Gene transfer and genome editing for familial hypercholesterolemia

Familial hypercholesterolemia (FH) is an autosomal dominant inherited disease characterized by high circulating low-density lipoprotein (LDL) cholesterol. High circulating LDL cholesterol in FH is due to dysfunctional LDL receptors, and is mainly expressed by hepatocytes. Affected patients rapidly d...

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Main Authors: Cesare Canepari, Alessio Cantore
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Molecular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmmed.2023.1140997/full
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author Cesare Canepari
Cesare Canepari
Alessio Cantore
Alessio Cantore
author_facet Cesare Canepari
Cesare Canepari
Alessio Cantore
Alessio Cantore
author_sort Cesare Canepari
collection DOAJ
description Familial hypercholesterolemia (FH) is an autosomal dominant inherited disease characterized by high circulating low-density lipoprotein (LDL) cholesterol. High circulating LDL cholesterol in FH is due to dysfunctional LDL receptors, and is mainly expressed by hepatocytes. Affected patients rapidly develop atherosclerosis, potentially leading to myocardial infarction and death within the third decade of life if left untreated. Here, we introduce the disease pathogenesis and available treatment options. We highlight different possible targets of therapeutic intervention. We then review different gene therapy strategies currently under development, which may become novel therapeutic options in the future, and discuss their advantages and disadvantages. Finally, we briefly outline the potential applications of some of these strategies for the more common acquired hypercholesterolemia disease.
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spelling doaj.art-03fdeca755b249ddbf0b14a4f39c2a3b2023-04-03T05:32:34ZengFrontiers Media S.A.Frontiers in Molecular Medicine2674-00952023-04-01310.3389/fmmed.2023.11409971140997Gene transfer and genome editing for familial hypercholesterolemiaCesare Canepari0Cesare Canepari1Alessio Cantore2Alessio Cantore3San Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute, Milan, ItalyVita-Salute San Raffaele University, Milan, ItalySan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute, Milan, ItalyVita-Salute San Raffaele University, Milan, ItalyFamilial hypercholesterolemia (FH) is an autosomal dominant inherited disease characterized by high circulating low-density lipoprotein (LDL) cholesterol. High circulating LDL cholesterol in FH is due to dysfunctional LDL receptors, and is mainly expressed by hepatocytes. Affected patients rapidly develop atherosclerosis, potentially leading to myocardial infarction and death within the third decade of life if left untreated. Here, we introduce the disease pathogenesis and available treatment options. We highlight different possible targets of therapeutic intervention. We then review different gene therapy strategies currently under development, which may become novel therapeutic options in the future, and discuss their advantages and disadvantages. Finally, we briefly outline the potential applications of some of these strategies for the more common acquired hypercholesterolemia disease.https://www.frontiersin.org/articles/10.3389/fmmed.2023.1140997/fullgene therapyfamilial hypercholesterolemiagene editinglipoproteinslipid-lowering medications
spellingShingle Cesare Canepari
Cesare Canepari
Alessio Cantore
Alessio Cantore
Gene transfer and genome editing for familial hypercholesterolemia
Frontiers in Molecular Medicine
gene therapy
familial hypercholesterolemia
gene editing
lipoproteins
lipid-lowering medications
title Gene transfer and genome editing for familial hypercholesterolemia
title_full Gene transfer and genome editing for familial hypercholesterolemia
title_fullStr Gene transfer and genome editing for familial hypercholesterolemia
title_full_unstemmed Gene transfer and genome editing for familial hypercholesterolemia
title_short Gene transfer and genome editing for familial hypercholesterolemia
title_sort gene transfer and genome editing for familial hypercholesterolemia
topic gene therapy
familial hypercholesterolemia
gene editing
lipoproteins
lipid-lowering medications
url https://www.frontiersin.org/articles/10.3389/fmmed.2023.1140997/full
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