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1.
Curr Opin Biotechnol ; 89: 103177, 2024 Oct.
Article de Anglais | MEDLINE | ID: mdl-39106791

RÉSUMÉ

The advent of highly efficient genome editing (GE) tools, coupled with high-throughput genome sequencing, has paved the way for the accelerated domestication of crop wild relatives. New crops could thus be rapidly created that are well adapted to cope with drought, flooding, soil salinity, or insect damage. De novo domestication avoids the complexity of transferring polygenic stress resistance from wild species to crops. Instead, new crops can be created by manipulating major genes in stress-resistant wild species. However, the genetic basis of certain relevant domestication-related traits often involve epistasis and pleiotropy. Furthermore, pan-genome analyses show that structural variation driving gene expression changes has been selected during domestication. A growing body of work suggests that the Solanaceae family, which includes crop species such as tomatoes, potatoes, eggplants, peppers, and tobacco, is a suitable model group to dissect these phenomena and operate changes in wild relatives to improve agronomic traits rapidly with GE. We briefly discuss the prospects of this exciting novel field in the interface between fundamental and applied plant biology and its potential impact in the coming years.


Sujet(s)
Produits agricoles , Domestication , Édition de gène , Solanaceae , Solanaceae/génétique , Produits agricoles/génétique , Produits agricoles/croissance et développement , Génome végétal , Amélioration des plantes/méthodes
2.
Methods Mol Biol ; 2827: 223-241, 2024.
Article de Anglais | MEDLINE | ID: mdl-38985274

RÉSUMÉ

Over the years, our team has dedicated significant efforts to studying a unique natural dye-producing species, annatto (Bixa orellana L.). We have amassed knowledge and established foundations that support the applications of gene expression analysis in comprehending in vitro morphogenic regeneration processes, phase transition aspects, and bixin biosynthesis. Additionally, we have conducted gene editing associated with these processes. The advancements in this field are expected to enhance breeding practices and contribute to the overall improvement of this significant woody species. Here, we present a step-by-step protocol based on somatic embryogenesis and an optimized transformation protocol utilizing Agrobacterium tumefaciens.


Sujet(s)
Agrobacterium tumefaciens , Bixaceae , Transformation génétique , Agrobacterium tumefaciens/génétique , Bixaceae/génétique , Bixaceae/métabolisme , Techniques de culture de tissus/méthodes , Techniques d'embryogenèse somatique végétale/méthodes , Édition de gène/méthodes , Végétaux génétiquement modifiés/génétique , Végétaux génétiquement modifiés/croissance et développement
4.
PLoS One ; 19(5): e0303999, 2024.
Article de Anglais | MEDLINE | ID: mdl-38781126

RÉSUMÉ

Serine integrases (Ints) are a family of site-specific recombinases (SSRs) encoded by some bacteriophages to integrate their genetic material into the genome of a host. Their ability to rearrange DNA sequences in different ways including inversion, excision, or insertion with no help from endogenous molecular machinery, confers important biotechnological value as genetic editing tools with high host plasticity. Despite advances in their use in prokaryotic cells, only a few Ints are currently used as gene editors in eukaryotes, partly due to the functional loss and cytotoxicity presented by some candidates in more complex organisms. To help expand the number of Ints available for the assembly of more complex multifunctional circuits in eukaryotic cells, this protocol describes a platform for the assembly and functional screening of serine-integrase-based genetic switches designed to control gene expression by directional inversions of DNA sequence orientation. The system consists of two sets of plasmids, an effector module and a reporter module, both sets assembled with regulatory components (as promoter and terminator regions) appropriate for expression in mammals, including humans, and plants. The complete method involves plasmid design, DNA delivery, testing and both molecular and phenotypical assessment of results. This platform presents a suitable workflow for the identification and functional validation of new tools for the genetic regulation and reprogramming of organisms with importance in different fields, from medical applications to crop enhancement, as shown by the initial results obtained. This protocol can be completed in 4 weeks for mammalian cells or up to 8 weeks for plant cells, considering cell culture or plant growth time.


