Unravelling Alzheimer’s: Innovations in Pathogenesis, Diagnosis, and Therapeutics

Gene Therapy and RNA-Based Innovations for Management of Alziemer's

Author(s): Juhi Tiwari, Piyush Anand, Deepak Kumar and Shashi Kant Singh *

Pp: 205-250 (46)

DOI: 10.2174/9798898814953126010011

* (Excluding Mailing and Handling)

Abstract

Gene therapy is the process of transferring genetic material to treat a disease or, at the very least, to enhance a patient's clinical condition. Gene therapy can be implemented by transforming viruses into genetic carriers that deliver the desired gene to the target cells. Depending on the kind of genome, these vectors can be classified as either DNA-based or RNA-based viral vectors. Gene therapy holds promise for treating illnesses that traditional medicine cannot address. To apply it, a patient's cells must receive one or more nucleic acids or a faulty gene. Clinical gene therapy has advanced significantly during the past ten years. One can list several noteworthy achievements, including the development of medicines for diabetes, Alzheimer's, Parkinson's, cystic fibrosis, and several types of cancer. Long-term studies on the therapy of Alzheimer's disease have led to the development of various drugs, such as monoclonal antibodies to Aβ aggregation, cholinesterase inhibitors, and inhibitors of tau aggregation. Researchers continued to work on the disease even though the drugs did not stop its advancement, and as a result, gene therapy, a recently developed, state-of-the-art technique for delivering genes to specific locations where they can express the desired functionalities, is being introduced. For AD, gene therapy is a promising diseasemodifying treatment. “Protein-coding and noncoding RNAs make up between 70 and 90 percent of the human genome. These RNAs are the primary determinants of biological variation in cells and populations. Among the different kinds of nucleic acids, RNA is more adaptable than DNA because of its single-stranded structure, direct protein-encoding capability, and high degree of modification for specific regulatory and therapeutic uses. Even with its bright future in biomedicine, RNA-based therapy still has several obstacles to overcome. Notably, delivering RNA effectively and precisely while reducing immunological reactions is one of the biggest technical challenges. Viral vectors, Virus-Like Particles (VLPs), lipid nanoparticles (LNPs), and Extracellular Vesicles (EVs) are some of the methods that have been created for delivering RNA. 


Keywords: Biopolymers, Encoded molecules, Germline, Immune response, Innovative therapy, Lipid nanoparticles, RNA delivery systems, Somatic cells, Transcriptions, Viral vectors.