Table 1.
A synoptic view of current issues in gene and cell therapy
Challenge | In vivo gene therapy | Ex vivo gene therapy | Cell therapy |
---|---|---|---|
Vector of choice | Adeno-associated vector | Lentivector | — |
Cell of choice | — | Satellite cells | Satellite cells Mesoangioblasts |
Mesoangioblasts | Induced pluripotent stem cells | ||
Induced pluripotent stem cells | |||
Delivery route | Intramuscular | Intramuscular | Intramuscular |
Intravenous | Intra-arterial | Intra-arterial | |
Intravenous loco-regional | Intravenous | Intravenous | |
Gene correction | Replacement | Replacement | Replacement |
Exon skipping | Exon skipping | ||
Genome editing | Genome editing | ||
Immune response | Wild-type gene product | Wild-type gene product | Wild-type gene product |
Therapeutic protein (e.g., nuclease) | Therapeutic protein (e.g., nuclease) | ||
Vector (capsid) |
The table offers a simple overview of current major issues in the field.