2018
DOI: 10.1021/acs.bioconjchem.8b00688
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Polycations for Gene Delivery: Dilemmas and Solutions

Abstract: Gene therapy has been a promising strategy for treating numerous gene-associated human diseases by altering specific gene expressions in pathological cells. Application of nonviral gene delivery is hindered by various dilemmas encountered in systemic gene therapy. Therefore, solutions must be established to address the unique requirements of gene-based treatment of diseases. This review will particularly highlight the dilemmas in polycation-based gene therapy by systemic treatment. Several promising strategies… Show more

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Cited by 71 publications
(58 citation statements)
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“…In addition, polycationic agents also have high nondegradability and suffer from low dissociation of the cargo from the complex in the cells due to robust interactions between the cargo and the polycation. The reported methods to reduce the toxicity of the polycationic materials include PEGylation, [ 67 ] reduction of molecular weight, [ 63c ] and controlling ring‐opening polymerization of lactones with tertiary amino‐alcohols. [ 63b,c ] Furthermore, conjugation of cholesterol, [ 68 ] cyclodextrin, [ 69 ] oligo(2‐ethyl‐2‐oxazoline), [ 70 ] fluorobenzene, [ 71 ] and alkyl chains [ 72 ] have also proven to reduce toxicity.…”
Section: Cytosolic Delivery Via Endosomal Escapementioning
confidence: 99%
“…In addition, polycationic agents also have high nondegradability and suffer from low dissociation of the cargo from the complex in the cells due to robust interactions between the cargo and the polycation. The reported methods to reduce the toxicity of the polycationic materials include PEGylation, [ 67 ] reduction of molecular weight, [ 63c ] and controlling ring‐opening polymerization of lactones with tertiary amino‐alcohols. [ 63b,c ] Furthermore, conjugation of cholesterol, [ 68 ] cyclodextrin, [ 69 ] oligo(2‐ethyl‐2‐oxazoline), [ 70 ] fluorobenzene, [ 71 ] and alkyl chains [ 72 ] have also proven to reduce toxicity.…”
Section: Cytosolic Delivery Via Endosomal Escapementioning
confidence: 99%
“…The detailed mechanism by which EVs assists in gene transfection of PEI needs further studies. Because polycations also occur naturally (Chen et al, 2019), it can be assumed that gene transfection with EVs and natural polycations can also take place in natural systems. Although currently the expected frequency of gene transfection with natural polycations is quite low because of low concentration of natural polycations in natural systems, the use of EVs in such systems may provide a promising all-natural transfection system.…”
Section: Discussionmentioning
confidence: 99%
“…To achieve better delivery performance, synthetic gene carriers must overcome many challenges, such as low gene loading/release efficiency, cytotoxicity, inefficient endosome escape and poor nucleus entry. 53,54 For cationic micelles, physical stability is fundamental to withstanding dissociation and the premature release of their cargo after entering into the bloodstream. A significant barrier to the transfection efficiency of cationic micelles is their stability.…”
Section: The Key Factors Of Micelles As Gene Carriersmentioning
confidence: 99%