Reportlinker Adds Gene Therapy - Technologies, Markets and Companies
NEW YORK, June 3 /PRNewswire/ -- Reportlinker.com announces that a new market research report is available in its catalogue:
Gene Therapy - technologies, markets and companies
http://www.reportlinker.com/p0203543/Gene-Therapy---technologies-markets-and-companies.html
Benefits of this report
* Up-to-date on-stop information on gene therapy with 72 tables and 13 figures
* Evaluation of gene therapy technologies
* 700 selected references from the literature
* Estimates of gene therapy markets from 2009-2019
* Profiles of 188 companies involved and collaborations in this area
Who should read this report?
* Biotechnology companies developing gene therapy
* Academic institutions doing research in gene therapy
* Drug delivery companies
* Pharmaceutical companies interested in gene therapy
* Gene therapy companies
* Venture capital and investment companies
Summary
Gene therapy can be broadly defined as the transfer of defined genetic material to specific target cells of a patient for the ultimate purpose of preventing or altering a particular disease state. Genes and DNA are now being introduced without the use of vectors and various techniques are being used to modify the function of genes in vivo without gene transfer. If one adds to this the cell therapy particularly with use of genetically modified cells, the scope of gene therapy becomes much broader. Gene therapy can now combined with antisense techniques such as RNA interference (RNAi), further increasing the therapeutic applications. This report takes broad overview of gene therapy and is the most up-to-date presentation from the author on this topic built-up from a series of gene therapy report written by him during the past decade including a textbook of gene therapy and a book on gene therapy companies. This report describes the setbacks of gene therapy and renewed interest in the topic
Gene therapy technologies are described in detail including viral vectors, nonviral vectors and cell therapy with genetically modified vectors. Gene therapy is an excellent method of drug delivery and various routes of administration as well as targeted gene therapy are described. There is an introduction to technologies for gene suppression as well as molecular diagnostics to detect and monitor gene expression.
Clinical applications of gene therapy are extensive and cover most systems and their disorders. Full chapters are devoted to genetic syndromes, cancer, cardiovascular diseases, neurological disorders and viral infections with emphasis on AIDS. Applications of gene therapy in veterinary medicine, particularly for treating cats and dogs, are included.
Research and development is in progress in both the academic and the industrial sectors. The National Institutes of Health (NIH) of the US is playing an important part. As of January 2010, over 2024 gene therapy clinical trials have been completed, are ongoing or have been approved worldwide.A breakdown of these trials is shown according to the areas of application.
Since the death of Jesse Gelsinger in the US following a gene therapy treatment, the FDA has further tightened the regulatory control on gene therapy. A further setback was the reports of leukemia following use of retroviral vectors in successful gene therapy for adenosine deaminase deficiency. Several clinical trials were put on hold and many have resumed now. The report also discusses the adverse effects of various vectors, safety regulations and ethical aspects of gene therapy including germline gene therapy.
The markets for gene therapy are difficult to estimate as there is only one approved gene therapy product and it is marketed in China since 2004. Gene therapy markets are estimated for the years 2009-2019. The estimates are based on epidemiology of diseases to be treated with gene therapy, the portion of those who will be eligible for these treatments, competing technologies and the technical developments anticipated in the next decades. In spite of some setbacks, the future for gene therapy is bright.The markets for DNA vaccines are calculated separately as only genetically modified vaccines and those using viral vectors are included in the gene therapy markets
The voluminous literature on gene therapy was reviewed and selected 700 references are appended in the bibliography.The references are constantly updated. The text is supplemented with 72 tables and 13 figures.
Profiles of 189 companies involved in developing gene therapy are presented along with 210 collaborations. There were only 44 companies involved in this area in 1995. In spite of some failures and mergers, the number of companies has increased more than 4-fold within a decade. These companies have been followed up since they were the topic of a book on gene therapy companies by the author of this report. John Wiley & Sons published the book in 2000 and from 2001 to 2003, updated versions of these companies (approximately 160 at mid-2003) were available on Wiley's web site. Since that free service was discontinued and the rights reverted to the author, this report remains the only authorized continuously updated version on gene therapy companies.
