4.5 Review

Gene therapy and gene correction: targets, progress, and challenges for treating human diseases

Journal

GENE THERAPY
Volume 29, Issue 1-2, Pages 18-27

Publisher

SPRINGERNATURE
DOI: 10.1038/s41434-020-00197-8

Keywords

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Funding

  1. National Institutes of Health [R01 EY011298, R01 EY017168]
  2. Roy J. Carver Charitable Trust
  3. University of Iowa [P30EY025580]

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The field of gene therapy has made significant progress in treating previously untreatable genetic diseases. However, there are still challenges to overcome in terms of safety and effectiveness. Gene correction using CRISPR-Cas9 has received considerable attention and shows promise as a potential approach beyond traditional gene therapies. It is likely that these therapies will become first-line treatments and have a positive impact on patients with genetic disorders.
The field of gene therapy has made significant strides over the last several decades toward the treatment of previously untreatable genetic disease. Gene therapy techniques have been aimed at mitigating disease features of recessive and dominant disorders, as well as several cancers and other diseases. While there have been numerous disease targets of gene therapy trials, only four therapies have reached FDA and/or EMA approval for clinical use. Gene correction using CRISPR-Cas9 is an extension of gene therapy that has received considerable attention in recent years and boasts many possible uses beyond classical gene therapy approaches. While there is significant therapeutic potential using gene therapy and gene correction strategies, a number of hurdles remain to be overcome before they become more common in clinical use, particularly with regards to safety and efficacy. As research progresses in this exciting field, it is likely that these therapies will become first-line treatments and will have tremendous positive impacts on the lives of patients with genetic disorders.

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