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Capsid Modifications for Targeting and Improving the Efficacy of AAV Vectors
Open accessAbstract
In the past decade, recombinant vectors based on a non-pathogenic parvovirus, the adeno-associated virus (AAV), have taken center stage as a gene delivery vehicle for the potential gene therapy for a number of human diseases. To date, the safety of AAV vectors in 176 phase I, II, and III clinical trials and their efficacy in at least eight human diseases are now firmly documented. Despite these remarkable achievements, it has also become abundantly clear that the full potential of first generation AAV vectors composed of naturally occurring capsids is not likely to be realized, since the wild-type AAV did not evolve for the purpose of therapeutic gene delivery. In this article, we provide a brief historical account of the progress that has been made in the development of capsid-modified , next-generation AAV vectors to ensure both the safety and efficacy of these vectors in targeting a wide variety of human diseases.
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“Secondly, engineered vector properties can 'cloak ' the viral vector from (or modulate) the innate and adaptive immune responses (Büning and Srivastava, 2019; Prasad et al., 2022).”
From Gene Therapy-Associated Uveitis (GTAU): Understanding and mitigating the adverse immune response in retinal gene therapy (2025) · cites this paper as Büning and Srivastava, 2019
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Metadata
- Authors
- Büning, H., & Srivastava, A.
- Affiliations
- Medizinische Hochschule Hannover (DE)
- University of Florida Health (US)
- Corresponding author
- Büning, Hildegard
- Srivastava, Arun
- Venue
- Molecular Therapy - Methods & Clinical Development
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 12
- Pages
- 248-265
- ISSN
- 2329-0501 (ISSN-L)
- PMC
- PMC6378346
- OpenAlex
- W2912684492
- Cited by
- 260
- References
- 147
- Citations by year
- 2026: 28 · 2025: 34 · 2024: 38 · 2023: 40 · 2022: 31 · 2021: 32 · 2020: 48 · 2019: 9
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Molecular Therapy — Methods & Clinical Development (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Kitzman Foundation
- Children's Miracle Network Hospitals
- Deutsche Forschungsgemeinschaft
- Bundesministerium für Bildung und Forschung
- Ministerium für Wissenschaft, Forschung und Kunst Baden-Württemberg
- National Institutes of Health (R01 HL-097088, R21 EB-015684, R41 AI-122735)
- Niedersächsisches Ministerium für Wissenschaft und Kultur
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Health Sciences › Medicine › Infectious Diseases › Parvovirus B19 Infection Studies
- Keywords
- adeno-associated virus vectors, capsid modification, gene therapy vectors, gene delivery, vector targeting, vector safety, parvovirus
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