Moving toward genome-editing therapies for cardiovascular diseases

The rapid invention of genome-editing technologies over the past decade, which has already been transformative for biomedical research, has raised the tantalizing prospect of an entirely new therapeutic modality. Whereas the treatment of chronic cardiovascular diseases has heretofore entailed the us...

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Main Author: Kiran Musunuru
Format: Article
Language:English
Published: American Society for Clinical Investigation 2022-01-01
Series:The Journal of Clinical Investigation
Online Access:https://doi.org/10.1172/JCI148555
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author Kiran Musunuru
author_facet Kiran Musunuru
author_sort Kiran Musunuru
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description The rapid invention of genome-editing technologies over the past decade, which has already been transformative for biomedical research, has raised the tantalizing prospect of an entirely new therapeutic modality. Whereas the treatment of chronic cardiovascular diseases has heretofore entailed the use of chronic therapies that typically must be taken repeatedly and frequently for the remainder of the lifetime, genome editing will enable the development of “one-and-done” therapies with durable effects. This Review summarizes the variety of available genome-editing approaches, including nuclease editing, base editing, epigenome editing, and prime editing; illustrates how these various approaches could be implemented as novel therapies for cardiovascular diseases; and outlines a path from technology development to preclinical studies to clinical trials. Although this Review focuses on PCSK9 as an instructive example of the various genome-editing approaches under active investigation, the lessons learned will be broadly applicable to the treatment of a variety of diseases.
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spelling doaj.art-e540e45cdce24eb5b05410ddb26bd92a2022-12-22T03:37:05ZengAmerican Society for Clinical InvestigationThe Journal of Clinical Investigation1558-82382022-01-011321Moving toward genome-editing therapies for cardiovascular diseasesKiran MusunuruThe rapid invention of genome-editing technologies over the past decade, which has already been transformative for biomedical research, has raised the tantalizing prospect of an entirely new therapeutic modality. Whereas the treatment of chronic cardiovascular diseases has heretofore entailed the use of chronic therapies that typically must be taken repeatedly and frequently for the remainder of the lifetime, genome editing will enable the development of “one-and-done” therapies with durable effects. This Review summarizes the variety of available genome-editing approaches, including nuclease editing, base editing, epigenome editing, and prime editing; illustrates how these various approaches could be implemented as novel therapies for cardiovascular diseases; and outlines a path from technology development to preclinical studies to clinical trials. Although this Review focuses on PCSK9 as an instructive example of the various genome-editing approaches under active investigation, the lessons learned will be broadly applicable to the treatment of a variety of diseases.https://doi.org/10.1172/JCI148555
spellingShingle Kiran Musunuru
Moving toward genome-editing therapies for cardiovascular diseases
The Journal of Clinical Investigation
title Moving toward genome-editing therapies for cardiovascular diseases
title_full Moving toward genome-editing therapies for cardiovascular diseases
title_fullStr Moving toward genome-editing therapies for cardiovascular diseases
title_full_unstemmed Moving toward genome-editing therapies for cardiovascular diseases
title_short Moving toward genome-editing therapies for cardiovascular diseases
title_sort moving toward genome editing therapies for cardiovascular diseases
url https://doi.org/10.1172/JCI148555
work_keys_str_mv AT kiranmusunuru movingtowardgenomeeditingtherapiesforcardiovasculardiseases