Review Article

Integrating Gene Correction in the Reprogramming and Transdifferentiation Processes: A One-Step Strategy to Overcome Stem Cell-Based Gene Therapy Limitations

Table 1

Diseases with the inefficient reprogramming or inhibitory pluripotency maintenance.

CategoryDiseaseGeneGene statusReprogramming efficiency or
pluripotency maintenance
Refs.

DNA repairAtaxia telangiectasia (A-T)ATM7004delCA, 7886delTATTALow efficient generation (15% in heterozygote)/extremely low efficient generation (4% in homozygote)[2]
Fanconi anemia (FA)FANCA, FANCD2No reprogramming, or extremely low efficient generation (FANCA), low efficient reprogramming and poor maintenance (FANCD2)[13, 14]
FA or breast cancerBRCA1, BRCA2 in exon 11 or S1598F point mutation for BRCA1, in exon 27 for BRCA2~20-fold lower than normal[20]
CancerRad51Knockdown expression by shRNA~60-fold lower than normal[20]
LIG4 syndromeLIG4c.2440C>T in allele 1 and c.1406G>A in allele 2, or c.833G>ALow reprogramming efficiency (0.002~0.012%) and apoptosis sensitivity[15]

SignalingFibrodysplasia ossificans progressiva (FOP)ACVR1c.617G>ALow reprogramming efficiency (~0.05%) and inhibitory maintenance of iPSCs[16, 17]

locus.