Evidence map›Paper›PMID 24931217›Full record

ArticleJournal of thrombosis and haemostasis : JTH2014

In vivo enrichment of genetically manipulated platelets corrects the murine hemophilic phenotype and induces immune tolerance even using a low multiplicity of infection.

J A Schroeder, Y Chen, J Fang, D A Wilcox, Q Shi

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

30 citing papers in PubMed, 36 citations in OpenAlex.

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  14. Article
  15. Escape or Fight: Inhibitors in Hemophilia A.Frontiers in immunology · 2020
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Platelet-Targeted Gene Therapy for Hemophilia.Molecular therapy. Methods & clinical development · 2018
    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

5 authors at 3 institutions in 2 countries.

J A SchroederDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA; Blood Research Institute, BloodCenter of Wisconsin, Milwaukee, WI, USA; Children's Research Institute, Children's Hospital of Wisconsin, Milwaukee, WI, USA.
Y Chen
J Fang
D A Wilcox
Q Shi
Children's Hospital of Wisconsin · USFujian Medical University · CNMedical College of Wisconsin · US

Funding

Platelet-Derived FVIII Gene Therapy of Hemophilia AR01HL102035 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Qizhen Shi · 2010 to 2026
$7.0M
Therapeutic-Expression of a Platelet-Specific IntegrinR01HL068138 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI WILCOX, DAVID ALLEN · 2002 to 2010
$2.4M
NHLBI NIH HHS HL-102035NHLBI NIH HHS HL-68138NHLBI NIH HHS R01 HL068138NHLBI NIH HHS R01 HL102035
6 · The paper itself

Abstract

backgroundOur previous studies have demonstrated that platelet-specific gene delivery to hematopoietic stem cells can induce sustained therapeutic levels of platelet factor VIII (FVIII) expression in mice with hemophilia A.

objectiveIn this study, we aimed to enhance platelet FVIII expression while minimizing potential toxicities.

methodsA novel lentiviral vector (LV), which harbors dual genes, the FVIII gene driven by the αIIb promoter (2bF8) and a drug-resistance gene, the MGMT(P140K) cassette, was constructed. Platelet FVIII expression in mice with hemophilia A was introduced by transduction of hematopoietic stem cells and transplantation. The recipients were treated with O(6)-benzylguanine followed by 1,3-bis-2 chloroethyl-1-nitrosourea monthly three or four times. Animals were analyzed by using polymerase chain reaction (PCR), quantitative PCR, FVIII:C assays, and inhibitor assays. Phenotypic correction was assessed by tail clipping tests and rotational thromboelastometry analysis.

resultsEven using a low multiplicity of infection of 1 and a non-myeloablative conditioning regimen, after in vivo selection, the levels of platelet FVIII expression in recipients increased to 4.33 ± 5.48 mU per 10(8) platelets (n = 16), which were 19.7-fold higher than the levels obtained from the recipients before treatment. Quantitative PCR results confirmed that 2bF8/MGMT-LV-transduced cells were effectively enriched after drug-selective treatment. Fifteen of 16 treated animals survived tail clipping. Blood loss and whole blood clotting time were normalized in the treated recipients. Notably, no anti-FVIII antibodies were detected in the treated animals even after recombinant human B-domain deleted FVIII challenge.

conclusionwe have established an effective in vivo selective system that allows us to enrich 2bF8LV-transduced cells, enhancing platelet FVIII expression while reducing the potential toxicities associated with platelet gene therapy.

Indexed as

Genetic EngineeringAnimalsBlood PlateletsBone Marrow TransplantationDisease Models, AnimalDNA Modification MethylasesDNA Repair EnzymesEnzyme-Linked Immunosorbent AssayHemophilia AImmune ToleranceMiceMice, Inbred C57BLPhenotypeTransgenesTumor Suppressor ProteinsDNA Modification MethylasesDNA Repair EnzymesMGMT protein, mouseTumor Suppressor Proteinsblood plateletfactor VIIIgenetic therapyhemophilia Aimmune tolerance

Identifiers

PMID24931217
PMCPMC4127102
OpenAlexW2051711501

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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.