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Dual AAV vectors for efficient delivery of large transgenes
David M Mittas1, Lisa M Riedmayr2,3, Zoran Gavrilov4
1Department of Pharmacy-Center for Drug Research, Ludwig-Maximilians-Universität, Munich, Germany.
Nature Protocols
|September 11, 2025
Summary
Dual adeno-associated viral (AAV) vectors enable large gene delivery, overcoming single AAV limitations. This protocol details their design, production, and evaluation for efficient in vivo gene therapy applications.
Area of Science:
- Gene Therapy
- Molecular Biology
- Biotechnology
Background:
- Adeno-associated viral (AAV) vectors are standard for in vivo gene delivery but have limited cargo capacity (<5 kb).
- Delivering large therapeutic genes and CRISPR tools necessitates overcoming AAV size constraints.
Purpose of the Study:
- To provide a comprehensive protocol for designing, producing, and evaluating dual AAV vectors.
- To facilitate the efficient in vivo delivery of large DNA fragments using dual AAV technology.
Main Methods:
- Guidelines for selecting dual AAV strategies and designing/cloning therapeutic genes.
- In vitro evaluation of expression efficiency and dual AAV production.
- Assessment in human cellular models (iPSC-derived retinal organoids) and in vivo studies in mice.
- Analysis of transgene expression (RNA and protein) in various tissues.
Main Results:
- The protocol offers a structured approach to dual AAV vector development.
- Demonstrates successful application in human organoid models and murine systems.
- Provides a framework for optimizing in vivo delivery of large DNA fragments.
Conclusions:
- Dual AAV vectors are a powerful tool for overcoming cargo limitations in gene therapy.
- This protocol supports the advancement of gene delivery for large genetic payloads.
- The methodology is adaptable across model organisms and human organoid cultures.

