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The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

The Mucus Barrier to Inhaled Gene Therapy

Open access
Duncan, Gregg A, Jung, James, Hanes, Justin, Suk, Jung Soo·2016·Molecular Therapy

Abstract

Recent evidence suggests that the airway mucus gel layer may be impermeable to the viral and synthetic gene vectors used in past inhaled gene therapy clinical trials for diseases like cystic fibrosis. These findings support the logic that inhaled gene vectors that are incapable of penetrating the mucus barrier are unlikely to provide meaningful benefit to patients. In this review, we discuss the biochemical and biophysical features of mucus that contribute its barrier function, and how these barrier properties may be reinforced in patients with lung disease. We next review biophysical techniques used to assess the potential ability of gene vectors to penetrate airway mucus. Finally, we provide new data suggesting that fresh human airway mucus should be used to test the penetration rates of gene vectors. The physiological barrier properties of spontaneously expectorated CF sputum remained intact up to 24 hours after collection when refrigerated at 4 °C. Conversely, the barrier properties were significantly altered after freezing and thawing of sputum samples. Gene vectors capable of overcoming the airway mucus barrier hold promise as a means to provide the widespread gene transfer throughout the airway epithelium required to achieve meaningful patient outcomes in inhaled gene therapy clinical trials.

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Crossref · 10.1038/mt.2016.182

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Metadata

Authors
Duncan, G. A., Jung, J., Hanes, J., & Suk, J. S.
Venue
Molecular Therapy
Publisher
Elsevier BV
Published
2016-12
Volume
24
Issue
12
Pages
2043-2053
ISSN
1525-0016 (ISSN-L)
OpenAlex
W2522111877
Cited by
188
References
9
FWCI
10.86
Type
journal article
Language
en
Open access
hybrid

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