Evidence map›Paper›PMID 21512506›Full record

ArticleGene therapy2011

Delivery of gelfoam-enabled cells and vectors into the pericardial space using a percutaneous approach in a porcine model.

D Ladage, I C Turnbull, K Ishikawa, Y Takewa, K Rapti, C Morel, I Karakikes, L Hadri, J Müller-Ehmsen, K D Costa and 2 more

Abstract readEvaluation Study
In one paragraph

Article in Gene therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
6.8field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 61 citations in OpenAlex.

  1. Article
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  10. Review
  11. Review
  12. Article
  13. Article
  14. Pericardial Delivery of Biological Agents: The Next Frontier?JACC. Basic to translational science · 2017
    Article
  15. Article
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  19. Review
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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

12 authors at 2 institutions in 2 countries.

D LadageCardiovascular Research Center, Mount Sinai School of Medicine, New York, NY 10029, USA.
I C Turnbull
K Ishikawa
Y Takewa
K Rapti
C Morel
I Karakikes
L Hadri
J Müller-Ehmsen
K D Costa
R J Hajjar
Y Kawase
Icahn School of Medicine at Mount Sinai · USUniversity of Cologne · DE

Funding

PICOT and Cardiac HypertrophyR01HL080498 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HAJJAR, ROGER J. · 2006 to 2010
$2.2M
Targeting Calcium Cycling in Pre-Clinical Model CardiacR01HL083156 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HAJJAR, ROGER J. · 2006 to 2010
$1.7M
Genetic Editing of Ca Cycling in Diabetic CardiomyopathyR01HL078731 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HAJJAR, ROGER J. · 2007 to 2010
$1.7M
C-TRIP: Targeted Gene Therapy for the Treatment of Heart Failure (P20)P20HL100396 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HAJJAR, ROGER J. · 2010 to 2011
$1.7M
Gene Therapy with Cardiotropic Vectors for the Treatment of Heart FailureR01HL088434 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HAJJAR, ROGER J. · 2010 to 2013
$1.7M
Regression of cardiac hypertrophyR01HL093183 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HAJJAR, ROGER J. · 2009 to 2010
$1.1M
Protein Phosphatase Inhibitor-1 and vascular smooth muscle cell functionK01HL103176 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HADRI, LAHOUARIA · 2010 to 2014
$674k
Engineered Cardiac Niche Arrays for Exploring and Optimizing Stem Cell TherapiesR21HL095980 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI COSTA, KEVIN D · 2010 to 2011
$445k
NHLBI NIH HHS HHSN268201000045CNHLBI NIH HHS K01 HL103176NHLBI NIH HHS P20 HL100396NHLBI NIH HHS P20HL100396NHLBI NIH HHS R01 HL078731NHLBI NIH HHS R01HL078731NHLBI NIH HHS R01 HL080498NHLBI NIH HHS R01HL080498NHLBI NIH HHS R01 HL083156NHLBI NIH HHS R01HL083156NHLBI NIH HHS R01 HL088434NHLBI NIH HHS R01HL088434NHLBI NIH HHS R01 HL093183NHLBI NIH HHS R01HL093183NHLBI NIH HHS R21 HL095980NHLBI NIH HHS R21HL095980
6 · The paper itself

Abstract

Intrapericardial drug delivery is a promising procedure, with the ability to localize therapeutics with the heart. Gelfoam particles are nontoxic, inexpensive, nonimmunogenic and biodegradable compounds that can be used to deliver therapeutic agents. We developed a new percutaneous approach method for intrapericardial injection, puncturing the pericardial sac safely under fluoroscopy and intravascular ultrasound (IVUS) guidance. In a porcine model of myocardial infarction (MI), we deployed gelfoam particles carrying either (a) autologous mesenchymal stem cells (MSCs) or (b) an adenovirus encoding enhanced green fluorescent protein (eGFP) 48 h post-MI. The presence of MSCs and viral infection at the infarct zone was confirmed by immunoflourescence and PCR. Puncture was performed successfully in 16 animals. Using IVUS, we successfully determined the size of the pericardial space before the puncture, and safely accessed that space in setting of pericardial effusion and also adhesions induced by the MI. Intrapericardial injection of gelfoam was safe and reliable. Presence of the MSCs and eGFP expression from adenovirus in the myocardium were confirmed after delivery. Our novel percutaneous approach to deliver (stem-) cells or adenovirus was safe and efficient in this pre-clinical model. IVUS-guided delivery is a minimally invasive procedure that seems to be a promising new strategy to deliver therapeutic agents locally to the heart.

Indexed as

AdenoviridaeAdministration, CutaneousAnimalsDNA PrimersDrug Delivery SystemsFluorescent Antibody TechniqueFluoroscopyGelatin Sponge, AbsorbableGenetic VectorsGreen Fluorescent ProteinsImmunohistochemistryMesenchymal Stem Cell TransplantationMyocardial InfarctionPericardiumPolymerase Chain ReactionReverse Transcriptase Polymerase Chain ReactionDNA Primersenhanced green fluorescent proteinGreen Fluorescent Proteins

Identifiers

PMID21512506
PMCPMC3651891
OpenAlexW1968278388

What OpenQuestion holds

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LicenceTDM
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.