Genetic medicines for CF: Hype versus reality
Open accessAbstract
Summary: Since identification of the CFTR gene over 25 years ago, gene therapy for cystic fibrosis (CF) has been actively developed. More recently gene therapy has been joined by other forms of “genetic medicines” including mRNA delivery, as well as genome editing and mRNA repair‐based strategies. Proof‐of‐concept that gene therapy can stabilize the progression of CF lung disease has recently been established in a Phase IIb trial. An early phase study to assess the safety and explore efficacy of CFTR mRNA repair is ongoing, while mRNA delivery and genome editing‐based strategies are currently at the pre‐clinical phase of development. This review has been written jointly by some of those involved in the various CF “genetic medicine” fields and will summarize the current state‐of‐the‐art, as well as discuss future developments. Where applicable, it highlights common problems faced by each of the strategies, and also tries to highlight where a specific strategy may have an advantage on the pathway to clinical translation. We hope that this review will contribute to the ongoing discussion about the hype versus reality of genetic medicine‐based treatment approaches in CF. Pediatr Pulmonol. 2016;51:S5–S17. © 2016 Wiley Periodicals, Inc.
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The main limitation of CF gene therapy based on delivery of a CFTR cDNA copy is the low and non-permanent CFTR expression obtained in the affected tissues.
“The main limitation of this gene therapy strategy is the low and non-permanent CFTR expression obtained in the affected tissues7,53.”
From Allele specific repair of splicing mutations in cystic fibrosis through AsCas12a genome editing (2019) · cites this paper as [7]
In “Identification of Gene Transfer Agents Suitable for Clinical Translation Is Challenging” (page not specified), the review says immune responses limit the efficacy and duration of expression of adenoviral and AAV vectors. In “Alternative Gene Transfer Agents Suitable for CF Gene Therapy” (page not specified), it describes the non-viral vector GL67A as much less efficient than a lentiviral vector, but also reports long-lasting expression from lentiviral delivery in mouse lungs. Low efficiency and limited duration are therefore supported for some delivery methods, not as a blanket limitation of CFTR cDNA gene therapy. (LLM, conf=0.87)
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Native Small Airways Secrete Bicarbonate
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Self-citationValidation of Nasal Potential Difference Measurements in Gut-Corrected CF Knockout Mice
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Sinai, M. I., Wilton, S. D., & Kerem, B. (2014) · Journal of Cystic Fibrosis · doi:10.1016/s1569-1993(14)60008-4 · Cited by 4 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Alton EW, Boyd AC, Cheng SH, Davies JC, Davies LA, Dayan A, Gill DR, Griesenbach U, Higgins T, Hyde SC, et al. Toxicology study assessing efficacy and safety of repeated administration of lipid/DNA complexes to mouse lung. Gene Ther 2014;21:89-95.
- Beumer W. QR-010, an RNA therapy, restores CFTR function in DeltaF508-CFTR mice. Pediatr Pulmonol 2014;49:227-228. Ref Type: Abstract.
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- Authors
- Alton, E. W. F. W., Boyd, A. C., Davies, J. C., Gill, D. R., Griesenbach, U., Harrison, P. T., Henig, N., Higgins, T., Hyde, S. C., Innes, J. A., & Korman, M. S. D.
- Affiliations
- UK Cystic Fibrosis Gene Therapy Consortium Edinburgh Oxford London
- University College Cork (IE)
- ProQR Therapeutics (Netherlands) (NL)
- University Children's Hospital Tübingen (DE)
- ORCID
- Venue
- Pediatric Pulmonology
- Publisher
- Wiley
- Published
- 2016-09-23
- Volume
- 51
- Issue
- S44
- Pages
- S5-S17
- ISSN
- 1099-0496 (ISSN-L)
- 8755-6863
- OpenAlex
- W2528914659
- Cited by
- 53
- References
- 95
- Citations by year
- 2026: 2 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 10 · 2019: 8 · 2018: 2 · 2017: 13 · 2016: 1 · 2015: 1
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Pediatric Pulmonology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Arrow@dit (Dublin Institute of Technology) (acceptedVersion)
- Cork Open Research Archive (University College Cork, Ireland) (submittedVersion)
- Spiral (Imperial College London) (submittedVersion)
- Funders
- Medical Research Council
- National Institute on Handicapped Research
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- cystic fibrosis, CFTR, gene therapy, mRNA delivery, genome editing, CFTR gene, lung disease progression, clinical translation, CFTR modulators
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