2019
DOI: 10.1002/jgm.3091
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Non‐viral nucleic acid delivery to the central nervous system and brain tumors

Abstract: Gene therapy is a rapidly emerging remedial route for many serious incurable diseases, such as central nervous system (CNS) diseases. Currently, nucleic acid medicines, including DNAs encoding therapeutic or destructive proteins, small interfering RNAs or microRNAs, have been successfully delivered to the CNS with gene delivery vectors using various routes of administration and have subsequently exhibited remarkable therapeutic efficiency. Among these vectors, non‐viral vectors are favorable for delivering gen… Show more

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Cited by 15 publications
(10 citation statements)
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“…For efficient gene delivery, it is essential to load gene drugs into a delivery vector, which is divided into viral vector and non-viral vector. The further clinical application of viral vectors is limited due to the biological safety problems such as cytotoxicity, high immunogenicity and potential carcinogenicity [10 , 11] . At present, non-viral gene delivery vectors such as cationic polymers [12] , cationic polysaccharides [13] , protamine [14] , cationic lipids [15] and cationic surfactants [16] have become the focus of gene therapy research due to low toxicity, low immunogenicity, etc .…”
Section: Introductionmentioning
confidence: 99%
“…For efficient gene delivery, it is essential to load gene drugs into a delivery vector, which is divided into viral vector and non-viral vector. The further clinical application of viral vectors is limited due to the biological safety problems such as cytotoxicity, high immunogenicity and potential carcinogenicity [10 , 11] . At present, non-viral gene delivery vectors such as cationic polymers [12] , cationic polysaccharides [13] , protamine [14] , cationic lipids [15] and cationic surfactants [16] have become the focus of gene therapy research due to low toxicity, low immunogenicity, etc .…”
Section: Introductionmentioning
confidence: 99%
“…Local intraparenchymal injections are the most common delivery method for circumventing the BBB, but some AAV serotypes have been shown to cross the BBB after systemic delivery (Choudhury et al, 2016b;Chan et al, 2017;Hudry et al, 2018). Non-viral vehicles are generally less efficient than viral vectors, but the development of non-viral delivery methods for the CNS is an intense field of research and may open up new possibilities for treatment in the near future (Wang and Huang, 2019). The immunogenicity induced by genome editing tools is another topic of concern due to potential inflammatory responses (Shim et al, 2017).…”
Section: Future Perspectives In Genome Editing For Cns Disordersmentioning
confidence: 99%
“…In the case of inborn metabolism mutations of one gene that affect the brain, such as mucopolysaccharidoses or Canavan disease, the approach normally consists of the delivery of a functional copy of the gene to restore the normal phenothype [146][147][148]. However, in the case of brain-acquired diseases, where more than one gene can be affected, such as brain cancer, Alzheimer's, or Parkinson's diseases, the genetic approach is more challenging, since the molecular basis of those disorders are still not understood [148][149][150]. BBB hampers the entry of gene expression vectors into the brain; consequently, gene treatments must be given after an invasive craniotomy, which in many cases jeopardizes the acceptance of patients enrolled in clinical trials due to the cumbersome approach and related side effects that increase the after-care cost as a consequence of additional hospital visits [151].…”
Section: General Conceptsmentioning
confidence: 99%