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血友病基因治疗国内外研究新进展

李儒雅 梁亮 周睿卿 郝嘉懿 阎文锦 黄金棋 王顺清

广州医药2024,Vol.55Issue(4):331-341,359,12.
广州医药2024,Vol.55Issue(4):331-341,359,12.DOI:10.3969/j.issn.1000-8535.2024.04.001

血友病基因治疗国内外研究新进展

Recent advancements in gene therapy for hemophilia

李儒雅 1梁亮 1周睿卿 2郝嘉懿 1阎文锦 3黄金棋 2王顺清2

作者信息

  • 1. 广东医科大学附属医院血液内科(广东湛江 524000)
  • 2. 广州市第一人民医院血液内科(广东广州 510180)
  • 3. 兰州大学基础医学院(甘肃兰州 730000)
  • 折叠

摘要

Abstract

Hemophilia is a genetic bleeding disorder resulting from mutations in coagulation factor genes on the X chromosome.The mainstay of current treatment is coagulation factor replacement therapy.However,frequent and long-term injections often lead to poor patient compliance,easy inhibitor development,and compromised therapeutic efficacy.Despite advancements in delivery methods and prolonged action of novel agents such as extended half-life coagulation factor concentrates,humanized bispecific antibodies,and anti-tissue factor pathway inhibitor monoclonal antibodies,these approaches still fall short of curing hemophilia.Consequently,gene therapy,aiming for disease eradication,has garnered significant attention in recent years.This review delves into the principles of gene therapy,the selection of gene therapy vectors,and gene therapy preconditioning regimens.It summarizes the safety and efficacy of gene therapy in current clinical applications and discusses challenges and future directions in this field.

关键词

血友病/基因治疗/预处理方案/临床进展/存在问题

Key words

hemophilia/gene therapy/conditioning/clinical advancements/challenges

引用本文复制引用

李儒雅,梁亮,周睿卿,郝嘉懿,阎文锦,黄金棋,王顺清..血友病基因治疗国内外研究新进展[J].广州医药,2024,55(4):331-341,359,12.

基金项目

国家自然科学基金(82270143) (82270143)

广东省基础与应用基础研究基金(2022A1515220122) (2022A1515220122)

湛江市科技计划项目(2022A01019) (2022A01019)

广州医药

1000-8535

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