Viral vectors for gene therapy: past, present and future.
Gene delivery has been attempted in both experimental and clinical settings. These studies have shown that therapeutic gene transfer is possible, but it has not yet arrived as a practicable therapeutic intervention. This is due in large part to the inability of the vectors used to convey genetic material to a desired location in sufficient quantity and for long enough time to be effective. Current research on viral vectors for gene therapy has focused on reengineering viruses currently being tested as delivery agents, modifying the host to facilitate viral gene transfer and developing new viruses for use in gene transfer. It is too early to know which of these approaches will be effective; however, these ongoing studies are likely to make available in the future an array of gene delivery vehicles with different strengths and weaknesses. It is reasonable to expect that several of the vectors now being studied will prove useful for some therapeutic applications.