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Published on: January 19, 2019
Advancements in gene therapy for lung cancer: from genetic insights to clinical applications
Mohammad Doroudian1, Elham Abbasgholinejad1, Mahdieh Soezi2
1Department of Cell and Molecular Biology, Faculty of Biological Sciences, Kharazmi University, Tehran, Iran.
Abstract:
Gene therapy represents a transformative approach in lung cancer treatment, leveraging strategies such as gene replacement, editing and silencing to target oncogenes and restore tumor suppressor functions. Techniques like CRISPR/Cas9, RNA interference and viral vectors, including adenoviruses and Adeno-Associated Virus (AAVs), have shown promise in overcoming drug resistance and enhancing immune responses. Nanoparticle-based delivery systems, such as exosomes and liposomes, further improve precision and efficacy in gene delivery. Despite advancements, challenges like off-target effects, immune responses and tumor heterogeneity persist. Clinical trials, including CAR T-cell therapies and oncolytic viruses, highlight the potential of gene therapy, yet optimizing delivery and minimizing side effects remain critical for future progress. This review underscores the evolving landscape of gene therapy in lung cancer, emphasizing its potential to revolutionize treatment paradigms.
Insights
Gene therapy offers new lung cancer treatments by editing genes and improving drug resistance. While promising, challenges like delivery and side effects need further research for clinical success.
Area of Science:
- Oncology
- Molecular Biology
- Biotechnology
Background:
- Lung cancer remains a leading cause of cancer-related mortality worldwide.
- Conventional treatments face limitations, including drug resistance and significant side effects.
- Gene therapy presents a novel therapeutic avenue for lung cancer management.
Purpose of the Study:
- To review the current state of gene therapy in lung cancer treatment.
- To highlight key gene therapy strategies, delivery systems, and associated challenges.
- To discuss the future potential of gene therapy in revolutionizing lung cancer care.
Main Methods:
- Review of scientific literature on gene therapy applications in lung cancer.
- Analysis of gene replacement, editing, and silencing techniques.
- Evaluation of delivery vectors, including viral vectors (adenoviruses, AAVs) and nanoparticles (exosomes, liposomes).
Main Results:
- Gene therapy strategies like CRISPR/Cas9 and RNA interference show potential in targeting oncogenes and restoring tumor suppressor functions.
- Advanced delivery systems enhance precision and efficacy, aiding in overcoming drug resistance and boosting immune responses.
- Ongoing clinical trials with CAR T-cell therapies and oncolytic viruses demonstrate therapeutic promise.
Conclusions:
- Gene therapy holds significant potential to transform lung cancer treatment paradigms.
- Overcoming challenges such as off-target effects, immune responses, and tumor heterogeneity is crucial for clinical advancement.
- Continued research and optimization of delivery methods are essential for realizing the full potential of gene therapy in lung cancer.
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