Abstract
To correct a genetic defect, it would not be enough, say, to inject the missing enzyme, since the body's immune defenses would rapidly destroy it. A “Trojan horse” is needed to evade immune surveillance. The evolution of such an approach is described, as well as how it has been used to “cure” Tay-Sachs disease in culture, utilizing immunoglobulin-disguised liposomes to bring hexosaminidase A to deficient cells.