Review Article

癫痫脑的基因治疗修复:治疗潜力和未来方向

卷 19, 期 6, 2019

页: [367 - 375] 页: 9

弟呕挨: 10.2174/1566523220666200131142423

价格: $65

摘要

癫痫病是一种常见的癫痫发作综合征,是最普遍的神经系统疾病之一,三分之一的癫痫患者对现有药物有抗药性。外科手术被认为是治疗多药耐药性癫痫的主要方法,但是它是一个剧烈的过程。基因组技术的进步表明基因治疗可以使这种手术成为不必要。大量的新研究显示了雷帕霉素途径,NMDA受体,GABA受体,钾通道和G蛋白偶联受体在哺乳动物靶标中的突变的重要性。给出了针对癫痫病中的细微药物的例证,该药物靶向SCN8A,GRIN2A,GRIN2D和KCNT1中突变的新表达。利用各种方法在大脑的精确区域表达基因。以离体方法移植细胞(胎儿细胞,成纤维细胞,永生细胞),非病毒载体递送和病毒载体递送,如逆转录病毒,单纯疱疹病毒腺病毒和腺相关病毒。因此,已经探索了基因疗法来产生抗癫痫药,抗癫痫发作和改善疾病的作用。基因疗法可促进对癫痫发生区的特异性靶向,从而节省邻近的健康组织并减少与抗癫痫药物经常并存的不良反应。

关键词: 通道病,癫痫,基因治疗,神经保护,癫痫持续状态,颞叶癫痫,非病毒载体的递送,病毒载体的递送。

图形摘要
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