TABLE OF CONTENTS
0.Executive Summary19
1.Introduction21
Definitions21
Historical evolution of gene therapy21
Relation of gene therapy to other biotechnologies23
Molecular biological basics for gene therapy23
Genome23
DNA24
RNA24
Alternative RNA splicing25
Genes26
Gene regulation26
Gene expression28
Chromosomes28
Telomeres29
Mitochondrial DNA29
Proteins30
2.Gene Therapy Technologies31
Classification of gene therapy techniques31
Ex vivo and in vivo gene therapy32
Ex vivo gene therapy32
In vivo gene therapy33
Physical methods of gene transfer33
Electroporation33
Applications of electroporation34
Clinical applications of electroporation35
Advantages of electroporation35
Limitations of electroporation36
Hydrodynamic36
Microinjection36
Particle bombardment37
Ultrasound-mediated transfection39
Molecular vibration40
Application of pulsed magnetic field and superparamagnetic nanoparticles40
Gene transfection using laser irradiation40
Photochemical transfection41
Chemical methods of gene transfer41
Gene repair and replacement41
Gene repair by single-stranded oligonucleotides42
History and current status of chimeraplasty42
mRNA gene therapy42
Spliceosome mediated RNA trans-splicing43
Vectors for gene therapy44
Basic considerations44
Use of genes as pharmaceuticals44
The ideal vector for gene therapy44
Viral vectors45
Adenovirus vectors46
Adeno-associated virus vectors48
Alphavirus vectors50
Baculovirus vectors50
Foamy virus vectors51
Herpes simplex virus vectors51
Lentiviral vectors53
Multicistronic retroviral vectors54
Retroviral vectors55
Oncognic potential of retroviral vectors56
Future prospects of viral vectors57
Companies using viral vectors57
Nonviral vectors for gene therapy59
Anionic lipid-DNA complexes59
Cationic lipid-DNA complexes60
Effects of shape of DNA molecules on delivery with nonviral vectors60
Electrostatic modifications of surface to improve gene delivery60
Liposomes for gene therapy61
Liposome-nucleic acid complexes62
Liposome-HVJ complex63
Transposons DNA vectors63
Polycation-DNA complexes (polyplexes)64
Plasmid DNA vector for treatment of chronic inflammatory disease65
Polymer molecules65
Synthetic peptide complexes65
Future prospects of nonviral vs viral vectors65
Nanobiotechnology for gene transfer66
Nanoparticles as nonviral vectors for gene therapy66
Dendrimers66
Cochleates67
Calcium phosphate nanoparticles as non-viral vectors67
Lipid nanoparticles for nucleic acid delivery68
Silica nanoparticles as a nonviral vector for gene delivery68
Gelatin nanoparticles for gene delivery69
Nonionic polymeric micelles for oral gene delivery69
Biological nanoparticle technology69
Nanoparticles with virus-like function as gene therapy vectors69
Receptor-mediated endocytosis70
Artificial viral vectors71
Directed evolution of AAV to create efficient gene delivery vectors71
Bacterial ghosts as DNA delivery systems72
Bacteria plus nanoparticles for gene delivery into cells72
Chromosome-based vectors for gene therapy73
Companies using nonviral vectors74
Concluding remarks about vectors75
Cell-mediated gene therapy76
Fibroblasts77
Skeletal muscle cells78
Vascular smooth muscle cells78
Keratinocytes78
Hepatocytes79
Lymphocytes79
Regulating protein delivery by genetically encoded lymphocytes79
Implantation of microencapulated genetically modified cells79
Stem cell gene therapy80
Therapeutic applications for hematopoietic stem cell gene transfer81
Improving delivery of genes to stem cells81
Lentiviral vectors for gene transfer to marrow stem cells81
Use of mesenchymal stem cells for gene therapy81
Microporation for transfection of MSCs81
In utero gene therapy using stem cells82
Gene delivery to stem cells by artificial chromosome expression82
Linker based sperm-mediated gene transfer technology82
Combination of gene therapy with therapeutic cloning83
Expansion of transduced HSCs in vivo83
The future of hematopoietic stem cell gene therapy83
Routes of administration for gene therapy83
Direct injection of naked DNA84
Intramuscular injection84
Intravenous DNA injection85
Intraarterial delivery85
Companies with gene delivery devices/ technologies85
Targeted gene therapy86
Targeted integration87
Bacteriophage integrase system for site-specific gene delivery87
Controlled-release delivery of DNA87
Controlled gene therapy88
Controlled delivery of genetic material88
Controlled induction of gene expression88
