Gene Therapy for Inherited Retinal Diseases: From Laboratory Bench to Patient Bedside and Beyond.
Anand Singh BrarDeepika C ParameswarappaBrijesh TakkarRaja NarayananSubhadra JalaliSohini MandalKaoru FujinamiSrikanta Kumar PadhyPublished in: Ophthalmology and therapy (2023)
This comprehensive review provides a thorough examination of inherited retinal diseases (IRDs), encompassing their classification, genetic underpinnings, and the promising landscape of gene therapy trials. IRDs, a diverse group of genetic conditions causing vision loss through photoreceptor cell death, are explored through various angles, including inheritance patterns, gene involvement, and associated systemic disorders. The focal point is gene therapy, which offers hope for halting or even reversing the progression of IRDs. The review highlights ongoing clinical trials spanning retinal cell replacement, neuroprotection, pharmacological interventions, and optogenetics. While these therapies hold tremendous potential, they face challenges like timing optimization, standardized assessment criteria, inflammation management, vector refinement, and raising awareness among vision scientists. Additionally, translating gene therapy success into widespread adoption and addressing cost-effectiveness are crucial challenges to address. Continued research and clinical trials are essential to fully harness gene therapy's potential in treating IRDs and enhancing the lives of affected individuals.
Keyphrases
- gene therapy
- clinical trial
- optical coherence tomography
- cell death
- diabetic retinopathy
- genome wide
- copy number
- single cell
- optic nerve
- machine learning
- physical activity
- deep learning
- dna methylation
- human health
- phase ii
- electronic health record
- randomized controlled trial
- risk assessment
- transcription factor
- bone marrow
- cell proliferation
- blood brain barrier
- double blind