In vivo gene therapy: A strategy for mutations, degenerations, and tumors

Tao Wang1, Mingyang Yu2,3, Ping Liu1

  • 1Department of Hematology, Institute of Hematology, Changhai Hospital, Naval Medical University, Shanghai 200433, China.

Genes & Diseases
|October 27, 2025
PubMed

Insights

In vivo gene therapy shows promise for treating genetic disorders and cancers by utilizing DNA nucleases and delivery vectors. Further development of these components is crucial for future clinical applications.

Area of Science:

  • Biotechnology
  • Genetics
  • Medical Science

Background:

  • Gene mutations, organ degeneration, and cancer pose significant health risks.
  • Gene therapy offers potential cures for genetic disorders, degenerative diseases, and cancers.
  • Ex vivo gene therapy is established for certain conditions, but in vivo gene therapy is still under development.

Purpose of the Study:

  • To review the advancements in DNA nucleases and delivery vectors for in vivo gene therapy.
  • To highlight recent progress in the components essential for in vivo gene therapy.
  • To discuss the potential of in vivo gene therapy for future clinical use.

Main Methods:

  • Review of deoxyribonucleic acid (DNA) nucleases, including zinc finger nucleases, transcription activator-like effector nucleases, and CRISPR-Cas systems.
  • Examination of gene editing tools such as base editors and prime editors.
  • Analysis of various delivery vectors, encompassing viral and non-viral vehicles.

Main Results:

  • Significant progress has been made in the development of DNA nucleases and delivery vectors.
  • The review synthesizes current knowledge on key technologies for in vivo gene therapy.
  • The potential for in vivo gene therapy to become clinically available is discussed.

Conclusions:

  • Advancements in DNA nucleases and delivery vectors are paving the way for in vivo gene therapy.
  • Further development is needed to translate in vivo gene therapy into widespread clinical practice.
  • In vivo gene therapy holds great promise for treating a range of human diseases.