Evidence map›Paper›PMID 23253610›Full record

ArticleScience translational medicine2012

Long-term follow-up after gene therapy for canavan disease.

Paola Leone, David Shera, Scott W J McPhee, Jeremy S Francis, Edwin H Kolodny, Larissa T Bilaniuk, Dah-Jyuu Wang, Mitra Assadi, Olga Goldfarb, H Warren Goldman and 5 more

Open access · greenAbstract 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 155 papers.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed
15.2field-weighted citation impact, top 1% 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

155 citing papers in PubMed, 323 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Genetic therapies for neurological diseases.Pharmacological reviews · 2026
    Review
  6. Article
  7. Article
  8. Stem cell and gene therapies for leukodystrophies.Molecular therapy. Methods & clinical development · 2025
    Review
  9. Review
  10. Current clinical applications of AAV-mediated gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. AnMolecular therapy. Methods & clinical development · 2024
    Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Article

95 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

15 authors at 3 institutions in 1 country.

Paola LeoneDepartment of Cell Biology, Cell & Gene Therapy Center, University of Medicine & Dentistry of New Jersey, Stratford, NJ 08034, USA. leonepa@umdnj.edu
David Shera
Scott W J McPhee
Jeremy S Francis
Edwin H Kolodny
Larissa T Bilaniuk
Dah-Jyuu Wang
Mitra Assadi
Olga Goldfarb
H Warren Goldman
Andrew Freese
Deborah Young
Matthew J During
R Jude Samulski
Christopher G Janson
Children's Hospital of Philadelphia · USUniversity of Minnesota Medical Center · USNew York University · US

Funding

Somatic Cell Gene Transfer/Neurological & Clinical ApplicationsR01NS044576 · NINDS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI LIN, EN-JU · 2004 to 2013
$3.3M
Aspartoacylase gene transfer in brain/Canavan DiseaseR01NS042120 · NINDS · UNIV OF MED/DENT NJ-R W JOHNSON MED SCH · PI LEONE, PAOLA · 2001 to 2004
$3.0M
NINDS NIH HHS R01 NS042120NINDS NIH HHS R01 NS044576NINDS NIH HHS R01-NS42120
6 · The paper itself

Abstract

Canavan disease is a hereditary leukodystrophy caused by mutations in the aspartoacylase gene (ASPA), leading to loss of enzyme activity and increased concentrations of the substrate N-acetyl-aspartate (NAA) in the brain. Accumulation of NAA results in spongiform degeneration of white matter and severe impairment of psychomotor development. The goal of this prospective cohort study was to assess long-term safety and preliminary efficacy measures after gene therapy with an adeno-associated viral vector carrying the ASPA gene (AAV2-ASPA). Using noninvasive magnetic resonance imaging and standardized clinical rating scales, we observed Canavan disease in 28 patients, with a subset of 13 patients being treated with AAV2-ASPA. Each patient received 9 × 10(11) vector genomes via intraparenchymal delivery at six brain infusion sites. Safety data collected over a minimum 5-year follow-up period showed a lack of long-term adverse events related to the AAV2 vector. Posttreatment effects were analyzed using a generalized linear mixed model, which showed changes in predefined surrogate markers of disease progression and clinical assessment subscores. AAV2-ASPA gene therapy resulted in a decrease in elevated NAA in the brain and slowed progression of brain atrophy, with some improvement in seizure frequency and with stabilization of overall clinical status.

Indexed as

Genetic TherapyAspartic AcidBrainCanavan DiseaseChildChild, PreschoolHumansInfantProspective StudiesAspartic AcidN-acetylaspartate

Identifiers

PMID23253610
PMCPMC3794457
OpenAlexW2119934328

What OpenQuestion holds

Textmetadata
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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.