“…Similarly, Hirsch et al found that ESCs are particularly sensitive to AAV-induced cell death via a p53-dependent apoptotic response that is elicited by a telomeric sequence within the AAV ITR [ 59 , 92 ]. Reports of toxicity to other types of stem-like cells have shown mixed results, alluding to potentially differential effects of AAV toxicity depending on the species, type of stem cell, and AAV serotype and have been thoroughly discussed in a previous review [ 92 , 95 , 99 , 100 , 101 , 102 ]. When toxicity is observed, it is mostly thought to be induced through TLR activation via DNA sensors, especially the palindromic ITR hairpin DNA sequences [ 103 ].…”