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. Author manuscript; available in PMC: 2018 Apr 9.
Published in final edited form as: Expert Opin Ther Targets. 2017 May 16;21(7):695–703. doi: 10.1080/14728222.2017.1328057

Table 2. Advantages and disadvantages of various therapeutic approaches to target DRG neurons.

Approach Advantages Disadvantages
Systemic administration Ease of the technique
Widespread actions
Prone to side effects
Temporary effects
Local injections Precise tissue delivery
Achieve high local concentrations
Limited to few tissues
Can be difficult to perform
Temporary
Dorsal root ganglia stimulation Precise tissue delivery
On demand and long-lasting therapy
Limited to few tissues
Surgically implanted
Unclear mechanism of action
Nerve blockade Precise delivery to a subpopulation of DRG neurons
Local actions
Potential toxicity of QX-314
Temporary
siRNA therapy Target specifically DRG neurons
Selective knockdown of virtually any gene
Transfection efficiency
Temporary
Viral therapy Target specific DRG neurons
Long-lasting therapy
Can be manipulated for knockdown, knockout, and knockin function
Immunoreactivity
Potentially irreversible
Stem cell therapy Precise migration to damaged DRG tissue
Long-lasting pain relief
Can be manipulated using recombination
Can be cultured from patients
Dependency on CCL12-CCR4 signaling
Limited availability of cells
Risk of teratoma