Alpha-1 Antitrypsin Deficiency — Research Summary
Printed from RareWays (rareways.com.au) on 10 September 2026
For general awareness only. Not medical advice. Discuss all care options with your healthcare team.
5 Most Recent Research Articles
- 1.
Optimization of Alpha-1 Antitrypsin Expression from Adeno-Associated Virus Vectors.
Tang Qiushi et al. — Human gene therapy (1 July 2026)
https://pubmed.ncbi.nlm.nih.gov/42159147/
- 2.
Glycoengineered Recombinant Alpha1-Antitrypsin Results in Comparable In Vitro and In Vivo Activities to Human Plasma-Derived Protein.
Rocamora Frances et al. — Biotechnology and bioengineering (1 July 2026)
https://pubmed.ncbi.nlm.nih.gov/42381480/
- 3.
Spanish Clinical Practice Guidelines for the Diagnosis and Management of Alpha-1 Antitrypsin Deficiency: 2026 Update.
Calle Rubio Myriam et al. — Archivos de bronconeumologia (13 June 2026)
https://pubmed.ncbi.nlm.nih.gov/42392940/
- 4.
Birt-Hogg-Dubé syndrome: a hidden genetic cause of recurrent pneumothorax in a non-smoker.
Adiody Supriya et al. — BMJ case reports (10 June 2026)
https://pubmed.ncbi.nlm.nih.gov/42270148/
- 5.
Biophysical and Computational Insights into Alpha-1 Antitrypsin Aggregation and Its Inhibition by Natural Polyphenols.
Sarwar Tarique et al. — Biomedicines (9 June 2026)
https://pubmed.ncbi.nlm.nih.gov/42351738/
Clinical Trials — Currently Recruiting (Australia)
Ask your doctor whether you or your child may be eligible for any of these trials.
- 1.
A Study of TSRA-196 in Adults With PiZZ Alpha-1 Antitrypsin Deficiency (AATD)
Recruiting — Phase 1 — Tessera Therapeutics, Inc.
https://clinicaltrials.gov/study/NCT07227207
- 2.
A Study of AIR-001 in Adults With Alpha-1 Antitrypsin Deficiency (AATD)
Recruiting — Phase 1 — AIRNA Corporation
https://clinicaltrials.gov/study/NCT07431112
- 3.
A Study to Evaluate the Safety and Efficacy of BEAM-302 in Adult Patients With Alpha-1 Antitrypsin Deficiency (AATD)
Recruiting — Phase 1 — Beam Therapeutics Inc.
https://clinicaltrials.gov/study/NCT06389877
- 4.
Study to Check the Safety of Fazirsiran and Learn if Fazirsiran Can Help People With Liver Disease and Scarring (Fibrosis) Due to an Abnormal Version of Alpha-1 Antitrypsin Protein
Recruiting — Phase 3 — Takeda
https://clinicaltrials.gov/study/NCT05677971
Source: RareWays research directory. Data from PubMed, Europe PMC, OpenAlex, ClinicalTrials.gov.
Always verify information with your healthcare team before making any decisions about your care.
Alpha-1 Antitrypsin Deficiency
Alpha-1 antitrypsin deficiency is an inherited condition where the body does not produce enough of a protective protein for the lungs, leading to early-onset emphysema and liver disease. It is significantly underdiagnosed, often mistaken for COPD or asthma. Gene and RNA editing therapies in clinical trials offer hope for a future cure.
Most Recent Research
Alpha-1 antitrypsin deficiency (AATD) is an inherited disorder caused by mutations in SERPINA1 that result in insufficient circulating alpha-1 antitrypsin (AAT) and progressive lung and liver diseases. Adeno-associated virus (AAV)-mediated gene therapy offers the potential for durable AAT expression; however, achieving therapeutic serum concentrations (≥11 µM) at clinically acceptable vector doses remains a major challenge. Here, we evaluated multiple AAV vector design strategies to enhance AAT expression and increase vector potency, thereby reducing the required dose to levels below those associated with severe adverse events. Using AAV1- and AAV8-based platforms, we compared promoter and enhancer configurations, codon optimization of the SERPINA1 transgene, single-stranded versus self-complementary vector genomes, alternative polyadenylation signals, and an engineered oxidation-resistant AAT variant. Across mouse and ferret models, the chicken β-actin expression cassette consistently produced higher AAT levels than a liver-specific promoter variant despite comparable vector biodistribution, reflecting superior intrinsic transcriptional activity or an important contribution. Codon optimization did not enhance expression and, in some cases, modestly reduced AAT levels. Self-complementary AAV vectors exhibited reduced overall expression due to required promoter truncation, yielding lower transgene output than full-length single-stranded constructs. Modifications to polyadenylation signals or enhancer combinations did not improve expression. An oxidation-resistant AAT variant resulted in lower circulating levels but may retain therapeutic potential through enhanced functional stability. Collectively, these findings demonstrate that promoter strength and cassette architecture are dominant determinants of AAV-AAT potency and that full-length, single-stranded vectors with robust regulatory elements provide the highest expression. This work defines key parameters governing AAT expression in vivo and provides a foundation for next-generation AAV designs aimed at achieving therapeutic efficacy at safer, lower vector doses for the treatment of AATD.
Common Questions
What is Alpha-1 Antitrypsin Deficiency?
Alpha-1 antitrypsin deficiency is an inherited condition where the body does not produce enough of a protective protein for the lungs, leading to early-onset emphysema and liver disease. It is significantly underdiagnosed, often mistaken for COPD or asthma. Gene and RNA editing therapies in clinical trials offer hope for a future cure.
How many clinical trials are available for Alpha-1 Antitrypsin Deficiency?
RareWays currently indexes 107 clinical trials for Alpha-1 Antitrypsin Deficiency, of which 15 are actively recruiting. Trial availability changes as new studies are registered — check the trials tab for current status.
Where does the research data for Alpha-1 Antitrypsin Deficiency come from?
RareWays aggregates research from PubMed, Europe PMC, OpenAlex, and ClinicalTrials.gov. Data is updated regularly by Rocky, RareWays' automated research engine. All articles and trials link directly to their original sources.
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