Gene therapy progress and prospects: Parkinson's disease

EA Burton, JC Glorioso, DJ Fink - Gene Therapy, 2003 - nature.com
Gene Therapy, 2003nature.com
PD is an attractive target for central nervous system (CNS) gene therapy for several reasons.
First, the pathology in early PD is, to a first approximation, limited to dopaminergic neurons
projecting from the substantia nigra pars compacta (SNc) to the caudate aputamenl, so that
localized gene delivery is a viable therapeutic strategy. Second, the neurochemical deficits
and the functional consequences of dopaminergic cell loss on local basal ganglia circuitry
are well characterized; gene transfer can be designed either to improve cell survival, or to …
PD is an attractive target for central nervous system (CNS) gene therapy for several reasons. First, the pathology in early PD is, to a first approximation, limited to dopaminergic neurons projecting from the substantia nigra pars compacta (SNc) to the caudate aputamenl, so that localized gene delivery is a viable therapeutic strategy. Second, the neurochemical deficits and the functional consequences of dopaminergic cell loss on local basal ganglia circuitry are well characterized; gene transfer can be designed either to improve cell survival, or to modify functional activity in the damaged basal ganglia circuitry (summarized in Figures 1 and 2). Third, PD is common and disabling despite treatment; no current intervention is uniformly accepted as altering the natural history of disease progression; hence, development of novel therapeutics is desirable. A variety of therapeutic transgenes has been delivered in experimental models of PD, using a number of different vectors. In this article, we survey the literature from 2000 to 2003, and briefly review recent progress in the development of gene transfer strategies for treating PD.
nature.com