Evidence map›Paper›PMID 23666780›Full record

ArticleThe journal of gene medicine

In vivo protection of activated Tyr22-dihydrofolate reductase gene-modified canine T lymphocytes from methotrexate.

Jennifer L Gori, Brian C Beard, Nathaniel P Williams, Christina Ironside, Debra Swanson, R Scott McIvor, Hans-Peter Kiem

Open access · bronzeAbstract read
In one paragraph

Article in The journal of gene medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. 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

7 authors at 3 institutions in 1 country.

Jennifer L GoriClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Brian C Beard
Nathaniel P Williams
Christina Ironside
Debra Swanson
R Scott McIvor
Hans-Peter Kiem
Fred Hutch Cancer Center · USUniversity of Minnesota · USUniversity of Washington · US

Funding

UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RAWLINGS, DAVID J · 1986 to 2010
$25.9M
CORE--VECTOR PRODUCTIONP30DK056465 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HEIMFELD, SHELLY · 1999 to 2014
$14.9M
METHOTREXATE--RESISTANCE GENE EXPRESSIONR01CA060803 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MCIVOR, R. SCOTT · 1993 to 2008
$2.4M
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
NCI NIH HHS CA060803NCI NIH HHS R01 CA060803NHLBI NIH HHS P01 HL036444NHLBI NIH HHS P01HL036444NHLBI NIH HHS R01 HL074162NHLBI NIH HHS R01HL074162NIDDK NIH HHS P30 DK056465NIDDK NIH HHS P30DK056465
6 · The paper itself

Abstract

backgroundNonmyeloablative allogeneic hematopoietic stem cell (HSC) transplantation can cure malignant and nonmalignant diseases affecting the hematopoietic system, such as severe combined immunodeficiencies, aplastic anemia and hemoglobinopathies. Although nonmyeloablative is favored over myeloablative transplantation for many patients, graft rejection remains problematic. One strategy for decreasing rejection is to protect donor activated T cells in the graft from methotrexate (MTX) by genetically modifying the cells to express MTX-resistant dihydrofolate reductase (Tyr22-DHFR), leaving the immunosuppressive effects of MTX to act solely on activated host T lymphocytes, shifting the balance to favor allogeneic engraftment.

methodsTo evaluate MTX resistance of Tyr22-DHFR(+) T lymphocytes in vivo, we transplanted dogs with autologous CD34(+) cells modified with yellow fluorescent protein (YFP) and DHFR-green fluorescent protein (GFP) lentivirus vectors. Dogs were then treated with a standard MTX regimen days 1, 3, 6 and 11) following immune activation with a foreign antigen as a surrogate assay to mimic early transplantation.

resultsDHFR-GFP(+) gene marking was maintained in CD3(+) CD25(+) and CD4(+) T lymphocytes after MTX treatment, whereas the level of T lymphocytes that expressed only a fluorescent reporter (YFP(+) ) decreased. These data show that Tyr22-DHFR expression protects T lymphocytes from MTX toxicity in dogs, highlighting a clinically relevant application for preserving donor T lymphocytes during post-transplantation immunosuppression.

conclusionsThe findings of the present study have implications for the clinical translation of MTX-resistant T cells to facilitate engraftment of allogeneic cells following nonmyeloablative conditioning and to minimize the risk of rejection. In summary, Tyr22-DHFR expression in T lymphocytes provides chemoprotection from MTX-mediated elimination in the context of immune activation in vivo.

Indexed as

AnimalsDogsDrug ResistanceEnzyme InhibitorsFlow CytometryHematopoietic Stem Cell TransplantationMethotrexatePolymerase Chain ReactionSheepTetrahydrofolate DehydrogenaseT-LymphocytesEnzyme InhibitorsMethotrexateTetrahydrofolate Dehydrogenaseanimal modelchemotherapydrug resistancegene therapytransplantationviral vector

Identifiers

PMID23666780
PMCPMC3886817
OpenAlexW1573161554

What OpenQuestion holds

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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.