Advancing Gene Therapy for Phenylketonuria: From Precision Editing to Clinical Translation

Inseon Yu1, Jaemin Jeong1

  • 1Department of Biohealth Convergence, College of Science and Convergence Technology, Seoul Women's University, Seoul 01797, Republic of Korea.

Insights

Gene therapy offers new hope for phenylketonuria (PKU), an inherited disorder. Adenine base editing and viral gene transfer show promise in preclinical studies for treating PKU.

Area of Science:

  • Biochemistry
  • Genetics
  • Medical Genetics

Background:

  • Phenylketonuria (PKU) is an inherited metabolic disorder caused by phenylalanine hydroxylase (PAH) gene mutations.
  • Elevated phenylalanine (Phe) levels in the blood due to PAH deficiency can lead to severe neurological damage.
  • Current treatments, including low-Phe diets and tetrahydrobiopterin (BH4) therapy, have limitations and require lifelong adherence.

Purpose of the Study:

  • To review the pathophysiology of PKU and current treatment strategies.
  • To explore recent advancements in gene therapy for PKU, focusing on gene editing and viral-mediated gene delivery.
  • To discuss the translational challenges and future directions for gene therapy in PKU treatment.

Main Methods:

  • Review of preclinical and clinical studies on gene therapy for PKU.
  • Focus on adenine base editors (ABEs) and CRISPR-based gene editing systems.
  • Analysis of delivery methods including lipid nanoparticles (LNPs) and recombinant adeno-associated viruses (rAAV).

Main Results:

  • Gene editing technologies like ABEs and CRISPR show significant therapeutic potential in preclinical PKU models.
  • Viral-mediated gene transfer using rAAV vectors has demonstrated efficacy in delivering therapeutic genes.
  • Lipid nanoparticles (LNPs) are emerging as effective delivery vehicles for gene-editing components.

Conclusions:

  • Gene therapy, particularly adenine base editing and rAAV-mediated gene transfer, represents a promising therapeutic avenue for PKU.
  • Overcoming translational challenges related to delivery, safety, and long-term efficacy is crucial for clinical application.
  • Further research and development are needed to ensure the safety and effectiveness of gene therapies for widespread PKU treatment.

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