However, pre-existing immunity, especially in the form of neutralizing antibodies (NAbs) remains a significant barrier, reducing vector efficacy and restricting patient eligibility.
First-pass extracted concept
pre-existing anti-AAV immunity
Evidence Snippets
Supporting Sources
Linked Claims
Pre-existing anti-AAV immunity, especially neutralizing antibodies, is a significant barrier to AAV gene therapy because it reduces vector efficacy and restricts patient eligibility.
Immune detection and clearance of AAV vectors involve innate pattern recognition receptors, complement activation, and adaptive effector functions including antibody-dependent complement deposition, cytotoxicity, and phagocytosis.
The review proposes a three-pronged mitigation framework for pre-existing anti-AAV immunity consisting of immune-focused, delivery-focused, and capsid-focused strategies.
Species, age, serotype, administration route, and target tissue contribute to immune susceptibility and variable AAV transduction outcomes.