Gene therapy vector-related myocarditis
Elizabeth Silver, Alessia Argirò, Kimberly N. Hong, Eric Adler
Abstract
Gene therapy is a technique to correct genetic abnormalities, through introduction of a functional gene or through direct genome editing. Adeno-associated virus (AAV)-mediated gene replacement shows promise for targeted therapies in treatment of inherited cardiomyopathies and is the most used approach in clinical trials. However, immune responses from the host to the virus and gene product pose delivery and safety challenges. This review explores the immunological reactions to AAV-based gene therapy, their potential toxic effects, with a focus on myocarditis, and future directions for gene therapy.
Topics & Concepts
MedicineGenetic enhancementAdeno-associated virusMyocarditisGeneVirusGene deliveryGenome editingVector (molecular biology)Immune systemClinical trialGenomeBioinformaticsComputational biologyVirologyImmunologyGeneticsPathologyInternal medicineBiologyRecombinant DNAViral Infections and Immunology ResearchVirus-based gene therapy researchCRISPR and Genetic Engineering