脂质体在基因治疗中的应用研究及进展***

背景：脂质体是常用的安全的基因载体,然而由于其本身组成及结构的原因,应用和发展受到了限制,其转染效率和治疗效果成为基因治疗研究中最为重要的参考因素。 目的：回顾脂质体在基因治疗中的应用以及研究进展。 方法：由第一作者计算机检索1995/2011中国期刊全文数据库、CALIS全国医学文献/服务系统以及康健循证医学知识仓库,中英文检索词分别为“脂质体、基因、转染”和“liposome、gene、transfection”。 结果与结论：脂质体作为基因载体较病毒载体具有安全性高,免疫原性小,毒性小,容易制备等优点已成功应用于很多体外及动物体内实验,但由于其转染效率低,靶向性低等缺点使其发展受到了很大限制,所以目前脂质体在基因治疗中的研究热点在于提高脂质体的转染效率,在靶细胞和靶器官达到治疗浓度才能有更好的治疗效果。     

周围神经损伤修复与再生中的基因治疗

背景：周围神经损伤后功能恢复不够理想。基因治疗为其功能修复提供了新的方法。 目的：从功能基因、转染载体选择、基因翻译因子生物学效应3方面进行综述,为周围神经损伤的基因治疗研究提供参考。 方法：由第一作者应用计算机检索PubMed和中国期刊全文数据库(CNKI)2006/2010相关文献。在标题、摘要、关键词中以“peripheral nerve injury, gene therapy, virus vector”或“周围神经损伤、基因治疗、病毒载体”为检索词进行检索。选择与周围神经损伤的基因治疗有关的文献,同一领域文献则选择近期发表及发表在权威杂志的文章。 结果与结论：共检索到35篇文章,按纳入和排除标准对文献进行筛选,保留20篇文章进行综述。目前,周围神经损伤的基因治疗技术已经日趋成熟,如转基因的腺病毒表达的骨形态发生蛋白7和Ad-32Ep65-Flag基因等,有望成为临床修复周围神经损伤的重要手段。     

壳聚糖纳米粒子基因载体的研究现状

背景：壳聚糖纳米粒子因其独有特性作为基因载体的研究日益增多。 目的：综述了壳聚糖纳米粒子作为基因载体的研究进展,进一步促进基因治疗的效果。 方法：应用计算机检索web of science数据库和中国学术期刊数据库中2000-01/2011-04关于壳聚糖及其衍生物作为基因载体研究的文章,在标题和摘要中以“chitosan,gene”或 “壳聚糖;基因”为检索词进行检索。选择内容与基因载体和壳聚糖相关的文章,初检得到120篇文献,根据纳入标准选择31篇文章进行综述。 结果与结论：壳聚糖基因纳米粒子作为非病毒基因述文章的数量、主要结载体将在基因治疗领域中发挥举足轻重的作用,今后壳聚糖转基因体系的研究将更为深入。如何标记、可视跟踪壳聚糖DNA复合物进入不同细胞的过程,明确其基因转染机制,进一步提高基因转染效率,使其尽快进入基因治疗临床应用是今后研究的主要方向。     

阳离子脂质体及其在体内基因转染中的应用

阳离子脂质体已经成为基因转移使用最广泛的载体之一。本文从阳离子脂质体的理化特性、质粒/阳离子脂质复合体与生物大分子的相互作用、质粒/脂质复合体的基因转移机制等方面,对阳离子脂质体及其在体内基因转染中的应用进行了综述。     

非病毒型纳米载体在基因治疗中的研究现状及展望

近 10年来 ,新型非病毒载体在基因治疗中日益受到欢迎。其主要代表为纳米载体 ,具有无毒性及免疫原性的优势 ,已作为高效阳离子载体用于基因转移。体外基因转移实验表明 ,纳米载体的基因转移率高于普通脂质体及其它阳离子多聚体 ,如多聚氮丙啶及聚赖氨酸。本文对纳米载体的结构特点、性能、基因转移机制进行综述 ,并将其在体内外基因转移效率与其它非病毒载体作以比较     

非病毒型载体介导基因转染

基因载体是制约基因转移技术发展的关键。近年来,非病毒载体由于其安全、低毒、低免疫原性等特点而备受青睐。文章以脂质体和聚乙烯亚胺为代表,介绍了非病毒载体的性质、介导转染的机制。随着人们对细胞转染机制了解的深入以及生物材料科学的迅速发展,非病毒型载体将有望实现高效、低毒、靶向特异等特点,从而成为基因治疗中的理想载体。     

