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DOI: 10.1177/0192623307309925
Gene Therapy: Some History, Applications, Problems, and ProspectsFrom the Gene Therapy and Therapeutics Branch, National Institute of Dental and Craniofacial Research, NIH, DHHS, Bethesda, Maryland, USA Correspondence: Address correspondence to: Dr. Ana Cotrim, GTTB, NIDCR, NIH, 10 Center Drive, Bethesda, MD 20892-1190, e-mail: acotrim{at}nidcr.nih.gov. The concept of transferring genes to tissues for clinical applications has been discussed for nearly half a century, but our ability to manipulate genetic material via recombinant DNA technology has brought this goal to reality. While originally conceived as a way to treat life-threatening disorders (inborn errors, cancers) refractory to conventional treatment, gene therapy now is considered for many non–life-threatening conditions, including those adversely affecting a patients quality of life. The lack of suitable treatment has become a rational basis for extending the scope of gene therapy. This manuscript reviews the general methods by which genes are transferred as well as diverse examples of clinical applications (acquired tissue damage, upper gastrointestinal tract infection, autoimmune disease, systemic protein deficiency). Despite some well-publicized problems, gene therapy has made substantive progress, including tangible success, albeit much slower than was initially predicted. Although gene therapy is still at a fairly primitive stage, it is firmly science based. There is justifiable optimism that with increased pathobiological understanding and biotechnological improvements, gene therapy will become a standard part of clinical practice within 20 years.
Key Words: Salivary gland animal models cell(ular) pathology Abbreviations: Ad5, serotype 5 adenovirus MoMLV, Moloney murine leukemia virus SG, salivary gland GI, gastrointestinal AAV2, serotype 2 adeno-associated virus IR, irradiation MnSOD-PL, manganese superoxide dismutase-plasmid liposome AQP1, aquaporin-1 AdhAQP1, Ad5 vector encoding human AQP1 SS, Sjogrens syndrome VIP, vasoactive intestinal peptide IL-10, interleukin-10 NOD, nonobese diabetic h, human Epo, erythropoietin FDA, Food and Drug Administration NIH, National Institutes of Health SCID, severe combined immunodeficiency disorder
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