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Chronic Pain Management: Biochemical Pathways, Psychological Impacts, and Nursing Care Approaches

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Biochemistry

Abstract

Background:

CRISPR (Clustered Regularly Interspaced Short Palindromic Repeats) has revolutionized the field of gene editing, offering unparalleled precision and efficiency in genetic manipulation. Its application in pharmacology is transformative, promising novel therapeutic solutions for monogenic disorders, cancers, and infectious diseases. However, the integration of CRISPR-based therapies into clinical practice presents significant ethical and practical challenges. Ethical concerns such as germline editing, consent, and healthcare equity, coupled with technical hurdles like off-target effects and delivery mechanisms, demand careful scrutiny.

Aim:

This paper aims to explore the ethical and practical implications of CRISPR-based therapeutics in pharmacology. It evaluates the technology's potential to address unmet medical needs while identifying the challenges that hinder its equitable and responsible deployment.

Methods:

A comprehensive literature review was conducted, synthesizing data from peer-reviewed articles, clinical trial databases, and ethical frameworks. Case studies of CRISPR-based interventions were analyzed to assess therapeutic outcomes and associated challenges. Additionally, regulatory policies from leading global jurisdictions were reviewed to contextualize the governance of gene editing technologies.

Results:

CRISPR-based therapeutics have demonstrated promising outcomes in treating monogenic diseases such as sickle cell anemia and beta-thalassemia, as well as in advancing cancer immunotherapy. However, ethical dilemmas surrounding germline editing and societal inequities in treatment access persist. Practical challenges include the precise delivery of CRISPR components, risk of off-target effects, and high costs of therapy development. Current regulatory frameworks vary significantly across regions, revealing gaps in international governance and ethical oversight.

Conclusion:

CRISPR technology holds transformative potential in pharmacology, yet its integration into clinical practice requires a balance between innovation and responsibility. Addressing ethical concerns, advancing delivery systems, and establishing robust global regulatory frameworks are crucial to ensuring that CRISPR-based therapeutics are safe, effective, and accessible. Interdisciplinary collaboration and proactive policy-making are essential to maximizing the societal benefits of this groundbreaking technology.

DOI

10.21608/ejchem.2024.337882.10837

Keywords

CRISPR, gene editing, Pharmacology, Bioethics, therapeutic innovation, Regulatory Frameworks, healthcare equity

Authors

First Name

Fatimah Mutairan

Last Name

Almutairi

MiddleName

-

Affiliation

Ksa, Ministry of Health

Email

ficmahac@gmail.com

City

-

Orcid

-

First Name

Thekra bandar khalid

Last Name

albahuth

MiddleName

-

Affiliation

Ksa, Ministry of Health, Kig salman hospital

Email

talbahuth@moh.gov.sa

City

-

Orcid

-

First Name

Mousa Yahya Hassan

Last Name

Sahli

MiddleName

-

Affiliation

Ksa, Ministry of Health, Jazan Health Cluste

Email

myhms2008@hotmail.com

City

-

Orcid

-

First Name

Mshari Marzoq

Last Name

Alanazi

MiddleName

-

Affiliation

Ksa, Ministry of Health, Compliance management‏

Email

milt_55@hotmail.com

City

-

Orcid

-

First Name

Mohammad Ali Hamad

Last Name

Al-Qaisi

MiddleName

-

Affiliation

Ksa, Ministry of Health, Kingdom of Saudi Arabia, Jazan City, Al-Masim General Hospital

Email

mohqisi7@gmail.com

City

-

Orcid

-

First Name

Ali Hamid Ahmed

Last Name

Al-Ammari

MiddleName

-

Affiliation

Ksa, Ministry of Health, Threban General Hospital

Email

alhalamary@moh.gov.sa

City

-

Orcid

-

First Name

Yassir Mohammad

Last Name

Jabbari

MiddleName

-

Affiliation

Ksa, Ministry of Health, Maternity and Children's Hospital in Al Kharj

Email

yassir2221@gmail.com

City

-

Orcid

-

First Name

Nawar Dohair

Last Name

Aljoaid

MiddleName

-

Affiliation

Ksa, Ministry of Health

Email

noy511@hotmail.com

City

-

Orcid

-

First Name

Faiz Gaed

Last Name

Alotaibi

MiddleName

-

Affiliation

Ksa, Ministry of Health, Alharam Hospital almdinah

Email

fqalotaibi@moh.gov.sa

City

-

Orcid

-

First Name

Sattam Ahmed Hawi

Last Name

Hawi

MiddleName

-

Affiliation

Ksa, Ministry of Health, Al aridh hospital

Email

sattam.b7@gmail.com

City

-

Orcid

-

First Name

Nawal Hlal salah

Last Name

Almotairi

MiddleName

-

Affiliation

Ksa, Ministry of Health, National guard health affairs

Email

almotairina2@ngha.med.sa

City

-

Orcid

-

First Name

Mariam sabr shafagh

Last Name

alshameri

MiddleName

-

Affiliation

Ksa, Ministry of Health, National guard health affairs

Email

alshamerima@ngha.med.sa

City

-

Orcid

-

First Name

Nawal ganai Mohammed

Last Name

BAHARI

MiddleName

-

Affiliation

Ksa, Ministry of Health, National guard health affairs

Email

kingnono-15@hotmail.com

City

-

Orcid

-

First Name

Alhanouf zaid munawer

Last Name

almutairi

MiddleName

-

Affiliation

Ksa, Ministry of Health, National guard health affairs

Email

mzoon-19@hotmail.com

City

-

Orcid

-

First Name

Yazeed Nasser Fawaz

Last Name

AlMousa

MiddleName

-

Affiliation

Ksa, Ministry of Health, Medical services of public security at Ministry of Interior

Email

d.ynm@hotmail.com

City

-

Orcid

-

Volume

67

Article Issue

13

Related Issue

46555

Issue Date

2024-12-01

Receive Date

2024-11-20

Publish Date

2024-12-01

Page Start

1,557

Page End

1,565

Print ISSN

0449-2285

Online ISSN

2357-0245

Link

https://ejchem.journals.ekb.eg/article_396056.html

Detail API

https://ejchem.journals.ekb.eg/service?article_code=396056

Order

396,056

Type

Review Articles

Type Code

444

Publication Type

Journal

Publication Title

Egyptian Journal of Chemistry

Publication Link

https://ejchem.journals.ekb.eg/

MainTitle

Chronic Pain Management: Biochemical Pathways, Psychological Impacts, and Nursing Care Approaches

Details

Type

Article

Created At

30 Dec 2024