Drug-inducible systems for control of gene expression89
Timed activation of gene therapy by a circuit based on signaling network89
Small molecules for post-transcriptional regulation of gene expression90
Engineered zinc finger DNA binding proteins for gene correction90
Light Activated Gene Therapy90
Spatial control of gene expression via local hyperthermia91
Companies with regulated /targeted gene therapy91
Gene marking92
Germline gene therapy92
Potential applications of human germline genome modification92
Pros and cons of human germline genome modification93
Role of gene transfer in antibody therapy94
Genetically engineered vaccines95
DNA vaccines95
DNA inoculation technology95
Methods for enhancing the potency of DNA vaccines96
Advantages of DNA vaccines96
Vaccine vectors97
Challenges and limitations of genetically engineered vaccines98
Vaccines based on reverse genetics98
Technologies for gene suppression98
Antisense oligonucleotides99
Transcription factor decoys99
Aptamers100
Ribozymes100
Peptide nucleic acid100
Intracellular delivery of PNAs101
Locked nucleic acid101
Zorro-LNA101
Gene silencing102
Post-transcriptional gene silencing102
Definitions and terminology of RNAi102
RNAi mechanisms102
Inhibition of gene expression by antigene RNA104
RNAi gene therapy105
Application of molecular diagnostic methods in gene therapy105
Use of PCR to study biodistribution of gene therapy vector105
PCR for verification of the transcription of DNA106
In situ PCR for direct quantification of gene transfer into cells106
Detection of retroviruses by reverse transcriptase (RT)-PCR106
Confirmation of viral vector integration106
Monitoring of gene expression107
Monitoring of gene expression by green fluorescent protein107
Monitoring in vivo gene expression by molecular imaging107
Advantages of gene therapy compared with protein therapy107
3.Clinical Applications of Gene Therapy109
Introduction109
Bone and joint disorders109
Bone fractures109
Gene therapy for intervertebral disc degeneration110
Spinal fusion110
Osteogenesis imperfecta111
Rheumatoid arthritis111
Local or systemic treatment112
In vivo or ex vivo gene therapy of RA112
Clinical trials113
Gene therapy for osteoarthritis114
Sports injuries115
Repair of articular cartilage defects115
Regeneration and replacement of bone by gene therapy116
Bacterial infections117
Antisense approach to bacterial infections117
Dentistry117
Tissue engineering in dental implant defects117
Endocrine disorders118
Introduction118
Diabetes mellitus118
Methods of gene therapy of diabetes mellitus118
Viral vector-mediated gene transfer in diabetes119
Gene delivery with ultrasonic microbubble destruction technology120
Genetically engineered cells for diabetes mellitus120
Genetically altered liver cells120
Genetically modified stem cells121
Genetically engineered dendritic cells121
Insertion of gene encoding for IL-4121
Concluding remarks about cell and gene therapy of diabetes121
Gene therapy of growth-hormone deficiency122
Gene therapy of obesity123
Ad viral vector-mediated transfer of leptin gene123
AAV vector-mediated delivery of GDNF for obesity124
Gastrointestinal disorders124
Introduction124
Methods of gene transfer to the gastrointestinal tract125
Direct delivery of genes125
Naked plasmid DNA into the submucosa125
Viral vectors125
Receptor-mediated endocytosis125
Indications for gastrointestinal gene therapy125
Gene therapy for inflammatory disorders of the bowel126
Gene transfer to the salivary glands127
Potential clinical applications of salivary gene therapy127
Hematology128
Hemophilias128
Gene therapy of hemophilia128
Hemophilia A129
Hemophilia B130
Concluding remarks about gene therapy of hemophilias130
Hemoglobinopathies131
Stem cell-based gene therapy and RNAi for sickle cell disease131
Gene therapy for ?-thalassemia132
Gene therapy of Fanconi's anemia133
Acquired hematopoietic disorders134
Chronic acquired anemias134
Neutropenia134
Thrombocytopenia135
Concluding remarks about gene therapy of hemoglobinopathies136
Companies involved in gene thery of hematological disorders136
In utero gene therapy137
Fetal gene transfer techniques137
Animal models of fetal gene therapy138
Potential applications of fetal gene therapy138
Fetal gene therapy for cystic fibrosis138
Fetal intestinal gene therapy139
Hearing disorders139
Potential of gene therapy139
