Evidence map›Paper›PMID 40186350›Full record

ReviewMolecular therapy : the journal of the American Society of Gene Therapy2025

AAV vector development, back to the future.

Lester Suarez-Amaran, Liujiang Song, Anna P Tretiakova, Sheila A Mikhail, Richard Jude Samulski

Abstract readReview
In one paragraph

Review in Molecular therapy : the journal of the American Society of Gene Therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed.

  1. Trial
  2. Review
  3. Preclinical efficacy of a gene therapy forMolecular therapy. Advances · 2026
    Article
  4. Article
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  6. Article
  7. Article
  8. Review
  9. Development ofMolecular therapy. Advances · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Lester Suarez-AmaranM34, Inc., 870 Martin Luther King Jr. Boulevard, Chapel Hill, NC 27514-2600, USA; Orthopaedic Research Center, C. Wayne McIlwraith Translational Medicine Institute, College of Veterinary Medicine, Colorado State University, Fort Collins, CO 80523, USA.
Liujiang SongM34, Inc., 870 Martin Luther King Jr. Boulevard, Chapel Hill, NC 27514-2600, USA.
Anna P TretiakovaM34, Inc., 870 Martin Luther King Jr. Boulevard, Chapel Hill, NC 27514-2600, USA.
Sheila A MikhailM34, Inc., 870 Martin Luther King Jr. Boulevard, Chapel Hill, NC 27514-2600, USA.
Richard Jude SamulskiM34, Inc., 870 Martin Luther King Jr. Boulevard, Chapel Hill, NC 27514-2600, USA; Department of Pharmacology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. Electronic address: rjslab@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adeno-associated virus (AAV) has become a pivotal tool in gene therapy, providing a safe and efficient platform for long-term transgene expression. This review presents a comprehensive analysis of AAV's historical development, from its initial identification as a "contaminant" to its current clinical applications. We examine the molecular evolution of AAV, detailing advancements in vector engineering, rational design, directed evolution platforms, and computational modeling, which have expanded its therapeutic potential across diverse disease areas. Additionally, we explore AAV genome regulation, with a particular focus on inverted terminal repeats (ITRs) and AAV capsid-genome interactions, which play a crucial role in vector transduction efficiency and host adaptation. An assessment of past and present clinical trials as well as future directions is provided to illustrate the field's trajectory. Finally, another unique milestone in AAV research is also reported; namely, a pool of AAV libraries has been successfully administered to human decedents and analyzed, representing a transformative step in AAV evolution and selection for human applications. These studies should pave the way for more refined AAV vector optimization, accelerating the development of next-generation gene therapies with enhanced clinical translatability, potentially accelerating the gene therapy revolution.

Indexed as

DependovirusGenetic TherapyGenetic VectorsAnimalsClinical Trials as TopicGenome, ViralHumansTransduction, GeneticAAVAAV librarydirected evolutiongene therapyhuman decedentITRrational designviral vectors

Identifiers

PMID40186350
PMCPMC12126818

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.