細(xi)胞基因(yin)(yin)治療(liao)是生物醫藥領域的(de)前沿陣地,它通過對細(xi)胞或(huo)基因(yin)(yin)進行改造、修飾、調控,來糾正或(huo)補償因(yin)(yin)基因(yin)(yin)缺陷和異常引(yin)起的(de)疾(ji)病,為傳統(tong)療(liao)法難(nan)(nan)以(yi)攻克的(de)疑(yi)難(nan)(nan)病癥,如遺傳性(xing)疾(ji)病、某些癌癥、自身免(mian)疫性(xing)疾(ji)病等(deng),帶(dai)來了新的(de)治愈希望。
干細胞療(liao)法(fa)是細胞基因治(zhi)療(liao)的重(zhong)要(yao)分支。干細胞具備(bei)自我更新和多(duo)向分化潛(qian)能(neng),能(neng)分化成多(duo)種功能(neng)細胞,修復受損組(zu)織和器官(guan)。間充質干細胞(MSC)是其中備(bei)受關(guan)注的類(lei)型,具有免疫調節(jie)(jie)、抗(kang)炎(yan)、促(cu)進(jin)組(zu)織修復等特性。在臨床應用(yong)(yong)中,MSC 已(yi)被嘗試(shi)用(yong)(yong)于治(zhi)療(liao)多(duo)種疾病(bing),如移(yi)植物抗(kang)宿主病(bing)、骨(gu)關(guan)節(jie)(jie)炎(yan)、心肌(ji)梗死等,通(tong)過(guo)調節(jie)(jie)免疫微環(huan)境、促(cu)進(jin)組(zu)織再生等機制發揮治(zhi)療(liao)作用(yong)(yong)。
誘導(dao)多能(neng)干細(xi)(xi)(xi)胞(iPSC)細(xi)(xi)(xi)胞療法是另(ling)一(yi)項創新性突破。iPSC 由(you)成體細(xi)(xi)(xi)胞經(jing)重編程獲得,擁有類似胚胎干細(xi)(xi)(xi)胞的(de)多能(neng)性。它(ta)克服了胚胎干細(xi)(xi)(xi)胞來(lai)源的(de)倫理問題,可(ke)根據患者自身(shen)細(xi)(xi)(xi)胞定制(zhi),降低免(mian)疫排斥(chi)風險。iPSC 能(neng)分化為(wei)各類細(xi)(xi)(xi)胞,用于(yu)疾病(bing)(bing)建(jian)模、藥物篩選(xuan)以及細(xi)(xi)(xi)胞移植治(zhi)療,為(wei)帕金(jin)森(sen)病(bing)(bing)、糖尿病(bing)(bing)等(deng)疾病(bing)(bing)的(de)治(zhi)療帶來(lai)新曙光。
基(ji)(ji)因(yin)遞送(song)(song)(song)(song)(song)(song)技術則是(shi)細胞(bao)(bao)基(ji)(ji)因(yin)治療的關(guan)鍵支撐。它負責將(jiang)治療性(xing)(xing)基(ji)(ji)因(yin)安全(quan)、效率高(gao)地遞送(song)(song)(song)(song)(song)(song)至(zhi)靶細胞(bao)(bao)。轉染試劑是(shi)基(ji)(ji)因(yin)遞送(song)(song)(song)(song)(song)(song)常用工(gong)具之一,通過(guo)特(te)定機制將(jiang)外源基(ji)(ji)因(yin)導(dao)入細胞(bao)(bao)。基(ji)(ji)因(yin)遞送(song)(song)(song)(song)(song)(song)技術面臨遞送(song)(song)(song)(song)(song)(song)效率、靶向(xiang)性(xing)(xing)、安全(quan)性(xing)(xing)等挑戰,理(li)想的遞送(song)(song)(song)(song)(song)(song)系統需(xu)準確地將(jiang)基(ji)(ji)因(yin)遞送(song)(song)(song)(song)(song)(song)至(zhi)病(bing)變細胞(bao)(bao),避免(mian)(mian)脫(tuo)靶效應,同時不引發免(mian)(mian)疫反應和毒(du)性(xing)(xing)。病(bing)毒(du)載體(ti)(ti)(如腺相(xiang)關(guan)病(bing)毒(du)載體(ti)(ti))和非病(bing)毒(du)載體(ti)(ti)(如脂質(zhi)納米(mi)顆粒(li))是(shi)目前主(zhu)流的基(ji)(ji)因(yin)遞送(song)(song)(song)(song)(song)(song)載體(ti)(ti),科研人員不斷優(you)化載體(ti)(ti)設計,以(yi)提升基(ji)(ji)因(yin)治療的有效性(xing)(xing)和安全(quan)性(xing)(xing)。
細胞(bao)基因治療(liao)憑借干細胞(bao)療(liao)法(fa)、iPSC 細胞(bao)療(liao)法(fa)和基因遞送技術等不斷發展,有望為更多難治性疾病提供治愈方案,變革未來醫學格局。