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Printable Handouts
Navigable Slide Index
- Introduction
- What is gene therapy?
- Gene therapy vectors
- Viral gene therapy vectors
- Lentivirus
- Adenovirus
- Adeno-associated virus (AAV)
- Non-viral gene therapy vectors
- How novel is gene therapy?
- In vivo gene therapy
- Pros & cons of in vivo gene therapy with AAV
- Ex vivo gene therapy
- Pros & cons of ex vivo gene therapy
- Antisense oligonucleotides (AONs or ASOs)
- Pros and cons of ASOs
- Small interfering RNAs (siRNA)
- Pros and cons of siRNA therapies
- Messenger RNA (mRNA)
- Pros and cons of mRNA therapy
- Ex vivo gene therapy for Metachromatic Leukodystrophy (MLD)
- Pathophysiology of MLD
- Clinical spectrum of MLD
- Long-term trial of ex vivo GT in MLD
- Brain MRI Loes score (Milan trial)
- Age at severe motor impairment or death
- Libmeldy licensed indication:EMA approval 2020, NICE Feb 2022
- Gene therapy clinical trials for LSDs
- Ex vivo lentiviral approach to treat LSDs
- In vivo AAV approach to treat MPS disorders
- In vivo AAV approach to treat sphingolipid storage disorders
- In vivo AAV approach to treat Neuronal Ceroid Lipofuscinoses (NCL)
- Is genome editing the future of gene therapy?
- Technology progress
- Summary
- Thank you!
Topics Covered
- Gene therapy
- Viral and non-viral vectors
- In vivo & ex vivo gene therapy
- ASOs, siRNA and mRNA therapies
- Metachromatic leukodystrophy
- Gene therapy clinical trials
- Genome editing
Links
Series:
Categories:
Therapeutic Areas:
External Links
Talk Citation
Gissen, P. (2025, August 31). Approaches to the treatment of genetic disease: lysosomal storage disorders (LSDs) [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved September 1, 2025, from https://doi.org/10.69645/NILC6404.Export Citation (RIS)
Publication History
- Published on August 31, 2025
Financial Disclosures
- There are no commercial/financial matters to disclose.
Approaches to the treatment of genetic disease: lysosomal storage disorders (LSDs)
Published on August 31, 2025
32 min
Other Talks in the Series: Introduction to Human Genetics and Genomics
Transcript
Please wait while the transcript is being prepared...
0:00
Hello. My name is Paul Gissen,
and I'm a professor of
pediatric metabolic medicine
at UCL Great Ormond Street
Institute of Child Health.
Today, I'm going to talk
about the approaches
to the treatment of
genetic disease,
specifically targeting the
treatments that are gene-based.
I target a little bit towards
lysosomal storage disorders,
which are more familiar to me.
0:30
What is gene therapy?
Gene therapy is defined as
genetic modification
of somatic cells,
and these include brain, liver,
hematopoietic stem
cells, muscle,
and other cells too.
There are different
types of gene therapy.
This could be gene addition,
and this could be done
by adding DNA or mRNA.
This could be targeting
transcription
or, ultimately, genome editing.
There are different methods
of delivering gene
therapy to the cells,
and these delivery
so-called vectors
could be viral or non-viral,
and sometimes some of the
gene therapy platforms
are using conjugated
oligonucleotides.
1:18
In the next few slides,
I'm going to talk about
gene therapy vectors,
both viral and non-viral.
Let's start with the viral
gene therapy vectors.
1:31
On the viral gene
therapy vectors,
the commonest vectors
known are lentiviruses,
adenoviruses and
adeno-associated viruses.
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