Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene Transfer

Advances in DNA- and RNA-based technologies have made gene therapy suitable for many lung diseases, especially those that are hereditary. The main objective of gene therapy is to deliver an adequate amount of gene construct to the intended target cell, achieve stable transduction in target cells, an...

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Main Authors: Michael G. Katz, Anthony S. Fargnoli, Sarah M. Gubara, Kenneth Fish, Thomas Weber, Charles R. Bridges, Roger J. Hajjar, Kiyotake Ishikawa
Format: Article
Language:English
Published: MDPI AG 2019-02-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/6/1/8
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author Michael G. Katz
Anthony S. Fargnoli
Sarah M. Gubara
Kenneth Fish
Thomas Weber
Charles R. Bridges
Roger J. Hajjar
Kiyotake Ishikawa
author_facet Michael G. Katz
Anthony S. Fargnoli
Sarah M. Gubara
Kenneth Fish
Thomas Weber
Charles R. Bridges
Roger J. Hajjar
Kiyotake Ishikawa
author_sort Michael G. Katz
collection DOAJ
description Advances in DNA- and RNA-based technologies have made gene therapy suitable for many lung diseases, especially those that are hereditary. The main objective of gene therapy is to deliver an adequate amount of gene construct to the intended target cell, achieve stable transduction in target cells, and to produce a clinically therapeutic effect. This review focuses on the cellular organization in the normal lung and how gene therapy targets the specific cell types that are affected by pulmonary disorders caused by genetic mutations. Furthermore, it examines the pulmonary barriers that can compromise the absorption and transduction of viral vectors and genetic agents by the lung. Finally, it discusses the advantages and limitations of direct intra-tracheal gene delivery with different viral vectors in small and large animal models and in clinical trials.
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spelling doaj.art-eba4073123d04bceba63aab9a23938bf2022-12-21T22:27:51ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252019-02-0161810.3390/jcdd6010008jcdd6010008Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene TransferMichael G. Katz0Anthony S. Fargnoli1Sarah M. Gubara2Kenneth Fish3Thomas Weber4Charles R. Bridges5Roger J. Hajjar6Kiyotake Ishikawa7Cardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USACardiovascular Research Center, Department of Cardiology, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAAdvances in DNA- and RNA-based technologies have made gene therapy suitable for many lung diseases, especially those that are hereditary. The main objective of gene therapy is to deliver an adequate amount of gene construct to the intended target cell, achieve stable transduction in target cells, and to produce a clinically therapeutic effect. This review focuses on the cellular organization in the normal lung and how gene therapy targets the specific cell types that are affected by pulmonary disorders caused by genetic mutations. Furthermore, it examines the pulmonary barriers that can compromise the absorption and transduction of viral vectors and genetic agents by the lung. Finally, it discusses the advantages and limitations of direct intra-tracheal gene delivery with different viral vectors in small and large animal models and in clinical trials.https://www.mdpi.com/2308-3425/6/1/8gene therapylung cellular structurebiological barriersviral vectorsendotracheal route of deliveryhereditarymutation
spellingShingle Michael G. Katz
Anthony S. Fargnoli
Sarah M. Gubara
Kenneth Fish
Thomas Weber
Charles R. Bridges
Roger J. Hajjar
Kiyotake Ishikawa
Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene Transfer
Journal of Cardiovascular Development and Disease
gene therapy
lung cellular structure
biological barriers
viral vectors
endotracheal route of delivery
hereditary
mutation
title Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene Transfer
title_full Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene Transfer
title_fullStr Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene Transfer
title_full_unstemmed Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene Transfer
title_short Targeted Gene Delivery through the Respiratory System: Rationale for Intratracheal Gene Transfer
title_sort targeted gene delivery through the respiratory system rationale for intratracheal gene transfer
topic gene therapy
lung cellular structure
biological barriers
viral vectors
endotracheal route of delivery
hereditary
mutation
url https://www.mdpi.com/2308-3425/6/1/8
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