Gene therapy breakthroughs in ALS: a beacon of hope for 20% of ALS patients

Qingjian Xie1,2,3, Kezheng Li1,2, Yinuo Chen1,2

  • 1Department of Neurology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 32500, China.

PubMed

Insights

Gene therapies offer hope for Amyotrophic Lateral Sclerosis (ALS) patients with genetic causes. This review covers current gene therapy strategies, animal studies, and clinical trials for ALS, highlighting promising future approaches.

Area of Science:

  • Neuroscience
  • Genetics
  • Pharmacology

Background:

  • Amyotrophic lateral sclerosis (ALS) is a progressive, fatal neurodegenerative motor neuron disease.
  • Currently, ALS remains incurable, with diverse etiologies and incompletely understood pathogenic mechanisms.
  • Genetic factors account for approximately 20% of ALS cases, presenting a target for specific therapies.

Purpose of the Study:

  • To review current gene therapy strategies for ALS, focusing on ALS risk genes.
  • To summarize recent findings from preclinical animal studies and clinical trials.
  • To highlight emerging gene-targeted therapeutic approaches for ALS.

Main Methods:

  • Literature review of current ALS gene therapies.
  • Analysis of findings from animal models of ALS.
  • Examination of data from ongoing and completed clinical trials.

Main Results:

  • Several gene therapy strategies are being developed for ALS, targeting specific genetic risk factors.
  • Preclinical studies and early clinical trials show potential but require further investigation.
  • Emerging approaches show promise for addressing the genetic underpinnings of ALS.

Conclusions:

  • Targeted gene therapies represent a significant therapeutic avenue for the 20% of ALS patients with known genetic causes.
  • Continued research into ALS-related genes and novel gene-targeting techniques is crucial.
  • Advancing gene therapies holds promise for improving outcomes in genetically defined ALS populations.

Related Concept Videos

Gene Therapy00:59

Gene Therapy

Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
24.9K
iPS Cell Differentiation01:22

iPS Cell Differentiation

The ability of induced pluripotent stem cells or iPSCs to differentiate into most body cell types has stimulated repair and regenerative medicine research over the past few decades. iPSC-derived blood cells, hepatocytes, beta islet cells, cardiomyocytes, neurons, and other cell types can repair injuries or regenerate damaged tissue in diseases such as diabetes and neurodegenerative disorders.
2.6K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.4K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.8K
Alzheimer's Disease: Treatment01:22

Alzheimer's Disease: Treatment

Alzheimer's Disease (AD), a neurodegenerative disorder, is pathologically identified by amyloid plaques and neurofibrillary tangles composed of tau protein. AD pharmacotherapy aims to manage cognitive symptoms, delay disease progression, and treat behavioral symptoms. The treatment is primarily symptomatic and palliative, with no definitive disease-modifying therapy available. Cholinesterase inhibitors, including donepezil (Aricept), rivastigmine (Exelon), and galantamine (Razadyne), are...
128
What is Genetic Engineering?00:49

What is Genetic Engineering?

Overview
72.8K