Evidence map›Paper›PMID 19018253›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2009

Injection of recombinant human type VII collagen corrects the disease phenotype in a murine model of dystrophic epidermolysis bullosa.

Jennifer Remington, Xinyi Wang, Yingpin Hou, Hui Zhou, Julie Burnett, Trevor Muirhead, Jouni Uitto, Douglas R Keene, David T Woodley, Mei Chen

Open access · bronzeAbstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 139 citations in OpenAlex.

  1. Trial
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  5. Review
  6. Review
  7. Article
  8. Around the collagen triple helix: an introduction to studying associated genetic and acquired diseases.Matrix biology : journal of the International Society for Matrix Biology · 2025
    Review
  9. Progress in skin gene therapy: From the inside and out.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  10. Review
  11. Cytosine Deaminase Base Editing to RestoreJID innovations : skin science from molecules to population health · 2023
    Article
  12. Stairways to Advanced Therapies for Epidermolysis Bullosa.Cold Spring Harbor perspectives in biology · 2023
    Review
  13. Investigational Treatments for Epidermolysis Bullosa.American journal of clinical dermatology · 2021
    Review
  14. Review
  15. Review
  16. Review
  17. Toward Combined Cell and Gene Therapy for Genodermatoses.Cold Spring Harbor perspectives in biology · 2020
    Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Jennifer RemingtonDepartment of Dermatology, University of Southern California, Los Angeles, California, USA.
Xinyi Wang
Yingpin Hou
Hui Zhou
Julie Burnett
Trevor Muirhead
Jouni Uitto
Douglas R Keene
David T Woodley
Mei Chen
University of Southern California · USJefferson College · USShriners Hospitals for Children - Portland · US

Funding

TRANSGENIC MICE WITH EPIDERMOLYSIS BULLOSAP01AR038923 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI UITTO, JOUNI · 1987 to 2006
$7.8M
PURIFICATION OF EPIDERMOLYSIS BULLOSA ANTIGENR01AR033625 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, MEI, WOODLEY, DAVID T. · 1986 to 2012
$4.8M
Strategies Towards Gene Therapy for Dystrophic Epidermolysis BullosaR01AR047981 · NIAMS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHEN, MEI · 2001 to 2009
$2.9M
NIAMS NIH HHS P01 AR038923NIAMS NIH HHS P01 AR-38923NIAMS NIH HHS R01 AR033625NIAMS NIH HHS R01 AR047981NIAMS NIH HHS R01 AR33625NIAMS NIH HHS R01 AR47981
6 · The paper itself

Abstract

Patients with recessive dystrophic epidermolysis bullosa (RDEB) have incurable skin fragility, blistering, and scarring due to mutations in the gene that encodes for type VII collagen (C7) that mediates dermal-epidermal adherence in human skin. We showed previously that intradermal injection of recombinant C7 into transplanted human DEB skin equivalents stably restored C7 expression at the basement membrane zone (BMZ) and reversed the RDEB disease features. In this study, we evaluated the feasibility of protein therapy in a C7 null mouse (Col7a1(-/-)) which recapitulates the features of human RDEB. We intradermally injected purified human C7 into DEB mice and found that the injected human C7 stably incorporated into the mouse BMZ, formed anchoring fibrils, and corrected the DEB murine phenotype, as demonstrated by decreased skin fragility, reduced new blister formation, and markedly prolonged survival. After 4 weeks, treated DEB mice developed circulating anti-human C7 antibodies. Most surprisingly, these anti-C7 antibodies neither bound directly to the mouse's BMZ nor prevented the incorporation of newly injected human C7 into the BMZ. Anti-C7 antibody production was prevented by treating the mice with an anti-CD40L monoclonal antibody, MR1. We conclude that protein therapy may be feasible for the treatment of human patients with RDEB.

Indexed as

AnimalsAntibodiesBasement MembraneCollagen Type VIIDisease Models, AnimalEnzyme-Linked Immunosorbent AssayEpidermolysis Bullosa DystrophicaHumansInjections, IntradermalMiceMice, KnockoutMicroscopy, Electron, TransmissionRecombinant ProteinsSkinAntibodiesCollagen Type VIIRecombinant Proteins

Identifiers

PMID19018253
PMCPMC2834970
OpenAlexW1991274745

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.