Sujet(s)
Cellules eucaryotes , Integrases , Integrases/métabolisme , Integrases/génétique , Humains , Cellules eucaryotes/métabolisme , Plasmides/génétique , Sérine/métabolisme , Édition de gène/méthodes
5.
Methods Mol Biol ; 2788: 227-241, 2024.
Article de Anglais | MEDLINE | ID: mdl-38656517

RÉSUMÉ

The Coffea spp. plant is a significant crop in Latin America, Africa, and Asia, and recent advances in genomics and transcriptomics have opened possibilities for studying candidate genes and introducing new desirable traits through genetic engineering. While stable transformation of coffee plants has been reported using various techniques, it is a time-consuming and laborious process. To overcome this, transient transformation methods have been developed, which avoid the limitations of stable transformation. This chapter describes an ex vitro protocol for transient expression using A. tumefaciens-mediated infiltration of coffee leaves, which could be used to produce coffee plants expressing desirable traits against biotic and abiotic stresses, genes controlling biochemical and physiological traits, as well as for gene editing through CRISPR/Cas9.


Sujet(s)
Agrobacterium tumefaciens , Coffea , Édition de gène , Feuilles de plante , Végétaux génétiquement modifiés , Transgènes , Coffea/génétique , Feuilles de plante/génétique , Feuilles de plante/métabolisme , Végétaux génétiquement modifiés/génétique , Agrobacterium tumefaciens/génétique , Édition de gène/méthodes , Transformation génétique , Systèmes CRISPR-Cas , Régulation de l'expression des gènes végétaux
6.
Methods Mol Biol ; 2788: 209-226, 2024.
Article de Anglais | MEDLINE | ID: mdl-38656516

RÉSUMÉ

Coffea arabica L. is a crucial crop globally, but its genetic homogeneity leads to its susceptibility to diseases and pests like the coffee berry borer (CBB). Chemical and cultural control methods are difficult due to the majority of the CBB life cycle taking place inside coffee beans. One potential solution is the use of the gene cyt1Aa from Bacillus thuringiensis as a biological insecticide. To validate candidate genes against CBB, a simple, rapid, and efficient transient expression system is necessary. This study uses cell suspensions as a platform for expressing the cyt1Aa gene in the coffee genome (C. arabica L. var. Catuaí) to control CBB. The Agrobacterium tumefaciens strain GV3101::pMP90 containing the bar and cyt1Aa genes are used to genetically transform embryogenic cell suspensions. PCR amplification of the cyt1Aa gene is observed 2, 5, and 7 weeks after infection. This chapter describes a protocol that can be used for the development of resistant varieties against biotic and abiotic stresses and CRISPR/Cas9-mediated genome editing.


Sujet(s)
Agrobacterium tumefaciens , Coffea , Coffea/génétique , Agrobacterium tumefaciens/génétique , Systèmes CRISPR-Cas , Végétaux génétiquement modifiés/génétique , Protéines bactériennes/génétique , Protéines bactériennes/métabolisme , Bacillus thuringiensis/génétique , Endotoxines/génétique , Toxines de Bacillus thuringiensis , Édition de gène/méthodes , Hémolysines/génétique , Régulation de l'expression des gènes végétaux , Transformation génétique , Café/génétique
7.
Methods Mol Biol ; 2788: 257-271, 2024.
Article de Anglais | MEDLINE | ID: mdl-38656519

RÉSUMÉ

Tissue culture optimization protocols limit indica rice breeding. Such a challenge is vital because emergent techniques still rely on tissue culture methods and could allow the breeding of new varieties with higher production and toleration of adverse environmental effects caused by climate change. Genome editing technology, using CRISPR/Cas9, is a fast and precise method for accelerated plant breeding. It limited its use in indica subspecies because of the recalcitrant response to in vitro culture methods. This chapter describes a protocol for CRISPR/Cas9 editing in indica subspecies, specifically in the CR-5272 variety derived from parental lines IR-822, using Agrobacterium tumefaciens and biolistic transformation.


