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AAV9-PERM1 is an adeno-associated virus serotype 9 (AAV9) gene therapy designed to overexpress PERM1 (PPARGC1 and ESRR-induced regulator in muscle 1), a striated muscle-specific regulator of mitochondrial bioenergetics. Developed by researchers at Virginia Tech and the Fralin Biomedical Research Institute (FBRI) at VTC, the therapy is intended to treat heart failure with reduced ejection fraction (HFrEF) by addressing both contractile dysfunction and mitochondrial impairment. In preclinical studies using a mouse model of pressure overload (transverse aortic constriction), AAV9-PERM1 administration preserved left ventricular ejection fraction (LVEF), blunted pathological hypertrophy, and maintained mitochondrial DNA copy number and biogenesis markers such as TFAM and PGC-1α.
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