How realistic is cutaneous gene therapy?

Abstract:

:Recent progress with innovative, experimental gene therapy approaches in animals, and recent improvements in our understanding and manipulation of stem cells, gene expression and gene delivery systems, have raised plenty of hopes in essentially all branches of clinical medicine that hitherto untreatable or poorly manageable diseases will soon become amenable to treatment. Few other organ systems have received such enthusiastic reviews in recent years as to the chances and prospects of gene therapy as the skin, with its excellent accessibility and its pools of--seemingly--readily manipulated epithelial stem cells (cf. Cotsarelis et al., Exp Dermatol 1999: 8: 80-88). However, as in other sectors of clinical medicine, the actual implementation of general gene therapy strategies in clinical practice has been faced with a range of serious difficulties (cf. Smith, Lancet 1999: 354 (suppl 1): 1-4; Lattime & Gerson (eds.), Gene Therapy of Cancer, Academic Press, San Diego, 1999). Thus, it is critically important to carefully distinguish unfounded hype from justified hope in this embryonal area of dermatologic therapy, to discuss in detail what can be realistically expected from cutaneous gene therapy approaches in the next few years, and importantly, what kind of promises should not be made to our patients at this time.

journal_name

Exp Dermatol

journal_title

Experimental dermatology

authors

Hengge UR,Taichman LB,Kaur P,Rogers G,Jensen TG,Goldsmith LA,Rees JL,Christiano AM

doi

10.1111/j.1600-0625.1999.tb00392.x

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

419-31

issue

5

eissn

0906-6705

issn

1600-0625

journal_volume

8

pub_type

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