Vectors for gene therapy of hearing disorders140
Auditory hair cell replacement and hearing improvement by gene therapy140
Kidney diseases141
End-stage renal disease141
Methods of gene delivery to the kidney141
Gene transfer into kidney by adenoviral vectors142
Non-viral gene transfer to the kidneys142
Gene transfer into the glomerulus by HVJ-liposome142
Bone marrow stem cells for renal disease142
Mesangial cell therapy143
Liposome-mediated gene transfer into the tubules143
Gene transfer to tubules with cationic polymer polyethylenimine144
Gene therapy in animal experimental models of renal disease144
Genetic manipulations of the embryonic kidney144
Antisense intervention in glomerulonephritis145
Gene therapy for renal fibrosis145
Use of genetically engineered cells for uremia due to renal failure145
Concluding remarks146
Liver disorders146
Techniques of gene delivery to liver147
Direct injection of DNA into liver147
Local gene delivery by isolated organ perfusion147
Liposome-mediated direct gene transfer148
Retroviral vector for gene transfer to liver148
Adenoviral vectors for gene transfer to liver148
Receptor-mediated approach148
Cell therapy for liver disorders149
Transplantation of genetically modified hepatocytes149
Genetically modified hematopoietic stem cells149
Gene therapy by ex vivo transduced liver progenitor cells149
Gene therapy of genetic diseases affecting the liver150
Crigler-Najjar syndrome150
Hereditary tyrosinemia type I (HT1)150
Hereditary tyrosinemia type 3150
Gene therapy of acquired diseases affecting the liver151
Cirrhosis of liver151
Ophthalmic disorders151
Introduction to gene therapy of ophthalmic disorders151
Degenerative retinal disorders152
Age-related macular degeneration152
Inherited retinal degenerations154
Inherited disorders affecting vision155
Gene therapy for color blindness155
Leber congenital amaurosis155
Retinitis pigmentosa156
Stargardt disease157
Usher syndrome157
X-linked juvenile retinoschisis157
Proliferative retinopathies158
Methods of gene transfer to retinal cells158
DNA nanoparticles for nonviral gene transfer to the eye159
Prevention of complications associated with eye surgery159
Prevention of proliferative retinopathy by gene therapy159
DNA nanoparticles for gene therapy of retinal degenerative disorders160
Posterior capsule opacification after cataract surgery160
Autoimmune uveitis160
Retinal ischemic injury161
Corneal disorders161
Glaucoma162
Disorders of hearing162
Gene therapy for hearing loss162
Organ transplantation163
Introduction163
DNA vaccines for transplantation163
Gene therapy for prolonging allograft survival163
Gene therapy in lung transplantation164
Role of gene therapy in liver transplantation164
Gene therapy in kidney transplantation164
Veto cells and transplant tolerance165
Pulmonary disorders165
Techniques of gene delivery to the lungs166
Adenoviral vectors166
Non-viral vectors167
Aerosolization as an aid to gene transfer to lungs.167
Cystic fibrosis167
Genetics and clinical features167
Gene therapy for CF168
CFTR gene transfer in CF168
Concluding remarks about gene therapy of CF169
Miscellaneous pulmonary disorders170
Gene therapy for pulmonary arterial hypertension170
Gene therapy for bleomycin-induced pulmonary fibrosis171
Pulmonary complications of a1-antitrypsin deficiency171
Gene therapy for asthma172
Gene therapy for adult respiratory distress syndrome173
Gene therapy for lung injury173
Gene therapy for bronchopulmonary dysplasia173
Concluding remarks about gene therapy of lungs174
Companies involved in pulmonary gene therapy174
Skin and soft tissue disorders175
Gene transfer to the skin175
Electroporation for transdermal delivery of plasmid DNA175
Electroporation for transdermal delivery of DNA vaccines175
Liposomes for transdermal gene delivery176
Ultrasound and topical gene therapy176
Gene therapy in skin disorders176
Gene therapy of hair loss176
Gene therapy for xeroderma pigmentosa177
Gene therapy for lamellar ichthyosis177
Gene therapy for epidermolysis bullosa177
Gene transfer techniques for wound healing178
Urogenital disorders179
Gene therapy for urinary tract dysfunction179
Gene therapy for erectile dysfunction179
NOS gene transfer for erectile dysfunction179
Clinical trial of hMaxi-K Gene transfer in erectile dysfunction179
Gene therapy for erectile dysfunction due to nerve injury180
