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Transcriptional Targeting Approaches in Cardiac Gene Transfer Using AAV Vectors.


ABSTRACT: Cardiac-targeted transgene delivery offers new treatment opportunities for cardiovascular diseases, which massively contribute to global mortality. Restricted gene transfer to cardiac tissue might protect extracardiac organs from potential side-effects. This could be mediated by using cis-regulatory elements, including promoters and enhancers that act on the transcriptional level. Here, we discuss examples of tissue-specific promoters for targeted transcription in myocytes, cardiomyocytes, and chamber-specific cardiomyocytes. Some promotors are induced at pathological states, suggesting a potential use as "induction-by-disease switches" in gene therapy. Recent developments have resulted in the identification of novel enhancer-elements that could further pave the way for future refinement of transcriptional targeting, for example, into the cardiac conduction system.

SUBMITTER: Schroder LC 

PROVIDER: S-EPMC10675517 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Transcriptional Targeting Approaches in Cardiac Gene Transfer Using AAV Vectors.

Schröder Lena C LC   Frank Derk D   Müller Oliver J OJ  

Pathogens (Basel, Switzerland) 20231030 11


Cardiac-targeted transgene delivery offers new treatment opportunities for cardiovascular diseases, which massively contribute to global mortality. Restricted gene transfer to cardiac tissue might protect extracardiac organs from potential side-effects. This could be mediated by using cis-regulatory elements, including promoters and enhancers that act on the transcriptional level. Here, we discuss examples of tissue-specific promoters for targeted transcription in myocytes, cardiomyocytes, and c  ...[more]

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