腺病毒介导的骨形态发生蛋白基因增强在骨组织工程中的应用

背景：将目的基因转导到靶细胞中需要载体工具,载体可协助基因进入细胞及表达蛋白,载体的选择是转基因成败的关键。 目的：总结腺病毒介导的骨形态发生蛋白基因增强用于诱导成骨和修复骨缺损的研究现状。 方法：应用计算机检索PubMed 数据库及中国期刊网全文数据库1989-01/2012-01 有关腺病毒介导骨形态发生蛋白基因转染的诱导成骨作用,骨形态发生蛋白基因修饰的组织工程化骨修复骨缺损的文章,英文检索词为“adenovirus,bone morphogenetic protein, gene transfection, bone tissue engineering”,中文检索词为“腺病毒,骨形态发生蛋白,基因转染,骨组织工程”。排除重复性及非中英文语种研究,共保留24篇文献进行综述。 结果与结论：腺病毒介导的骨形态发生蛋白基因增强的组织工程利用基因工程技术将编码特定功能因子的基因转移到种子细胞上,使其持续产生生长因子。转基因后的细胞停留支架材料表面缓慢释放生长因子,促进成骨前体细胞增殖分化,也可在骨缺损处诱导成骨前体细胞向成骨细胞定向分化,从而修复骨缺损。      

非病毒型纳米载体在基因治疗中的研究现状及展望

近10年来，新型非病毒载体在基因治疗中日益受到欢迎。其主要代表为纳米载体，具有无毒性及免疫原性的优势，已作为高效阳离子载体用于基因转移。体外基因转移实验表明，纳米载体的基因转移率高于普通脂质体及其它阳离子多聚体，如多聚氮丙及聚赖氨酸。本对纳米载体的结构特点，性能，基因转移机制进行综述，并将其在体内外基因转移效率与其它非病毒载体作以比较。     

载体与基因转染的研究进展

基因载体是指将基因或其它核酸物质运载到细胞中的工具.其化学本质可以是蛋白质或多肽、核酸、脂类、糖类、其它有机分子或它们的复合物.基因传递系统是基因治疗的重要组成部分,也是目前基因治疗的瓶颈.现有的基因载体包括两类.即病毒载体和非病毒载体.病毒载体转染效率高,但由于其转染具有免疫原性和致突变性限制了它的应用;非病毒载体系统具有低毒、低免疫原性和相对靶向性等优点,是新兴发展起来的基因转移系统.就各种载体的最新研究进展作一综述.     

基因强化骨组织工程中的病毒载体

背景：不同的基因输送策略也被应用到骨组织工程中以修复破坏的骨组织,作为最有效率的基因转运载体,病毒载体在骨组织工程中的应用方兴未艾。 目的：系统回顾和讨论目前基因强化骨组织工程中常用的病毒载体相关应用。 方法：利用PubMed数据库对2002年1月至2015年1月的相关文献进行了检索,检索的文章主要聚焦在病毒载体基因转导方法和其在骨组织工程中的应用。对腺病毒、反转录病毒、腺相关病毒和嵌合病毒在骨组织工程的相关应用及不足进行了讨论。总共24篇相关文献被纳入此篇综述。 结果与结论：总结了近年来病毒载体联合基因治疗促进骨组织再生的研究工作。讨论了包括装载目的基因的病毒载体联合种子细胞例如间充质干细胞植入支架材料修复骨缺损。研究表明,基因强化的骨组织工程比传统组织工程具有更多的优点;病毒载体介导的基因转染效率比普通载体更高;病毒载体介导的基因强化骨组织工程用于人体的安全性仍需要漫长的临床观察研究。病毒载体系统仍然是最有效的将外源基因转入种子细胞的手段之一。 中国组织工程研究杂志出版内容重点：组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程全文链接：     

Optimization of nonviral transfection: variables influencing liposome-mediated gene transfer in proliferating vs. quiescent cells in culture and in vivo using a porcine restenosis model