Sujet(s)
Agrobacterium tumefaciens , Systèmes CRISPR-Cas , Édition de gène , Oryza , Oryza/génétique , Édition de gène/méthodes , Agrobacterium tumefaciens/génétique , Génome végétal , Amélioration des plantes/méthodes , Transformation génétique , Végétaux génétiquement modifiés/génétique , Biolistique/méthodes
8.
CRISPR J ; 7(2): 88-99, 2024 04.
Article de Anglais | MEDLINE | ID: mdl-38564197

RÉSUMÉ

Rhodnius prolixus is currently the model vector of choice for studying Chagas disease transmission, a debilitating disease caused by Trypanosoma cruzi parasites. However, transgenesis and gene editing protocols to advance the field are still lacking. Here, we tested protocols for the maternal delivery of CRISPR-Cas9 (clustered regularly spaced palindromic repeats/Cas-9 associated) elements to developing R. prolixus oocytes and strategies for the identification of insertions and deletions (indels) in target loci of resulting gene-edited generation zero (G0) nymphs. We demonstrate successful gene editing of the eye color markers Rp-scarlet and Rp-white, and the cuticle color marker Rp-yellow, with highest effectiveness obtained using Receptor-Mediated Ovary Transduction of Cargo (ReMOT Control) with the ovary-targeting BtKV ligand. These results provide proof of concepts for generating somatic mutations in R. prolixus and potentially for generating germ line-edited lines in triatomines, laying the foundation for gene editing protocols that could lead to the development of novel control strategies for vectors of Chagas disease.


Sujet(s)
Maladie de Chagas , Rhodnius , Animaux , Femelle , Édition de gène/méthodes , Rhodnius/génétique , Rhodnius/parasitologie , Systèmes CRISPR-Cas , Vecteurs insectes/parasitologie , Maladie de Chagas/génétique , Maladie de Chagas/parasitologie
9.
EBioMedicine ; 103: 105125, 2024 May.
Article de Anglais | MEDLINE | ID: mdl-38640834

RÉSUMÉ

We review the evidence for the presence of stem/progenitor cells in the heart and the preclinical and clinical data using diverse cell types for the therapy of cardiac diseases. We highlight the failure of adult stem/progenitor cells to ameliorate heart function in most cardiac diseases, with the possible exception of refractory angina. The use of pluripotent stem cell-derived cardiomyocytes is analysed as a viable alternative therapeutic option but still needs further research at preclinical and clinical stages. We also discuss the use of direct reprogramming of cardiac fibroblasts into cardiomyocytes and the use of extracellular vesicles as therapeutic agents in ischemic and non-ischemic cardiac diseases. Finally, gene therapies and genome editing for the treatment of hereditary cardiac diseases, ablation of genes responsible for atherosclerotic disease, or modulation of gene expression in the heart are discussed.


Sujet(s)
Thérapie génétique , Humains , Thérapie génétique/méthodes , Animaux , Myocytes cardiaques/métabolisme , Myocytes cardiaques/cytologie , Cardiopathies/thérapie , Cardiopathies/génétique , Thérapie cellulaire et tissulaire/méthodes , Édition de gène , Cardiologie/méthodes , Transplantation de cellules souches/méthodes
10.
Theriogenology ; 220: 43-55, 2024 May.
Article de Anglais | MEDLINE | ID: mdl-38471390

RÉSUMÉ

Genome editing in pigs for xenotransplantation has seen significant advances in recent years. This study compared three methodologies to generate gene-edited embryos, including co-injection of sperm together with the CRISPR-Cas9 system into oocytes, named ICSI-MGE (mediated gene editing); microinjection of CRISPR-Cas9 components into oocytes followed by in vitro fertilization (IVF), and microinjection of in vivo fertilized zygotes with the CRISPR-Cas9 system. Our goal was to knock-out (KO) porcine genes involved in the biosynthesis of xenoantigens responsible for the hyperacute rejection of interspecific xenografts, namely GGTA1, CMAH, and ß4GalNT2. Additionally, we attempted to KO the growth hormone receptor (GHR) gene with the aim of limiting the growth of porcine organs to a size that is physiologically suitable for human transplantation. Embryo development, pregnancy, and gene editing rates were evaluated. We found an efficient mutation of the GGTA1 gene following ICSI-MGE, comparable to the results obtained through the microinjection of oocytes followed by IVF. ICSI-MGE also showed higher rates of biallelic mutations compared to the other techniques. Five healthy piglets were born from in vivo-derived embryos, all of them exhibiting biallelic mutations in the GGTA1 gene, with three displaying mutations in the GHR gene. No mutations were observed in the CMAH and ß4GalNT2 genes. In conclusion, in vitro methodologies showed high rates of gene-edited embryos. Specifically, ICSI-MGE proved to be an efficient technique for obtaining homozygous biallelic mutated embryos. Lastly, only live births were obtained from in vivo-derived embryos showing efficient multiple gene editing for GGTA1 and GHR.


