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Klin Monbl Augenheilkd 2022; 239(03): 263-269
DOI: 10.1055/a-1757-9879
DOI: 10.1055/a-1757-9879
Übersicht
Benefits and Shortcomings of Laboratory Model Systems in the Development of Genetic Therapies
Vorteile und Defizite von Labormodellsystemen bei der Entwicklung von Gentherapieverfahren
Abstract
Gene therapeutic approaches promise treatment or even a cure of diseases that were previously untreatable. Retinal gene therapies tested in clinical trials comprise a wide range of different strategies, including gene supplementation therapies, in vivo gene editing, modulation of splicing mechanisms, or the suppression of gene expression. To guarantee efficient transfer of genetic material into the respective target cells while avoiding major adverse effects, the development of genetic therapies requires appropriate in vitro model systems that allow tests of efficacy and safety of the gene therapeutic approach. In this review, we introduce various in vitro models of different levels of complexity used in the development of genetic therapies and discuss their respective benefits and shortcomings using the example of adeno-associated virus-based retinal gene therapy.
Zusammenfassung
Gentherapeutische Ansätze versprechen die Behandlung oder sogar Heilung von Erkrankungen, die bisher nicht behandelbar waren. Die in klinischen Studien getesteten Gentherapien für die Netzhaut umfassen ein breites Spektrum unterschiedlicher Strategien, darunter Genergänzungstherapien, In-vivo-Gene-Editing, Modulation von Splicing-Mechanismen oder die Unterdrückung der Genexpression. Um einen effizienten Transfer des genetischen Materials in die jeweiligen Zielzellen zu gewährleisten und gleichzeitig schwerwiegende unerwünschte Wirkungen zu vermeiden, erfordert die Entwicklung von Gentherapien geeignete In-vitro-Modellsysteme, mit denen die Wirksamkeit und Sicherheit des gentherapeutischen Ansatzes getestet werden kann. In diesem Übersichtsartikel werden verschiedene In-vitro-Modelle unterschiedlicher Komplexität vorgestellt, die bei der Entwicklung von Gentherapien verwendet werden, und ihre jeweiligen Vor- und Nachteile werden am Beispiel der AAV-basierten Gentherapie der Netzhaut diskutiert.
* Bucher and Rodriguez-Bocanegra share first authorship.
Publication History
Received: 06 October 2021
Accepted: 31 January 2022
Article published online:
22 March 2022
© 2022. Thieme. All rights reserved.
Georg Thieme Verlag KG
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