細胞基(ji)因(yin)治(zhi)療(liao)是生物醫藥領(ling)域的前沿陣地,它(ta)通過對細胞或基(ji)因(yin)進行改造、修飾、調控,來(lai)糾正或補(bu)償因(yin)基(ji)因(yin)缺陷和異常引起的疾病(bing)(bing),為傳(chuan)統(tong)療(liao)法難以攻克的疑難病(bing)(bing)癥(zheng),如遺(yi)傳(chuan)性(xing)疾病(bing)(bing)、某些癌癥(zheng)、自身免疫性(xing)疾病(bing)(bing)等,帶(dai)來(lai)了新的治(zhi)愈希望。
干(gan)細胞(bao)療法是細胞(bao)基因治療的(de)重(zhong)要(yao)分(fen)支。干(gan)細胞(bao)具備自我更(geng)新和多(duo)向(xiang)分(fen)化潛能,能分(fen)化成多(duo)種功能細胞(bao),修復(fu)(fu)受損組織和器(qi)官。間充質干(gan)細胞(bao)(MSC)是其中(zhong)備受關注(zhu)的(de)類(lei)型,具有(you)免疫(yi)調節(jie)、抗(kang)炎(yan)、促(cu)進(jin)組織修復(fu)(fu)等特性。在(zai)臨床應(ying)用(yong)中(zhong),MSC 已被嘗試用(yong)于治療多(duo)種疾病(bing),如移植物抗(kang)宿主病(bing)、骨關節(jie)炎(yan)、心肌梗死等,通過調節(jie)免疫(yi)微環境、促(cu)進(jin)組織再生等機(ji)制發揮治療作用(yong)。
誘(you)導多(duo)能干細(xi)胞(bao)(bao)(iPSC)細(xi)胞(bao)(bao)療(liao)法(fa)是另(ling)一(yi)項創新(xin)性(xing)(xing)突破(po)。iPSC 由(you)成體細(xi)胞(bao)(bao)經重編程(cheng)獲得,擁有(you)類似胚胎(tai)干細(xi)胞(bao)(bao)的多(duo)能性(xing)(xing)。它克服了(le)胚胎(tai)干細(xi)胞(bao)(bao)來(lai)源的倫理問(wen)題,可根(gen)據患者自身細(xi)胞(bao)(bao)定制,降低免疫(yi)排斥風險。iPSC 能分化為各類細(xi)胞(bao)(bao),用于疾(ji)病(bing)建模、藥物篩選以及細(xi)胞(bao)(bao)移(yi)植治療(liao),為帕(pa)金森病(bing)、糖尿病(bing)等疾(ji)病(bing)的治療(liao)帶來(lai)新(xin)曙(shu)光。
基(ji)(ji)因(yin)(yin)(yin)(yin)遞(di)(di)(di)(di)送(song)(song)(song)技(ji)術(shu)則(ze)是(shi)細胞基(ji)(ji)因(yin)(yin)(yin)(yin)治療(liao)的關(guan)鍵支撐。它負責將(jiang)(jiang)治療(liao)性(xing)基(ji)(ji)因(yin)(yin)(yin)(yin)安全(quan)、效率高地(di)遞(di)(di)(di)(di)送(song)(song)(song)至(zhi)靶細胞。轉(zhuan)染試劑是(shi)基(ji)(ji)因(yin)(yin)(yin)(yin)遞(di)(di)(di)(di)送(song)(song)(song)常(chang)用工具(ju)之(zhi)一,通過特(te)定(ding)機制將(jiang)(jiang)外源基(ji)(ji)因(yin)(yin)(yin)(yin)導入細胞。基(ji)(ji)因(yin)(yin)(yin)(yin)遞(di)(di)(di)(di)送(song)(song)(song)技(ji)術(shu)面臨(lin)遞(di)(di)(di)(di)送(song)(song)(song)效率、靶向性(xing)、安全(quan)性(xing)等(deng)挑戰,理想的遞(di)(di)(di)(di)送(song)(song)(song)系統(tong)需準確地(di)將(jiang)(jiang)基(ji)(ji)因(yin)(yin)(yin)(yin)遞(di)(di)(di)(di)送(song)(song)(song)至(zhi)病變細胞,避免(mian)脫(tuo)靶效應(ying),同時不引發免(mian)疫反應(ying)和毒(du)(du)(du)性(xing)。病毒(du)(du)(du)載(zai)體(如腺相關(guan)病毒(du)(du)(du)載(zai)體)和非病毒(du)(du)(du)載(zai)體(如脂(zhi)質(zhi)納米顆粒)是(shi)目前主流的基(ji)(ji)因(yin)(yin)(yin)(yin)遞(di)(di)(di)(di)送(song)(song)(song)載(zai)體,科研人員不斷優化載(zai)體設計,以(yi)提(ti)升基(ji)(ji)因(yin)(yin)(yin)(yin)治療(liao)的有(you)效性(xing)和安全(quan)性(xing)。
細(xi)(xi)胞(bao)基(ji)因治(zhi)療(liao)憑借干細(xi)(xi)胞(bao)療(liao)法、iPSC 細(xi)(xi)胞(bao)療(liao)法和基(ji)因遞送技術等不斷發(fa)展,有望為更多難治(zhi)性疾病(bing)提供治(zhi)愈方案(an),變革(ge)未來醫學格局(ju)。