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Vector-mediated cancer gene therapy: an overview
1Laboratory of Gene Therapy, ENH Research Institute,Evanston Hospital; Northwestern University, Evanston, IL 60201, USA. pseth@northwestern.edu
Abstract:
In recent years there has been a dramatic increase in developing gene therapy approaches for the treatment of cancer. The two events that have permitted the formulation of concept of cancer gene therapy are the new understanding of the molecular mechanisms underlying oncogenesis, and the development of the DNA-delivery vehicles or vectors. Many approaches to cancer gene therapy have been proposed, and several viral and non-viral vectors have been utilized. The purpose of this review article is to describe the various strategies of cancer gene therapy (transfer of tumor suppressor genes, suicide genes-enzyme/pro-drug approach, inhibition of dominant oncogenes, immunomodulation approaches, expression of molecules that affect angiogenesis, tumor invasion and metastasis, chemosensitization and radiosensitization approaches, and chemoprotection of stem cells). The chapter also reviews the commonly used vectors (retroviral vectors, adenoviral vectors, adeno-associated viral vectors, pox viruses, herpes simplex viruses, HIV- vectors, non-viral vectors and targetable vectors) for cancer gene therapy. Some of the important issues in cancer gene therapy, and the potential future directions are also being discussed.
Insights
Gene therapy offers novel cancer treatments by targeting oncogenesis mechanisms. This review details gene therapy strategies and delivery vectors for improved cancer care.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Significant advancements in understanding cancer's molecular basis have fueled gene therapy development.
- The creation of effective DNA delivery systems (vectors) is crucial for gene therapy applications.
Purpose of the Study:
- To review diverse cancer gene therapy strategies.
- To examine various viral and non-viral vectors used for gene delivery in cancer treatment.
Main Methods:
- Review of established and emerging gene therapy approaches.
- Analysis of commonly employed viral vectors (retroviral, adenoviral, AAV, pox, herpes simplex, HIV-based) and non-viral vectors.
- Discussion of targetable vectors for enhanced specificity.
Main Results:
- Comprehensive overview of strategies including tumor suppressor gene transfer, suicide gene therapy, oncogene inhibition, immunomodulation, and modulation of angiogenesis, invasion, and metastasis.
- Detailed examination of vector systems for delivering therapeutic genes.
- Exploration of chemosensitization, radiosensitization, and stem cell chemoprotection approaches.
Conclusions:
- Cancer gene therapy presents a promising frontier with multiple strategic avenues.
- The choice of vector significantly impacts therapeutic efficacy and safety.
- Ongoing research into challenges and future directions is vital for clinical translation.
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