Evidence map›Paper›PMID 17671653›Full record

Trial reportThe Journal of clinical investigation2007

Multilineage hematopoietic reconstitution without clonal selection in ADA-SCID patients treated with stem cell gene therapy.

Alessandro Aiuti, Barbara Cassani, Grazia Andolfi, Massimiliano Mirolo, Luca Biasco, Alessandra Recchia, Fabrizia Urbinati, Cristina Valacca, Samantha Scaramuzza, Memet Aker and 8 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of clinical investigation, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02453477 (A Phase I/II Study Evaluating Safety and Efficacy of Autologous Hematopoietic Stem Cells Genetically Modified With GLOBE Lentiviral Vector Encoding for the Human Beta-globin Gene for the Treatment of Patients Affected by Transfusion Dependent Beta-thalassemia), which is not on this map. Cited by 118 papers.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed
17.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02453477 phase1 / phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

A Phase I/II Study Evaluating Safety and Efficacy of Autologous Hematopoietic Stem Cells Genetically Modified With GLOBE Lentiviral Vector Encoding for the Human Beta-globin Gene for the Treatment of Patients Affected by Transfusion Dependent Beta-thalassemia

TypeinterventionalSponsorIRCCS San RaffaeleRan2015 to 2019Enrolled10ConditionsBeta-ThalassemiaArmsAutologous hematopoietic stem cells genetically modified with GLOBE lentiviral vector encoding for the human beta-globin gene
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 253 citations in OpenAlex.

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  20. Lentiviral Hematopoietic Stem Cell Gene Therapy Corrects Murine Pompe Disease.Molecular therapy. Methods & clinical development · 2020
    Article

58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 7 institutions in 2 countries.

Alessandro AiutiSan Raffaele Telethon Institute for Gene Therapy (HSR-TIGET), Milan, Italy. a.aiuti@hsr.it
Barbara Cassani
Grazia Andolfi
Massimiliano Mirolo
Luca Biasco
Alessandra Recchia
Fabrizia Urbinati
Cristina Valacca
Samantha Scaramuzza
Memet Aker
Shimon Slavin
Matteo Cazzola
Daniela Sartori
Alessandro Ambrosi
Clelia Di Serio
Maria Grazia Roncarolo
Fulvio Mavilio
Claudio Bordignon
The San Raffaele Telethon Institute for Gene Therapy · ITTelethon Foundation · ITUniversity of Modena and Reggio Emilia · ITHadassah Medical Center · ILIRCCS Ospedale San Raffaele · ITSan Raffaele University of Rome · ITVita-Salute San Raffaele University · IT

Funding

Telethon GAT0205
6 · The paper itself

Abstract

Gene transfer into HSCs is an effective treatment for SCID, although potentially limited by the risk of insertional mutagenesis. We performed a genome-wide analysis of retroviral vector integrations in genetically corrected HSCs and their multilineage progeny before and up to 47 months after transplantation into 5 patients with adenosine deaminase-deficient SCID. Gene-dense regions, promoters, and transcriptionally active genes were preferred retroviral integrations sites (RISs) both in preinfusion transduced CD34(+) cells and in vivo after gene therapy. The occurrence of insertion sites proximal to protooncogenes or genes controlling cell growth and self renewal, including LMO2, was not associated with clonal selection or expansion in vivo. Clonal analysis of long-term repopulating cell progeny in vivo revealed highly polyclonal T cell populations and shared RISs among multiple lineages, demonstrating the engraftment of multipotent HSCs. These data have important implications for the biology of retroviral vectors, the dynamics of genetically modified HSCs, and the safety of gene therapy.

Indexed as

Adenosine DeaminaseGenetic TherapyHematopoietic Stem Cell TransplantationMutagenesis, InsertionalRetroviridaeAdaptor Proteins, Signal TransducingAntigens, CD34Child, PreschoolDNA-Binding ProteinsFemaleHematopoietic Stem CellsHumansInfantLIM Domain ProteinsMaleMetalloproteinsAdaptor Proteins, Signal TransducingAdenosine DeaminaseAntigens, CD34DNA-Binding ProteinsLIM Domain ProteinsLMO2 protein, humanMetalloproteinsProto-Oncogene Proteins

Identifiers

PMID17671653
PMCPMC1934603
OpenAlexW2037256495

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.