Clinical Use of Non-Viral Vectors
Three-fourths of the currently active clinical protocols employing
non-viral vectors involve intramuscular injection of plasmids expressing
antigenic epitopes of a number of pathogens. Many of these trials involve
vaccination against HIV-1 and are in phase I testing (Girard, 2006). One trial
employing a three plasmid DNA vaccine for Ebola infection has completed phase I
testing and will enter phase II alone and in combination with a recombinant
adenovirus vector in a prime-boost dosing regimen (Martin, 2006). Severalhuman
trials using non-viral vectors to treat genetic diseases such as hemophilia A,
CF, alpha-1-antitryp-sin deficiency and Canavan disease illustrate the
challenges of permanent correction of a hereditary disorder with a
plasmid-based system (O’Connor, 2006). Despite this, some investigators
continue to refine and develop additional non-viral systems for treating CF
(Lee, 2005).
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