Adeno associated virus (AAV) is a naturally occurring single-stranded DNA virus that belongs to the parvovirus family. The commonly used viral vectors for gene therapy are derived from naturally occurring AAVs. These vectors are genetically modified/engineered that do not contain and devoid of genes encoding viral proteins critical for their viral replication. The viral gene is replaced with the transgene of interest is packaged into the AAV viral capsid and administration to humans. The AAV viral vectors enable attachment and entry of transgene into the target cells. Once inside the cell nucleus, the transgene remains in the episomal form and expresses the gene of interest. Although recent evidence has shown that long-term stable expression of these transgenes can be achieved in pre-clinical models and humans, there is inherent immunogenicity risk associated with adeno-associated vectors which include: -Pre-existing antibodies and T cell response against viral vectors -Neutralizing an...