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Progress in gene therapy for primary immunodeficiencies using lentiviral vectors.
[wiskott-aldrich syndrome]
This
review
gives
an
overview
over
the
most
recent
progress
in
the
field
of
lentiviral
gene
therapy
for
primary
immunodeficiencies
(
PIDs
)
.
The
history
and
state
-of-the-art
of
lentiviral
vector
development
are
summarized
and
the
recent
advancements
for
a
number
of
selected
diseases
are
reviewed
in
detail
.
Past
retroviral
vector
trials
for
these
diseases
,
the
most
recent
improvements
of
lentiviral
vector
platforms
and
their
application
in
preclinical
development
as
well
as
ongoing
clinical
trials
are
discussed
.
Main
focus
is
on
the
preclinical
studies
and
clinical
trials
for
the
treatment
of
Wiskott-
Aldrich
syndrome
,
chronic
granulomatous
disease
,
adenosine
deaminase
deficient
severe
combined
immunodeficiency
(
ADA
-
SCID
)
and
X-
linked
severe
combined
immunodeficiency
with
lentiviral
gene
therapy
.
Gene
therapy
for
PIDs
is
an
effective
treatment
,
providing
potential
long
-term
clinical
benefit
for
affected
patients
.
Substantial
progress
has
been
made
to
make
lentiviral
gene
therapy
platforms
available
for
a
number
of
rare
genetic
diseases
.
Although
many
ongoing
gene
therapy
trials
are
based
on
ex-vivo
approaches
with
autologous
hematopoietic
stem
cells
,
other
approaches
such
as
in
-vivo
gene
therapy
or
gene
-repair
platforms
might
provide
further
advancement
for
certain
PIDs
.
Diseases
Validation
Diseases presenting
"adenosine deaminase deficient severe combined immunodeficiency"
symptom
severe combined immunodeficiency
wiskott-aldrich syndrome
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