2014
DOI: 10.1161/circresaha.114.302331
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Adeno-Associated Virus Vectors as Therapeutic and Investigational Tools in the Cardiovascular System

Abstract: Abstract:The use of vectors based on the small parvovirus adeno-associated virus has gained significant momentum during the past decade. Their high efficiency of transduction of postmitotic tissues in vivo, such as heart, brain, and retina, renders these vectors extremely attractive for several gene therapy applications affecting these organs. Besides functional correction of different monogenic diseases, the possibility to drive efficient and persistent transgene expression in the heart offers the possibility… Show more

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Cited by 111 publications
(89 citation statements)
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References 195 publications
(198 reference statements)
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“…AAV9 gene delivery in vivo was effective, as concluded by quantitative polymerase chain reaction analysis for vector DNA at days 7, 14, 30, and 60 after transduction (n=3 per group per time; Figure 5A) and in agreement with published observations. 38 In particular, the number of vector genomes in the heart was the highest at 7 days after transduction, decreased at day 14 and remained stable afterward, consistent with our previous results. 26,30 Transgene expression paralleled the levels of transduction and remained relatively high for the whole duration of the experiment ( Figure 5B and 5C for mRNA and protein levels, respectively).…”
Section: Aav-mediated Notch Pathway Activation Is Ineffective After Msupporting
confidence: 92%
“…AAV9 gene delivery in vivo was effective, as concluded by quantitative polymerase chain reaction analysis for vector DNA at days 7, 14, 30, and 60 after transduction (n=3 per group per time; Figure 5A) and in agreement with published observations. 38 In particular, the number of vector genomes in the heart was the highest at 7 days after transduction, decreased at day 14 and remained stable afterward, consistent with our previous results. 26,30 Transgene expression paralleled the levels of transduction and remained relatively high for the whole duration of the experiment ( Figure 5B and 5C for mRNA and protein levels, respectively).…”
Section: Aav-mediated Notch Pathway Activation Is Ineffective After Msupporting
confidence: 92%
“…The fact that optogenetic defibrillation in human diseased hearts is feasible using only epicardial illumination and that cardiac gene expression via AAV in humans is safe (30) suggests the tantalizing possibility that clinical applications might be feasible. Importantly, we were able to demonstrate effective pacing and defibrillation of mouse hearts by epicardial illumination even more than 1 year after the gene transfer.…”
Section: Discussionmentioning
confidence: 99%
“…Importantly, we were able to demonstrate effective pacing and defibrillation of mouse hearts by epicardial illumination even more than 1 year after the gene transfer. The great advantage of optogenetic defibrillation is that this would be, in contrast to electrical shocks, pain-free, because ChR2 expression would be restricted to cardiomyocytes by cardiomyocyte-specific AAV vector capsids (30) or promoters (31). Notably, AAV-mediated transduction will result in spatial heterogeneity of ChR2 expression, which is not expected to be pro-arrhythmic per se since ChR2 has neither a leak current in the absence of illumination nor does it affect the electrophysiological properties of cardiomyocytes (5).…”
Section: Discussionmentioning
confidence: 99%
“…The vectors' intrinsic structural simplicity, lack of pathogenicity, low immunogenicity, and ability to mediate long-term, episomal expression in nondividing cells in vitro and, most notably, postmitotic organs in vivo are desirable characteristics for several gene therapy applications (reviewed in ref. 1). Indeed, to date, over 90 clinical trials using these vectors have been carried out (www.abedia.com/wiley/index.…”
mentioning
confidence: 99%
“…This article is a PNAS Direct Submission. 1 To whom correspondence may be addressed. Email: giacca@icgeb.org or mano@icgeb.org.…”
mentioning
confidence: 99%