Retinal gene therapy. Issue 1 (1st March 2018)

• Record Type: Journal Article
• Authors: Kumaran, Neruban; Michaelides, Michel; Smith, Alexander J; Ali, Robin R; Bainbridge, James W B
• Is Part Of: British medical bulletin. Volume 126:Issue 1(2018)
• Page Start: 13
• Page End: 25
• Publication Date: 2018-03-01
• Subjects: gene therapy -- retina -- retinal diseases; Medicine -- Periodicals; 610.5
• DOI: 10.1093/bmb/ldy005
• Languages: English
• ISSNs: 0007-1420

Abstract

Abstract: Introduction: Inherited retinal diseases are the leading cause of sight impairment in people of working age in England and Wales, and the second commonest in childhood. Gene therapy offers the potential for benefit. Sources of data: Pubmed and clinicaltrials.gov. Areas of agreement: Gene therapy can improve vision in RPE65 -associated Leber Congenital Amaurosis ( RPE65 -LCA). Potential benefit depends on efficient gene transfer and is limited by the extent of retinal degeneration. Areas of controversy: The magnitude of vision improvement from RPE65 -LCA gene therapy is suboptimal, and its durability may be limited by progressive retinal degeneration. Growing points: The safety and potential benefit of gene therapy for inherited and acquired retinal diseases is being explored in a rapidly expanding number of trials. Areas timely for developing research: Developments in vector design and delivery will enable greater efficiency and safety of gene transfer. Optimization of trial design will accelerate reliable assessment of outcomes.