With the rapid development of genetic medicine today, many scientists have begun to explore the differences between gene therapy and gene regulation. Therapeutic gene modulation aims to change the way genes are expressed during disease processes to improve patient health. Unlike traditional gene therapy, which directly introduces exogenous genes, gene regulation mainly involves changing the expression of endogenous genes, which provides many possibilities for treatment flexibility.
The key to therapeutic gene regulation lies in several important pathways, including transcriptional gene regulation, RNA interference, and the use of designed zinc finger proteins. The charm of this approach is that it doesn't just target a specific gene, but attempts to adjust gene expression within an organism at a more refined level.
The advantage of therapeutic gene modulation is that it can be effective at lower doses, and gene silencing caused by virally introduced genes can also effectively avoid such problems.
Transcriptional gene regulation involves exposure to DNA of endogenous genes at specific doses to change their expression pattern. The main advantage of this approach is that it can directly modulate the expression of a single copy of a gene, which means that the dosage required can be significantly reduced compared to modulating mRNA or protein levels.
Of course, although this type of adjustment technology has its potential, it also faces some challenges. For example, triple helix-forming nucleic acids (TFOs) used in transcriptional regulation are specifically designed to regulate the special structure of DNA, but they may face the impact of physiological pH on the binding effect.
TFOs can be used to induce mutations at specific sites and have potential applications in cancer treatment, as abnormal gene expression is often one of the core problems of cancer.
Another key technology is synthetic polyamides (SPAs), a class of small molecules that can bind to the small sheath of DNA, thereby affecting the gene transcription process. These small molecules can directly act on the regulatory regions of genes, or they can be designed to combine with other factors to indirectly change the expression trend of genes.
Although SPAs have great potential, there are still some limitations in their application, such as the ductility of their recognition sequences. However, researchers have proposed several theories to extend this recognition, which could pave the way for future clinical applications.
By combining SPAs with other modifiers, it is possible to enhance the effectiveness of treatment while specifically targeting a region of DNA.
The designed zinc finger protein is an engineered protein based on the natural zinc finger structure, which can precisely target specific sequences in DNA. Whether the protein can effectively regulate gene expression depends on the type of sequence it targets and the effector structure to which it is linked.
For example, some studies have successfully demonstrated that the transcriptional activity of BCR-ABL fusion tumor genes can be regulated by designed zinc finger proteins, which shows excellent potential in the treatment of cancers such as leukemia.
Through targeted regulation of these proteins, the research team has observed the reappearance of leukemia cells' dependence on growth factors, a sign that the cell cycle can be regulated normally.
One of the main methods of post-transcriptional gene regulation is through RNA interference (RNAi) technology. The application of RNAi is highly dependent on effective drug delivery systems, which limits its wider application. However, with the development of nanotechnology, improved methods of RNAi delivery provide new opportunities for the realization of this technology.
While traditional gene therapy faces many challenges, emerging gene modulation technologies are redefining how we manage and treat various diseases, especially cancer and genetic disorders. The neon-colored future makes people look forward to how gene regulation will gradually become the key to disease management.
In future research, will we be able to overcome existing challenges and achieve safer and more effective gene modulation treatments?