Non-viral therapeutic approaches to ocular diseases: An overview and future directions
Open accessAbstract
Currently there are no viable treatment options for patients with debilitating inherited retinal degeneration. The vast variability in disease-inducing mutations and resulting phenotypes has hampered the development of therapeutic interventions. Gene therapy is a logical approach, and recent work has focused on ways to optimize vector design and packaging to promote optimized expression and phenotypic rescue after intraocular delivery. In this review, we discuss ongoing ocular clinical trials, which currently use viral gene delivery, but focus primarily on new advancements in optimizing the efficacy of non-viral gene delivery for ocular diseases. Non-viral delivery systems are highly customizable, allowing functionalization to improve cellular and nuclear uptake, bypassing cellular degradative machinery, and improving gene expression in the nucleus. Non-viral vectors often yield transgene expression levels lower than viral counterparts, however their favorable safety/immune profiles and large DNA capacity (critical for the delivery of large ocular disease genes) make their further development a research priority. Recent work on particle coating and vector engineering presents exciting ways to overcome limitations of transient/low gene expression levels, but also highlights the fact that further refinements are needed before use in the clinic.
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Peptide-based nanoparticles target specific cell receptors, disrupt the endosomal membrane, deliver cargo to the nucleus, induce minimal immune response, and can be delivered in higher doses.
“This has an advantage over other non-viral vectors, as it targets specific cell receptors, disrupts the endosomal membrane, and delivers the cargo to the nucleus. It induces minimal immune response and has the capability to be delivered in higher doses [37].”
From The Ocular Gene Delivery Landscape (2021) · cites this paper as [37]
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Flagged first, then by citations
Research works printed but not linked: 2
- [153]Han Z Banworth MJ Makkia R Conley SM Al-Ubaidi MR Cooper MJ Naash MI Genomic DNA nanoparticles rescue rhodopsin-associated retinitis pigmentosa phenotype. FASEB J 2015 Epub ahead of print 02/26/2015 PMC4447225 25713057
- [238]Delgado D Gascon AR Del Pozo-Rodriguez A Echevarria E Ruiz de Garibay AP Rodriguez JM Solinis MA Dextran-protamine-solid lipid nanoparticles as a non-viral vector for gene therapy: in vitro characterization and in vivo transfection after intravenous administration to mice. Int J Pharm 2012 425 35 43 22226874
Cited by
Sorted by citations
Ocular gene therapies in clinical practice: viral vectors and nonviral alternatives
Bordet, T., & Behar-Cohen, F. (2019) · Drug Discovery Today · doi:10.1016/j.drudis.2019.05.038 · Cited by 120 · see citing works
The Ocular Gene Delivery Landscape
Sahu, B., Chug, I., & Khanna, H. (2021) · Biomolecules · doi:10.3390/biom11081135 · Cited by 28 · see citing works
- Authors
- Zulliger, R., Conley, S. M., & Naash, M. I.
- Affiliations
- University of Houston (US)
- University of Oklahoma Health Sciences Center (US)
- Corresponding author
- Naash, Muna I.
- Venue
- Journal of Controlled Release
- Publisher
- Elsevier BV
- Published
- 2015-12
- Volume
- 219
- Pages
- 471-487
- ISSN
- 0168-3659 (ISSN-L)
- PMC
- PMC4699668
- OpenAlex
- W2215305490
- Cited by
- 50
- References
- 301
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2022: 4 · 2021: 5 · 2020: 2 · 2019: 8 · 2018: 5 · 2017: 9 · 2016: 6 · 2015: 1
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Controlled Release (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (EY018656, EY22778)
- Knights Templar Eye Foundation
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
- Keywords
- non-viral gene delivery, ocular gene therapy, inherited retinal degeneration, non-viral vectors, vector engineering, particle coating, transgene expression, nuclear uptake, retinal gene therapy
- MeSH terms
- Animals, Biological Transport, Cell Nucleus, DNA, Eye Diseases, Humans, Retina, Genetic Therapy, Gene Transfer Techniques, Nanoparticles
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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