reviewEBioMedicineJul 2, 2025GOLD OA

Viral and non-viral vectors in gene therapy: current state and clinical perspectives

GGGuannan GengYXYang XuZHZiying HuHWHui WangXCXiaoyun Chen

Fudan University · Eye & ENT Hospital of Fudan University · +2 more institutions

PubMed
Indexed incrossrefdoajpubmed

Abstract

Advancements in gene therapy have achieved significant milestones in treating human diseases, offering renewed hope to patients with limited options. Key to this progress are vectors, which include both viral and non-viral methodologies that impact the success of gene therapy. Over the past two decades, three widely used viral vectors-lentiviruses (LV), adenoviruses (Ad), and adeno-associated viruses (AAV)-have enabled notable preclinical and clinical successes, including the approval of Luxturna for a genetic retinal disease and CAR-T therapies for blood cancers. Recently, the first-in-human dual AAV therapy for hereditary hearing loss, which overcomes large gene delivery, has showcased the restoration of…

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