Evidence map›Paper›PMID 20335222›Full record

ArticleBlood2010

Peripheral transvenular delivery of adeno-associated viral vectors to skeletal muscle as a novel therapy for hemophilia B.

Valder R Arruda, Hansell H Stedman, Virginia Haurigot, George Buchlis, Stefano Baila, Patricia Favaro, Yifeng Chen, Helen G Franck, Shangzhen Zhou, J Fraser Wright and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
9.1field-weighted citation impact, top 2% 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

65 citing papers in PubMed, 111 citations in OpenAlex.

  1. Trial
  2. A myotropic AAV vector combined with skeletal muscleMolecular therapy. Methods & clinical development · 2025
    Article
  3. Gene therapy for hemophilia - From basic science to first approvals of "one-and-done" therapies.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. CRISPR-Cas9-MediatedMolecular therapy. Methods & clinical development · 2020
    Article
  10. Review
  11. Review
  12. Gene Therapy for Hemophilia: Facts and Quandaries in the 21st Century.Mediterranean journal of hematology and infectious diseases · 2020
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. An Isolated Limb Infusion Method Allows for Broad Distribution of rAAVrh74.MCK.Molecular therapy. Methods & clinical development · 2018
    Article
  20. Gene therapy for hemophilia: what does the future hold?Therapeutic advances in hematology · 2018
    Review

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

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 4 institutions in 1 country.

Valder R ArrudaUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Hansell H Stedman
Virginia Haurigot
George Buchlis
Stefano Baila
Patricia Favaro
Yifeng Chen
Helen G Franck
Shangzhen Zhou
J Fraser Wright
Linda B Couto
Haiyan Jiang
Glenn F Pierce
Dwight A Bellinger
Federico Mingozzi
Timothy C Nichols
Katherine A High
Children's Hospital of Philadelphia · USUniversity of North Carolina at Chapel Hill · USUniversity of Pennsylvania · USBiogen (United States) · US

Funding

Safety &Efficacy of Intravas. Del. of AAV-F.IX to Skeletal MuscleP01HL064190 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI ARRUDA, VALDER R. · 2000 to 2015
$27.8M
Maintenance of Models of Human Hemophilia and VWDR24HL063098 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLS, TIMOTHY CHARLES · 1999 to 2019
$15.1M
Howard Hughes Medical InstituteNHLBI NIH HHS HL64190NHLBI NIH HHS P01 HL064190NHLBI NIH HHS R24 HL063098
6 · The paper itself

Abstract

Muscle represents an important tissue target for adeno-associated viral (AAV) vector-mediated gene transfer of the factor IX (FIX) gene in hemophilia B (HB) subjects with advanced liver disease. Previous studies of direct intramuscular administration of an AAV-FIX vector in humans showed limited efficacy. Here we adapted an intravascular delivery system of AAV vectors encoding the FIX transgene to skeletal muscle of HB dogs. The procedure, performed under transient immunosuppression (IS), resulted in widespread transduction of muscle and sustained, dose-dependent therapeutic levels of canine FIX transgene up to 10-fold higher than those obtained by intramuscular delivery. Correction of bleeding time correlated clinically with a dramatic reduction of spontaneous bleeding episodes. None of the dogs (n = 14) receiving the AAV vector under transient IS developed inhibitory antibodies to canine FIX; transient inhibitor was detected after vector delivery without IS. The use of AAV serotypes with high tropism for muscle and low susceptibility to anti-AAV2 antibodies allowed for efficient vector administration in naive dogs and in the presence of low- but not high-titer anti-AAV2 antibodies. Collectively, these results demonstrate the feasibility of this approach for treatment of HB and highlight the importance of IS to prevent immune responses to the FIX transgene product.

Indexed as

DependovirusGenetic TherapyGenetic VectorsImmunosuppression TherapyMuscle, SkeletalAnimalsAntibodies, ViralBlood Coagulation Factor InhibitorsDogsFactor IXHemophilia BHemorrhageHumansInjections, IntramuscularTransduction, GeneticAntibodies, ViralBlood Coagulation Factor InhibitorsFactor IX

Identifiers

PMID20335222
PMCPMC2890180
OpenAlexW2034598016

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.