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Gene Therapy for Inherited Retinal Disease: Current Strategies, Personalized Medicine, and Future Implications-A
Fahad R Butt1, Thanansayan Dhivagaran1, Boaz Li2
1Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON N6A 5B8, Canada.
Gene therapy offers a promising approach to treating inherited and acquired retinal diseases by correcting genetic defects. This innovative treatment aims to restore vision, with ongoing research expanding its potential for various eye conditions.
Area of Science:
- Ophthalmology
- Genetics
- Molecular Biology
Background:
- Gene therapy is emerging as a revolutionary treatment for inherited and acquired retinal diseases.
- The eye's unique characteristics make it highly suitable for targeted gene therapy delivery.
- Current treatments often manage symptoms, whereas gene therapy addresses the genetic root cause.
Purpose of the Study:
- To explore the potential of gene therapy in ophthalmology.
- To highlight advancements in gene therapy for retinal diseases.
- To discuss the future prospects of gene-based treatments for vision restoration.
Main Methods:
- Introduction of exogenous genetic material to correct gene expression.
- Utilizing viral vectors for targeted delivery to retinal cells.
- Employing subretinal or intravitreal injection for localized treatment.
Main Results:
- The approval of voretigene neparvovec-rzyl demonstrated the efficacy and safety of gene replacement therapy.
- Gene therapy has shown potential in preserving or restoring vision in patients with specific genetic mutations.
- The eye's anatomical and immunological features facilitate effective gene therapy delivery.
Conclusions:
- Gene therapy represents a significant advancement in treating retinal diseases at their genetic origin.
- Future developments in vector design and gene editing will broaden therapeutic applications.
- The field is rapidly progressing, with numerous clinical trials indicating a future of more accessible and effective gene-based eye treatments.
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