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AAV-GAD67 gene therapy is a therapeutic approach using adeno-associated virus (AAV) vectors to deliver the GAD1 gene, which encodes the 67 kDa isoform of glutamic acid decarboxylase (GAD67). GAD67 is a key enzyme that catalyzes the conversion of the excitatory neurotransmitter glutamate into the inhibitory neurotransmitter gamma-aminobutyric acid (GABA). This modality is designed to restore the balance between neuronal excitation and inhibition in neurological disorders. In Parkinson's disease, it has been developed as part of a dual-vector system (AAV-GAD or NLX-P101) to modulate the subthalamic nucleus. In epilepsy research, it is being explored as a method to enhance tonic inhibition and suppress seizures in drug-resistant patients.
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