Publication details

The promise of episomal gene therapy

Authors

KOSTOHRYZ Viktor KOHOUTEK Jiří SLABÝ Ondřej

Year of publication 2024
Type Conference abstract
Citation
Description Modern day gene therapies are limited by a number of shortcomings that limit their practical use in the treatment of many key genetic diseases. The most significant limitations include 1) high immunogenicity of the delivery vector, 2) low stability in target cells and 3) mutagenicity of the construct. The answer to the aforementioned shortcomings is episomal gene therapy. Episomes are synthetic plasmid constructs containing regulatory sequences from mammalian chromatin. These sequences, the so-called "S/MARs", allow plasmids to stably segregate into daughter cells throughout many cell divisions, and help them prevent integration into the genome by a currently unknown mechanism (1). However, the stability of episomes in mammalian cell lines without selection is very low and currently requires significant improvement for further practical use. This problem goes hand in hand with the fact that the mechanisms of episomal retention and resistance to integration still remain poorly understood.

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