AAV capsid engineering is described as one of the strategies discussed to improve gene therapy efficacy for joint disease.
First-pass extracted concept
AAV capsid engineering
Aliases
capsid-engineering strategies
Extracted Explainers
Evidence Snippets
This review provides an overview of the current paradigms of treatment with regards to joint disease, elaborates on the AAV delivery barriers related to application in treating joint diseases, and discusses strategies to improve gene therapy efficacy, including AAV capsid engineering...
Here, we summarize recent capsid-engineering strategies designed to improve on-target delivery and reduce vector dose requirements.
Supporting Sources
Linked Claims
Across tissues, engineered AAV capsids routinely show multi-fold improvements in potency and biodistribution relative to natural serotypes.
Suprachoroidal and laterally spreading subretinal vectors expand posterior-segment coverage in the retina.
Recent AAV capsid-engineering strategies are designed to improve on-target delivery and reduce vector dose requirements.
In the retina, intravitreal performance improves by fine-tuning HSPG interactions to facilitate ILM traversal.
For muscle, next-generation myotropic and liver-detargeted capsids enable uniform skeletal and cardiac transduction at substantially lower intravenous doses.
Clinically used AAV capsids often have limited potency in human CNS, muscle, and retina tissues, which can require high systemic doses and increase cost and toxicity risk.
Strategies discussed to improve AAV gene therapy efficacy for joint disease include capsid engineering, small molecular-assisted delivery, promoter optimization, and immune-response mitigation.
This review provides an overview of the current paradigms of treatment with regards to joint disease, elaborates on the AAV delivery barriers related to application in treating joint diseases, and discusses strategies to improve gene therapy efficacy, including AAV capsid engineering, small molecular-assisted AAV delivery, optimizing tissue-specific or inflammation-inducible promoters, as well as strategies to mitigate immune responses to AAV.
Advances in AAV capsid engineering outline a translational path toward safer, lower-dose gene therapies with improved precision and clinical feasibility.