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Gene therapy using nanotechnology
Pilot phase I experiments involving gene therapy in human subjects have already been conducted for diseases like cystic fibrosis and muscular dystrophy. Some of the attractive targets for gene therapy include the following:
(i) epithelial surfaces of the lungs and gastrointestinal tract; (ii) endothelial cells lining the blood vessels, muscle myoblasts and skin fibroblasts, and (iii) tumour cells. In all these cases, the plasmid DNA carrying the gene sequence should reach the nucleus of the target cel1, overcoming an the hurdles (capture by endosome and lysosome) on its way to the nucleus. In the nucleus, it wil1 stay as an episome and express itself.

System

Animal

Reute

Fate

1. Naked DNA

Mouse

Intravenous

Liver (Kupffer cells)

2. Cationic lipid

Mouse, men

Aerosol, nasal spray

Lung deposition

3. Polylysine conjugate

Mouse, men

Intravenous

Liver parenchyma

4. Liposome

Rat

Intravenous

Liver (Kupffer cells)

5. Polyvenyl derivative

Rat

Intramuscular

Muscle Expression

6. Polycyanoacrylate

__

Cell culture

__

7. Cationic polymers

__

Cell culture

__


Three main types of gene-delivery systems have been described: (i) viral vectors; (ii) non-viral vectors (particles and polymers), and (iii) gene guns for direct injection of the genetic material into the target tissue. Since viral vectors pose some serious problems, the non-viral vectors are the gene-delivery system of choice by many. In this non-viral vector system, negatively charged plasmid DNA is condensed into a nonparticulate structure, 50-200 nm in size.

The use of cationic lipids and cationic polymers gives a compact structure due to interaction between cationic material and anionic DNA. These compact structures also provide increased stability and uptake by the target cells. Some of the nonviral vectors for gene therapy based on nanoparticles are listed in the table. The targets for gene therapy using nanoparticles include liver hepatocytes, endothelial cells, spleen and lymph nodes, where some success has already been achieved.