摘要
神经艾滋病是一种兼具传染性和神经退行性途径的疾病,对于研究人员而言,仍然是一个艰巨的挑战。治疗神经艾滋病的主要问题仍然是病毒库的不可及性,这使得不断创新的新技术必不可少。由于大脑是病毒复制的储存库,因此它是务实的,并且是克服相关障碍以改善向大脑的药物输送的前提。当前的治疗意识形态是基于抗逆转录病毒药物的组合方法。但是,无法彻底根除该疾病。因此,基于基因的细胞递送领域正在发展,并且在当前情况下为其自身创造了一个利基市场。为了确立基因传递的最高地位,建议对正当程序中涉及的分子机制有更好的了解。与抗HIV基因的活性有关的机制在于它们的固有性质,其通过靶向病毒进入通道来赋予对HIV感染的抗性。这篇综述主要强调了迄今为止为治疗艾滋病及其相关的神经系统疾病而探索的不同类型的基因疗法。因此可以正确地说,我们正处在十字路口,时刻需要开发新的策略来遏制艾滋病及其相关的神经系统疾病。
关键词: 基因疗法,神经辅助药物,前病毒,CRISPR,ZFN,抗逆转录病毒药物。
图形摘要
[http://dx.doi.org/10.1016/j.addr.2016.02.008] [PMID: 26944096]
[http://dx.doi.org/10.1128/MMBR.00080-19] [PMID: 32404327]
[http://dx.doi.org/10.1016/j.addr.2016.03.005] [PMID: 27013255]
[http://dx.doi.org/10.1007/s11904-019-00428-7] [PMID: 30734905]
[http://dx.doi.org/10.1016/j.addr.2014.12.003] [PMID: 25543006]
[http://dx.doi.org/10.1517/17425247.2011.559457] [PMID: 21348773]
[http://dx.doi.org/10.1016/j.semcancer.2019.09.017] [PMID: 31562954]
[http://dx.doi.org/10.1016/j.biomaterials.2012.03.065] [PMID: 22494889]
[http://dx.doi.org/10.1097/COH.0b013e32835fc601] [PMID: 23429501]
[http://dx.doi.org/10.1016/j.addr.2016.04.027] [PMID: 27151309]
[http://dx.doi.org/10.1007/s00018-017-2479-z] [PMID: 28210784]
[http://dx.doi.org/10.1517/14728222.2014.913572] [PMID: 24917359]
[http://dx.doi.org/10.1007/s12033-014-9771-z] [PMID: 24870618]
[http://dx.doi.org/10.1016/j.gene.2013.03.092] [PMID: 23583799]
[http://dx.doi.org/10.1089/hum.2015.047] [PMID: 25860576]
[http://dx.doi.org/10.3389/fmicb.2018.02940] [PMID: 30619107]
[http://dx.doi.org/10.3389/fnmol.2017.00142] [PMID: 28588449]
[http://dx.doi.org/10.1056/NEJMoa1300662] [PMID: 24597865]
[http://dx.doi.org/10.1186/s12981-017-0157-8] [PMID: 28705213]
[http://dx.doi.org/10.1038/nbt1410] [PMID: 18587387]
[http://dx.doi.org/10.1038/nbt.1663] [PMID: 20601939]
[http://dx.doi.org/10.1038/mtna.2015.22] [PMID: 26305555]
[http://dx.doi.org/10.1038/nature10886] [PMID: 22337052]
[http://dx.doi.org/10.1016/j.cell.2014.05.010] [PMID: 24906146]
[http://dx.doi.org/10.14348/molcells.2015.0103] [PMID: 25985872]
[http://dx.doi.org/10.1111/1348-0421.12395] [PMID: 27278725]
[http://dx.doi.org/10.1038/ncomms7413] [PMID: 25752527]
[http://dx.doi.org/10.1038/mt.2016.10] [PMID: 26755333]
[http://dx.doi.org/10.1038/gt.2016.41] [PMID: 27194423]
[http://dx.doi.org/10.1038/nature14299] [PMID: 25830891]
[http://dx.doi.org/10.1016/j.virusres.2017.07.020] [PMID: 28760348]
[http://dx.doi.org/10.1186/s13578-017-0174-2] [PMID: 28904745]
[http://dx.doi.org/10.1038/mt.2015.202] [PMID: 26581162]
[http://dx.doi.org/10.1016/j.ymthe.2017.03.012] [PMID: 28366764]
[http://dx.doi.org/10.1016/j.omtn.2018.05.021] [PMID: 30195766]
[http://dx.doi.org/10.1073/pnas.1405186111] [PMID: 25049410]
[http://dx.doi.org/10.1038/nbt.2507] [PMID: 23360966]
[http://dx.doi.org/10.1016/j.stem.2014.10.004] [PMID: 25517468]
[http://dx.doi.org/10.1038/nmeth.3284] [PMID: 25664545]
[http://dx.doi.org/10.1038/srep15577] [PMID: 26481100]
[http://dx.doi.org/10.1007/s13365-014-0308-9] [PMID: 25716921]
[http://dx.doi.org/10.1097/QAI.0000000000001190] [PMID: 27749600]
[http://dx.doi.org/10.1038/gt.2011.149] [PMID: 21956690]
[http://dx.doi.org/10.1016/j.omtm.2017.11.008] [PMID: 29322065]
[http://dx.doi.org/10.1038/mtna.2013.64] [PMID: 24301868]
[http://dx.doi.org/10.1371/journal.pone.0053492] [PMID: 23300932]
[http://dx.doi.org/10.1126/scitranslmed.3001581] [PMID: 21248316]
[http://dx.doi.org/10.1038/mt.2009.271] [PMID: 19997090]
[http://dx.doi.org/10.1016/j.cell.2008.06.034] [PMID: 18691745]
[http://dx.doi.org/10.1038/mtm.2013.11] [PMID: 26015947]
[http://dx.doi.org/10.1038/mtna.2015.3] [PMID: 25689223]
[http://dx.doi.org/10.1093/jac/dkg428] [PMID: 12972455]
[http://dx.doi.org/10.1681/ASN.2005080859] [PMID: 16394109]
[http://dx.doi.org/10.1371/journal.pone.0076024] [PMID: 24116086]
[http://dx.doi.org/10.4049/jimmunol.0900274] [PMID: 19535632]
[http://dx.doi.org/10.1186/1750-1326-9-26] [PMID: 24980976]
[http://dx.doi.org/10.1016/j.ymthe.2016.12.023] [PMID: 28143740]
[http://dx.doi.org/10.1371/journal.pone.0082030] [PMID: 24505242]
[http://dx.doi.org/10.1038/mtna.2015.10] [PMID: 25872029]
[http://dx.doi.org/10.1038/536136a] [PMID: 27510204]