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Published on: May 12, 2023
Gene Therapy for Cardiovascular Disease: Clinical Perspectives
Young Shin Lee1, Jung Ran Choi2, Jin-Bae Kim1,3
1Division of Cardiology, Department of Internal Medicine, College of Medicine, Kyung Hee University, Seoul, Korea.
Cardiac gene therapy shows promise for cardiovascular disease (CVD) but faces challenges like low efficiency and immune responses. Overcoming these hurdles is key to translating preclinical success into effective clinical treatments for CVD.
Area of Science:
- Cardiovascular Medicine
- Molecular Biology
- Biotechnology
Background:
- Cardiovascular disease (CVD) is a leading cause of death, with current treatments having limitations.
- Cardiac gene therapy offers a potential alternative for CVD management.
- Preclinical studies show promise, but clinical translation remains challenging.
Purpose of the Study:
- To review recent preclinical and clinical studies on cardiac gene therapy for CVD.
- To discuss the limitations and challenges hindering clinical application.
Main Methods:
- Comprehensive literature review of preclinical and clinical studies.
- Analysis of gene transduction efficiency, immune reactions, and off-target effects.
- Evaluation of successful and unsuccessful clinical trial outcomes.
Main Results:
- Significant success in animal models for various CVDs.
- Limited success in clinical applications, with few positive early trials.
- Persistent obstacles include low gene transduction efficiency and adverse immune responses.
Conclusions:
- Cardiac gene therapy holds potential but requires further research to overcome existing limitations.
- Addressing challenges in vector efficiency and immunogenicity is crucial for clinical success.
- Continued investigation into safe and effective gene delivery is essential for advancing CVD treatment.
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