Engineering adeno-associated viruses for clinical gene therapy
Open accessAbstract
Clinical gene therapy has been increasingly successful owing both to an enhanced molecular understanding of human disease and to progressively improving gene delivery technologies. Among these technologies, delivery vectors based on adeno-associated viruses (AAVs) have emerged as safe and effective and, in one recent case, have led to regulatory approval. Although shortcomings in viral vector properties will render extension of such successes to many other human diseases challenging, new approaches to engineer and improve AAV vectors and their genetic cargo are increasingly helping to overcome these barriers.
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AAV has a shortcoming of limited genetic payload capacity.
“However, despite its safety and efficacy as a gene therapy vector, AAV has its shortcomings, one being the limited capacity of its genetic payload (Kotterman and Schaffer, 2014).”
From Evaluating Efficiencies of Dual AAV Approaches for Retinal Targeting (2017) · cites this paper as Kotterman and Schaffer, 2014
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AAV Ancestral Reconstruction Library Enables Selection of Broadly Infectious Viral Variants
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Self-citationStructure of the gene therapy vector, adeno-associated virus with its cell receptor, AAVR
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“In addition to these, several novel AAV variants are being discovered(3) or generated to fulfill specific needs.(4,5) Both naturally occurring and generated AAVs show distinct transduction profiles that are cell-, tissue-, and even species specific.”
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“cn INTRODUCTION Adeno-associated virus (AAV) is a successful vector for human gene therapy with an excellent safety profile and broad tissue tropisms.(1) Over the decades, hundreds of AAV serotypes have been identified and developed as gene delivery tools.”
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“(Asokan et al., 2012; Asokan et al., 2010; Kotterman and Schaffer, 2014; Shen et al., 2013; Tse et al., 2017)) towards enhancing transduction efficiency or immunological profile in vivo (Buning and Srivastava, 2019).”
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Intramuscular Delivery of Gene Therapy for Targeting the Nervous System
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- Authors
- Kotterman, M. A., & Schaffer, D. V.
- Affiliations
- University of California, Berkeley (US)
- Corresponding author
- Schaffer, David V.
- Venue
- Nature Reviews Genetics
- Published
- 2014-05-20
- Volume
- 15
- Issue
- 7
- Pages
- 445-451
- ISSN
- 1471-0056 (ISSN-L)
- 1471-0064
- PMC
- PMC4393649
- OpenAlex
- W2133171074
- Cited by
- 761
- References
- 19
- Citations by year
- 2026: 29 · 2025: 28 · 2024: 56 · 2023: 51 · 2022: 56 · 2021: 69 · 2020: 60 · 2019: 82 · 2018: 79 · 2017: 96 · 2016: 77 · 2015: 71 · 2014: 6
- FWCI
- 11.03
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Genetics (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health
- National Eye Institute (R01EY022975)
- 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 › Genetics › Neurogenetic and Muscular Disorders Research
- Keywords
- adeno-associated virus, adeno-associated virus vectors, gene therapy vectors, vector engineering, rational design, directed evolution, gene delivery, clinical gene therapy
- MeSH terms
- Dependovirus, Capsid, Clinical Trials as Topic, DNA, Viral, Genetic Engineering, Genetic Vectors, Hemophilia A, Humans, Metabolic Diseases, Muscular Dystrophies, Viral Proteins, Genetic Therapy, Genome, Viral, Directed Molecular Evolution
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