Adeno-associated virus vector delivery to the brain: Technology advancements and clinical applications
Advanced Drug Delivery Reviews,
Journal Year:
2024,
Volume and Issue:
211, P. 115363 - 115363
Published: June 19, 2024
Adeno-associated
virus
(AAV)
vectors
have
emerged
as
a
promising
tool
in
the
development
of
gene
therapies
for
various
neurological
diseases,
including
Alzheimer's
disease
and
Parkinson's
disease.
However,
blood–brain
barrier
(BBB)
poses
significant
challenge
to
successfully
delivering
AAV
brain.
Strategies
that
can
overcome
BBB
improve
delivery
efficiency
brain
are
essential
successful
brain-targeted
therapy.
This
review
provides
an
overview
existing
strategies
employed
brain,
direct
intraparenchymal
injection,
intra-cerebral
spinal
fluid
intranasal
delivery,
intravenous
injection
BBB-permeable
AAVs.
Focused
ultrasound
has
technology
noninvasive
spatially
targeted
administered
by
injection.
also
summarizes
each
strategy's
current
preclinical
clinical
applications
treating
diseases.
Moreover,
this
includes
detailed
discussion
recent
advances
emerging
focused
ultrasound-mediated
delivery.
Understanding
state-of-the-art
these
approaches
is
critical
future
fulfill
great
promise
treatment.
Language: Английский
Focused ultrasound widely broadens AAV-delivered Cas9 distribution and activity
Gene Therapy,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 1, 2025
Language: Английский
Portable transcranial therapeutic ultrasound enhances targeted gene delivery for Parkinson's disease: from rodent models to non-human primates
bioRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2025,
Volume and Issue:
unknown
Published: March 3, 2025
ABSTRACT
Gene
therapy
for
neurodegenerative
diseases
faces
significant
challenges
due
to
the
blood-brain
barrier
(BBB),
which
limits
drug
delivery
central
nervous
system
(CNS).
While
clinical
trials
Parkinson’s
disease
(PD)
have
progressed,
administration
of
vectors
expressing
enzymatic
or
neurotrophic
factor
transgenes
required
extensive
optimization
method
achieve
potentially
therapeutic
levels
transgene
expression.
Focused
ultrasound
(FUS)
combined
with
microbubbles
has
emerged
as
a
promising
non-invasive
strategy
transiently
open
BBB
targeted
gene
via
viral
nanocarriers
including
recombinant
adeno-associated
viruses
(AAVs).
However,
key
factors
influencing
FUS-mediated
AAV
delivery,
dose
distribution
and
efficacy,
remain
underexplored
in
non-human
primates
(NHPs).
Here,
we
evaluated
feasibility
AAV9-CAG-GFP
using
two
portable
modalities:
ultrasound-guided,
spherically-focused
FUS
(USgFUS)
novel
low-frequency
linear
array
configuration
imaging
called
theranostic
(ThUS).
In
mice,
FUS-sonicated
regions
exhibited
25-fold
increase
AAV9
biodistribution
compared
systemic
injection
alone.
Extending
this
approach
NHPs,
observed
up
200-fold
DNA
treated
brain
regions,
PD-relevant
structures.
assessing
translational
potential
technique,
ThUS-mediated
AAV9-hSyn-hNTRN
(human
neurturin)
toxin
mouse
model
PD
facilitated
rescue
80%
75%
degenerated
dopaminergic
neurons
substantia
nigra
striatum,
respectively.
These
findings
demonstrate
that
technologies
can
non-invasively
enhance
both
mice
NHPs
relative
what
be
achieved
intravenous
(IV)
same
capsid
With
further
development,
these
approaches
may
offer
clinically
viable,
alternative
diseases.
One
sentence
summary
opening
increased
after
vector
rhesus
macaques.
Language: Английский
Focused ultrasound-mediated delivery of viral neuronal tracers in marmosets
Bernie S. Owusu-Yaw,
No information about this author
Nick Todd
No information about this author
Cell Reports Methods,
Journal Year:
2024,
Volume and Issue:
4(2), P. 100719 - 100719
Published: Feb. 1, 2024
In
this
issue
of
Cell
Reports
Methods,
Parks
et
al.
present
an
approach
to
non-invasively
deliver
adeno-associated
viruses
in
a
marmoset
model
using
focused
ultrasound
(FUS)
for
neuronal
tracing.
The
optimization
technique
non-human
primate
is
highly
valuable
future
FUS-mediated
drug
delivery
studies.
Language: Английский