Viral vector gene therapy is the clinically validated route to cures for diseases that have no treatment. A recent editorial from Nature Medicine put forward a strong argument that now is the time to push on gene therapies, to gain from the momentum of recent successes and adapt to mitigate the setbacks. Immunogenicity continues to be a challenge and the source of some notable setbacks in viral delivery. In the spirit of momentum building, this blog is laying out the current state of one aspect of viral vector immunogenicity, neutralising antibodies. This is a huge challenge to therapeutic success and one which I see as an open engineering problem to be solved.‍Adeno associated virus (AAV) is the most widely used and successful vector for gene therapies; however, innate and adaptive immune responses limit efficacy, exclude large numbers of patients from trials and can be the source of serious adverse events. While there has been a lot of work done on immune responses to AAV already, with a big impressive uptick recently, we've only scratched the surface in our understanding.

Starfish is an AI and physics-based structure generation pipeline enabling fast, accurate and physically plausible capsid structure generation capable of large library screening tasks. It is allowing us to run docking and structural analysis tasks at scale as part of nAAVigator.

LirEvolve is a viral foundation model which is already state-of-the-art in predicting the viability of novel viral vector designs. It is currently being improved further with our own in-house data, with the continued goal of a broadly applicable toolkit for viral vector evolution. This model is allowing Lir to accelerate the work in our lab already. It enables us to run more efficient experiments and focus on generating high quality datasets in every experimental run.