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Gene therapies for inherited skin disorders.
[junctional epidermolysis bullosa]
Skin
is
an
amenable
organ
for
gene
replacement
and
gene
editing
therapeutics
.
Its
accessibility
makes
it
well-suited
for
direct
topical
gene
delivery
,
grafting
of
genetically
corrected
cells
,
and
monitoring
of
possible
adverse
events
.
Monogenic
recessive
disorders
with
a
clinically
severe
or
life-threatening
phenotype
provide
the
best
candidate
diseases
for
the
introduction
of
a
single
normal
copy
of
the
gene
into
the
target
cell
,
usually
keratinocytes
.
Preclinical
studies
have
shown
impressive
results
in
terms
of
gene
correction
using
both
in
vivo
and
ex
vivo
approaches
.
The
clinical
application
of
gene
replacement
or
genomic
editing
as
potential
therapies
for
inherited
skin
disorders
,
however
,
has
been
held
back
by
the
inadequacy
of
delivery
vectors
and
concerns
from
regulatory
agencies
regarding
safety
;
thus
translation
to
clinical
trials
has
been
slow
.
Over
the
past
15
years
,
cell
culture
and
animal
models
have
shown
efficient
gene
correction
techniques
as
preludes
to
treat
inherited
skin
disorders
such
as
junctional
epidermolysis
bullosa
,
dystrophic
epidermolysis
bullosa
,
xeroderma
pigmentosum
,
lamellar
ichthyosis
and
Netherton
syndrome
,
but
so
far
only
one
patient
has
been
treated
in
a
clinical
trial
.
This
article
reviews
the
current
status
of
gene
therapies
for
patients
with
inherited
skin
diseases
and
explores
future
perspectives
.
Diseases
Validation
Diseases presenting
"skin diseases"
symptom
cutaneous mastocytosis
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erythropoietic protoporphyria
fabry disease
harlequin ichthyosis
inclusion body myositis
junctional epidermolysis bullosa
kindler syndrome
lamellar ichthyosis
oculocutaneous albinism
papillon-lefèvre syndrome
sneddon syndrome
systemic capillary leak syndrome
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