No single gene therapy vector is universally optimal, and the choice among the three leading platforms—adeno-associated virus (AAV), lentivirus, and lipid nanoparticles (LNP)—comes down to a trade-off between efficiency, safety, and therapeutic strategy. AAV delivers small payloads with long-term expression in vivo but is constrained by pre-existing immunity that blocks re-dosing. Lentivirus integrates permanently into the genome, making it the workhorse of ex vivo cell therapy. LNPs carry flexible cargo with low immunogenicity and can be re-dosed, but their expression is transient. Here is how each vector's profile maps to a therapeutic goal.
Introduction to Gene Therapy Vectors
Every gene therapy faces the same first problem: getting genetic material into the right cells, at the right efficiency, without triggering harmful responses. A recent literature review on viral and non-viral vectors highlights delivery to target tissues and immunogenicity as the two challenges that most directly affect safety, durability, and efficacy. Viral vectors achieve high in vivo infection efficiency but can provoke severe immune responses, while non-viral vectors offer low immunogenicity and short expression duration, making them better suited to transient expression—though their infection efficiency still needs improvement. The three vectors examined here dominate current development, and each occupies a distinct niche defined by where it is used, what it can carry, and how long its effect lasts.





