PMID- 35859692 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220722 IS - 2329-0501 (Print) IS - 2329-0501 (Electronic) IS - 2329-0501 (Linking) VI - 26 DP - 2022 Sep 8 TI - Emerging therapeutic potential of adeno-associated virus-mediated gene therapy in liver fibrosis. PG - 191-206 LID - 10.1016/j.omtm.2022.06.009 [doi] AB - Liver fibrosis is a wound-healing response that results from various chronic damages. If the causes of damage are not removed or effective treatments are not given in a timely manner, it will progress to cirrhosis, even liver cancer. Currently, there are no specific medical therapies for liver fibrosis. Adeno-associated virus (AAV)-mediated gene therapy, one of the frontiers of modern medicine, has gained more attention in many fields due to its high safety profile, low immunogenicity, long-term efficacy in mediating gene expression, and increasingly known tropism. Notably, increasing evidence suggests a promising therapeutic potential for AAV-mediated gene therapy in different liver fibrosis models, which helps to correct abnormally changed target genes in the process of fibrosis and improve liver fibrosis at the molecular level. Moreover, the addition of cell-specific promoters to the genome of recombinant AAV helps to limit gene expression in specific cells, thereby producing better therapeutic efficacy in liver fibrosis. However, animal models are considered to be powerless predictive of tissue tropism, immunogenicity, and genotoxic risks in humans. Thus, AAV-mediated gene therapy will face many challenges. This review systemically summarizes the recent advances of AAV-mediated gene therapy in liver fibrosis, especially focusing on cellular and molecular mechanisms of transferred genes, and presents prospective challenges. CI - (c) 2022 The Authors. FAU - Bu, Fang-Tian AU - Bu FT AD - Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China. AD - Institute for Liver Diseases of Anhui Medical University, Hefei, China. FAU - Jia, Peng-Cheng AU - Jia PC AD - Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China. AD - Institute for Liver Diseases of Anhui Medical University, Hefei, China. FAU - Zhu, Yan AU - Zhu Y AD - The First Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Yang, Ya-Ru AU - Yang YR AD - The Second Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Meng, Hong-Wu AU - Meng HW AD - Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China. AD - Institute for Liver Diseases of Anhui Medical University, Hefei, China. FAU - Bi, Yi-Hui AU - Bi YH AD - The Second Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Huang, Cheng AU - Huang C AD - Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China. AD - Institute for Liver Diseases of Anhui Medical University, Hefei, China. FAU - Li, Jun AU - Li J AD - Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, Anhui Institute of Innovative Drugs, School of Pharmacy, Anhui Medical University, 81 Mei Shan Road, Hefei, Anhui Province 230032, China. AD - Institute for Liver Diseases of Anhui Medical University, Hefei, China. LA - eng PT - Journal Article PT - Review DEP - 20220622 PL - United States TA - Mol Ther Methods Clin Dev JT - Molecular therapy. Methods & clinical development JID - 101624857 PMC - PMC9271983 OTO - NOTNLM OT - AAV OT - HSCs OT - cellular mechanism OT - gene therapy OT - liver fibrosis COIS- The authors declare no competing interests. EDAT- 2022/07/22 06:00 MHDA- 2022/07/22 06:01 PMCR- 2022/06/22 CRDT- 2022/07/21 02:16 PHST- 2022/07/21 02:16 [entrez] PHST- 2022/07/22 06:00 [pubmed] PHST- 2022/07/22 06:01 [medline] PHST- 2022/06/22 00:00 [pmc-release] AID - S2329-0501(22)00088-2 [pii] AID - 10.1016/j.omtm.2022.06.009 [doi] PST - epublish SO - Mol Ther Methods Clin Dev. 2022 Jun 22;26:191-206. doi: 10.1016/j.omtm.2022.06.009. eCollection 2022 Sep 8.