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遗传性视网膜疾病基因治疗临床试验现状与挑战

李文生1  陈晓冬2#br#   

  1. 1中南大学爱尔眼科学院 上海爱尔眼科医院,上海 200336; 2西安市第一医院眼科 710002
  • 收稿日期:2020-03-27 出版日期:2020-07-22 发布日期:2020-07-21
  • 通讯作者: 李文生,Email: drlws@qq.com

Current status and challenges of the gene therapy clinical trials for hereditary retinal diseases

Li Wensheng1, Chen Xiaodong2   

  1. 1Shanghai Aier Hospital, Aier School of Ophthalmology, Central South University, Shanghai 200336, China; 2 Department of Ophthalmology, Xi'an No. 1 Hospital, Xi'an 710002, China
  • Received:2020-03-27 Online:2020-07-22 Published:2020-07-21
  • Contact: Li Wensheng, Email: drlws@qq.com

摘要: 遗传性视网膜疾病(hereditary retinal diseases,HRD)是目前不可逆性盲的主要原因。视网膜细胞死亡是引起视网膜色素变性、Stargardt病以及Leber先天性黑矇等HRD视力丧失的主要原因。基因治疗将作为这些致盲性眼病不同阶段有价值的干预手段。近年来数种HRD在基因治疗方面取得了很快的发展,目前正处于从临床前研究到临床I、II、III期试验的转化之中。了解HRD临床试验现状,特别是基因治疗HRD的进展、挑战和前景具有重要意义。(眼科,2020,29: 241-245)

关键词: 遗传性视网膜疾病, 基因治疗, 临床试验

Abstract: Hereditary retinal degenerative (HRD) diseases are a leading cause of irreversible blindness. Retinal cell death is the main cause of vision loss in genetic disorders such as retinitis pigmentosa, Stargardt disease, and Leber congenital amaurosis. For these blinding conditions, gene therapy approached offers valuable therapeutic intervention at various disease stages. The last few years have shown rapid growth in genetic therapy advancement for the treatment of HRD. Mutation-specific genetic therapies for some retinal degenerations have now transitioned from over a decade of preclinical studies to phase I/II/III clinical trials, and success in the development of cutting-edge therapies for these diseases would change the lives of many individuals. The present review outlines advances in clinical trials for retinal degenerative disease, focusing on the progress, challenges and prospective in the development and clinical translation of gene therapy. (Ophthalmol CHN, 2020, 29: 241-245)

Key words: hereditary retinal diseases, gene therapy, clinical trial