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AAV9-hSyn1-WWOX is an experimental adeno-associated virus serotype 9 (AAV9) gene therapy designed to treat neurodevelopmental disorders caused by biallelic loss-of-function mutations in the WWOX gene. These disorders include WWOX-related epileptic encephalopathy (WOREE syndrome) and spinocerebellar ataxia autosomal recessive 12 (SCAR12). The therapy utilizes the human Synapsin I (hSyn1) promoter to ensure neuron-specific expression of the WWOX protein, which is critical for normal brain development, myelination, and neuronal excitability. Preclinical studies in Wwox-null mice have shown that early postnatal administration of AAV9-hSyn1-WWOX can significantly improve survival, growth, and motor function while suppressing seizures and neuroinflammation. The vector design was optimized by removing the WPRE element to prevent potential toxicity from overexpression.
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