Promise of adeno-associated virus as a gene therapy vector for cardiovascular diseases

Abesh Bera1, Dwaipayan Sen2

  • 1School of Bio Sciences and Technology, VIT University, Vellore, India.

Insights

Adeno-associated virus (AAV) gene therapy offers a promising approach to treating cardiovascular diseases, a leading cause of global mortality. This review explores AAV

Area of Science:

  • Cardiovascular Medicine
  • Gene Therapy
  • Molecular Biology

Background:

  • Cardiovascular diseases (CVDs) represent a diverse and severe group of conditions contributing significantly to global mortality.
  • The high prevalence and severity of CVDs necessitate novel prophylactic and therapeutic strategies.
  • Adeno-associated virus (AAV) gene therapy has emerged as a prominent avenue due to its established clinical safety.

Purpose of the Study:

  • To review the historical development and current advancements in AAV-mediated gene therapy for cardiovascular diseases.
  • To discuss innovations in AAV vector engineering aimed at improving safety and efficacy.
  • To provide a comprehensive overview of AAV gene therapy's role in combating cardiovascular pathology.

Main Methods:

  • Review of historical data and contemporary research on AAV gene therapy for cardiovascular conditions.
  • Analysis of molecular mechanisms in cardiomyocytes and endothelial cells relevant to AAV therapies.
  • Exploration of AAV vector engineering strategies to mitigate detargeting, immune responses, and off-target expression.

Main Results:

  • AAV gene therapy has shown potential in treating various cardiovascular ailments, including heart failure and vascular diseases.
  • Innovations in vector engineering are addressing key challenges such as immune response and targeted delivery.
  • The review contextualizes AAV therapies within the broader landscape of cardiovascular pathology and treatment.

Conclusions:

  • AAV gene therapy is a rapidly advancing field with significant potential for treating cardiovascular diseases.
  • Ongoing research and engineering innovations are crucial for optimizing AAV-based treatments.
  • Understanding the molecular basis of cardiovascular diseases is key to leveraging AAV gene therapy effectively.