Sujet(s)
Systèmes CRISPR-Cas , Édition de gène , Animaux , Suidae/génétique , Humains , Mâle , Animal génétiquement modifié , Édition de gène/médecine vétérinaire , Transplantation hétérologue/médecine vétérinaire , Injections intracytoplasmiques de spermatozoïdes/médecine vétérinaire , Sperme , Fécondation in vitro/médecine vétérinaire
11.
Stem Cell Rev Rep ; 20(3): 722-737, 2024 Apr.
Article de Anglais | MEDLINE | ID: mdl-38319527

RÉSUMÉ

Inherited and non-inherited retinopathies can affect distinct cell types, leading to progressive cell death and visual loss. In the last years, new approaches have indicated exciting opportunities to treat retinopathies. Cell therapy in retinitis pigmentosa, age-related macular disease, and glaucoma have yielded encouraging results in rodents and humans. The first two diseases mainly impact the photoreceptors and the retinal pigmented epithelium, while glaucoma primarily affects the ganglion cell layer. Induced pluripotent stem cells and multipotent stem cells can be differentiated in vitro to obtain specific cell types for use in transplant as well as to assess the impact of candidate molecules aimed at treating retinal degeneration. Moreover, stem cell therapy is presented in combination with newly developed methods, such as gene editing, Müller cells dedifferentiation, sheet & drug delivery, virus-like particles, optogenetics, and 3D bioprinting. This review describes the recent advances in this field, by presenting an updated panel based on cell transplants and related therapies to treat retinopathies.


Sujet(s)
Bio-impression , Glaucome , Transplantation de cellules souches hématopoïétiques , Dégénérescence de la rétine , Humains , Édition de gène/méthodes , Dégénérescence de la rétine/génétique , Dégénérescence de la rétine/thérapie , Transplantation de cellules souches/méthodes
12.
AIDS Res Hum Retroviruses ; 40(6): 363-375, 2024 06.
Article de Anglais | MEDLINE | ID: mdl-38164106

RÉSUMÉ

Despite care and the availability of effective antiretroviral treatment, some human immunodeficiency virus (HIV)-infected individuals suffer from neurocognitive disorders associated with HIV (HAND) that significantly affect their quality of life. The different types of HAND can be divided into asymptomatic neurocognitive impairment, mild neurocognitive disorder, and the most severe form known as HIV-associated dementia. Little is known about the mechanisms of HAND, but it is thought to be related to infection of astrocytes, microglial cells, and macrophages in the human brain. The formation of a viral reservoir that lies dormant as a provirus in resting CD4+ T lymphocytes and in refuge tissues such as the brain contributes significantly to HIV eradication. In recent years, a new set of tools have emerged: the gene editing based on the clustered regularly interspaced palindromic repeats (CRISPR)/Cas9 system, which can alter genome segments by insertion, deletion, and replacement and has great therapeutic potential. This technology has been used in research to treat HIV and appears to offer hope for a possible cure for HIV infection and perhaps prevention of HAND. This approach has the potential to directly impact the quality of life of HIV-infected individuals, which is a very important topic to be known and discussed.


