广西医科大学学报2024,Vol.41Issue(1) :1-10.DOI:10.16190/j.cnki.45-1211/r.2024.01.001

地中海贫血基因治疗进展和现状

Progress and current status of gene therapy for thalassemia

陈辉 贾玉艳 黄粤 刘德培
广西医科大学学报2024,Vol.41Issue(1) :1-10.DOI:10.16190/j.cnki.45-1211/r.2024.01.001

地中海贫血基因治疗进展和现状

Progress and current status of gene therapy for thalassemia

陈辉 1贾玉艳 2黄粤 2刘德培2
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作者信息

  • 1. 国家卫生健康委地中海贫血防治重点实验室,南宁 530021;广西医科大学再生医学与医用生物资源开发应用省部共建协同创新中心,南宁 530021
  • 2. 中国医学科学院基础医学研究所 北京协和医学院基础学院重大疾病共性机制研究全国重点实验室,北京 100005
  • 折叠

摘要

地中海贫血(地贫)是由于α-或β-珠蛋白基因突变或者缺失使α-或β-珠蛋白链生成缺陷,最终导致的遗传性溶血性疾病.同种异体造血干细胞移植是一种能够治愈输血依赖型地贫(TDT)的选择,但由于匹配的供体来源的限制,以及不匹配供体移植的风险,只有不到10%的患者能受益于这种治疗.自体造血干细胞的基因治疗为TDT患者提供了一个新的、可治愈的选择.β-地贫的基因治疗主要有两种策略:一是通过慢病毒载体介导补充β-珠蛋白的基因替代;二是通过基因编辑技术重新激活胎儿期γ-珠蛋白的表达.α-地贫基因治疗的研究还未有报道.本文综述了β-地贫基因治疗国际和国内的进展和现状,还讨论了目前地贫基因治疗的问题和后续研发的可能方向.

Abstract

Thalassemia is a hereditary hemolytic disease caused by the deficiency production of either the α-or β-globin chains,resulting from mutation or deletion of the α-or β-globin genes.Allogeneic hematopoietic stem cell transplantation is a curative option available for transfusion dependent thalassemia(TDT)patients.However,due to the limitation of matching donor sources,as well as the risk of unmatched donor transplantation,only few-er than 10%of patients are actually able to avail of the treatment.Gene therapy of autologous hematopoietic stem cell transplantation offers a new curative option for patients with TDT.Currently,there are two main strategies for gene therapy of β-thalassemia,one is through lentiviral vector mediated replacement of β-globin gene,and the other is through gene editing to re-active the expression of fetal γ-globin.There have been no reports about gene therapy for α-thalassemia until now.This article reviews the progress and status of gene therapy for β-thalassemia at home and abroad,and discusses the current problems and possible future directions of follow-up research of gene therapy for β-thalassemia.

关键词

地中海贫血/基因治疗/基因编辑/造血干细胞/移植

Key words

thalassemia/gene therapy/gene editing/hematopoietic stem cell/transplantation

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基金项目

全国重点实验室专项(2060204)

出版年

2024
广西医科大学学报
广西医科大学

广西医科大学学报

CSTPCD
影响因子:0.788
ISSN:1005-930X
参考文献量50
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