Significant advances have recently been made in the development of vectors
and gene-delivery systems for gene therapy. Experiments performed over the
past decade have revealed how vectors will have to be modified to make them
a clinically viable treatment option. In the case of adenovirus (Ad) vecto
rs, which have been particularly useful as gene delivery vehicles, the main
drawback associated with their use is vector-mediated immunogenicity, Rece
nt modifications of the Ad backbone have led to the development of helper-d
ependent (HD) Ad vectors, which are completely devoid of all viral protein-
coding sequences. These modifications have significantly reduced the immuno
genicity of Ad vectors and have enhanced their safety It is expected that H
D vectors will become important tools for future clinical gene therapy.