Sujet(s)
Systèmes CRISPR-Cas , Édition de gène , Infections à VIH , Humains , Édition de gène/méthodes , Infections à VIH/thérapie , Thérapie génétique/méthodes , Qualité de vie
13.
Clin Transl Oncol ; 26(6): 1300-1318, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38244129

RÉSUMÉ

In recent years, cancer has become one of the primary causes of mortality, approximately 10 million deaths worldwide each year. The most advanced, chimeric antigen receptor (CAR) T cell immunotherapy has turned out as a promising treatment for cancer. CAR-T cell therapy involves the genetic modification of T cells obtained from the patient's blood, and infusion back to the patients. CAR-T cell immunotherapy has led to a significant improvement in the remission rates of hematological cancers. CAR-T cell therapy presently limited to hematological cancers, there are ongoing efforts to develop additional CAR constructs such as bispecific CAR, tandem CAR, inhibitory CAR, combined antigens, CRISPR gene-editing, and nanoparticle delivery. With these advancements, CAR-T cell therapy holds promise concerning potential to improve upon traditional cancer treatments such as chemotherapy and radiation while reducing associated toxicities. This review covers recent advances and advantages of CAR-T cell immunotherapy.


Sujet(s)
Immunothérapie adoptive , Tumeurs , Récepteurs chimériques pour l'antigène , Humains , Immunothérapie adoptive/méthodes , Récepteurs chimériques pour l'antigène/usage thérapeutique , Récepteurs chimériques pour l'antigène/immunologie , Tumeurs/thérapie , Tumeurs/immunologie , Tumeurs hématologiques/thérapie , Édition de gène/méthodes , Lymphocytes T/immunologie , Lymphocytes T/transplantation
14.
Trends Biotechnol ; 42(6): 665-670, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38129214

RÉSUMÉ

Mexico has the in-house technical and regulatory capacity to undertake human genome editing (HGE) governance. However, its regulatory framework must be reformed to be more targeted and govern the application of any emerging HGE technologies, leaving no room for unethical or unsafe practices for reproductive purposes.


Sujet(s)
Édition de gène , Génome humain , Humains , Mexique , Édition de gène/législation et jurisprudence , Édition de gène/éthique , Édition de gène/méthodes , Génome humain/génétique
15.
Biomolecules ; 13(12)2023 11 24.
Article de Anglais | MEDLINE | ID: mdl-38136570

RÉSUMÉ

Over the past decade, genetic engineering has witnessed a revolution with the emergence of a relatively new genetic editing tool based on RNA-guided nucleases: the CRISPR/Cas9 system. Since the first report in 1987 and characterization in 2007 as a bacterial defense mechanism, this system has garnered immense interest and research attention. CRISPR systems provide immunity to bacteria against invading genetic material; however, with specific modifications in sequence and structure, it becomes a precise editing system capable of modifying the genomes of a wide range of organisms. The refinement of these modifications encompasses diverse approaches, including the development of more accurate nucleases, understanding of the cellular context and epigenetic conditions, and the re-designing guide RNAs (gRNAs). Considering the critical importance of the correct performance of CRISPR/Cas9 systems, our scope will emphasize the latter approach. Hence, we present an overview of the past and the most recent guide RNA web-based design tools, highlighting the evolution of their computational architecture and gRNA characteristics over the years. Our study explains computational approaches that use machine learning techniques, neural networks, and gRNA/target interactions data to enable predictions and classifications. This review could open the door to a dynamic community that uses up-to-date algorithms to optimize and create promising gRNAs, suitable for modern CRISPR/Cas9 engineering.


Sujet(s)
Systèmes CRISPR-Cas , RNA, Guide, CRISPR-Cas Systems , Systèmes CRISPR-Cas/génétique , Édition de gène/méthodes , Algorithmes , Apprentissage machine
16.
J Comput Biol ; 30(12): 1315-1321, 2023 Dec.
Article de Anglais | MEDLINE | ID: mdl-38010519

RÉSUMÉ

Genetic component assembly is key in the simulation and implementation of genetic circuits. Automating this process, thus accelerating prototyping, is a necessity. We present pyBrick-DNA, a software written in Python, that assembles components for the construction of genetic circuits. pyBrick-DNA (colab.pyBrick.com) is a user-friendly environment where scientists can select genetic sequences or input custom sequences to build genetic assemblies. All components are modularly fused to generate a ready-to-go single DNA fragment. It includes Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) and plant gene-editing components. Hence, pyBrick-DNA can generate a functional CRISPR construct composed of a single-guided RNA integrated with Cas9, promoters, and terminator elements. The outcome is a DNA sequence, along with a graphical representation, composed of user-selected genetic parts, ready to be synthesized and cloned in vivo. Moreover, the sequence can be exported as a GenBank file allowing its use with other synthetic biology tools.


