Gene therapy and genome editing for type I glycogen storage diseases

نویسندگان

چکیده

Type I glycogen storage diseases (GSD-I) consist of two major autosomal recessive disorders, GSD-Ia, caused by a reduction glucose-6-phosphatase-α (G6Pase-α or G6PC) activity and GSD-Ib, in the glucose-6-phosphate transporter (G6PT SLC37A4) activity. The G6Pase-α G6PT are functionally co-dependent. Together, G6Pase-α/G6PT complex catalyzes translocation G6P from cytoplasm into endoplasmic reticulum lumen its subsequent hydrolysis to glucose that is released blood maintain euglycemia. Consequently, all GSD-I patients share metabolic phenotype includes loss homeostasis long-term risks hepatocellular adenoma/carcinoma renal disease. A rigorous dietary therapy has enabled normalized phenotype, but adherence challenging. Moreover, therapies do not address underlying pathological processes, complications still occur metabolically compensated patients. Animal models GSD-Ia GSD-Ib have delineated disease biology pathophysiology, guided development effective gene strategies for both disorders. Preclinical studies established recombinant adeno-associated virus vector-mediated safe, efficacious. phase III clinical trial rAAV-mediated augmentation (NCT05139316) progress as 2023. mRNA was initiated 2022 (NCT05095727). Alternative genetic technologies therapies, such editing, also being examined their potential improve further outcomes.

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ژورنال

عنوان ژورنال: Frontiers in Molecular Medicine

سال: 2023

ISSN: ['2674-0095']

DOI: https://doi.org/10.3389/fmmed.2023.1167091