Precision Medicine Trials in Retinal Degenerations

Annu Rev Vis Sci. 2021 Sep 15:7:851-865. doi: 10.1146/annurev-vision-100419-111701.

Abstract

The beginning of the twenty-first century was marked by the innovative use of pharmacochemical interventions, which have since expanded to include gene-based molecular therapies. For years, treatment has focused on tackling the pathophysiology of monogenic orphan diseases, and one of the first applications of these novel genome editing technologies was the treatment of rare inherited retinal dystrophies. In this review, we present recent, ongoing, and future gene therapy-based treatment trials for choroideremia, X-linked retinitis pigmentosa, Stargardt disease, and age-related macular degeneration. As these trials pave the way toward halting the progression of such devastating diseases, we will begin to see the exciting development of newer, cutting-edge strategies including base editing and prime editing, ushering in a new era of precision medicine.

Keywords: AAV; CRISPR; base editing; gene therapy; precision medicine; prime editing.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Gene Editing
  • Genetic Therapy
  • Humans
  • Precision Medicine
  • Retinal Degeneration* / genetics
  • Retinal Degeneration* / therapy
  • Retinitis Pigmentosa* / genetics
  • Retinitis Pigmentosa* / therapy