Evidence map›Paper›PMID 24580018›Full record

ArticleHuman gene therapy2014

Full-length dystrophin reconstitution with adeno-associated viral vectors.

William Lostal, Kasun Kodippili, Yongping Yue, Dongsheng Duan

Abstract read
In one paragraph

Article in Human gene therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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

38 citing papers in PubMed.

  1. Article
  2. The road toward AAV-mediated gene therapy of Duchenne muscular dystrophy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  3. Article
  4. Full-length dystrophin gene therapy for Duchenne muscular dystrophy.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. AAV vectors: The Rubik's cube of human gene therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Review
  12. Article
  13. Review
  14. Review
  15. DualHuman gene therapy · 2019
    Article
  16. Development of Novel Micro-dystrophins with Enhanced Functionality.Molecular therapy : the journal of the American Society of Gene Therapy · 2019
    Article
  17. Nanotherapy for Duchenne muscular dystrophy.Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology · 2018
    Review
  18. Article
  19. Triple Vectors Expand AAV Transfer Capacity in the Retina.Molecular therapy : the journal of the American Society of Gene Therapy · 2018
    Article
  20. Review
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

4 authors.

William Lostal1 Department of Molecular Microbiology and Immunology, School of Medicine, University of Missouri , Columbia, MO 65212.
Kasun Kodippili
Yongping Yue
Dongsheng Duan

Funding

Dual AAV Vectors for Duchenne Muscular Dystrophy TherapyR01AR049419 · NIAMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI DUAN, DONGSHENG · 2003 to 2012
$4.1M
Duchenne Cardiomyopathy Gene TherapyR01HL091883 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI DUAN, DONGSHENG · 2010 to 2013
$2.0M
Expressing full-length dystrophin with AAVR21NS062934 · NINDS · UNIVERSITY OF MISSOURI-COLUMBIA · PI DUAN, DONGSHENG · 2008 to 2009
$360k
NHLBI NIH HHS HL-91883NHLBI NIH HHS R01 HL091883NIAMS NIH HHS AR-49419NIAMS NIH HHS R01 AR049419NINDS NIH HHS NS-62934
6 · The paper itself

Abstract

Duchenne muscular dystrophy (DMD) is the most common lethal muscle disorder in children. It is caused by mutations of the dystrophin gene. Adeno-associated virus (AAV)-mediated gene replacement therapy has been actively pursued to treat DMD. However, this promising therapeutic modality has been challenged by the small packaging capacity of the AAV vector. The size of the full-length dystrophin cDNA is >11 kb, while an AAV virus can carry only a 5 kb genome. Innovative high-capacity AAV vectors may offer an opportunity to express the full-length dystrophin coding sequence. Here we describe several sets of tri-AAV vectors for full-length human dystrophin delivery. In each set, the full-length human dystrophin cDNA was split into three fragments and independently packaged into separate recombinant AAV vectors. Each vector was engineered with unique recombination signals for directional recombination. Tri-AAV vectors were coinjected into the tibialis anterior muscle of dystrophin-deficient mdx4cv mice. Thirty-five days after injection, dystrophin expression was examined by immunofluorescence staining. Despite low reconstitution efficiency, full-length human dystrophin was successfully expressed from the tri-AAV vectors. Our results suggest that AAV can be engineered to express an extra-large (up to 15 kb) gene that is approximately three times the size of the wild-type AAV genome. Further optimization of the trivector strategy may expand the utility of AAV for human gene therapy.

Indexed as

AnimalsCell Line, TumorCloning, MolecularDependovirusDystrophinGene ExpressionGenetic TherapyGenetic VectorsHumansMaleMice, Inbred mdxMuscle, SkeletalMuscular Dystrophy, DuchenneRecombinant ProteinsTransduction, GeneticDystrophinRecombinant Proteins

Identifiers

PMID24580018
PMCPMC4064726

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Registered trials

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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.