsuboi Y, Ozeki M, Tekin M, Djalilian AR, Obritch W, Lin J. Feline immunodeficiency virus-mediated gene therapy of middle ear mucosa cells. Auris Nasus Larynx. 2002 Apr;29(2):183-6.
  27. Sinnayah P, Lindley TE, Staber PD, Cassell MD, Davidson BL, Davisson RL. Selective gene transfer to key cardiovascular regions of the brain: comparison of two viral vector systems. Hypertension. 2002 Feb;39(2 Pt 2):603-8.
  28. Podhajcer O, Pitossi F, Agilar-Cordova E. Gene therapy coming of age in Latin America. Mol Ther. 2002 Aug;6(2):153-4.
  29. Zheng Y, Rozengurt N, Ryazantsev S, Kohn DB, Satake N, Neufeld EF. Treatment of the mouse model of mucopolysaccharidosis I with retrovirally transduced bone marrow. Mol Genet Metab. 2003 Aug;79(4):233-44.

 
 
 
 
 
 
 
 
 
 
 
 
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