Journal
HUMAN GENE THERAPY
Volume 33, Issue 17-18, Pages 913-922Publisher
MARY ANN LIEBERT, INC
DOI: 10.1089/hum.2022.177
Keywords
gene therapy; central nervous system; brain disease; clinical trial; viral vectors
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The recent success of the first central nervous system gene therapies has revitalized gene therapy research and increased clinical trials for neurologic diseases caused by genetic mutations. Advances in technology have expanded the scope of treatment applications and bridged the gap between major global health issues and gene therapy development.
The recent success of first central nervous system gene therapies has reinvigorated the growing community of gene therapy researchers and strengthened the field's market position. We are witnessing an increase of clinical trials with long-term efficiency mainly for neurometabolic, neurodegenerative, and neurodevelopmental diseases caused by loss-of-function mutations. The ever-expanding knowledge and accessibility to the most advanced tools allow enrichment of applications to more complex diseases. This gradually contributes toward sealing the gap between top diseases impacting current global health and those toward which gene therapy development is currently aimed. In this study, we highlight innovative therapeutic approaches that have reached the clinics and outline the latest improvements of vector design and targeting. Finally, we address the pressing challenges faced by clinical trials and the direction they are heading.
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