Evidence map›Paper›PMID 24441399›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2014

Uncovering and dissecting the genotoxicity of self-inactivating lentiviral vectors in vivo.

Daniela Cesana, Marco Ranzani, Monica Volpin, Cynthia Bartholomae, Caroline Duros, Alexandre Artus, Stefania Merella, Fabrizio Benedicenti, Lucia Sergi Sergi, Francesca Sanvito and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
14.5field-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

120 citing papers in PubMed, 181 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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  5. Article
  6. The Role of CRISPR and Its Therapeutic Applications in Glioblastoma.International journal of molecular sciences · 2026
    Review
  7. Review
  8. Review
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  11. Article
  12. Review
  13. Article
  14. Review
  15. Response to: Safety and efficacy considerations of HSC-based gene therapy for RAG1-deficient SCID.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  16. The deLIVERed promises of gene therapy: Past, present, and future of liver-directed gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  17. Review
  18. Balancing efficacy and safety in lentiviral vector-mediated hematopoietic stem cell gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  19. RNA Structure: Past, Future, and Gene Therapy Applications.International journal of molecular sciences · 2024
    Review
  20. Review

60 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

19 authors at 5 institutions in 3 countries.

Daniela CesanaSan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy.
Marco RanzaniSan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy.
Monica Volpin1] San Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy [2] Vita Salute San Raffaele University, Milan, Italy.
Cynthia BartholomaeNational Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany.
Caroline DurosLaboratory of Biotechnology and Applied Pharmacogenetics, Ecole Normale Supérieure de Cachan, Cachan, France.
Alexandre ArtusLaboratory of Biotechnology and Applied Pharmacogenetics, Ecole Normale Supérieure de Cachan, Cachan, France.
Stefania Merella1] San Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy [2] Current address: Center for Translational Genomics and Bioinformatics, San Raffaele Scientific Institute, Milan, Italy.
Fabrizio BenedicentiSan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy.
Lucia Sergi SergiSan Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy.
Francesca SanvitoDepartment of Pathology, San Raffaele Scientific Institute, Milan, Italy.
Chiara BrombinUniversity Centre of Statistics for Biomedical Sciences, Vita Salute San Raffaele University, Milan, Italy.
Alessandro NonisUniversity Centre of Statistics for Biomedical Sciences, Vita Salute San Raffaele University, Milan, Italy.
Clelia Di SerioUniversity Centre of Statistics for Biomedical Sciences, Vita Salute San Raffaele University, Milan, Italy.
Claudio DoglioniDepartment of Pathology, San Raffaele Scientific Institute, Milan, Italy.
Christof von KalleNational Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany.
Manfred SchmidtNational Center for Tumor Diseases and German Cancer Research Center, Heidelberg, Germany.
Odile Cohen-Haguenauer1] Laboratory of Biotechnology and Applied Pharmacogenetics, Ecole Normale Supérieure de Cachan, Cachan, France [2] Department of Medical Oncology, Hospital Saint-Louis, Paris, France.
Luigi Naldini1] San Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy [2] Vita Salute San Raffaele University, Milan, Italy.
Eugenio Montini1] San Raffaele Telethon Institute for Gene Therapy, San Raffaele Scientific Institute, Milan, Italy [2] Vita Salute San Raffaele University, Milan, Italy.
Vita-Salute San Raffaele University · ITThe San Raffaele Telethon Institute for Gene Therapy · ITHeidelberg University · DESan Raffaele University of Rome · ITHôpital Saint-Louis · FR

Funding

Telethon TGT11D01Worldwide Cancer Research 09-0784
6 · The paper itself

Abstract

Self-inactivating (SIN) lentiviral vectors (LV) have an excellent therapeutic potential as demonstrated in preclinical studies and clinical trials. However, weaker mechanisms of insertional mutagenesis could still pose a significant risk in clinical applications. Taking advantage of novel in vivo genotoxicity assays, we tested a battery of LV constructs, including some with clinically relevant designs, and found that oncogene activation by promoter insertion is the most powerful mechanism of early vector-induced oncogenesis. SIN LVs disabled in their capacity to activate oncogenes by promoter insertion were less genotoxic and induced tumors by enhancer-mediated activation of oncogenes with efficiency that was proportional to the strength of the promoter used. On the other hand, when enhancer activity was reduced by using moderate promoters, oncogenesis by inactivation of tumor suppressor gene was revealed. This mechanism becomes predominant when the enhancer activity of the internal promoter is shielded by the presence of a synthetic chromatin insulator cassette. Our data provide both mechanistic insights and quantitative readouts of vector-mediated genotoxicity, allowing a relative ranking of different vectors according to these features, and inform current and future choices of vector design with increasing biosafety.

Indexed as

Genetic TherapyCarcinogenesisGenetic VectorsHumansLentivirusMutagenesis, InsertionalPromoter Regions, Genetic

Identifiers

PMID24441399
PMCPMC3982501
OpenAlexW2003934533

What OpenQuestion holds

Textmetadata
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.