Consideration of clinical translation of cardiac AAV gene therapy
Open accessAbstract
Advancements in conventional cardiac care have significantly reduced mortality from coronary heart disease and acute myocardial infarction. However, the prevalence of heart failure continues to increase in an aging population with profound social and economic consequences. Cardiac gene therapy with adeno-associated virus (AAV) vectors is emerging as a potential modality for addressing this desperate clinical need. After showing initial promise in extensive preclinical studies and an early clinical trial, disappointing results of large-scale clinical trial derailed the progress of AAV-mediated cardiac gene therapy. However, it appears that knowledge gained from previous failures coupled with developments in targeted gene delivery have set the stage for a new frontier in cardiac AAV gene therapy.
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The above data strongly indicated that optimal titers are critical for the success of cardiac gene therapies in humans, in addition to other considerations such as delivery method, vector serotype and tropism, and potential side effects.
“Without positive transduction, gene therapy cannot be effective; the above data strongly indicated that optimal titers are critical for the success of cardiac gene therapies in humans, in addition to other considerations such as delivery method, vector serotype and tropism, and potential side effects.78”
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- Authors
- Yamada, K. P., Tharakan, S., & Ishikawa, K.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Venue
- Cell and Gene Therapy Insights
- Publisher
- BioInsights Publishing, Ltd.
- Published
- 2020-05-14
- Volume
- 6
- Issue
- 5
- Pages
- 609-615
- ISSN
- 2059-7800 (ISSN-L)
- PMC
- PMC7406214
- OpenAlex
- W3027478874
- Cited by
- 13
- References
- 11
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cell and Gene Therapy Insights (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL139963)
- 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 › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- adeno-associated virus vectors, cardiac gene therapy, heart failure, targeted gene delivery, clinical translation, gene therapy clinical trials
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