Evidence map›Paper›PMID 22133046›Full record

ArticleHuman gene therapy2012

Successful gene therapy in utero for lethal murine hypophosphatasia.

Hanako Sugano, Tae Matsumoto, Koichi Miyake, Atsushi Watanabe, Osamu Iijima, Makoto Migita, Sonoko Narisawa, José Luis Millán, Yoshitaka Fukunaga, Takashi Shimada

Abstract read
In one paragraph

Article in Human gene therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact, top 87% 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

24 citing papers in PubMed, 1 citations in OpenAlex.

  1. Hypophosphatasia-pathophysiological understanding, preclinical data looking beyond the skeleton, and upcoming treatments.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Review
  2. Prenatal Delivery of Enzyme Replacement Therapy to Fetuses Affected by Early-Onset Lysosomal Storage Diseases.American journal of medical genetics. Part C, Seminars in medical genetics · 2025
    Review
  3. Hypophosphatasia: A case report.World journal of clinical cases · 2025
    Article
  4. Article
  5. Review
  6. Review
  7. Fetal gene therapy.Journal of inherited metabolic disease · 2024
    Review
  8. Review
  9. Article
  10. Dental manifestation and management of hypophosphatasia.The Japanese dental science review · 2022
    Review
  11. Prenatal enzyme replacement therapy forRegenerative therapy · 2021
    Article
  12. Gene Therapy Using Adeno-Associated Virus Serotype 8 Encoding TNAP-DJournal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Review
  19. Alkaline Phosphatase and Hypophosphatasia.Calcified tissue international · 2016
    Review
  20. Article
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

10 authors at 2 institutions in 2 countries.

Hanako SuganoDepartment of Biochemistry and Molecular Biology, Nippon Medical School, Tokyo, 113-8602 Japan.
Tae Matsumoto
Koichi Miyake
Atsushi Watanabe
Osamu Iijima
Makoto Migita
Sonoko Narisawa
José Luis Millán
Yoshitaka Fukunaga
Takashi Shimada
Nippon Medical School · JPSanford Burnham Prebys Medical Discovery Institute · US

Funding

MOLECULAR PATHOGENESIS/TREATMENT OF HYPOPHOSPHATASIAR01DE012889 · NIDCR · SANFORD BURNHAM PREBYS MEDICAL DISCOVERY INSTITUTE · PI MILLAN, JOSE LUIS · 1999 to 2020
$9.2M
NIDCR NIH HHS DE12889NIDCR NIH HHS R01 DE012889
6 · The paper itself

Abstract

Hypophosphatasia (HPP), caused by mutations in the gene ALPL encoding tissue-nonspecific alkaline phosphatase (TNALP), is an inherited systemic skeletal disease characterized by mineralization defects of bones and teeth. The clinical severity of HPP varies widely, from a lethal perinatal form to mild odontohypophosphatasia showing only dental manifestations. HPP model mice (Akp2(-/-)) phenotypically mimic the severe infantile form of human HPP; they appear normal at birth but die by 2 weeks of age because of growth failure, hypomineralization, and epileptic seizures. In the present study, we investigated the feasibility of fetal gene therapy using the lethal HPP model mice. On day 15 of gestation, the fetuses of HPP model mice underwent transuterine intraperitoneal injection of adeno-associated virus serotype 9 (AAV9) expressing bone-targeted TNALP. Treated and delivered mice showed normal weight gain and seizure-free survival for at least 8 weeks. Vector sequence was detected in systemic organs including bone at 14 days of age. ALP activities in plasma and bone were consistently high. Enhanced mineralization was demonstrated on X-ray images of the chest and forepaw. Our data clearly demonstrate that systemic injection of AAV9 in utero is an effective strategy for the treatment of lethal HPP mice. Fetal gene therapy may be an important choice after prenatal diagnosis of life-threatening HPP.

Indexed as

Fetal TherapiesAlkaline PhosphataseAnimalsDisease Models, AnimalFeasibility StudiesFemaleGenetic TherapyHypophosphatasiaMicePregnancyUterusAlkaline PhosphataseALPL protein, mouse

Identifiers

PMID22133046
PMCPMC3327603
OpenAlexW2050425158

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.