Sujet(s)
ADN , Édition de gène , ADN/génétique , Réseaux de régulation génique , Logiciel
17.
Int J Mol Sci ; 24(19)2023 Oct 03.
Article de Anglais | MEDLINE | ID: mdl-37834295

RÉSUMÉ

Prostate cancer (PCa) has a high prevalence and represents an important health problem, with an increased risk of metastasis. With the advance of CRISPR-Cas9 genome editing, new possibilities have been created for investigating PCa. The technique is effective in knockout oncogenes, reducing tumor resistance. MMP9 and miR-21 target genes are associated with PCa progression; therefore, we evaluated the MMP-9 and miR-21 targets in PCa using the CRISPR-Cas9 system. Single guide RNAs (sgRNAs) of MMP9 and miR-21 sequences were inserted into a PX-330 plasmid, and transfected in DU145 and PC-3 PCa cell lines. MMP9 and RECK expression was assessed by qPCR, WB, and IF. The miR-21 targets, integrins, BAX and mTOR, were evaluated by qPCR. Flow cytometry was performed with Annexin5, 7-AAD and Ki67 markers. Invasion assays were performed with Matrigel. The miR-21 CRISPR-Cas9-edited cells upregulated RECK, MARCKS, BTG2, and PDCD4. CDH1, ITGB3 and ITGB1 were increased in MMP9 and miR-21 CRISPR-Cas9-edited cells. Increased BAX and decreased mTOR were observed in MMP9 and miR-21 CRISPR-Cas9-edited cells. Reduced cell proliferation, increased apoptosis and low invasion in MMP9 and miR-21 edited cells was observed, compared to Scramble. CRISPR-Cas9-edited cells of miR-21 and MMP9 attenuate cell proliferation, invasion and stimulate apoptosis, impeding PCa evolution.


Sujet(s)
Protéines précoces immédiates , microARN , Tumeurs de la prostate , Mâle , Humains , Édition de gène , Systèmes CRISPR-Cas/génétique , Matrix metalloproteinase 9/génétique , Matrix metalloproteinase 9/métabolisme , RNA, Guide, CRISPR-Cas Systems , Protéine Bax/métabolisme , Tumeurs de la prostate/génétique , Tumeurs de la prostate/anatomopathologie , microARN/génétique , microARN/métabolisme , Sérine-thréonine kinases TOR/métabolisme , Protéines liées au GPI/génétique , Protéines liées au GPI/métabolisme , Protéines précoces immédiates/génétique , Protéines suppresseurs de tumeurs/génétique , Protéines de liaison à l'ARN/métabolisme
18.
Medicina (B Aires) ; 83 Suppl 4: 3-8, 2023 Sep.
Article de Espagnol | MEDLINE | ID: mdl-37714115

RÉSUMÉ

The advances in the field of inborn errors of metabolism (IEM) are spectacular. New IEM have been described, their pathophysiological bases and implications for the organism are better known. With the advent of new metabolomics, lipidomics and genomics techniques, advances in diagnosis have multiplied and allow new therapeutic options to be explored. A new IEM classification has been established based on the more than 1.450 IEM identified. A new specialty is emerging, which is metabolic medicine. Neonatal screening is becoming universal and allows us today, with tandem mass, to diagnose more than 20 metabolic diseases of the neonatal period, with treatment options. IEM units for adults are being created to follow-up children with IEM who survive the disease and with an increasingly better quality of life, and some IEM that start in adolescence or adulthood are diagnosed. Personalized therapies and clinical practice guidelines appear for any IEM. Finally, new therapeutic options are emerging day to day that allow a longer survival and better quality of life. Conventional gene therapy is already being applied in some IEM. However, gene editing strategies with RNA therapies may allow the correction of the genetic mutation, minimizing the problems associated with conventional compensation gene therapy.


