Perspectives on the use of gene therapy for chronic joint diseases

Steven C. Ghivizzani, Elvire Gouze, Jean Noel Gouze, Jesse D. Kay, Marsha L. Bush, Rachael S. Watson, Padraic P. Levings, David M. Nickerson, Patrick T. Colahan, Paul D. Robbins, Christopher H. Evans

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Advances in molecular and cellular biology have identified a wide variety of proteins including targeted cytokine inhibitors, immunomodulatory proteins, cytotoxic mediators, angiogenesis inhibitors, and intracellular signalling molecules that could be of great benefit in the treatment of chronic joint diseases, such as osteo- and rheumatoid arthritis. Unfortunately, protein-based drugs are difficult to administer effectively. They have a high rate of turnover, requiring frequent readministration, and exposure in non-diseased tissue can lead to serious side effects. Gene transfer technologies offer methods to enhance the efficacy of protein-based therapies, enabling the body to produce these molecules locally at elevated levels for extended periods. The proof of concept of gene therapies for arthritis has been exhaustively demonstrated in multiple laboratories and in numerous animal models. This review attempts to condense these studies and to discuss the relative benefits and limitations of the methods proposed and to discuss the challenges toward translating these technologies into clinical realities.

Original languageEnglish (US)
Pages (from-to)273-286
Number of pages14
JournalCurrent Gene Therapy
Volume8
Issue number4
DOIs
StatePublished - 2008

Keywords

  • Adeno-associated virus
  • Adenovirus
  • Arthritis
  • Gene therapy
  • Interleukin-1
  • Lentivirus
  • Osteoarthritis
  • Tumor necrosis factor

ASJC Scopus subject areas

  • Molecular Medicine
  • Molecular Biology
  • Genetics
  • Drug Discovery
  • Genetics(clinical)

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  • Cite this

    Ghivizzani, S. C., Gouze, E., Gouze, J. N., Kay, J. D., Bush, M. L., Watson, R. S., Levings, P. P., Nickerson, D. M., Colahan, P. T., Robbins, P. D., & Evans, C. H. (2008). Perspectives on the use of gene therapy for chronic joint diseases. Current Gene Therapy, 8(4), 273-286. https://doi.org/10.2174/156652308785160638