The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal Diseases

Inherited retinal diseases (IRDs) are a heterogeneous group of disorders causing progressive loss of vision, affecting approximately one in 1000 people worldwide. Gene augmentation therapy, which typically involves using adeno-associated viral vectors for delivery of healthy gene copies to affected...

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Main Authors: Lyes Toualbi, Maria Toms, Mariya Moosajee
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/5/2318
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author Lyes Toualbi
Maria Toms
Mariya Moosajee
author_facet Lyes Toualbi
Maria Toms
Mariya Moosajee
author_sort Lyes Toualbi
collection DOAJ
description Inherited retinal diseases (IRDs) are a heterogeneous group of disorders causing progressive loss of vision, affecting approximately one in 1000 people worldwide. Gene augmentation therapy, which typically involves using adeno-associated viral vectors for delivery of healthy gene copies to affected tissues, has shown great promise as a strategy for the treatment of IRDs. However, the use of viruses is associated with several limitations, including harmful immune responses, genome integration, and limited gene carrying capacity. Here, we review the advances in non-viral gene augmentation strategies, such as the use of plasmids with minimal bacterial backbones and scaffold/matrix attachment region (S/MAR) sequences, that have the capability to overcome these weaknesses by accommodating genes of any size and maintaining episomal transgene expression with a lower risk of eliciting an immune response. Low retinal transfection rates remain a limitation, but various strategies, including coupling the DNA with different types of chemical vehicles (nanoparticles) and the use of electrical methods such as iontophoresis and electrotransfection to aid cell entry, have shown promise in preclinical studies. Non-viral gene therapy may offer a safer and effective option for future treatment of IRDs.
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spelling doaj.art-cc208ba23c324ba781726ae65dce6b3e2023-12-11T18:30:17ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-02-01225231810.3390/ijms22052318The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal DiseasesLyes Toualbi0Maria Toms1Mariya Moosajee2UCL Institute of Ophthalmology, London EC1V 9EL, UKUCL Institute of Ophthalmology, London EC1V 9EL, UKUCL Institute of Ophthalmology, London EC1V 9EL, UKInherited retinal diseases (IRDs) are a heterogeneous group of disorders causing progressive loss of vision, affecting approximately one in 1000 people worldwide. Gene augmentation therapy, which typically involves using adeno-associated viral vectors for delivery of healthy gene copies to affected tissues, has shown great promise as a strategy for the treatment of IRDs. However, the use of viruses is associated with several limitations, including harmful immune responses, genome integration, and limited gene carrying capacity. Here, we review the advances in non-viral gene augmentation strategies, such as the use of plasmids with minimal bacterial backbones and scaffold/matrix attachment region (S/MAR) sequences, that have the capability to overcome these weaknesses by accommodating genes of any size and maintaining episomal transgene expression with a lower risk of eliciting an immune response. Low retinal transfection rates remain a limitation, but various strategies, including coupling the DNA with different types of chemical vehicles (nanoparticles) and the use of electrical methods such as iontophoresis and electrotransfection to aid cell entry, have shown promise in preclinical studies. Non-viral gene therapy may offer a safer and effective option for future treatment of IRDs.https://www.mdpi.com/1422-0067/22/5/2318inherited retinal diseasenon-viral gene therapyplasmid DNAnanoparticlestransfectionphotoreceptors
spellingShingle Lyes Toualbi
Maria Toms
Mariya Moosajee
The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal Diseases
International Journal of Molecular Sciences
inherited retinal disease
non-viral gene therapy
plasmid DNA
nanoparticles
transfection
photoreceptors
title The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal Diseases
title_full The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal Diseases
title_fullStr The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal Diseases
title_full_unstemmed The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal Diseases
title_short The Landscape of Non-Viral Gene Augmentation Strategies for Inherited Retinal Diseases
title_sort landscape of non viral gene augmentation strategies for inherited retinal diseases
topic inherited retinal disease
non-viral gene therapy
plasmid DNA
nanoparticles
transfection
photoreceptors
url https://www.mdpi.com/1422-0067/22/5/2318
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