University of Massachusetts Medical School Faculty Publications

Title

Birth of a new therapeutic platform: 47 years of adeno-associated virus biology from virus discovery to licensed gene therapy

UMMS Affiliation

Gene Therapy Center; Department of Pediatrics

Publication Date

11-1-2013

Document Type

Article

Subjects

Clinical Trials as Topic; Dependovirus; Evolution, Molecular; Genetic Therapy; *Genetic Vectors; History, 20th Century; History, 21st Century; Humans; National Institutes of Health (U.S.); Phylogeny; United States

Disciplines

Genetic Processes | History of Science, Technology, and Medicine | Molecular Genetics | Therapeutics | Virology

Abstract

Within American biomedical research, as supported primarily by the National Institutes of Health (NIH) since the post–World War II era, it has been considered axiomatic that investments in discovery research will ultimately lead to the development of novel approaches to diagnostics and therapeutics that will improve the health and well-being of citizens of the United States and the broader world. I reflect here in a historical context on how one such series of investments in discovery has resulted in the emergence of the first licensed human gene therapy product in Europe, namely Glybera. Glybera (alipogene tiparvovec) is a recombinant adeno-associated virus (rAAV) vector with AAV2 inverted terminal repeats (ITRs) encapsidated into AAV1 capsids (so-called rAAV2/1, or, for this purpose, rAAV1), which, when administered intramuscularly, can result in expression of sufficient levels of lipoprotein lipase (LPL) to be considered a safe and effective treatment of LPL deficiency. It was licensed in the European Union in November 2012, 47 years after the near simultaneous discovery of AAV in laboratories at the NIH Bethesda campus and at the University of Pittsburgh. I trace key milestones in the progress from the discovery of the virus, to its use as a platform for an approved therapeutic product.

Rights and Permissions

Citation: Mol Ther. 2013 Nov;21(11):1976-81. doi: 10.1038/mt.2013.226. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Molecular therapy : the journal of the American Society of Gene Therapy

PubMed ID

24201212