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. 2026 Jan 5;8(4):1137–1161. doi: 10.1039/d5na00535c

Table 2. Different viral delivery systems.

Vector type Package limitation Superiority Advantages Disadvantages Application References
Adeno-associated virus (AAV) 4.5 kb Low immunogenicity, stable transgene expression High infection efficiency, broad cell tropism Low packaging capacity, difficulty in production Treatment of lipoprotein lipase deficiency patients, edit the VEGFR2 gene in retinal endothelial cells within a mouse model, single-cell CRISPR screening in mouse brain 72–74
Lentivirus (LV) 8 kb Large packaging capacity, low cell cycle tendency High infection efficiency, large packing size, long-term gene expression, persistent gene transfer Long lasting expression of Cas9, potential for insertional mutagenesis Epigenome editing targets cytokines (TNF-α, IL-1β) in the intervertebral disc to treat degenerative disc disease and chronic low-back pain, gene editing tool delivery with a gag-only strategy, vaccine development 75,76
Adenovirus (AV) >8 kb Large packaging capacity, no integration to the host genome Risk of off-target effects, strong immunogenicity, limited cargo capacity for gene constructs, limited reusability, high delivery efficiency High immunogenicity, difficult scale production Induces targeted mutations in a wide range of human cells, selective targeting of vascular endothelial cells in vivo, cancer treatment, gene therapy 77,78