rAAV-mediated cochlear gene therapy: Prospects and challenges for clinical application

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Blanc, Fabian | Mondain, Michel | Bemelmans, Alexis-Pierre | Affortit, Corentin | Puel, Jean-Luc | Wang, Jing

Edité par CCSD ; MDPI -

International audience. Over the last decade, pioneering molecular gene therapy for inner-ear disorders have achieved experimental hearing improvements after a single local or systemic injection of adeno-associated, virus-derived vectors (rAAV for recombinant AAV) encoding an extra copy of a normal gene, or ribozymes used to modify a genome. These results hold promise for treating congenital or later-onset hearing loss resulting from monogenic disorders with gene therapy approaches in patients. In this review, we summarize the current state of rAAV-mediated inner-ear gene therapies including the choice of vectors and delivery routes, and discuss the prospects and obstacles for the future development of efficient clinical rAAV-mediated cochlear gene medicine therapy.

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