Since the concept was established in 1972, gene therapy has been studied in concert with the development of molecular biotechnology [1][2][3]. The first successful trial of gene therapy in humans was performed in 1989 [4]. In that protocol, patients with melanoma were treated with a gene-modified, tumor-infiltrating lymphocyte construct modified by retroviral transduction. There were no side effects from 3 weeks to 2 months during the monitoring period. In 2017, the FDA approved the first gene therapy in the USA. This novel, genetically engineered chimeric antigen receptor T-cell therapy was soon followed by approval of RPE65 mutation-induced blindness gene therapy. In approximately the last three decades, viral vectors have been used for over 3,000 clinical tasks, from therapy to regenerative medicine, following more than half of them in phase I [5]. Gene therapy has broad prospects as an effective therapeutic strategy for various diseases, including cancer, as well as monogenic, infectious, cardiovascular, and neurological diseases. In terms of types of viruses, adenoviruses, retroviruses, and lentiviruses have been intensively studied, and adeno-associated virus research began recently [5]. However, viral gene therapy vectors pose safety issues, including direct toxicity and stimulation of the immune response [6][7][8]. Nevertheless, viral vectors have been extensively studied because of their advantages, such as their broad host range, including humans, and high gene transfer rates to host cells.Among them, the Retroviridae family is composed of two virus subfamilies, six genera of Orthoretrovirinae and four genera of Spumaretrovirinae (commonly called spumaviruses or foamy viruses [FVs]). FVs were first mentioned as a contaminant in primary monkey kidney cultures in 1954 [9]. Since 'foamy viral agent' was first isolated in 1955, FV has been found in various mammalians, including humans [10]. FVs are exogenous viruses that induce the specific cytopathic effect (CPE), or 'foamy' appearance in host cells [11]. The FV life cycle is different from other retroviruses. First, FV buds from the endoplasmic reticulum instead of the cytoplasmic membrane. This helps form the FV's unique 'spike surface' morphology [11]. Furthermore, the replication of FV is like that of Hepadnaviridae, which is another family of virus that has reverse transcriptase-encoding gene. Reverse transcription of FV genome occurs not in the early steps like other retroviruses, but also in the late steps of replication [12]. Although FV-infected cells show characteristic large vacuoles in vitro, there have been no reported serial diseases from FV infection in vivo, so FVs have been considered potential gene therapy vectors [10]. Here, we discuss research achievements with foamy virus vectors (FVVs) in gene therapy and specifically focus on the characteristics of FV integrase (IN) and its prospective functions associated with vector research.
FVs as Viral Vector CandidatesFVs have a broad range of tissue and cell tropism, and virus infections are g...