2020
DOI: 10.3389/fncir.2020.00041
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Challenges for Therapeutic Applications of Opsin-Based Optogenetic Tools in Humans

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Cited by 84 publications
(69 citation statements)
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“…The use of viral vectors in primates has lagged somewhat behind the progress being made in rodents, but our study is among several to show that widespread, high expression levels can be obtained (Diester et al, 2011, Yazdan-Shahmorad et al, 2016. Optogenetic control of human neurons has been demonstrated in organotypic cultures (Andersson et al, 2016), but more work is needed to assess the potential risks of long-term expression of opsins (Shen et al, 2020). Second, a safe method of delivering sufficient light is required without the infection risk posed by percutaneous light fibres.…”
Section: Discussionmentioning
confidence: 85%
“…The use of viral vectors in primates has lagged somewhat behind the progress being made in rodents, but our study is among several to show that widespread, high expression levels can be obtained (Diester et al, 2011, Yazdan-Shahmorad et al, 2016. Optogenetic control of human neurons has been demonstrated in organotypic cultures (Andersson et al, 2016), but more work is needed to assess the potential risks of long-term expression of opsins (Shen et al, 2020). Second, a safe method of delivering sufficient light is required without the infection risk posed by percutaneous light fibres.…”
Section: Discussionmentioning
confidence: 85%
“…This meant that the stimulating site must be close to the body surface; otherwise, we were not able to achieve effective expression efficiency. As optogenetic techniques had developed, many optimized systems have become available that are activated by near-infrared light or red light [ 12 , 27 ]. Near-infrared light and red light are considered to be ideal sources of stimulation due to their higher penetration and reduced risk of photodamage.…”
Section: Discussionmentioning
confidence: 99%
“…But our promising therapies still face relevant challenges. In this sense, CRISP/Cas editing tools used to amend genetic missenses, need to fix secondary effects, as those related to the immune response (Yu et al, 2017); stem cell approaches have to procure the functionality of transplanted cells in the recipient, to assure the accurate establishment of synaptic connectivity and cell contacts, and gain success in precise image processing (Cuevas et al, 2019;Garita-Hernandez et al, 2019); and optogenetics also needs to find appropriate vectors for the delivery and expression in suitable cell types, avoiding immunological rejection of the vector systems (Shen et al, 2020). While gene-and cell-based therapies evolve through the tortuous pathway of biological success, combined therapies with antioxidant (as lutein or zeaxanthin), antiinflammatory (as corticosteroids or cannabinoids), and antiapoptotic (as tauroursodeoxycholic acid or proinsulin) molecules appear currently as the widest approach to pharmacologically treat a wide spectrum of retinal degenerative diseases.…”
Section: Current and Future Therapeutic Strategies For The Treatment Of Retinal Neurodegenerative Diseasesmentioning
confidence: 99%