Cationic liposomes/DNA complexes are widely used vectors for delivering genes in clinical and experimental trials. Relatively low transfer efficiencies in vivo compared with viral gene transfer may be improved using local application. In addition, markedly increased transfer efficiency may be achieved in vitro and in vivo via optimization of known variables influencing liposomal transfection. Lipofection under different conditions was performed in various cell lines and primary porcine smooth muscle cells. Optimized conditions found in vitro were verified in vivo using a porcine restenosis model. Toxicity was monitored analyzing cell metabolism. Transfer efficiency and safety were determined using morphometry, histology, galactosidase assays, PCR, and RT-PCR. The most important variables enabling maximum transfer efficiency were firstly the appropriate selection of cationic lipids for the cell type to be transfected, secondly the DNA/liposome ratio chosen, which depended on the cell type and cationic lipids used, and thirdly the state of proliferation of the targeted cells. Transfection in vivo demonstrated two- to fivefold higher transfer efficiencies when transfer conditions were extrapolated from optimization experiments in stationary cells compared with the use of conditions established in proliferating cells. Application of the therapeutic gene for cecropin using optimized transfer conditions resulted in a significantly reduced neointima formation compared with the transfection using a control gene for ss-galactosidase. Thus, in this vascular model, initial optimization of lipofection in stationary cells in culture followed by local delivery in vivo and with selection of a suitable therapeutic gene led to markedly improved transfer efficiencies, gene expression, and biological effect. Stationary cell cultures simulate more realistically the in vivo situation and may therefore represent a better model for future in vivo experiments. In addition, the advantages of liposomes are easy handling, low toxicity, and the lack of carcinogenicity or immunogenic reactions.     

Efficacy of cationic liposome-mediated gene transfer to mesangial cells in vitro and in vivo

Mesangial cells represent a major target for gene transfer approaches to the kidney. To establish a liposome-based system for transfection of mesangial cells we analyzed the efficacy and toxicity of different cationic liposomes and other nonviral transfection methods in primary cultures of rat and human mesangial cells using the Escherichia coli beta-galactosidase (lacZ) gene as a marker. In addition, an expression vector containing a human renin cDNA under the control of the cytomegalovirus immediate-early promoter/enhancer was generated, introduced into mesangial cells, and assayed in a system of transient gene expression. In vivo, gene transfer was studied after infusion of liposome/DNA complexes in the kidney of rats via the renal artery. Transfection efficiency ranged from 5.5% with DMRIE Liposomes in rat mesangial cells to 1.1% with LipofectAmine liposomes in human mesangial cells. Cytotoxicity following transfection was dependent on the transfection method. Transfection with the human renin expression vector led to the secretion of 11 pg/10(4) cells/48 h human renin in rat mesangial cells, 3,600 pg/10(4) cells/48 h in 293 cells, and 113 pg/10(4) cells/48 h human renin in opossum kidney cells. In vivo, infusion of liposomes was accompanied by nephrotoxicity and did not result in marker gene expression. Together the data demonstrate that cationic liposomes are useful tools for transferring genes into mesangial cells, including human mesangial cells. Cationic liposomes provide a functional system for the synthesis and secretion of human renin in mesangial cells and other mammalian kidney cells. The current limitation of the evaluated liposomes for an efficient in vivo gene transfer to mesangial cells is the toxicity upon intrarenal arterial administration.     

Progress in cationic lipid-mediated gene transfection: a series of bio-inspired lipids as an example

Over the last several years, various gene delivery systems have been developed for gene therapy applications. Although viral vector-based gene therapy has led to the greatest achievements in animal and human studies, synthetic non-viral vectors have also been developed as they offer several advantages over viral systems, including lower immunogenicity and greater nucleic acid packaging capacity. Nevertheless, the transfection efficiency of the current non-viral gene carriers still needs to be improved, especially as regards direct in vivo transfection. In particular, cationic lipid/nucleic acid complexes (termed lipoplexes) have been the subject of intensive investigation with a view to optimize their performance and to better understand their mechanisms of action, and consequently to design new approaches to overcome the critical barriers of cationic liposome-mediated gene delivery. A possible strategy may rely on considering the membrane constituents and properties of the vast variety of living organisms as a source of inspiration for the design of biocompatible, non-toxic and effective novel artificial liposomal systems. Thus, the present forward-looking review provides an overview of the progress already made during the last years in the field of cationic lipid-mediated gene transfection and also focuses on a series of novel bio-inspired lipids for both in vitro and in vivo gene transfection.     