Concluding remarks on gene therapy for erectile dysfunction180
Veterinary gene therapy180
Gene therapy for mucopolysaccharidosis VII in dogs181
Gene therapy to increase disease resistance181
Gene therapy for infections181
Gene therapy for chronic anemia182
Gene therapy for endocrine disorders182
Gene therapy for arthritis182
Cancer gene therapy183
Brain tumors in cats and dogs183
Breast cancer in dogs184
Canine hemangiosarcoma184
Canine melanoma184
Canine soft tissue sarcoma185
Melanoma in horses185
4.Gene Therapy of Genetic Disorders187
Introduction187
Primary immunodeficiency disorders188
Severe combined immune deficiency189
Chronic granulomatous disease191
Wiskott-Aldrich syndrome191
Purine nucleoside phosphorylase deficiency192
Major histocompatibility class II deficiency192
Future prospects of gene therapy of inherited immunodeficiencies193
Metabolic disorders193
Adrenoleukodystrophy194
Canavan disease194
Lesch-Nyhan syndrome195
Ornithine transcarbamylase deficiency195
Phenylketonuria196
Porphyrias196
Tetrahydrobiopterin deficiency197
Lysosomal storage disorders.197
Batten disease198
Fabry's disease199
Farber's disease199
Gaucher disease199
Animals models of Gaucher's disease200
Gene therapy of Gaucher's disease200
Hunter syndrome201
Combination of cell and gene therapy for Krabbe's disease201
Metachromatic leukodystrophy202
Mucopolysaccharidosis type 1 (Hurler syndrome)202
Niemann-Pick type A disease203
Pompe disease203
Sanfilippo A syndrome204
Sly syndrome204
Tay-Sachs disease204
Future prospects of gene therapy of lysosomal storage disorders205
Trinucleotide repeat disorders205
Muscular dystrophies205
Duchenne muscular dystrophy (DMD)205
Animal models for gene therapy of DMD206
Antisense approach to DMD206
Liposome-mediated gene transfer207
Myoblast-based gene transfer in DMD207
Plasmid-mediated gene therapy208
Post-transcriptional modulation of gene expression in DMD208
Repair of dystrophin gene208
Routes of administration of gene therapy in DMD209
Types of dystrophin constructs209
Viral vectors for DMD210
Conclusions and future prospects of gene therapy of DMD211
Limb-girdle muscular dystrophy212
Myotonic dystrophy212
Spinal muscular atrophy212
Antisense gene therapy of SMA213
Hereditary neuropathies213
Charcot-Marie-Tooth disease213
Hereditary axonal neuropathies of the peripheral nerves214
Gene therapy of mitochondrial disorders214
Companies involved in gene therapy of genetic disorders215
5.Gene Therapy of Cancer217
Strategies for cancer gene therapy217
Direct gene delivery to the tumor218
Injection into tumor218
Direct injection of adenoviral vectors218
Direct injection of a plasmid DNA-liposome complex219
A polymer approach to local gene therapy for cancer219
Electroporation for cancer gene therapy219
Control of gene expression in tumor by local heat220
Radiation-guided gene therapy of cancer220
Nanoparticles to facilitate combination of hyperthermia and gene therapy221
Cell-based cancer gene therapy221
Adoptive cell therapy221
Cytokine gene therapy222
Genetic modification of human hematopoietic stem cells225
Immunogene therapy225
Cancer vaccines226
Genetically modified cancer cell vaccines226
GVAX cancer vaccines226
Genetically modified dendritic cells227
Nucleic acid-based cancer vaccines227
DNA cancer vaccines228
RNA vaccines228
Viral vector-based cancer vaccines228
Intradermal delivery of cancer vaccines by Ad vectors229
Future prospects of cancer vaccines229
Companies involved in nucleic acid-based cancer vaccines229
Monoclonal antibody gene transfer for cancer230
Transfer and expression of intracellular adhesion-1 molecules231
Other gene-based techniques of immunotherapy of cancer231
Fas (Apo-1)231
Chemokines231
Major Histocompatibility Complex (MHC) Class I232
IGF (Insulin-Like Growth Factor)232
Inhibition of immunosuppressive function in cancer232
Delivery of toxic genes to tumor cells for eradication233
Gene-directed enzyme prodrug therapy233
Combination of gene therapy with radiotherapy233
Correction of genetic defects in cancer cells234
Targeted gene therapy for cancer234
Bacteria as novel anticancer gene vectors234
Cancer-specific gene expression235
Cancer-specific transcription235
Delivery of retroviral particles hitchhiking on T cells236
Electrogene and electrochemotherapy236
Epidermal growth factor-mediated DNA delivery236
Gene-based targeted drug delivery to tumors236
