Gene therapy is a potent modality with demonstrated ability to intervene in diseases of unmet medical need. Its safety and efficacy is often governed by the vector system used. Adeno-associated viral vectors (AAV) have shown great promise for sustained expression of a therapeutic gene in vivo. Obstacles remain however for gene therapy to broaden its impact beyond niche indications; currently clinically considered AAVs are repurposed naturally occurring viral entities that bring along limitations imposed by its viral biology. For example, AAVs is endemic in humans which results in a large proportion of patients to harbor memory responses to AAV antigens, preventing them to benefit from a future AAV gene therapy. Other constraints include AAV’s limited genetic cargo capacity, poor targeting of tissue targets (e.g. kidney, cochlea), and a desire to increase transduction specificity of an inherently promiscuous virus. This webinar provides insight into: