Gene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration

Engin Akyol, Andrew Lotery Clinical Neurosciences Research Group, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UKCorrespondence: Andrew LoteryClinical Neurosciences Research Group, Faculty of Medicine, University of Southampton, Southampton Gene...

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Autores principales: Akyol E, Lotery A
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:662d7e46cea145a9a309137ec78529402021-12-02T12:28:44ZGene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration1177-5491https://doaj.org/article/662d7e46cea145a9a309137ec78529402020-09-01T00:00:00Zhttps://www.dovepress.com/gene-cell-and-antibody-based-therapies-for-the-treatment-of-age-relate-peer-reviewed-article-BTThttps://doaj.org/toc/1177-5491Engin Akyol, Andrew Lotery Clinical Neurosciences Research Group, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UKCorrespondence: Andrew LoteryClinical Neurosciences Research Group, Faculty of Medicine, University of Southampton, Southampton General Hospital, Mailpoint 806, South Lab & Path Block, Tremona Road, Southampton SO16 6YD, UKTel +44 23 8120 5049Email a.j.lotery@soton.ac.ukAbstract: Here we discuss antibody, cell and gene-based therapies that are currently available and under investigation for both wet and dry age-related macular degeneration (AMD). We initially discuss ocular anatomy, AMD modelling as well as the underlying pathophysiology of AMD. The antibody-based trials which have revolutionised the management of wet AMD are reviewed. The latest concepts in antibody therapy for wet AMD such as the port delivery systems, bispecific antibodies, designed ankyrin repeat protein (DARPINs) and brolucizumab are explored. Furthermore, the antibody-based trials targeting the complement pathway to reduce progression of geographic atrophy (GA) in dry AMD are discussed. Stem cell therapy and gene therapy are novel treatment modalities with no established clinical use in wet or dry AMD. Here, we discuss their efficacy so far in clinical trials. Their benefits and risk in the treatment of both wet and dry AMD are evaluated.Keywords: choroidal neovascularisation, geographic atrophy, gene therapy, macular degeneration, stem cell therapy, monoclonal antibodiesAkyol ELotery ADove Medical Pressarticlechoroidal neovascularisationgeographic atrophygene therapymacular degenerationstem cell therapymonoclonal antibodiesMedicine (General)R5-920ENBiologics: Targets & Therapy, Vol Volume 14, Pp 83-94 (2020)
institution DOAJ
collection DOAJ
language EN
topic choroidal neovascularisation
geographic atrophy
gene therapy
macular degeneration
stem cell therapy
monoclonal antibodies
Medicine (General)
R5-920
spellingShingle choroidal neovascularisation
geographic atrophy
gene therapy
macular degeneration
stem cell therapy
monoclonal antibodies
Medicine (General)
R5-920
Akyol E
Lotery A
Gene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration
description Engin Akyol, Andrew Lotery Clinical Neurosciences Research Group, Faculty of Medicine, University of Southampton, Southampton General Hospital, Southampton SO16 6YD, UKCorrespondence: Andrew LoteryClinical Neurosciences Research Group, Faculty of Medicine, University of Southampton, Southampton General Hospital, Mailpoint 806, South Lab & Path Block, Tremona Road, Southampton SO16 6YD, UKTel +44 23 8120 5049Email a.j.lotery@soton.ac.ukAbstract: Here we discuss antibody, cell and gene-based therapies that are currently available and under investigation for both wet and dry age-related macular degeneration (AMD). We initially discuss ocular anatomy, AMD modelling as well as the underlying pathophysiology of AMD. The antibody-based trials which have revolutionised the management of wet AMD are reviewed. The latest concepts in antibody therapy for wet AMD such as the port delivery systems, bispecific antibodies, designed ankyrin repeat protein (DARPINs) and brolucizumab are explored. Furthermore, the antibody-based trials targeting the complement pathway to reduce progression of geographic atrophy (GA) in dry AMD are discussed. Stem cell therapy and gene therapy are novel treatment modalities with no established clinical use in wet or dry AMD. Here, we discuss their efficacy so far in clinical trials. Their benefits and risk in the treatment of both wet and dry AMD are evaluated.Keywords: choroidal neovascularisation, geographic atrophy, gene therapy, macular degeneration, stem cell therapy, monoclonal antibodies
format article
author Akyol E
Lotery A
author_facet Akyol E
Lotery A
author_sort Akyol E
title Gene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration
title_short Gene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration
title_full Gene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration
title_fullStr Gene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration
title_full_unstemmed Gene, Cell and Antibody-Based Therapies for the Treatment of Age-Related Macular Degeneration
title_sort gene, cell and antibody-based therapies for the treatment of age-related macular degeneration
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/662d7e46cea145a9a309137ec7852940
work_keys_str_mv AT akyole genecellandantibodybasedtherapiesforthetreatmentofagerelatedmaculardegeneration
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