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Ad-EM2 is an experimental gene therapy consisting of an adenovirus vector carrying an engineered gene for endomorphin-2 (EM2). EM2 is an endogenous opioid peptide with high affinity and selectivity for the mu-opioid receptor. The construct includes a signal peptide from mouse growth factor to facilitate the secretory expression of EM2. By delivering this gene directly to the central nervous system, Ad-EM2 provides sustained release of EM2 into the cerebrospinal fluid, which has been shown in preclinical models to alleviate symptoms of opioid withdrawal syndrome. This approach aims to overcome the short half-life of EM2 peptides, offering a potential novel therapeutic for managing opioid dependence.
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