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Potential of gene therapy as a treatment for heart failure
Roger J. Hajjar
Roger J. Hajjar
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Review Series

Potential of gene therapy as a treatment for heart failure

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Abstract

Advances in understanding the molecular basis of myocardial dysfunction, together with the evolution of increasingly efficient gene transfer technology, make gene-based therapy a promising treatment option for heart conditions. Cardiovascular gene therapy has benefitted from recent advancements in vector technology, design, and delivery modalities. There is a critical need to explore new therapeutic approaches in heart failure, and gene therapy has emerged as a viable alternative. Advances in understanding of the molecular basis of myocardial dysfunction, together with the development of increasingly efficient gene transfer technology, has placed heart failure within reach of gene-based therapy. The recent successful and safe completion of a phase 2 trial targeting the cardiac sarcoplasmic/endoplasmic reticulum Ca2+ ATPase pump (SERCA2a) has the potential to open a new era for gene therapy for heart failure.

Authors

Roger J. Hajjar

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Figure 3

Direct myocardial injection and pericardial injection methods of gene delivery.

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Direct myocardial injection and pericardial injection methods of gene de...
(A) Percutaneous myocardial injection. The vector is injected with an injection catheter via an endocardial approach. (B) Surgical myocardial injection. The vector is injected via an epicardial approach. (C) Percutaneous pericardial injection; the vector is injected in the pericardial space.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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