体内 CAR 基因治疗的前景与潜在陷阱
Promises and potential pitfalls of in vivo CAR gene therapy.
英文原题:An Overview: Genetic Tumor Markers for Early Detection and Current Gene Therapy Strategies.
An Overview: Genetic Tumor Markers for Early Detection and Current Gene Therapy Strategies.
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基因组不稳定性被认为是任何肿瘤性疾病涉及的一个基本因素。因此,遗传不稳定的细胞促成了肿瘤内遗传异质性和癌症表型多样性。这些遗传改变可通过多种分子生物学诊断技术检测,而基因组完整性改变的检测可作为可靠的遗传分子标志物,用于癌症或体内细胞癌症相关异常改变的早期发现。这些遗传分子标志物能够比任何其他癌症诊断方法更早地检测出癌症;一旦肿瘤被诊断出来,就可以对这些癌症相关异常遗传改变进行替换或治疗性操控,从而走向有效且靶向特异的癌症治疗,并且在许多情况下,可以实现癌症的个性化治疗,而不产生化疗和放疗的不良反应。在这篇综述中,我们描述了如何检测这些遗传分子标志物,以及将这种基因诊断应用于基因治疗的可能途径,这些治疗可以直接或间接攻击癌细胞,从而全面改善癌症患者的管理和生活质量。
Genomic instability is considered a fundamental factor involved in any neoplastic disease. Consequently, the genetically unstable cells contribute to intratumoral genetic heterogeneity and phenotypic diversity of cancer. These genetic alterations can be detected by several diagnostic techniques of molecular biology and the detection of alteration in genomic integrity may serve as reliable genetic molecular markers for the early detection of cancer or cancer-related abnormal changes in the body cells.
These genetic molecular markers can detect cancer earlier than any other method of cancer diagnosis, once a tumor is diagnosed, then replacement or therapeutic manipulation of these cancer-related abnormal genetic changes can be possible, which leads toward effective and target-specific cancer treatment and in many cases, personalized treatment of cancer could be performed without the adverse effects of chemotherapy and radiotherapy.
In this review, we describe how these genetic molecular markers can be detected and the possible ways for the application of this gene diagnosis for gene therapy that can attack cancerous cells, directly or indirectly, which lead to overall improved management and quality of life for a cancer patient.
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