Abstract
Fetal somatic gene therapy is often seen as an ethically particularly controversial field of gene therapy. This review outlines the hypothesis and scientific background of in utero gene therapy and addresses some of the frequently raised questions and concerns in relation to this still experimental, potentially preventive gene therapy approach. We discuss here the choice of vectors, of animal models and routes of administration to the fetus. We address the relation of fetal gene therapy to abortion, to post-implantation selection and postnatal gene therapy and the concerns of inadvertent germ-line modification. Our views on the specific risks of prenatal gene therapy and on the particular prerequisites that have to be met before human application can be considered are presented.
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References
Coutelle C, Douar A-M, College WH, Froster U . The challenge of fetal gene therapy Nature Med 1995 1: 864–866
Coutelle C et al. Fetal somatic gene therapy - a preventive approach to the treatment of genetic disease Holzgreve W, Lessl M (eds); Ernst Schering Research Foundation Workshop 33: Stem Cells From Cord Blood, In Utero Stem Cell Development and Transplantation - Inclusive Gene Therapy Springer 2000 pp 99–114
Harris A . Towards an ovine model of cystic fibrosis Hum Mol Genet 1997 6: 2191–2194
Larson JE et al. Gene transfer into the fetal primate: evidence for the secretion of transgene product Mol Ther 2000 2: 631–639
Tarantal AF et al. Rhesus monkey model for fetal gene transfer: studies with retroviral- based vector systems Mol Ther 2001 3: 128–138
Bennett M et al. In utero gene delivery by intraamniotic injection of a retroviral vector producer cell line in a nonhuman primate model Hum Gene Ther 2001 12: 1857–1865
Douar AM et al. Foetal gene delivery in mice by intra-amniotic administration of retroviral producer cells and adenovirus Gene Therapy 1997 4: 883–890
Schneider H et al. Therapeutic concentrations of human factor IX in mice after gene delivery into the amniotic cavity: a model for the prenatal treatment of haemophilia B J Gene Med 1999 1: 424–432
Schneider H et al. Sustained delivery of therapeutic concentrations of human clotting factor IX - a comparison of adenoviral and AAV vectors administered in utero J Gene Med 2002 4: 46–53
Themis M et al. High level expression of ß-galactosidase and factor IX transgenes in fetal and neonatal sheep after ultrasound-guided transcutaneous adenovirus vector administration into the umbilical vein Gene Therapy 1999 6: 1239–1248
Douar A-M, Themis M, Friedman T, Coutelle C . Effect of amniotic fluid on cationic lipid mediated transfection and viral infection Gene Therapy 1996 3: 789–796
Porada C et al. In utero gene therapy: transfer and long-term expression of the bacterial neo(r) gene in sheep after direct injection of retroviral vectors into preimmune fetuses Hum Gene Ther 1998 9: 1571–1585
Kazazian H . An estimated frequency of endogenous insertional mutations in humans Nature Genet 1999 22: 130
Fletcher J, Richter G . Human fetal gene therapy: moral and ethical questions Hum Gene Ther 1996 7: 1605–1614
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Coutelle, C., Rodeck, C. On the scientific and ethical issues of fetal somatic gene therapy. Gene Ther 9, 670–673 (2002). https://doi.org/10.1038/sj.gt.3301761
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DOI: https://doi.org/10.1038/sj.gt.3301761
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