Adeno-Associated Virus Integration: Virus versus Vector
Abstract
Although a large percentage of the world population is seropositive for exposure to various strains of adeno-associated virus (AAV), a human parvovirus, AAV has never been identified as an etiologic agent of human disease. Most likely contributing to the pronounced lack of pathogenicity is the fact that AAV is a naturally defective virus that requires a helper virus for productive replication of its genome. Another unusual aspect of wild-type AAV biology is the ability of the virus to establish latent infection by preferential integration of its genome into a specific locus of human chromosome 19. Site-specific integration was a major impetus for the development of recombinant AAV vectors, which typically lack all AAV coding sequences. It was soon realized, however, that expression of at least one species of the virally encoded initiator proteins, Rep78 or Rep68, is necessary for targeted integration of AAV-derived DNA constructs to occur. This article will present a chronological outline of studies characterizing site-specific integration of wild-type AAV sequences and the quasi-random target site selection observed with recombinant AAV vectors.
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Recombinant AAV rarely integrates into the host cell genome, reducing the risk of insertional mutagenesis following gene therapy.
“Furthermore, recombinant AAV (rAAV) rarely integrates into the host cell genome, thereby reducing the risk of insertional mutagenesis following gene therapy [44].”
From Immune responses to gene editing by viral and non-viral delivery vectors used in retinal gene therapy (2022) · cites this paper as [44]
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- Authors
- Smith, R. H.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Smith, R H
- ORCID
- Smith, R H
- Venue
- Gene Therapy
- Published
- 2008-04-10
- Volume
- 15
- Issue
- 11
- Pages
- 817-822
- ISSN
- 0969-7128 (ISSN-L)
- 1476-5462
- OpenAlex
- W2034226542
- Cited by
- 178
- References
- 32
- Citations by year
- 2026: 1 · 2025: 11 · 2024: 8 · 2023: 11 · 2022: 16 · 2021: 12 · 2020: 11 · 2019: 10 · 2018: 10 · 2017: 8 · 2016: 5 · 2015: 9 · 2014: 11 · 2013: 4 · 2012: 11
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Gene Therapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Health Sciences › Medicine › Infectious Diseases › Parvovirus B19 Infection Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- adeno-associated virus, site-specific integration, chromosome 19, recombinant AAV vectors, Rep78, Rep68, initiator protein, latent infection, target site selection, gene therapy vectors
- MeSH terms
- Dependovirus, Genetic Vectors, Humans, Transduction, Genetic, Genetic Therapy, Mutagenesis, Site-Directed, Virus Integration, Genome, Viral, Virus Latency
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