Target intelligence / Profile preview

Adeno-associated virus serotype 9 capsid protein (AAV9 capsid)

Target
AAV9 capsid
Molecular classification
Viral capsid protein, Glycan-binding protein, Lectin-like protein
01

Overview

The Adeno-associated virus serotype 9 (AAV9) capsid is a protein shell composed of VP1, VP2, and VP3 subunits that encapsulates a single-stranded DNA genome for gene therapy delivery. It is distinguished by its unique ability to cross the blood-brain barrier and its broad tissue tropism, particularly for the central nervous system, heart, and liver (Bell et al., 2011; Shen et al., 2011). AAV9 initiates cellular entry by binding to N-linked terminal galactose residues on cell-surface glycoproteins, which serve as its primary attachment factor (Pillay et al., 2016). Following attachment, the capsid interacts with the adeno-associated virus receptor (AAVR/KIAA0319L) to facilitate endocytosis and subsequent nuclear trafficking. In clinical practice, the AAV9 capsid is the delivery vehicle for Onasemnogene abeparvovec, the first systemic gene therapy approved for spinal muscular atrophy. Key challenges include pre-existing neutralizing antibodies that can block transduction and dose-dependent toxicities such as hepatotoxicity and thrombotic microangiopathy (Bioworld, 2024; NIH, 2021).

Other names
AAV9 VP1/VP2/VP3AAV9 shellAAV-9 capsidAdeno-associated virus 9 capsidAAV9 viral protein
02

Mechanism of action

The AAV9 capsid facilitates the delivery of a therapeutic transgene into target cells by binding to N-linked terminal galactose residues on cell-surface glycoproteins, followed by internalization via the adeno-associated virus receptor (AAVR).

03

Biological functions

Viral entryCell transductionReceptor-mediated endocytosisIntracellular traffickingBlood-brain barrier crossing
04

Disease associations

Spinal muscular atrophyGenetic disordersNeurodegenerative diseaseCardiovascular disease
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Safety considerations

HepatotoxicityImmunogenicity (neutralizing antibodies)Thrombotic microangiopathy (TMA)Dorsal root ganglion (DRG) toxicityComplement activation
06

Interacting drugs

Onasemnogene abeparvovec
07

Biomarkers

Anti-AAV9 neutralizing antibodiesAlanine aminotransferase (ALT)Aspartate aminotransferase (AST)Platelet countCreatine phosphokinase (CPK)

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