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Disadvantages Of Adeno-Associated Viruses

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However, adeno-associated viruses still have several drawbacks, firstly, regarding their integration into the host cell’s genome. The majority of AAV DNA remains episomal and does not integrate(21). This means the effect of the genes on cells is transient, and eventually, the transgenic DNA will be removed. This removal is slower than in adenoviruses due to reduced immunogenicity. A study looking at the treatment of haemophilia B in dogs found that AAV treatment could replace levels of factor IX in the blood for at least 16 months(22). Nevertheless, the results are not permanent. Some studies have also found that not all the DNA is episomal. Wild-type AAVs has a natural tropism towards a sequence on human chromosome 19 known as …show more content…

It is clear that further investigation into this risk is required for safe use of these vectors in the future. The second issue with AAVs is their small genome. Therapeutic genes inserted into these viruses can be no longer than 4.5kb in length (5-10x shorter than the capacity of adenoviruses)(32). This significantly reduces their use in studies. For example, due to their low pathogenicity, theoretically, AAVs would be ideal for gene therapy to treat cystic fibrosis. However, the CFTR gene has 4.5kb of coding DNA along with promotor and relevant 3’ non-coding sequences. For this reason, the corrected CFTR gene would be too long to be transmitted by an AAV vector. Some studies have examined the possibility of using trans-splicing to split this gene onto two separate AAV vectors. Although there is significant work still required to improve its efficiency, techniques such as this could overcome this small genome issue.

Lentiviral Vectors Lentiviral vectors have been developed more recently from the broader family of retrovirus vectors. Before the use of lentiviral vectors, the most common type of retrovirus used was the Moloney murine leukaemia virus (MoMuLV)(33). These viruses penetrate cells only in mitosis, cause a moderate immune response and are difficult to manufacture in high titres(32). To improve these issues different envelope proteins were used such

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