Gene expression in hypoxic tumor cells237
Genetically modified T cells for targeting tumors237
Genetically engineered stem cells for targeting tumors238
Hematopoietic stem cells for targeted cancer gene therapy239
Immunolipoplex for delivery of p53 gene239
Nanomagnets for targeted cell-based cancer gene therapy240
Nanoparticles for targeted site-specific delivery of anticancer genes240
Targeted cancer therapy using a dendrimer-based synthetic vector240
Tumor-targeted gene therapy by receptor-mediated endocytosis241
Virus-mediated oncolysis241
Targeted cancer treatments based on oncolytic viruses241
Oncolytic HSV242
Oncolytic adenoviruses242
Oncolytic vesicular stomatitis virus243
Oncolytic paramyxovirus244
Oncolytic vaccinia virus244
Cancer terminator virus244
Cytokine-induced killer cells for delivery of an oncolytic virus245
Monitoring of viral-mediated oncolysis by PET245
Oncolytic gene therapy245
Companies developing oncolytic viruses246
Apoptotic approach to improve cancer gene therapy246
Tumor suppressor gene therapy247
P53 gene therapy247
BRIT1 gene therapy247
Nitric oxide-based cancer gene therapy248
Nitric oxide synthase II DNA injection248
Gene therapy for radiosensitization of cancer248
Gene therapy of cancer of selected organs248
Gene therapy for bladder cancer248
Gene therapy for glioblastoma multiforme.249
Targeted adenoviral vectors250
Genetically engineered MSCs for gene delivery to intracranial gliomas251
Targeting normal brain cells with an AAV vector encoding interferon-?251
Viral oncolysis of brain tumors251
Autophagy induced by conditionally replicating adenoviruses252
Oncolytic virus targeted to brain tumor stem cells252
Antiangiogenic gene therapy253
Baculovirus vector for diphtheria toxin gene therapy253
Intravenous gene delivery with nanoparticles into brain tumors254
Gene therapy targeting hepatocyte growth factor254
RNAi gene therapy of brain cancer254
Ligand-directed delivery of dsRNA molecules targeted to EGFR255
Gene therapy for breast cancer255
Gene vaccine for breast cancer255
Recombinant adenoviral ErbB-2/neu vaccine256
Gene Therapy for ovarian cancer256
Gene therapy for malignant melanoma257
Gene therapy of lung cancer259
Intravenous nanoparticle formulation for delivery of FUS1 gene259
Aerosol gene delivery for lung cancer260
Gene therapy for cancer of prostate260
Experimental studies260
Nanoparticle-based gene therapy for prostate cancer260
Tumor suppressor gene therapy in prostate cancer261
Vaccines for prostate cancer261
Clinical trials261
Gene therapy of head and neck cancer262
Adenoviral vector based P53 gene therapy262
Gene therapy of pancreatic cancer262
Rexin-G? for targeted gene delivery in cancer263
Targeted Expression of BikDD gene263
Concluding remarks on gene therapy of pancreatic cancer263
Cancer gene therapy companies264
6.Gene Therapy of Neurological Disorders267
Indications267
Gene transfer techniques for the nervous system268
Methods of gene transfer to the nervous system268
Ideal vector for gene therapy of neurological disorders268
Promoters of gene transfer268
Lentivirus-mediated gene transfer to the CNS269
AAV vector mediated gene therapy for neurogenetic disorders269
Gene transfer to the CNS using recombinant SV40-derived vectors270
Routes of delivery of genes to the CNS270
Direct injection into CNS270
Introduction of the genes into cerebral circulation271
Introduction of genes into cerebrospinal fluid271
Intravenous administration of vectors271
Delivery of gene therapy to the peripheral nervous system272
Cell-mediated gene therapy of neurological disorders272
Neuronal cells272
Neural stem cells and progenitor cells272
Astrocytes272
Cerebral endothelial cells273
Implantation of genetically modified encapsulated cells into the brain273
Gene therapy of neurodegenerative disorders273
Gene therapy for Parkinson disease273
Rationale274
Techniques of gene therapy for PD275
Delivery of neurotrophic factors by gene therapy278
Delivery of parkin gene279
Introduction of functional genes into the brain of patients with PD279
Nanoparticle-based gene therapy for PD279
Mitochondrial gene therapy for PD279
RNAi approach to PD280
Prospects of gene therapy for PD280
Companies developing gene therapy for PD281
Gene therapy for Alzheimer disease282
Rationale282
NGF gene therapy for AD282
Neprilysin gene therapy283
Targeting plasminogen activator inhibitor type-1 gene284
