2014
DOI: 10.1038/nrg3742
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Engineering adeno-associated viruses for clinical gene therapy

Abstract: Clinical gene therapy has been increasingly successful, due both to an enhanced molecular understanding of human disease and to progressively improving gene delivery technologies. Among the latter, delivery vectors based on adeno-associated virus (AAV) have emerged as safe and effective – in one recent case leading 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 … Show more

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Cited by 687 publications
(568 citation statements)
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“…Gene therapy often aims at reintroducing the wild‐type sequence of a deficient gene in the affected organs, tissues or cell populations. Therefore, the target sequence needs to be driven by effective tissue‐specific promoters, and packed into appropriate vectors such as viruses for their efficient delivery to and into the target cells (Kotterman and Schaffer, 2014). …”
mentioning
confidence: 99%
“…Gene therapy often aims at reintroducing the wild‐type sequence of a deficient gene in the affected organs, tissues or cell populations. Therefore, the target sequence needs to be driven by effective tissue‐specific promoters, and packed into appropriate vectors such as viruses for their efficient delivery to and into the target cells (Kotterman and Schaffer, 2014). …”
mentioning
confidence: 99%
“…Attempts to tackle this challenge either focused on restricting transgene expression through tissue-specific promoters and/or post-translational targeting strategies 3 leaving the problem of off-target delivery untouched or on altering AAVs' cell entry features by modifying the viral capsid. The latter approaches, referred here as cell entry targeting, either use adaptors possibly shielding the viral capsid from natural receptor binding and bridging between viral capsid and the chosen target receptor (non-genetic approaches) or permanently change the capsid by genetic engineering 4,5 . As of yet, genetic engineering employing DNA shuffling of capsid-encoding genes from different serotypes and directed evolution as means to select mosaic AAV capsids with novel features has demonstrated its promise as powerful strategy to improve, but not to restrict, gene delivery to a tissue of choice [5][6][7] .…”
mentioning
confidence: 99%
“…Therefore, in order to elucidate the function of tumor cell derived-VEGF in breast cancer biology, VEGF165 was selected as the target gene in the present study, and the VEGF165-EGFP fusion gene expression vector was constructed. As a newly developed technology, recombinant expression through viral vectors have been used in numerous laboratory experiments and clinical trials (27)(28)(29). There are mainly five types of viral vectors that are commonly used for recombinant expression, namely adenovirus, adeno-associated virus, herpes simplex virus, retrovirus and lentivirus (14).…”
Section: Discussionmentioning
confidence: 99%