Table 2.
AAV gene therapy for treatment of corneal neovascularization.
| Target gene | Virus serotype | Delivery | Subject | Model | Dose | Follow-up duration | Result | Serious side effect |
|---|---|---|---|---|---|---|---|---|
| Decorin [85] | rAAV5 | Topical(with epithelium removed) | Rabbit | Implant VEGF pellet into cornea stroma pocket | A single topical AAV5 titer (100 μl; 5 × 1012 vg/ml) (one day after VEGF pellet implantation) | 2 weeks | Significant reduction in corneal neovascularization by 63 ± 6.3% on day 14, with no major side effects | None |
| Decorin [67] | rAAV5 | Topical apply | Rabbit | — | 50 μl titer; (6.5 × 1012 vg/ml) | 6 months | AAV5–Dcn gene therapy caused no significant toxicity to the cornea | None |
| HLA-G codon [99] | rAAV8G9 | Intrastromal injection | Rabbit | Alkali burn | Injection of 5 × 1010 viral genomes (seven days after corneal wounding) | 8 weeks | Inhibited α-SMA expression and near complete inhibition of corneal vascularization | None |
| Endostatin [70] | rAAV2-CMV | Subconjunctival injection | Mice | Chemical cauterization | 5 μl; 2.5 × 107 viral particles (two weeks before chemical cauterization) | 8 months | Significantly inhibit of angiogenesis | None |
| Angiostatin [62] | rAAV | Subconjunctival injection | Rat | Alkali burn | 5 μl; 1 × 1010 viral particles (three weeks before alkali injury) | 16 weeks | Reduced alkali burn-induced corneal angiogenesis | None |
| KH902 [131] | rAAV2/rAAV8 | Intrastromal or subconjunctival injection | Mice | Alkali burn or suture procedures | 4 μl; 1.6 × 1010 genome copies (GCs)/8 × 108 GCs | 12 weeks | Significantly inhibit of corneal neovascularization | None |
| miR-204 [133] (a microRNA) | rAAVrh.10 | Intrastromal or subconjunctival injection | Mice | Alkali burn | 4 μl; 3.6 × 1010 GCs | 2 weeks | Partial inhibit of corneal neovascularization | None |
| sFlt-1 [132] | rAAV2-CMV | Intra-cameral injection | Rat | Cautery-induced | 2 μl; 4 × 1011particles/ml | 16 weeks | Reduced the development of corneal neovascularization by 36% | None |
HLA-G: human leukocyte antigen G. Plgf1-de: a placental growth factor 1 variant, KH902Conbercept, also known as KH902, is an anti-VEGF drug, which is a soluble recombinant protein.