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Updated: Jul 9, 2026

Lentiviral Vector-mediated Gene Therapy of Hepatocytes Ex Vivo for Autologous Transplantation in Swine
Published on: November 4, 2018
Gene therapy for metabolic diseases of the liver
1Department of Medicine, Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, Connecticut 06030, USA.
Abstract:
Significant advances have been made in the field of liver-directed gene therapy. Many diseases are potential targets for gene therapy, including diseases that have exclusive liver involvement and those with systemic manifestations as a result of defective protein synthesis from the liver. Examples are Crigler-Najjar syndrome type 1, alpha(1)-antitrypsin deficiency and haemophilia A and B. Strategies for gene delivery include the use of viral and nonviral vectors. In addition to previously developed viral vectors, such as retroviruses, adenoviruses and adeno-associated viruses, new viral vectors such as lentiviruses are being investigated extensively. Nonviral vectors for gene delivery include liposomes and receptor-mediated gene therapy. A strategy to correct gene defects has been developed using chimaeric RNA/DNA oligonucleotides, and methods to inhibit aberrant or deleterious gene expression using ribozymes, antisense oligonucleotides and dominant-negative gene products are being developed. However, more research focusing on more efficient gene expression and safety will be required before gene therapy can be routinely applicable.
Insights
Liver-directed gene therapy shows promise for genetic liver diseases like alpha-1-antitrypsin deficiency. Research explores viral and nonviral vectors for effective gene delivery and expression, advancing therapeutic options.
Area of Science:
- Hepatology
- Molecular Biology
- Genetics
Background:
- Liver-directed gene therapy is advancing for genetic disorders.
- Diseases targeted include those with liver-specific or systemic manifestations due to liver protein synthesis defects.
Purpose of the Study:
- To review advances in liver-directed gene therapy.
- To discuss various gene delivery strategies and therapeutic approaches.
Main Methods:
- Exploration of viral vectors (retroviruses, adenoviruses, adeno-associated viruses, lentiviruses).
- Investigation of nonviral vectors (liposomes, receptor-mediated gene therapy).
- Development of gene correction (chimaeric RNA/DNA oligonucleotides) and gene expression inhibition (ribozymes, antisense oligonucleotides) strategies.
Main Results:
- Significant progress in liver-directed gene therapy techniques.
- Diverse gene delivery systems are under investigation for various genetic liver diseases.
- Novel strategies for gene correction and inhibition are emerging.
Conclusions:
- Liver gene therapy holds potential for treating inherited liver diseases and systemic conditions.
- Further research is needed to enhance gene expression efficiency and ensure safety for clinical application.
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