Evidence map›Paper›PMID 23303281›Full record

ArticleGene therapy2013

Global CNS gene delivery and evasion of anti-AAV-neutralizing antibodies by intrathecal AAV administration in non-human primates.

S J Gray, S Nagabhushan Kalburgi, T J McCown, R Jude Samulski

Erratum issuedAbstract read
In one paragraph

Article in Gene therapy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 249 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
249citing papers in PubMed, 1 pooled it
22.0field-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

249 citing papers in PubMed, 1 synthesis or guideline pooled it, 364 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Biologic Therapies for Alleviating Neurodegeneration in Lysosomal Storage Diseases.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  5. Article
  6. Article
  7. Intra-CNS AAV9-Molecular therapy. Advances · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Safety considerations of gene-based therapies for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  12. Challenging the more-is-better dogma: A precision-optimized AAV gene therapy for SMA.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  13. Review
  14. Targeting Neurovascular Pathways: Gene Therapy as a Novel Treatment for Vascular Dementia After Stroke.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
    Review
  15. Article
  16. Immune Toxicities in AAV Gene Therapy: Overview for Clinicians.International journal of molecular sciences · 2026
    Review
  17. Article
  18. Article
  19. Genetic therapies for neurological diseases.Pharmacological reviews · 2026
    Review
  20. Review

189 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

S J GrayGene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7352, USA. graysj@email.unc.edu
S Nagabhushan Kalburgi
T J McCown
R Jude Samulski
University of North Carolina at Chapel Hill · US

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
Training & EducationU54AR056953 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI POWERS, WILLIAM J · 2008 to 2012
$7.1M
Rational and Combinatorial Engineering of AAV VectorsR01AI072176 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HIRSCH, MATTHEW LOUIS, SAMULSKI, RICHARD J · 2008 to 2017
$3.7M
GENE THERAPY AND SEIZURESR01NS035633 · NINDS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MCCOWN, THOMAS J. · 1997 to 2011
$2.8M
Preclinical Development of AAV-Galanin for EpilepsyR43NS063611 · NINDS · ASKLEPIOS BIOPHARMACEUTICAL, INC. · PI MCPHEE, SCOTT WILLIAM JOHN · 2008 to 2008
$284k
NCRR NIH HHS UL1 RR025747NCRR NIH HHS UL1RR025747NIAID NIH HHS 5R01AI072176-05NIAID NIH HHS R01 AI072176NIAMS NIH HHS U54 AR056953NIAMS NIH HHS U54-AR056953NINDS NIH HHS NS35633NINDS NIH HHS R43 NS063611
6 · The paper itself

Abstract

Injection of adeno-associated virus (AAV) into the cerebrospinal fluid (CSF) offers a means to achieve widespread transgene delivery to the central nervous system, where the doses can be readily translated from small to large animals. In contrast to studies with other serotypes (AAV2, AAV4 and AAV5) in rodents, we report that a naturally occurring capsid (AAV9) and rationally engineered capsid (AAV2.5) are able to achieve broad transduction throughout the brain and spinal cord parenchyma following a single injection into the CSF (via cisterna magna or lumbar cistern) in non-human primates (NHP). Using either vector at a dose of ∼2 × 10(12) vector genome (vg) per 3-6 kg animal, approximately 2% of the entire brain and spinal cord was transduced, covering all regions of the central nervous system (CNS). AAV9 in particular displayed efficient transduction of spinal cord motor neurons. The peripheral organ biodistribution was highly reduced compared with intravascular delivery, and the presence of circulating anti-AAV-neutralizing antibodies up to a 1:128 titer had no inhibitory effect on CNS gene transfer. Intra-CSF delivery effectively translates from rodents to NHPs, which provides encouragement for the use of this approach in humans to treat motor neuron and lysosomal storage diseases.

Indexed as

AnimalsAntibodies, NeutralizingBlood VesselsBrainDependovirusGenetic VectorsInjections, SpinalMacaca fascicularisMiceMice, Inbred BALB CMotor NeuronsRatsRats, Sprague-DawleySpinal CordTissue DistributionTransduction, GeneticAntibodies, Neutralizing

Identifiers

PMID23303281
PMCPMC3618620
OpenAlexW2092757238

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.