Evidence map›Paper›PMID 25072305›Full record

ArticleHuman gene therapy2014

Life-long correction of hyperbilirubinemia with a neonatal liver-specific AAV-mediated gene transfer in a lethal mouse model of Crigler-Najjar Syndrome.

Giulia Bortolussi, Lorena Zentillin, Jana Vaníkova, Luka Bockor, Cristina Bellarosa, Antonio Mancarella, Eleonora Vianello, Claudio Tiribelli, Mauro Giacca, Libor Vitek and 1 more

Open access · hybridAbstract 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 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
7.6field-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

54 citing papers in PubMed, 81 citations in OpenAlex.

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  5. Gene Therapy for Inherited Liver Disease: To Add or to Edit.International journal of molecular sciences · 2024
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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

11 authors at 4 institutions in 2 countries.

Giulia Bortolussi1 International Centre for Genetic Engineering and Biotechnology , 34149 Trieste, Italy .
Lorena Zentillin
Jana Vaníkova
Luka Bockor
Cristina Bellarosa
Antonio Mancarella
Eleonora Vianello
Claudio Tiribelli
Mauro Giacca
Libor Vitek
Andrés F Muro
International Centre for Genetic Engineering and Biotechnology · ITFondazione Italiana Fegato · ITCharles University · CZUniversity of Trieste · IT

Funding

Telethon GGP10051
6 · The paper itself

Abstract

Null mutations in the UGT1A1 gene result in Crigler-Najjar syndrome type I (CNSI), characterized by severe hyperbilirubinemia and constant risk of developing neurological damage. Phototherapy treatment lowers plasma bilirubin levels, but its efficacy is limited and liver transplantation is required. To find alternative therapies, we applied AAV liver-specific gene therapy to a lethal mouse model of CNSI. We demonstrated that a single neonatal hUGT1A1 gene transfer was successful and the therapeutic effect lasted up to 17 months postinjection. The therapeutic effect was mediated by the presence of transcriptionally active double-stranded episomes. We also compared the efficacy of two different gene therapy approaches: liver versus skeletal muscle transgene expression. We observed that 5-8% of normal liver expression and activity levels were sufficient to significantly reduce bilirubin levels and maintain lifelong low plasma bilirubin concentration (3.1±1.5 mg/dl). In contrast, skeletal muscle was not able to efficiently lower bilirubin (6.4±2.0 mg/dl), despite 20-30% of hUgt1a1 expression levels, compared with normal liver. We propose that this remarkable difference in gene therapy efficacy could be related to the absence of the Mrp2 and Mrp3 transporters of conjugated bilirubin in muscle. Taken together, our data support the concept that liver is the best organ for efficient and long-term CNSI gene therapy, and suggest that the use of extra-hepatic tissues should be coupled to the presence of bilirubin transporters.

Indexed as

Gene Transfer TechniquesAnimalsAnimals, NewbornBilirubinBlotting, SouthernBlotting, WesternCrigler-Najjar SyndromeDependovirusGenetic TherapyGenetic VectorsGlucuronosyltransferaseLiverMiceMuscle, SkeletalReal-Time Polymerase Chain ReactionReverse Transcriptase Polymerase Chain ReactionBilirubinGlucuronosyltransferaseSerum AlbuminUGT1A1 Enzyme

Identifiers

PMID25072305
PMCPMC4175423
OpenAlexW2007427267

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.