細(xi)胞基因(yin)(yin)治(zhi)療(liao)是生(sheng)物醫藥領域的前沿陣(zhen)地,它通(tong)過對細(xi)胞或基因(yin)(yin)進行改(gai)造、修飾、調控,來糾正或補(bu)償因(yin)(yin)基因(yin)(yin)缺陷和異常引起的疾(ji)病(bing)(bing)(bing),為(wei)傳統療(liao)法難(nan)以攻克的疑(yi)難(nan)病(bing)(bing)(bing)癥(zheng),如(ru)遺傳性疾(ji)病(bing)(bing)(bing)、某些(xie)癌癥(zheng)、自身免疫性疾(ji)病(bing)(bing)(bing)等,帶來了新(xin)的治(zhi)愈希望(wang)。
干細(xi)(xi)胞(bao)療(liao)法是細(xi)(xi)胞(bao)基因治(zhi)(zhi)療(liao)的(de)重要(yao)分(fen)支(zhi)。干細(xi)(xi)胞(bao)具(ju)備自我更新(xin)和多(duo)向分(fen)化潛能(neng),能(neng)分(fen)化成(cheng)多(duo)種功能(neng)細(xi)(xi)胞(bao),修(xiu)復受損(sun)組織和器(qi)官。間充質(zhi)干細(xi)(xi)胞(bao)(MSC)是其中備受關注的(de)類型,具(ju)有免疫(yi)調節(jie)、抗(kang)炎(yan)(yan)、促進組織修(xiu)復等特(te)性。在臨床應(ying)用(yong)中,MSC 已被嘗試用(yong)于治(zhi)(zhi)療(liao)多(duo)種疾病,如移植物抗(kang)宿主病、骨關節(jie)炎(yan)(yan)、心肌(ji)梗死等,通過(guo)調節(jie)免疫(yi)微環境、促進組織再生等機制發揮治(zhi)(zhi)療(liao)作用(yong)。
誘(you)導多(duo)能干(gan)細(xi)胞(bao)(iPSC)細(xi)胞(bao)療(liao)法是另(ling)一項創新(xin)性突破。iPSC 由成體細(xi)胞(bao)經重(zhong)編(bian)程獲得(de),擁(yong)有類似胚胎干(gan)細(xi)胞(bao)的多(duo)能性。它克服了胚胎干(gan)細(xi)胞(bao)來源(yuan)的倫(lun)理問(wen)題,可根(gen)據(ju)患(huan)者自身細(xi)胞(bao)定(ding)制,降低免疫排斥(chi)風險(xian)。iPSC 能分(fen)化(hua)為(wei)各類細(xi)胞(bao),用于(yu)疾病建模、藥物篩選以及(ji)細(xi)胞(bao)移植治療(liao),為(wei)帕金森病、糖尿病等(deng)疾病的治療(liao)帶來新(xin)曙(shu)光。
基(ji)因遞(di)(di)送(song)(song)(song)技(ji)術(shu)則是(shi)(shi)細(xi)(xi)(xi)胞基(ji)因治(zhi)療的(de)(de)關鍵支撐。它(ta)負責將(jiang)治(zhi)療性(xing)基(ji)因安全(quan)、效(xiao)率高地遞(di)(di)送(song)(song)(song)至(zhi)靶(ba)細(xi)(xi)(xi)胞。轉染試劑(ji)是(shi)(shi)基(ji)因遞(di)(di)送(song)(song)(song)常用工(gong)具之一,通過特定機制將(jiang)外源(yuan)基(ji)因導入細(xi)(xi)(xi)胞。基(ji)因遞(di)(di)送(song)(song)(song)技(ji)術(shu)面臨(lin)遞(di)(di)送(song)(song)(song)效(xiao)率、靶(ba)向性(xing)、安全(quan)性(xing)等挑戰,理想(xiang)的(de)(de)遞(di)(di)送(song)(song)(song)系統需(xu)準(zhun)確地將(jiang)基(ji)因遞(di)(di)送(song)(song)(song)至(zhi)病(bing)(bing)變細(xi)(xi)(xi)胞,避免脫靶(ba)效(xiao)應,同(tong)時不引發免疫反應和毒(du)(du)性(xing)。病(bing)(bing)毒(du)(du)載(zai)體(如腺相關病(bing)(bing)毒(du)(du)載(zai)體)和非病(bing)(bing)毒(du)(du)載(zai)體(如脂質納米顆粒)是(shi)(shi)目前主(zhu)流(liu)的(de)(de)基(ji)因遞(di)(di)送(song)(song)(song)載(zai)體,科研(yan)人員(yuan)不斷優化(hua)載(zai)體設(she)計(ji),以提(ti)升基(ji)因治(zhi)療的(de)(de)有效(xiao)性(xing)和安全(quan)性(xing)。
細胞(bao)基因治療憑借干細胞(bao)療法、iPSC 細胞(bao)療法和基因遞送(song)技(ji)術等(deng)不(bu)斷發展(zhan),有望為更多難治性疾病提供(gong)治愈方案,變革(ge)未來醫學格局。