Gene vaccination284
Combination of gene therapy with other treatments for AD284
Gene therapy of Huntington disease284
Encapsulated genetically engineered cellular implants284
Viral vector mediated administration of neurotrophic factors285
RNAi gene therapy285
Gene therapy of amyotrophic lateral sclerosis285
Rationale285
Technique of gene therapy of ALS285
Gene therapy of cerebrovascular diseases287
Preclinical research in gene therapy for cerebrovascular disease287
Animal models of stroke relevant to gene therapy287
Transgenic mice as models for stroke287
Animal models for gene therapy of arteriovenous malformations288
Gene transfer to cerebral blood vessels288
Gene therapy for vasospasm following subarachnoid hemorrhage289
NOS gene therapy for cerebral vasospasm290
Gene therapy for stroke290
Gene therapy for stroke using neurotrophic factors291
Gene therapy of strokes with a genetic component292
Gene therapy for intracranial aneurysms292
Concluding remarks about gene therapy for stroke292
Gene therapy of injuries to the nervous system293
Traumatic brain injury293
Spinal cord injury293
Gene therapy of epilepsy294
Gene therapy for control of seizures294
Gene therapy for neuroprotection in epilepsy295
Gene therapy for genetic forms of epilepsy296
Gene therapy for multiple sclerosis296
Gene therapy for relief of pain296
Rationale of gene therapy for pain296
Vectors for gene therapy of pain297
Methods of gene delivery for pain297
Endogenous analgesic production for cranial neuralgias298
Gene delivery by intrathecal route298
Gene transfer for delivery of analgesics to the spinal nerve roots299
Gene therapy of peripheral neuropathic pain300
Gene transfer by injections into the brain substance300
Targets for gene therapy of pain300
Zinc finger DNA-binding protein therapeutic for chronic pain300
Gene therapy for producing enkephalin to block pain signals301
Targeting nuclear factor-?B301
Gene therapy targeted to neuroimmune component of chronic pain301
Potential applications of gene therapy for management of pain302
Concluding remarks on gene therapy for pain302
Gene therapy for psychiatric disorders303
Gene therapy for depression303
Gene therapy for enhancing cognition after stress304
Companies involved in gene therapy of neurological disorders304
7.Gene Therapy of Cardiovascular Disorders305
Introduction305
Techniques of gene transfer to the cardiovascular system305
Direct plasmid injection into the myocardium306
Catheter-based systems for vector delivery306
Ultrasound microbubbles for cardiovascular gene delivery307
Vectors for cardiovascular gene therapy307
Adenoviral vectors for cardiovascular diseases307
Plasmid DNA-based delivery in cardiovascular disorders307
Intravenous rAAV vectors for targeted delivery to the heart308
Hypoxia-regulated gene therapy for myocardial ischemia308
Angiogenesis and gene therapy of ischemic disorders308
Therapeutic angiogenesis vs vascular growth factor therapy309
Gene painting for delivery of targeted gene therapy to the heart309
Gene delivery to vascular endothelium310
Targeted plasmid DNA delivery to the cardiovascular system with nanoparticles310
Vascular stents for gene delivery310
Gene therapy for genetic cardiovascular disorders311
Genetic disorders predisposing to atherosclerosis311
Familial hypercholesterolemia (FH)311
Apolipoprotein E (apoE) deficiency313
Hypertension313
Genetic factors for myocardial infarction314
Acquired cardiovascular diseases314
Coronary artery disease with angina pectoris314
Ad5FGF-4314
Ischemic heart disease with myocardial infarction315
Myocardial repair with IGF-1 therapy316
Metalloproteinase-2 inhibitor gene therapy316
Congestive heart failure317
Rationale of gene therapy in CHF317
-ARKct gene therapy317
Intracoronary adenovirus-mediated gene therapy for CHF318
AAV-mediated gene transfer for CHF318
AngioCell gene therapy for CHF318
nNOS gene transfer in CHF319
Cardiomyopathies319
Cardiac conduction disturbances319
Gene transfer approaches for biological pacemakers319
Genetically engineered biological pacemakers320
Gene therapy and heart transplantation321
Peripheral arterial disease321
Incidence and clinical features321
Current management322
Gene therapy for peripheral arterial disease322
Angiogenesis by gene therapy322
HIF-1? gene therapy for peripheral arterial disease322
HGF gene therapy for peripheral arterial disease323
