Malay Jhancy, Salama Rasha Aziz Attia, Alam Qureshi Ghania Shehzad, Ammar Ali Raafat Ali Ahmed, Janardhan Gayatri, Safdar Maryam, Elshamy Hesham Amin Hamdy
Department of Pediatrics, RAK Medical and Health Sciences University, Ras Al Khaimah 11127, United Arab Emirates.
Department of Community Medicine, RAK Medical and Health Science University, Ras Al Khaimah 11127, United Arab Emirates.
Hematol Rep. 2024 Oct 21;16(4):656-668. doi: 10.3390/hematolrep16040064.
Beta thalassemia is an inherited blood disorder that results in inefficient erythropoiesis due to genetic mutation that leads to the reduction or absence of the hemoglobin beta-globulin protein. Approximately 8.5% of UAE residents suffer from β-thalassemia, a significant health and financial problem. The treatment options available for β-Thalassemia major are limited and associated with a wide range of complications. β-thalassemia gene therapy is emerging as a potential novel treatment option that eliminates the complications caused by the current long-term treatment modalities and the associated economic burden. This paper reviews the scientific literature related to emerging gene therapy for β-Thalassemia by analyzing all the articles published from January 2010 to December 2023 in the English language on Databases like PubMed, Scopus, ProQuest, and CINAHL. The use of gene therapy has demonstrated promising outcomes for a permanent cure of β-Thalassemia. To conclude, gene therapy is an innovative solution. It demonstrates a promising future, but does come with its own setbacks and is something that must be tackled in order to revolutionize it in the medical world. FDA-approved ZYNTEGLO is a potentially one-time curative treatment for β-Thalassemia. Although cutting-edge, its use is limited because of the high cost-a price of USD 2.8 million per patient.
β地中海贫血是一种遗传性血液疾病,由于基因突变导致血红蛋白β-球蛋白蛋白减少或缺失,从而导致红细胞生成效率低下。约8.5%的阿联酋居民患有β地中海贫血,这是一个重大的健康和经济问题。重型β地中海贫血的现有治疗选择有限,且伴有多种并发症。β地中海贫血基因治疗正在成为一种潜在的新型治疗选择,可消除当前长期治疗方式所引起的并发症及相关经济负担。本文通过分析2010年1月至2023年12月期间在PubMed、Scopus、ProQuest和CINAHL等数据库上以英文发表的所有文章,综述了与β地中海贫血新兴基因治疗相关的科学文献。基因治疗的应用已显示出有望永久性治愈β地中海贫血的结果。总之,基因治疗是一种创新解决方案。它展现出了光明的未来,但也有自身的挫折,要在医学领域实现变革,就必须解决这些问题。美国食品药品监督管理局(FDA)批准的ZYNTEGLO是一种可能一次性治愈β地中海贫血的治疗方法。尽管它很前沿,但由于成本高昂——每位患者280万美元的价格,其应用受到限制。