Personalized therapeutic strategies for patients with retinitis pigmentosa

Retinitis pigmentosa (RP) encompasses many different hereditary retinal degenerations that are caused by a vast array of different gene mutations and have highly variable disease presentations and severities. This heterogeneity poses a significant therapeutic challenge, although an answer may eventu...

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Published inExpert opinion on biological therapy Vol. 15; no. 3; p. 391
Main Authors Zheng, Andrew, Li, Yao, Tsang, Stephen H
Format Journal Article
LanguageEnglish
Published England 01.03.2015
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Abstract Retinitis pigmentosa (RP) encompasses many different hereditary retinal degenerations that are caused by a vast array of different gene mutations and have highly variable disease presentations and severities. This heterogeneity poses a significant therapeutic challenge, although an answer may eventually be found through two recent innovations: induced pluripotent stem cells (iPSCs) and clustered regularly interspaced short palindromic repeats (CRISPR)/Cas genome editing. This review discusses the wide-ranging applications of iPSCs and CRISPR-including disease modelling, diagnostics and therapeutics - with an ultimate view towards understanding how these two technologies can come together to address disease heterogeneity and orphan genes in a novel personalized medicine platform. An extensive literature search was conducted in PubMed and Google Scholar, with a particular focus on high-impact research published within the last 1 - 2 years and centered broadly on the subjects of retinal gene therapy, iPSC-derived outer retina cells, stem cell transplantation and CRISPR/Cas gene editing. For the retinal pigment epithelium, autologous transplantation of gene-corrected grafts derived from iPSCs may well be technically feasible in the near future. Photoreceptor transplantation faces more significant unresolved technical challenges but remains an achievable, if more distant, goal given the rapid pace of advancements in the field.
AbstractList Retinitis pigmentosa (RP) encompasses many different hereditary retinal degenerations that are caused by a vast array of different gene mutations and have highly variable disease presentations and severities. This heterogeneity poses a significant therapeutic challenge, although an answer may eventually be found through two recent innovations: induced pluripotent stem cells (iPSCs) and clustered regularly interspaced short palindromic repeats (CRISPR)/Cas genome editing. This review discusses the wide-ranging applications of iPSCs and CRISPR-including disease modelling, diagnostics and therapeutics - with an ultimate view towards understanding how these two technologies can come together to address disease heterogeneity and orphan genes in a novel personalized medicine platform. An extensive literature search was conducted in PubMed and Google Scholar, with a particular focus on high-impact research published within the last 1 - 2 years and centered broadly on the subjects of retinal gene therapy, iPSC-derived outer retina cells, stem cell transplantation and CRISPR/Cas gene editing. For the retinal pigment epithelium, autologous transplantation of gene-corrected grafts derived from iPSCs may well be technically feasible in the near future. Photoreceptor transplantation faces more significant unresolved technical challenges but remains an achievable, if more distant, goal given the rapid pace of advancements in the field.
Author Li, Yao
Zheng, Andrew
Tsang, Stephen H
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Keywords clustered regularly interspaced short palindromic repeats
gene therapy
induced pluripotent stem cells
retinal degenerations
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Snippet Retinitis pigmentosa (RP) encompasses many different hereditary retinal degenerations that are caused by a vast array of different gene mutations and have...
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StartPage 391
SubjectTerms Clustered Regularly Interspaced Short Palindromic Repeats - genetics
Genetic Therapy - methods
Genetic Therapy - trends
Humans
Induced Pluripotent Stem Cells - transplantation
Precision Medicine - methods
Precision Medicine - trends
Retinal Pigment Epithelium - pathology
Retinitis Pigmentosa - diagnosis
Retinitis Pigmentosa - genetics
Retinitis Pigmentosa - therapy
Stem Cell Transplantation - methods
Stem Cell Transplantation - trends
Title Personalized therapeutic strategies for patients with retinitis pigmentosa
URI https://www.ncbi.nlm.nih.gov/pubmed/25613576
Volume 15
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