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AAV8-hFIX-GRE-ITR is an experimental adeno-associated virus (AAV) gene therapy candidate designed for the treatment of hemophilia B. It utilizes an AAV8 capsid to deliver a transgene encoding the hyperactive Padua variant of human Factor IX (hFIX-Padua) under the control of a hepatocyte-specific promoter (such as the TTR promoter). A key innovation in this construct is the modification of the AAV inverted terminal repeats (ITRs) to include a glucocorticoid receptor-binding element (GRE). This modification is intended to enhance transgene expression efficiency and potentially allow for lower vector dosing, thereby reducing the risk of liver toxicity associated with high-dose AAV administration. Preclinical studies in hemophilic mice have demonstrated that the GRE-ITR modification leads to significantly higher levels of hFIX expression compared to wild-type ITR vectors.
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