Evidence map›Paper›PMID 24637359›Full record

ArticleBlood2014

Computationally designed liver-specific transcriptional modules and hyperactive factor IX improve hepatic gene therapy.

Nisha Nair, Melvin Y Rincon, Hanneke Evens, Shilpita Sarcar, Sumitava Dastidar, Emira Samara-Kuko, Omid Ghandeharian, Hiu Man Viecelli, Beat Thöny, Pieter De Bleser and 2 more

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2014. 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 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
7.2field-weighted citation impact, top 3% 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

52 citing papers in PubMed, 80 citations in OpenAlex.

  1. Trial
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  6. Identification of a robust promoter in mouse and human hepatocytes by in vivo biopanning of a barcoded AAV library.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
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  12. State-of-the-art 2023 on gene therapy for phenylketonuria.Journal of inherited metabolic disease · 2024
    Review
  13. Article
  14. Intrabiliary infusion of naked DNA vectors targets periportal hepatocytes in mice.Molecular therapy. Methods & clinical development · 2022
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Nisha NairDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium;
Melvin Y RinconDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium; Center for Molecular and Vascular Biology, Department of Cardiovascular Medicine, University of Leuven, Leuven, Belgium;
Hanneke EvensDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium;
Shilpita SarcarDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium;
Sumitava DastidarDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium;
Emira Samara-KukoDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium;
Omid GhandeharianDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium;
Hiu Man ViecelliDepartment of Pediatrics, Division of Metabolism, University of Zurich, Zurich, Switzerland; and.
Beat ThönyDepartment of Pediatrics, Division of Metabolism, University of Zurich, Zurich, Switzerland; and.
Pieter De BleserInflammation Research Center, Vlaams Instituut voor Biotechnologie, and Department of Biomedical Molecular Biology, Ghent University, Ghent, Belgium.
Thierry VandenDriesscheDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium; Center for Molecular and Vascular Biology, Department of Cardiovascular Medicine, University of Leuven, Leuven, Belgium;
Marinee K ChuahDepartment of Gene Therapy and Regenerative Medicine, Free University of Brussels, Brussels, Belgium; Center for Molecular and Vascular Biology, Department of Cardiovascular Medicine, University of Leuven, Leuven, Belgium;
KU Leuven · BEUniversity of Zurich · CHGhent University · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The development of the next-generation gene therapy vectors for hemophilia requires using lower and thus potentially safer vector doses and augmenting their therapeutic efficacy. We have identified hepatocyte-specific transcriptional cis-regulatory modules (CRMs) by using a computational strategy that increased factor IX (FIX) levels 11- to 15-fold. Vector efficacy could be enhanced by combining these hepatocyte-specific CRMs with a synthetic codon-optimized hyperfunctional FIX-R338L Padua transgene. This Padua mutation boosted FIX activity up to sevenfold, with no apparent increase in thrombotic risk. We then validated this combination approach using self-complementary adenoassociated virus serotype 9 (scAAV9) vectors in hemophilia B mice. This resulted in sustained supraphysiologic FIX activity (400%), correction of the bleeding diathesis at clinically relevant, low vector doses (5 × 10(10) vector genomes [vg]/kg) that are considered safe in patients undergoing gene therapy. Moreover, immune tolerance could be induced that precluded induction of inhibitory antibodies to FIX upon immunization with recombinant FIX protein.

Indexed as

Regulatory Elements, TranscriptionalAnimalsBase SequenceComputational BiologyDependovirusFactor IXGenetic TherapyGenetic VectorsHemophilia BHepatocytesHumansLiverMiceMolecular Sequence DataTransgenesFactor IX

Identifiers

PMID24637359
PMCPMC4023424
OpenAlexW2052671219

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.