4.7 Review

Therapeutic genome editing in cardiovascular diseases

Journal

ADVANCED DRUG DELIVERY REVIEWS
Volume 168, Issue -, Pages 147-157

Publisher

ELSEVIER
DOI: 10.1016/j.addr.2020.02.003

Keywords

Genome editing; CRISPR/Cas9; Induced pluripotent stem cells; Cardiovascular diseases

Funding

  1. American Heart Association [17MERIT33610009]
  2. BurroughsWellcome Foundation [1015009]
  3. National Institutes of Health (NIH) [R01 HL 126527]
  4. NIH [R01 HL145676, R01 HL146690, R01 HL141851, U01 EB021240]
  5. JSPS Overseas Research Fellowship

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Advancements in genome editing technology, particularly the CRISPR/Cas9 system, have revolutionized biomedical research and hold great promise for therapeutic applications in treating diseases, including those in the cardiovascular field. Therapeutic genome editing strategies are already being tested in clinical trials for hematopoietic diseases and show potential for treating a wide range of conditions.
During the past decade, developments in genome editing technology have fundamentally transformed biomedical research. In particular, the CRISPR/Cas9 system has been extensively applied because of its simplicity and ability to alter genomic sequences within living organisms, and an ever increasing number of CRISPR/Cas9based molecular tools are being developed for a wide variety of applications. While genome editing tools have been used for many aspects of biological research, they also have enormous potential to be used for genome editing therapy to treat a broad range of diseases. For some hematopoietic diseases, clinical trials of therapeutic genome editing with CRISPR/Cas9 are already starting phase I. In the cardiovascular field, genome editing tools have been utilized to understand the mechanisms of diseases such as cardiomyopathy, arrythmia, and lipid metabolism, which now open the door to therapeutic genome editing. Currently, therapeutic genome editing in the cardiovascular field is centered on liver-targeting strategies to reduce cardiovascular risks. Targeting the heart is more challenging. In this review, we discuss the potential applications, recent advances, and current limitations of therapeutic genome editing in the cardiovascular field. (c) 2020 Published by Elsevier B.V.

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