基因治疗在创伤愈合中的应用

创伤修复是一个复杂的生物学过程,各种生长因子、炎症介质等在创面愈合过程中扮演着重要角色。基因治疗是现代生物治疗的一项重要技术,在创伤修复,尤其是难愈性创面的治疗中具有广阔的应用前景。基因治疗分为病毒载体导入系统（逆转录病毒、慢病毒、腺病毒、单纯疱疹病毒和腺病毒相关病毒等）和非病毒载体导入系统的基因感染（直接注射、显微注射、基因枪、电穿孔、脂质体和脂质体复合物、阳离子多聚物等）。本文对创伤修复及基因治疗在该领域的应用进行文献综述。     

Cationic liposomal vaccine adjuvants in animal challenge models: overview and current clinical status

Cationic liposome formulations can function as efficient vaccine adjuvants. However, due to the highly diverse nature of lipids, cationic liposomes have different physical-chemical characteristics that influence their adjuvant mechanisms and their relevance for use in different vaccines. These characteristics can be further manipulated by incorporation of additional lipids or stabilizers, and inclusion of carefully selected immunostimulators is a feasible strategy when tailoring cationic liposomal adjuvants for specific disease targets. Thus, cationic liposomes present a plasticity, which makes them promising adjuvants for future vaccines. This versatility has also led to a vast amount of literature on different experimental liposomal formulations in combination with a wide range of immunostimulators. Here, we have compiled information about the animal challenge models and administration routes that have been used to study vaccine adjuvants based on cationic liposomes and provide an overview of the applicability, progress and clinical status of cationic liposomal vaccine adjuvants.     

Liposome-mediated transient transfection reduces cholesterol-dependent coxsackievirus infectivity

Liposome-mediated gene delivery provides a powerful strategy for the study of gene function and for gene therapy. Coxsackievirus B3 is an important human pathogen associated with various diseases. Here we reported that liposome-mediated transient transfection of plasmid cDNA inhibited coxsackieviral replication at the levels of RNA, protein and viral progeny release. These inhibitory effects were observed in various cell types and by using different liposome reagents. We further showed that the inhibition was likely due to the lack of virus attachment. Moreover, we showed that addition of cholesterol restored, at least in part, the viral infectivity. Interestingly, we found that membrane cholesterol levels were unchanged during transfection, indicating that disruption rather than depletion of membrane cholesterol contributes to the inhibitory effects of transfection. Our data suggest that liposome-mediated cDNA transient transfection inhibits coxsackievirus infectivity via inhibition of viral attachment, which is likely occurring through the changes of membrane cholesterol integrity.     

A biomimetic lipid library for gene delivery through thiol-yne click chemistry

The delivery of nucleic acids such as plasmid DNA and siRNA into cells is a cornerstone of biological research and is of fundamental importance for medical therapeutics. Although most gene delivery therapeutics in clinical trials are based on viral vectors, safety issues remain a major concern. Non-viral vectors, such as cationic lipids and polymers, offer safer alternatives but their gene delivery efficiencies are usually not high enough for clinical applications. Thus, there is a high demand for more efficient and safe non-viral vectors. Here, we present a facile two-step method based on thiol-yne click chemistry for parallel synthesis of libraries of new biomimetic cationic thioether lipids. A library of novel lipids was synthesized using the developed method and more than 10% of the lipids showed highly efficient transfection in different cell types, surpassing the efficiency of several popular commercial transfection reagents. One of the new lipids showed highly efficient siRNA delivery to multiple cell types and could successfully deliver DNA plasmid to difficult-to-transfect mouse embryonic stem cells (mESC). Analysis of structure-activity relationship revealed that the length of the hydrophobic alkyl groups was a key parameter for efficient cell transfection and was more important for transfection efficiency than the nature of cationic head groups. The correlation of the size and surface charge of liposomes with transfection efficiency is described.     

Inhibition of nonviral cationic liposome-mediated gene transfer into primary human respiratory cells by interferon-gamma

The effect of interferon (IFN) gamma on cationic liposome-mediated gene transfer into primary respiratory epithelial cells was investigated. Treatment of primary respiratory epithelial cells with IFN-gamma resulted in a dose-dependent increase in the intermediate filament cytokeratin 13 and a decrease in cellular proliferation, indicating that respiratory cells underwent squamous differentiation. IFN-gamma pretreatment resulted in a dramatic inhibition of transfection efficiency mediated by a cationic liposome (DOTAP). Incubation of squamous nasal cells with DOTAP/DNA complexes for various periods at 4 degrees C and evaluation of luciferase levels suggested that IFN-gamma pretreatment inhibits complex binding to the cells. In primary nasal and bronchial cells cytofluorimetric analysis demonstrated that IFN-gamma reduces binding of FITC-labeled complexes. The data indicate that differentiation of respiratory epithelial cells to a squamous phenotype, which may occur in chronic respiratory diseases such as cystic fibrosis, induces a refractory condition to gene transfer by nonviral cationic liposomes.