Evidence map›Paper›PMID 22572881›Full record

ArticleScience translational medicine2012

Extended survival of glioblastoma patients after chemoprotective HSC gene therapy.

Jennifer E Adair, Brian C Beard, Grant D Trobridge, Tobias Neff, Jason K Rockhill, Daniel L Silbergeld, Maciej M Mrugala, Hans-Peter Kiem

Abstract read
In one paragraph

Article in Science translational medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
9.3field-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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Molecular therapy. Advances · 2026
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. In Vivo HSC Gene Therapy Using a Bi-modular HDAd5/35++ Vector Cures Sickle Cell Disease in a Mouse Model.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
  17. Purification of Human CD34Molecular therapy. Methods & clinical development · 2020
    Article
  18. Multifaceted Role of PRDM Proteins in Human Cancer.International journal of molecular sciences · 2020
    Review
  19. Article
  20. Article

4 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

8 authors at 4 institutions in 1 country.

Jennifer E AdairClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
Brian C Beard
Grant D Trobridge
Tobias Neff
Jason K Rockhill
Daniel L Silbergeld
Maciej M Mrugala
Hans-Peter Kiem
Fred Hutch Cancer Center · USUniversity of Washington · USHarvard University · USWashington State University · US

Funding

CORE--VECTOR PRODUCTIONP30DK056465 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BERNSTEIN, IRWIN D · 1999 to 2014
$14.9M
Development of safe and efficient gene therapy strategies for hemoglobinopathiesR01HL098489 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 2010 to 2013
$2.8M
Hematopoietic Chemoprotection in Glioblastoma PatientsR01CA114218 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 2006 to 2011
$2.2M
Development of Novel AIDS Gene Therapy Strategies in the Macaque SHIV ModelR01AI080326 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 2009 to 2012
$2.2M
MGMT-Mediated in vivo Selection in a Large Animal ModelR01HL074162 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 2003 to 2006
$1.7M
Development and Safety Evaluation of Chemo-Protective Gene Therapy VectorsK01DK076973 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BEARD, BRIAN C · 2007 to 2011
$651k
NCI NIH HHS R01 CA114218NCI NIH HHS R01CA114218NHLBI NIH HHS R01 HL074162NHLBI NIH HHS R01HL074162NHLBI NIH HHS R01 HL098489NHLBI NIH HHS R01HL098489NIAID NIH HHS R01 AI080326NIAID NIH HHS R01AI080326NIDDK NIH HHS K01 DK076973NIDDK NIH HHS K01DK076973NIDDK NIH HHS P30 DK056465NIDDK NIH HHS P30DK056465
6 · The paper itself

Abstract

Chemotherapy with alkylating agents for treating malignant disease results in myelosuppression that can significantly limit dose escalation and potential clinical efficacy. Gene therapy using mutant methylguanine methyltransferase (P140K) gene-modified hematopoietic stem and progenitor cells may circumvent this problem by abrogating the toxic effects of chemotherapy on hematopoietic cells. However, this approach has not been evaluated clinically. Here, we show efficient polyclonal engraftment of autologous P140K-modified hematopoietic stem and progenitor cells in three patients with glioblastoma. Increases in P140K-modified cells after transplant indicate selection of gene-modified hematopoietic repopulating cells. Longitudinal retroviral integration site (RIS) analysis identified more than 12,000 unique RISs in the three glioblastoma patients, with multiple clones present in the peripheral blood of each patient throughout multiple chemotherapy cycles. To assess safety, we monitored RIS distribution over the course of chemotherapy treatments. Two patients exhibited emergence of prominent clones harboring RISs associated with the intronic coding region of PRDM16 (PR domain-containing 16) or the 3' untranslated region of HMGA2 (high-mobility group A2) genes with no adverse clinical outcomes. All three patients surpassed the median survival for glioblastoma patients with poor prognosis, with one patient alive and progression-free more than 2 years after diagnosis. Thus, transplanted P140K-expressing hematopoietic stem and progenitor cells are chemoprotective, potentially maximizing the drug dose that can be administered.

Indexed as

Hematopoietic Stem Cell TransplantationAntineoplastic Agents, AlkylatingBrain NeoplasmsCombined Modality TherapyDisease-Free SurvivalDNA Modification MethylasesDNA Repair EnzymesGenetic TherapyGlioblastomaHumansMutant ProteinsTranslational Research, BiomedicalTransplantation ConditioningTumor Suppressor ProteinsVirus IntegrationAntineoplastic Agents, AlkylatingDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanMutant ProteinsTumor Suppressor Proteins

Identifiers

PMID22572881
PMCPMC3650895
OpenAlexW2170463714

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.