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Gene Therapy for Fibrodysplasia Ossificans Progressiva: Feasibility and Obstacles

  • Elisabeth M. W. Eekhoff*
  • , Ruben D. de Ruiter
  • , Bernard J. Smilde
  • , Ton Schoenmaker
  • , Teun J. de Vries
  • , Coen Netelenbos
  • , Edward C. Hsiao
  • , Christiaan Scott
  • , Nobuhiko Haga
  • , Zvi Grunwald
  • , Carmen L. de Cunto
  • , Maja di Rocco
  • , Patricia L. R. Delai
  • , Robert J. Diecidue
  • , Vrisha Madhuri
  • , Tae-Joon Cho
  • , Rolf Morhart
  • , Clive S. Friedman
  • , Michael Zasloff
  • , Gerard Pals
  • Jae-Hyuck Shim, Guangping Gao, Frederick Kaplan, Robert J. Pignolo, Dimitra Micha
*Corresponding author for this work
  • Amsterdam UMC
  • University of Amsterdam
  • University of California at San Francisco
  • University of Cape Town
  • National Rehabilitation Center for Persons with Disabilities
  • Thomas Jefferson University
  • Hospital Italiano de Buenos Aires
  • IRCCS Istituto Giannina Gaslini - Genova
  • Hospital Israelita Albert Einstein
  • Christian Medical College
  • Seoul National University
  • Garmisch-Partenkirchen
  • Schulich School of Medicine & Dentistry, Western University, London, Canada
  • MedStar Georgetown University Hospital
  • University of Massachusetts Medical School
  • University of Pennsylvania
  • Mayo Clinic
  • Amsterdam University Medical Centers
  • MOVE Research Institute
  • Sidney Kimmel Medical College
  • Georgetown University
  • Mayo Clinic Rochester, MN

Research output: Contribution to journalReview articleAcademicpeer-review

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Abstract

Fibrodysplasia ossificans progressiva (FOP) is a rare and devastating genetic disease, in which soft connective tissue is converted into heterotopic bone through an endochondral ossification process. Patients succumb early as they gradually become trapped in a second skeleton of heterotopic bone. Although the underlying genetic defect is long known, the inherent complexity of the disease has hindered the discovery of effective preventions and treatments. New developments in the gene therapy field have motivated its consideration as an attractive therapeutic option for FOP. However, the immune system's role in FOP activation and the as-yet unknown primary causative cell, are crucial issues which must be taken into account in the therapy design. While gene therapy offers a potential therapeutic solution, more knowledge about FOP is needed to enable its optimal and safe application.
Original languageEnglish
Pages (from-to)782-788
Number of pages7
JournalHuman gene therapy
Volume33
Issue number15-16
Early online date2 May 2022
DOIs
Publication statusPublished - 1 Aug 2022

Keywords

  • Alk2 mutation
  • Fibrodysplasia ossificans progressiva
  • Gene therapy
  • Heterotopic ossification
  • Rna

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