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CRISPR-Cas9 adeno-associated virus (apolipoprotein E4) is an experimental gene therapy candidate designed for the treatment of Alzheimer's disease. It utilizes an all-in-one adeno-associated virus (AAV) vector to deliver CRISPR-Cas9 components (specifically SaCas9 and single-guide RNAs) that target and knock down the expression of the apolipoprotein E (APOE) ε4 allele, which is the primary genetic risk factor for Alzheimer's. Developed by researchers at Columbia University, the therapy is administered intravenously and relies on focused ultrasound (FUS)-mediated blood-brain barrier opening (BBBO) to achieve targeted delivery to the central nervous system. Preclinical data indicates that this approach effectively reduces APOE4 mRNA and protein levels, decreases neuroinflammatory markers (astrogliosis and microgliosis), and reduces amyloid-beta accumulation in the brain.
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