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Gene Editing in Human Haematopoietic Stem Cells for the Treatment of Primary Immunodeficiencies

Bahal, Sameer; Karaxhuku, Klesti; Santilli, Giorgia; (2023) Gene Editing in Human Haematopoietic Stem Cells for the Treatment of Primary Immunodeficiencies. Molecular Diagnosis and Therapy , 27 pp. 15-28. 10.1007/s40291-022-00618-x. Green open access

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Abstract

In recent years, gene-editing technologies have revolutionised precision medicine, and human trials of this technology have been reported in cell-based cancer therapies and other genetic disorders. The same techniques have the potential to reverse mutations in monogenic primary immunodeficiencies (PIDs), and transplantation of edited haematopoietic stem cells may provide a functional cure for these diseases. In this review, we discuss the methods of gene editing being explored and describe progress made so far with several PIDs. We also detail the remaining challenges, how to confidently detect off-target effects and chromosomal abnormalities in a timely manner, how to obtain long-term benefits, and how to achieve physiological levels of expression of the therapeutic gene. With advances in gene editing, we envisage a robust clinical translation of this technology in the coming decade.

Type: Article
Title: Gene Editing in Human Haematopoietic Stem Cells for the Treatment of Primary Immunodeficiencies
Location: New Zealand
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s40291-022-00618-x
Publisher version: https://doi.org/10.1007/s40291-022-00618-x
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Infection, Immunity and Inflammation Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10162821
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