摘要
镰状细胞病(SCD)是由β珠蛋白基因的点突变引起的最常见的单基因疾病之一。这种突变导致血红蛋白(Hb)在氧合减少的条件下聚合,导致僵硬的镰状红细胞和溶血性贫血。这种明确定义的基本分子机制使SCD成为精确治疗的典型靶点。突变β珠蛋白及其下游病理生理学都是深入研究的药理学靶点。SCD也是一种非常适合基因治疗等生物干预的疾病。造血干细胞(HSC)移植和基因治疗平台(如慢病毒载体和基因编辑策略)的最新进展扩大了SCD患者的潜在治疗选择。本文综述了SCD精准治疗的最新进展以及自体HSC基因治疗SCD的临床前和临床进展。
关键词: 镰状细胞病,基因治疗,基因编辑,造血干细胞,干细胞移植,精准治疗。
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