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Scientific Drivers Viral vectors Technology in Development Issues rAAV 2, 4, 5 Safety Physical stability, small size; Transduction efficiency; Chromosome integration Efficiency Manufacturing Helper virus contamination, immune response eliminated Long-term transgene expression Linear dose-response Initial Phase 1 study results Scientific Drivers Porous biomaterial scaffolds - natural polymers, e.g. collagen Technology in Development Issues Recombinant collagen Safety Efficiency Manufacturing Formulation Scientific Drivers Potential synergies between DNA vectors and porous biomaterial scaffolds Week s in-life 2 Technology in Development Multiple genes 6 Printing Scaffold composites 12 MEMS 18 100.0-mg pMat-1 Key Challenge Safety Interaction between gene-based therapy and tissue at delivery site Vector persistence and bioavailability Interaction between gene-based therapy and immune system Local and systemic PK/PD of vectorencoded protein Key Challenge Regulated transgene expression Low baseline expression High induction ratio Positive control by small molecule drug Control Parameters DNA vector and porous biomaterial scaffold Variation associated with site and extent of tissue injury Rate constants for cell proliferation-migration within biomaterial scaffold Gene transfer efficiency Rate constants for therapeutic protein production Pharmacokinetics and pharmacodynamics of vector-encoded protein Safety factors that influence gene transfer efficiency Transgene silencing