Ischemic neuropathy secondary to peripheral arterial disease323
Prevention of restenosis after angioplasty323
Antisense approaches324
Gene therapy to prevent restenosis after angioplasty324
Techniques of gene therapy for restenosis325
NOS gene therapy for restenosis326
hTIMP-1 gene therapy to prevent intimal hyperplasia327
Maintaining vascular patency after surgery327
Companies involved in gene therapy of cardiovascular diseases327
Future prospects of gene therapy of cardiovascular disorders328
8.Gene therapy of viral infections331
Introduction331
Acquired Immunodeficiency Syndrome (AIDS)331
Current management of AIDS331
Gene therapy strategies in HIV/AIDS332
HIV/AIDS vaccines332
Insertion of protective genes into target cells.333
Cell/gene therapies for HIV/AIDS334
Transplantation of genetically modified T-cells334
Transplantation of genetically modified hematopoietic cells334
Anti-HIV ribozyme delivered in hematopoietic progenitor cells335
Inhibition of HIV-1 replication by lentiviral vectors335
VRX496335
Intracellular immunization336
Engineered cellular proteins such as soluble CD4s336
Intracellular antibodies336
Anti-rev single chain antibody fragment336
Use of genes to chemosensitize HIV-1 infected cells337
Autocrine interferon (INF)-? production by somatic cell gene therapy337
Antisense approaches to AIDS337
RNA decoys337
Antisense oligodeoxynucleotides337
RNA decoys338
Ribozymes338
RNAi applications in HIV/AIDS339
siRNA-directed inhibition of HIV-1 infection339
Role of the nef gene during HIV-1 infection and RNAi339
Bispecific siRNA constructs340
Targeting CXCR4 with siRNAs340
Targeting CCR5 with siRNAs340
Companies involved in developing gene therapy for HIV/AIDS341
Conclusions regarding gene therapy of HIV/AIDS342
Genetic vaccines for other viral infections342
Cytomegalic virus infections342
Viral hepatitis343
Vaccine for hepatitis B virus343
Vaccine for hepatitis C virus344
Vaccine for herpes simplex virus344
DNA vaccine against rabies344
DNA vaccine for Ebola345
Vaccines for avian influenza345
Future prospects of DNA vaccines for avian influenza346
Human trial of a DNA vaccine for avian influenza347
Companies developing genetic vaccines for infections other than AIDS347
9.Research, Development and Future of Gene Therapy349
Basic research in gene therapy349
R & D in gene therapy349
Animal models of human diseases for gene therapy research350
Lentiviral transgenesis350
Financing research and development350
Role of the NIH in gene therapy research350
National Gene Vector Laboratories350
Financing by the industry351
Clinical trials in gene therapy351
Clinical trials worldwide351
Clinical trials in cancer gene therapy352
Clinical trials in cardiovascular gene therapy352
Clinical trials in inherited monogenic diseases352
Clinical trials for other indications352
Clinical trials in the US353
Vectors used in gene therapy clinical trials353
Future prospects for the gene therapy354
How to improve gene therapy355
Promising areas of application of gene therapy355
Neurological disorders356
Gene therapy of cardiovascular disorders356
Cancer gene therapy357
Personalized gene therapy358
10.Regulatory, Safety and Ethical Issues of Gene Therapy359
Regulation of gene therapy in the United States359
US Federal guidelines for research involving recombinant DNA molecules359
Regulation of gene therapy in US359
Office of Biotechnology Activities359
Implantation of genetically manipulated cells360
Clinical trials in gene therapy360
Cell and gene therapy INDs placed on hold by the FDA360
Regulation of gene therapy in Germany361
Preclinical research361
Clinical Trials361
Marketing authorization362
Regulation of gene therapy in the United Kingdom362
Regulation of gene therapy in France363
Regulation of gene therapy in the Netherlands363
Regulation of gene therapy in Australia364
Regulation of gene therapy in Japan365
Regulation of gene therapy in China365
Safety issues of gene transfer365
Adverse effects of retroviral vectors365
Insertional mutagenesis365
Adverse effects of HSV vectors366
Neurotoxicity of HSV vectors366
Hepatotoxicity of HSV-tk/ganciclovir approach366
Adverse effects of adenoviral vectors366
Inflammatory effects of adenoviruses in lungs367
Inflammatory e
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Reportlinker |
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