Las novedades en el campo de los errores innatos del metabolismo (EIM) son espectaculares. Se han descrito nuevos EIM, se conoce mejor sus bases fisiopatológicas y las implicaciones para el organismo. Con la llegada de las nuevas técnicas de metabolómica, lípidomica y genómica se han multiplicado los avances en el diagnóstico y permiten explorar nuevas opciones terapéuticas. Se ha establecido una nueva clasificación de los EIM en base a los más de 1.450 EIM identificados. Está irrumpiendo una nueva especialidad, que es la medicina metabólica. El cribado neonatal se estáempezando a universalizar y nos permite hoy en día, con tándem masas, el diagnóstico de más de 20 enfermedades metabólicas del período neonatal que tienen opciones de tratamiento. Se están creando unidades de EIM para adultos para seguir niños con EIM que sobreviven a la enfermedad y con cada vez mejor calidad de vida y se diagnostican EIM que debutan en la adolescencia o laedad adulta. Aparecen las terapias personalizadas y las guías de práctica clínica para muchos EIM. Finalmente están emergiendo cada vez nuevas opciones terapéuticas que permiten una mayor supervivencia y mejor calidad de vida. La terapia génica convencional ya se está aplicando en algunos EIM.Sin embargo, las estrategias de edición de genes con terapias de ARN pueden permitir corregir la mutación genética minimizando los problemas asociados con la terapia génica de compensación convencional.


Sujet(s)
Médecine , Qualité de vie , Adolescent , Adulte , Enfant , Nouveau-né , Humains , Édition de gène , Thérapie génétique , Génomique
19.
Medicina (B Aires) ; 83 Suppl 4: 13-17, 2023 Sep.
Article de Espagnol | MEDLINE | ID: mdl-37714117

RÉSUMÉ

Gene therapy has achieved significant advancements in the treatment of genetic diseases, especially in rare and monogenic diseases. Gene therapies have been developed and approved to treat diseases such as spinal muscular atrophy, offering hope to patients and demonstrating the effectiveness of this therapy. Currently, numerous clinical trials are being conducted to evaluate the safety and efficacy of gene therapy in various diseases, particularly in the field of pediatric neurology. These studies are generating encouraging data and contributing to the knowledge on how to improve gene therapy techniques. Despite the advancements, gene therapy faces significant challenges. It is a costly and technically complex therapy, limiting its accessibility. Additionally, aspects such as efficient gene delivery, immune response to vectors, and duration of therapeutic response require improvements and are actively being investigated. Regarding the future of gene therapy, advances in gene editing technology, such as CRISPR-Cas9, are expected to allow for greater precision and efficiency in gene modification. Research on gene therapy vectors is expected to enhance the delivery capacity and safety of treatments. New generations of viral and non-viral vectors are being developed that could overcome current limitations and enable more efficient and precise administration of therapeutic genes.


La terapia génica ha logrado avances significativos en el tratamiento de enfermedades genéticas, especialmente en enfermedades raras y monogénicas. Se han desarrollado y aprobado terapias génicas para tratar enfermedades como la atrofia muscular espinal, brindando esperanza a los pacientes y demostrando la eficacia de esta terapia. Actualmente, se están realizando numerosos ensayos clínicos para evaluar la seguridad y eficacia de la terapia génica en diversas enfermedades, particularmente en el campo de la neurología pediátrica. Estos estudios están generando datos alentadores y contribuyen al conocimiento sobre cómo mejorar las técnicas de terapia génica. A pesar de los avances, la terapia génica enfrenta desafíos importantes. Es una terapia costosa y técnicamente compleja, lo que limita su accesibilidad. Además, aspectos como la entrega eficiente de genes, la respuesta inmunológica a los vectores y la duración de la respuesta terapéutica requieren mejoras. se está investigando activamente. En cuanto al futuro de la terapia génica, se espera que los avances en tecnología de edición génica, como CRISPR-Cas9, permitan una mayor precisión y eficiencia en la modificación de genes. Se espera que la investigación en vectores de terapia génica mejore la capacidad de entrega y la seguridad de los tratamientos. Se están desarrollando nuevas generaciones de vectores virales y no virales que podrían superar las limitaciones actuales y permitir una administración más eficiente y precisa de genes terapéuticos.


Sujet(s)
Amyotrophie spinale , Neurologie , Enfant , Humains , Thérapie génétique , Édition de gène , Amyotrophie spinale/génétique , Amyotrophie spinale/thérapie , Technologie
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