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AAV-ERCC5 gene therapy is an investigational adeno-associated virus (AAV)-based gene replacement therapy designed to treat Xeroderma pigmentosum-cockayne syndrome (XP-CS) caused by mutations in the *ERCC5* (XPG) gene. XP-CS is a severe DNA repair disorder characterized by neurodegeneration, premature aging, and photosensitivity. The therapy aims to deliver a functional copy of the *ERCC5* gene to restore nucleotide excision repair (NER) activity. Preclinical studies are evaluating various AAV capsids (such as AAV9 and AAVDJ) and promoters (Ef1α and CP040) via intravenous or intrathecal administration to optimize vector uptake and protein expression in the central nervous system and other tissues.
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