Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis

Liver fibrosis is a wound-healing response that results from various chronic damages. If the causes of damage are not removed or effective treatments are not given in a timely manner, it will progress to cirrhosis, even liver cancer. Currently, there are no specific medical therapies for liver fibro...

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Main Authors: Fang-tian Bu, Peng-cheng Jia, Yan Zhu, Ya-ru Yang, Hong-wu Meng, Yi-hui Bi, Cheng Huang, Jun Li
Format: Article
Language:English
Published: Elsevier 2022-09-01
Series:Molecular Therapy: Methods & Clinical Development
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2329050122000882
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author Fang-tian Bu
Peng-cheng Jia
Yan Zhu
Ya-ru Yang
Hong-wu Meng
Yi-hui Bi
Cheng Huang
Jun Li
author_facet Fang-tian Bu
Peng-cheng Jia
Yan Zhu
Ya-ru Yang
Hong-wu Meng
Yi-hui Bi
Cheng Huang
Jun Li
author_sort Fang-tian Bu
collection DOAJ
description Liver fibrosis is a wound-healing response that results from various chronic damages. If the causes of damage are not removed or effective treatments are not given in a timely manner, it will progress to cirrhosis, even liver cancer. Currently, there are no specific medical therapies for liver fibrosis. Adeno-associated virus (AAV)-mediated gene therapy, one of the frontiers of modern medicine, has gained more attention in many fields due to its high safety profile, low immunogenicity, long-term efficacy in mediating gene expression, and increasingly known tropism. Notably, increasing evidence suggests a promising therapeutic potential for AAV-mediated gene therapy in different liver fibrosis models, which helps to correct abnormally changed target genes in the process of fibrosis and improve liver fibrosis at the molecular level. Moreover, the addition of cell-specific promoters to the genome of recombinant AAV helps to limit gene expression in specific cells, thereby producing better therapeutic efficacy in liver fibrosis. However, animal models are considered to be powerless predictive of tissue tropism, immunogenicity, and genotoxic risks in humans. Thus, AAV-mediated gene therapy will face many challenges. This review systemically summarizes the recent advances of AAV-mediated gene therapy in liver fibrosis, especially focusing on cellular and molecular mechanisms of transferred genes, and presents prospective challenges.
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spelling doaj.art-ab0d40bbd2ac431cbecded088514156f2022-12-22T00:54:56ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012022-09-0126191206Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosisFang-tian Bu0Peng-cheng Jia1Yan Zhu2Ya-ru Yang3Hong-wu Meng4Yi-hui Bi5Cheng Huang6Jun Li7Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China; Institute for Liver Diseases of Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China; Institute for Liver Diseases of Anhui Medical University, Hefei, ChinaThe First Affiliated Hospital of Anhui Medical University, Hefei, ChinaThe Second Affiliated Hospital of Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China; Institute for Liver Diseases of Anhui Medical University, Hefei, ChinaThe Second Affiliated Hospital of Anhui Medical University, Hefei, ChinaInflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China; Institute for Liver Diseases of Anhui Medical University, Hefei, China; Corresponding author Cheng Huang, Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China.Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China; Institute for Liver Diseases of Anhui Medical University, Hefei, China; Corresponding author Jun Li, Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China.Liver fibrosis is a wound-healing response that results from various chronic damages. If the causes of damage are not removed or effective treatments are not given in a timely manner, it will progress to cirrhosis, even liver cancer. Currently, there are no specific medical therapies for liver fibrosis. Adeno-associated virus (AAV)-mediated gene therapy, one of the frontiers of modern medicine, has gained more attention in many fields due to its high safety profile, low immunogenicity, long-term efficacy in mediating gene expression, and increasingly known tropism. Notably, increasing evidence suggests a promising therapeutic potential for AAV-mediated gene therapy in different liver fibrosis models, which helps to correct abnormally changed target genes in the process of fibrosis and improve liver fibrosis at the molecular level. Moreover, the addition of cell-specific promoters to the genome of recombinant AAV helps to limit gene expression in specific cells, thereby producing better therapeutic efficacy in liver fibrosis. However, animal models are considered to be powerless predictive of tissue tropism, immunogenicity, and genotoxic risks in humans. Thus, AAV-mediated gene therapy will face many challenges. This review systemically summarizes the recent advances of AAV-mediated gene therapy in liver fibrosis, especially focusing on cellular and molecular mechanisms of transferred genes, and presents prospective challenges.http://www.sciencedirect.com/science/article/pii/S2329050122000882liver fibrosisAAVgene therapyHSCscellular mechanism
spellingShingle Fang-tian Bu
Peng-cheng Jia
Yan Zhu
Ya-ru Yang
Hong-wu Meng
Yi-hui Bi
Cheng Huang
Jun Li
Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis
Molecular Therapy: Methods & Clinical Development
liver fibrosis
AAV
gene therapy
HSCs
cellular mechanism
title Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis
title_full Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis
title_fullStr Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis
title_full_unstemmed Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis
title_short Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis
title_sort emerging therapeutic potential of adeno associated virus mediated gene therapy in liver fibrosis
topic liver fibrosis
AAV
gene therapy
HSCs
cellular mechanism
url http://www.sciencedirect.com/science/article/pii/S2329050122000882
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