基因和细胞疗法在心脏修复的应用
The Application of Gene and Cell Therapies in Cardiac Repair
DOI: 10.12677/acm.2025.15123503, PDF,    国家自然科学基金支持
作者: 刘思源, 陈美桦, 张 宁*, 周斌全*:浙江大学医学院附属邵逸夫医院心内科,浙江 杭州;全省心血管介入与精准诊治重点实验室,浙江 杭州;心血管创新器械浙江省工程研究中心,浙江 杭州
关键词: 基因和细胞疗法缺血性心脏病Gene and Cell Therapies Ischemic Heart Disease
摘要: 缺血性心脏病是全球主要致死原因,亟需创新疗法促进心肌修复与再生。基因和细胞疗法(gene and cell therapies, GCTs)是通过提供改变目标基因表达的遗传物质来治疗疾病。基于基因疗法结合递送平台可实现治疗性核酸的靶向心肌损伤部位持续表达。基于细胞疗法结合递送平台能促进治疗性细胞、细胞外囊泡和细胞膜衍生囊泡在心肌损伤部位中的定植与整合。本综述整合了这些最新进展,既解决了现有局限性,又深入探讨了基因和细胞疗法在优化心脏修复与再生方面的变革潜力,最终为改善缺血性心脏病的临床治疗效果开辟了新路径。
Abstract: Ischemic heart disease remains a leading cause of mortality worldwide, necessitating the development of innovative therapeutic strategies to promote myocardial repair and regeneration. Gene and cell therapies (GCTs) offer a promising approach by delivering genetic materials capable of modulating the expression of target genes. When combined with advanced delivery platforms, gene therapy enables sustained and targeted expression of therapeutic nucleic acids in injured myocardial tissues. Similarly, cell-based therapies—through the delivery of therapeutic cells, extracellular vesicles, or cell membrane-derived vesicles—facilitate enhanced engraftment and integration at the site of cardiac injury. This review synthesizes recent advances in these fields, addressing current limitations while critically examining the transformative potential of GCTs in optimizing cardiac repair and regeneration. Collectively, these developments pave the way for improved clinical outcomes in ischemic heart disease.
文章引用:刘思源, 陈美桦, 张宁, 周斌全. 基因和细胞疗法在心脏修复的应用[J]. 临床医学进展, 2025, 15(12): 1055-1064. https://doi.org/10.12677/acm.2025.15123503

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