Evidence map›Paper›PMID 20098431›Full record

ArticleNature medicine2010

Genomic instability and myelodysplasia with monosomy 7 consequent to EVI1 activation after gene therapy for chronic granulomatous disease.

Stefan Stein, Marion G Ott, Stephan Schultze-Strasser, Anna Jauch, Barbara Burwinkel, Andrea Kinner, Manfred Schmidt, Alwin Krämer, Joachim Schwäble, Hanno Glimm and 18 more

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03055247 (A Multicentric, Exploratory, Non-randomised, Non-controlled, Prospective, Open-label Phase II Study Evaluating Safety and Efficacy of IBU, G-CSF and Plerixafor as Stem Cell Mobilization Regimen in Patients Affected by X-CGD), which is not on this map. Cited by 410 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
410citing papers in PubMed, 1 pooled it
30.2field-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.

NCT03055247 phase2recruitingnot on this mapstarted 2015, after this paper: background citation

A Multicentric, Exploratory, Non-randomised, Non-controlled, Prospective, Open-label Phase II Study Evaluating Safety and Efficacy of IBU, G-CSF and Plerixafor as Stem Cell Mobilization Regimen in Patients Affected by X-CGD

TypeinterventionalSponsorIRCCS San RaffaeleRan2015 to 2026Enrolled3ConditionsChronic Granulomatous Disease X-linked (X-CGD)ArmsIbuprofen, Myelostim, Mozobil
3 · Its place in the literature

Who cites it

410 citing papers in PubMed, 1 synthesis or guideline pooled it, 775 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
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  6. Trial
  7. Trial
  8. Review
  9. Review
  10. Article
  11. Gene Therapy-Related Malignancy and the Risk of Cancer Exceptionalism.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  12. Review
  13. Article
  14. Gene therapy · 2025
    Article
  15. Ex Vivo Gene and Cell Therapy in Hematopoietic Stem Cells.International journal of molecular sciences · 2025
    Review
  16. Article
  17. Pilocytic astrocytoma in a child with spinal muscular atrophy treated with onasemnogene abeparvovec.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  18. Review
  19. Ex vivo modification of hematopoietic stem and progenitor cells for gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors at 12 institutions in 4 countries.

Stefan SteinInstitute for Biomedical Research, Georg-Speyer-Haus, Frankfurt, Germany.
Marion G Ott
Stephan Schultze-Strasser
Anna Jauch
Barbara Burwinkel
Andrea Kinner
Manfred Schmidt
Alwin Krämer
Joachim Schwäble
Hanno Glimm
Ulrike Koehl
Carolin Preiss
Claudia Ball
Hans Martin
Gudrun Göhring
Kerstin Schwarzwaelder
Wolf-Karsten Hofmann
Kadin Karakaya
Sandrine Tchatchou
Rongxi Yang
Petra Reinecke
Klaus Kühlcke
Brigitte Schlegelberger
Adrian J Thrasher
Dieter Hoelzer
Reinhard Seger
Christof von Kalle
Manuel Grez
Georg Speyer Haus · DEHeidelberg University · DENational Center for Tumor Diseases · DEUniversity Hospital Frankfurt · DEGerman Cancer Research Center · DEGoethe University Frankfurt · DEMedizinische Hochschule Hannover · DECharité - Universitätsmedizin Berlin · DEHeinrich Heine University Düsseldorf · DEUCL Australia · AUUniversity Children's Hospital Zurich · CHUniversity Hospital Heidelberg · DE

Funding

Wellcome Trust 090233
6 · The paper itself

Abstract

Gene-modified autologous hematopoietic stem cells (HSC) can provide ample clinical benefits to subjects suffering from X-linked chronic granulomatous disease (X-CGD), a rare inherited immunodeficiency characterized by recurrent, often life-threatening bacterial and fungal infections. Here we report on the molecular and cellular events observed in two young adults with X-CGD treated by gene therapy in 2004. After the initial resolution of bacterial and fungal infections, both subjects showed silencing of transgene expression due to methylation of the viral promoter, and myelodysplasia with monosomy 7 as a result of insertional activation of ecotropic viral integration site 1 (EVI1). One subject died from overwhelming sepsis 27 months after gene therapy, whereas a second subject underwent an allogeneic HSC transplantation. Our data show that forced overexpression of EVI1 in human cells disrupts normal centrosome duplication, linking EVI1 activation to the development of genomic instability, monosomy 7 and clonal progression toward myelodysplasia.

Indexed as

Chromosomes, Human, Pair 7Genetic TherapyGenomic InstabilityMonosomyAdultDNA-Binding ProteinsGranulomatous Disease, ChronicHumansMDS1 and EVI1 Complex Locus ProteinMyelodysplastic SyndromesNADPH OxidasesPromoter Regions, GeneticProto-OncogenesTranscription FactorsDNA-Binding ProteinsMDS1 and EVI1 Complex Locus ProteinMECOM protein, humanNADPH OxidasesTranscription Factors

Identifiers

PMID20098431
OpenAlexW1966530560

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.