Liposomal delivery of gene therapy for ovarian cancer: a systematic review

Abstract Objective To systematically identify and narratively synthesize the evidence surrounding liposomal delivery of gene therapy and the outcome for ovarian cancer. Methods An electronic database search of the Embase, MEDLINE and Web of Science from inception until July 7, 2023, was conducted to...

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Main Authors: Jin Sung Son, Ryan Chow, Helena Kim, Toney Lieu, Maria Xiao, Sunny Kim, Kathy Matuszewska, Madison Pereira, David Le Nguyen, Jim Petrik
Format: Article
Language:English
Published: BMC 2023-08-01
Series:Reproductive Biology and Endocrinology
Subjects:
Online Access:https://doi.org/10.1186/s12958-023-01125-2
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author Jin Sung Son
Ryan Chow
Helena Kim
Toney Lieu
Maria Xiao
Sunny Kim
Kathy Matuszewska
Madison Pereira
David Le Nguyen
Jim Petrik
author_facet Jin Sung Son
Ryan Chow
Helena Kim
Toney Lieu
Maria Xiao
Sunny Kim
Kathy Matuszewska
Madison Pereira
David Le Nguyen
Jim Petrik
author_sort Jin Sung Son
collection DOAJ
description Abstract Objective To systematically identify and narratively synthesize the evidence surrounding liposomal delivery of gene therapy and the outcome for ovarian cancer. Methods An electronic database search of the Embase, MEDLINE and Web of Science from inception until July 7, 2023, was conducted to identify primary studies that investigated the effect of liposomal delivery of gene therapy on ovarian cancer outcomes. Retrieved studies were assessed against the eligibility criteria for inclusion. Results The search yielded 564 studies, of which 75 met the inclusion criteria. Four major types of liposomes were identified: cationic, neutral, polymer-coated, and ligand-targeted liposomes. The liposome with the most evidence involved cationic liposomes which are characterized by their positively charged phospholipids (n = 37, 49.3%). Similarly, those with neutrally charged phospholipids, such as 1,2-dioleoyl-sn-glycero-3-phosphatidylcholine, were highly researched as well (n = 25, 33.3%). Eight areas of gene therapy research were identified, evaluating either target proteins/transcripts or molecular pathways: microRNAs, ephrin type-A receptor 2 (EphA2), interleukins, mitogen-activated protein kinase (MAPK), human-telomerase reverse transcriptase/E1A (hTERT/EA1), suicide gene, p53, and multidrug resistance mutation 1 (MDR1). Conclusion Liposomal delivery of gene therapy for ovarian cancer shows promise in many in vivo studies. Emerging polymer-coated and ligand-targeted liposomes have been gaining interest as they have been shown to have more stability and specificity. We found that gene therapy involving microRNAs was the most frequently studied. Overall, liposomal genetic therapy has been shown to reduce tumor size and weight and improve survivability. More research involving the delivery and targets of gene therapy for ovarian cancer may be a promising avenue to improve patient outcomes.
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spelling doaj.art-d0c615f33f3041729759bd3c7ce9f79a2023-11-26T14:35:27ZengBMCReproductive Biology and Endocrinology1477-78272023-08-0121111110.1186/s12958-023-01125-2Liposomal delivery of gene therapy for ovarian cancer: a systematic reviewJin Sung Son0Ryan Chow1Helena Kim2Toney Lieu3Maria Xiao4Sunny Kim5Kathy Matuszewska6Madison Pereira7David Le Nguyen8Jim Petrik9Faculty of Health Sciences, University of McMasterFaculty of Medicine, University of OttawaFaculty of Health Sciences, University of McMasterFaculty of Health Sciences, University of McMasterFaculty of Health Sciences, University of McMasterFaculty of Health Sciences, University of McMasterDepartment of Biomedical Sciences, University of GuelphDepartment of Biomedical Sciences, University of GuelphFaculty of Medicine, University of OttawaFaculty of Health Sciences, University of McMasterAbstract Objective To systematically identify and narratively synthesize the evidence surrounding liposomal delivery of gene therapy and the outcome for ovarian cancer. Methods An electronic database search of the Embase, MEDLINE and Web of Science from inception until July 7, 2023, was conducted to identify primary studies that investigated the effect of liposomal delivery of gene therapy on ovarian cancer outcomes. Retrieved studies were assessed against the eligibility criteria for inclusion. Results The search yielded 564 studies, of which 75 met the inclusion criteria. Four major types of liposomes were identified: cationic, neutral, polymer-coated, and ligand-targeted liposomes. The liposome with the most evidence involved cationic liposomes which are characterized by their positively charged phospholipids (n = 37, 49.3%). Similarly, those with neutrally charged phospholipids, such as 1,2-dioleoyl-sn-glycero-3-phosphatidylcholine, were highly researched as well (n = 25, 33.3%). Eight areas of gene therapy research were identified, evaluating either target proteins/transcripts or molecular pathways: microRNAs, ephrin type-A receptor 2 (EphA2), interleukins, mitogen-activated protein kinase (MAPK), human-telomerase reverse transcriptase/E1A (hTERT/EA1), suicide gene, p53, and multidrug resistance mutation 1 (MDR1). Conclusion Liposomal delivery of gene therapy for ovarian cancer shows promise in many in vivo studies. Emerging polymer-coated and ligand-targeted liposomes have been gaining interest as they have been shown to have more stability and specificity. We found that gene therapy involving microRNAs was the most frequently studied. Overall, liposomal genetic therapy has been shown to reduce tumor size and weight and improve survivability. More research involving the delivery and targets of gene therapy for ovarian cancer may be a promising avenue to improve patient outcomes.https://doi.org/10.1186/s12958-023-01125-2Ovarian cancerLiposomesGene therapymicro RNAs
spellingShingle Jin Sung Son
Ryan Chow
Helena Kim
Toney Lieu
Maria Xiao
Sunny Kim
Kathy Matuszewska
Madison Pereira
David Le Nguyen
Jim Petrik
Liposomal delivery of gene therapy for ovarian cancer: a systematic review
Reproductive Biology and Endocrinology
Ovarian cancer
Liposomes
Gene therapy
micro RNAs
title Liposomal delivery of gene therapy for ovarian cancer: a systematic review
title_full Liposomal delivery of gene therapy for ovarian cancer: a systematic review
title_fullStr Liposomal delivery of gene therapy for ovarian cancer: a systematic review
title_full_unstemmed Liposomal delivery of gene therapy for ovarian cancer: a systematic review
title_short Liposomal delivery of gene therapy for ovarian cancer: a systematic review
title_sort liposomal delivery of gene therapy for ovarian cancer a systematic review
topic Ovarian cancer
Liposomes
Gene therapy
micro RNAs
url https://doi.org/10.1186/s12958-023-01125-2
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