Evidence map›Paper›PMID 22368049›Full record

ArticleAnnals of neurology2012

Synergistic effects of central nervous system-directed gene therapy and bone marrow transplantation in the murine model of infantile neuronal ceroid lipofuscinosis.

Shannon L Macauley, Marie S Roberts, Andrew M Wong, Francesca McSloy, Adarsh S Reddy, Jonathan D Cooper, Mark S Sands

Abstract read
In one paragraph

Article in Annals of neurology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 78 citations in OpenAlex.

  1. Article
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  4. Gene therapy ameliorates neuromuscular pathology in CLN3 disease.Acta neuropathologica communications · 2025
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  19. Progress toward Fulfilling the Potential of Immunomodulation in Childhood Neurodegeneration?Molecular therapy : the journal of the American Society of Gene Therapy · 2017
    Article
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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

7 authors at 2 institutions in 2 countries.

Shannon L MacauleyDepartment of Internal Medicine, Washington University School of Medicine, 660 S. Euclid Ave., St Louis, MO 63110, USA.
Marie S Roberts
Andrew M Wong
Francesca McSloy
Adarsh S Reddy
Jonathan D Cooper
Mark S Sands
Washington University in St. Louis · USKing's College London · GB

Funding

PATHOPHYSIOLOGY AND NOVEL THERAPIES FOR BATTEN'S DISEASER01NS043205 · NINDS · WASHINGTON UNIVERSITY · PI SANDS, MARK S · 2003 to 2016
$4.0M
Systems for intra-parenchymal therapy deliveryR44NS043105 · NINDS · THERATAXIS, LLC · PI RAGHAVAN, RAGHU · 2002 to 2004
$730k
NINDS NIH HHS NS043105NINDS NIH HHS NS056728NINDS NIH HHS R01 NS043205NINDS NIH HHS R44 NS043105Wellcome TrustWellcome Trust GR079491MA
6 · The paper itself

Abstract

objectiveInfantile neuronal ceroid lipofuscinosis (INCL) is an inherited childhood neurodegenerative disorder caused by the loss of palmitoyl protein thioesterase-1 (PPT1) activity. Affected children suffer from blindness, epilepsy, motor dysfunction, cognitive decline, and premature death. The Ppt1(-/-) mouse shares the histological and clinical features of INCL. Previous single-therapy approaches using small molecule drugs, gene therapy, or neuronal stem cells resulted in partial histological correction, with minimal improvements in motor function or lifespan. Here, we combined central nervous system (CNS)-directed adeno-associated virus (AAV)2/5-mediated gene therapy with bone marrow transplantation (BMT) in the INCL mouse.

methodsAt birth, Ppt1(-/-) and wild-type mice were given either intracranial injections of AAV2/5-PPT1 or bone marrow transplantation, separately as well as in combination. To assess function, we measured rotorod performance monthly as well as lifespan. At terminal time points, we evaluated the therapeutic effects on several INCL-specific parameters, such as cortical thickness, autofluorescent accumulation, and glial activation. Finally, we determined levels of PPT1 enzyme activity and bone marrow engraftment in treated mice.

resultsAAV2/5-mediated gene therapy alone resulted in significant histological correction, improved motor function, and increased lifespan. Interestingly, the addition of BMT further increased the lifespan of treated mice and led to dramatic, sustained improvements in motor function. These data are truly striking, given that BMT alone is ineffective, yet it synergizes with CNS-directed gene therapy to dramatically increase efficacy and lifespan.

interpretationAAV2/5-mediated gene therapy in combination with BMT provides an unprecedented increase in lifespan as well as dramatic improvement on functional and histological parameters.

Indexed as

Age FactorsAnimalsAnimals, NewbornBone Marrow TransplantationBrainDependovirusDisease Models, AnimalFemaleGenetic TherapyGenetic VectorsMaleMiceMice, KnockoutMotor ActivityNeuronal Ceroid-LipofuscinosesRotarod Performance Testpalmitoyl-protein thioesteraseThiolester Hydrolases

Identifiers

PMID22368049
PMCPMC3369009
OpenAlexW1964210819

What OpenQuestion holds

Textmetadata
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.