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Recombinant adeno-associated virus vector

Molecular classification
Other (viral vector)
01

Overview

Adeno-associated virus vectors are engineered viral particles derived from wild-type AAV that have been extensively optimized for use in gene therapy as delivery vehicles[6][2][5]. These non-enveloped, single-stranded DNA viruses from the Parvoviridae family are preferred for gene transfer because they efficiently infect dividing and non-dividing cells, persist predominantly as episomal DNA (not integrated into host genome), and elicit minimal host immune response[6][5][8]. AAV vectors consist of a packaging system where the viral replication (rep) and capsid (cap) genes are replaced with an expression cassette containing the desired gene, flanked by inverted terminal repeats (ITRs)[2][6][8]. Numerous serotypes and engineered variants exist, each with unique tissue tropism determined by capsid proteins[3][4][7]. Gene transfer via AAV vectors is central to modern gene therapy applications for a wide range of diseases but, critically, **AAV vectors themselves are not molecular or pharmacological targets**; rather, they are vectors for therapeutic gene expression[8][6].

Other names
Adeno-associated virus vectorAAV vectorRecombinant AAVrAAV
02

Biological functions

Gene transferTransgene expression
03

Disease associations

Cancer (gene therapy applications)Neurodegenerative disease (gene therapy)Cardiovascular disease (gene therapy)Other (many gene therapy indications)
04

Safety considerations

Immune response, especially pre-existing neutralizing antibodies to capsid proteins, limiting efficacy and repeat dosingOff-target effects and non-specific tissue tropismSize constraint of packaged transgene (~4.7 kb for non-self-complementary, ~2.2 kb for self-complementary vectors)Risk of insertional mutagenesis (though AAV is considered relatively safe compared to other viral vectors)Cellular toxicity at high viral doses

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