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Leber congenital amaurosis caused by RPE65 deficiency leads to progressive retinal dystrophy due to impaired regeneration of 11-cis-retinal in photoreceptor cells. Luxturna is an AAV-based gene therapy designed to restore visual function in affected patients.
Clinical studies show sustained RPE65 expression and improved vision for years after a single subretinal injection, despite the absence of targeted genome editing.
Which property of the Luxturna AAV vector best explains this long-term therapeutic effect?