Experimental and Molecular Medicine (Aug 2023)

Genome editing in the treatment of ocular diseases

  • Elliot H. Choi,
  • Susie Suh,
  • Avery E. Sears,
  • Rafał Hołubowicz,
  • Sanjay R. Kedhar,
  • Andrew W. Browne,
  • Krzysztof Palczewski

DOI
https://doi.org/10.1038/s12276-023-01057-2
Journal volume & issue
Vol. 55, no. 8
pp. 1678 – 1690

Abstract

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Abstract Genome-editing technologies have ushered in a new era in gene therapy, providing novel therapeutic strategies for a wide range of diseases, including both genetic and nongenetic ocular diseases. These technologies offer new hope for patients suffering from previously untreatable conditions. The unique anatomical and physiological features of the eye, including its immune-privileged status, size, and compartmentalized structure, provide an optimal environment for the application of these cutting-edge technologies. Moreover, the development of various delivery methods has facilitated the efficient and targeted administration of genome engineering tools designed to correct specific ocular tissues. Additionally, advancements in noninvasive ocular imaging techniques and electroretinography have enabled real-time monitoring of therapeutic efficacy and safety. Herein, we discuss the discovery and development of genome-editing technologies, their application to ocular diseases from the anterior segment to the posterior segment, current limitations encountered in translating these technologies into clinical practice, and ongoing research endeavors aimed at overcoming these challenges.