Evidence map›Paper›PMID 25105368›Full record

ArticleThe Journal of clinical investigation2014

Splice-correcting oligonucleotides restore BTK function in X-linked agammaglobulinemia model.

Burcu Bestas, Pedro M D Moreno, K Emelie M Blomberg, Dara K Mohammad, Amer F Saleh, Tolga Sutlu, Joel Z Nordin, Peter Guterstam, Manuela O Gustafsson, Shabnam Kharazi and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 47 citations in OpenAlex.

  1. Outcomes of X-Linked Agammaglobulinaemia Patients.Journal of clinical immunology · 2024
    Article
  2. Article
  3. Article
  4. Article
  5. 2'-Nucleic acid therapeutics · 2022
    Article
  6. Article
  7. Article
  8. Primary Immunodeficiencies: Diseases of Children and Adults - A Review.Advances in experimental medicine and biology · 2021
    Review
  9. Advances in oligonucleotide drug delivery.Nature reviews. Drug discovery · 2020
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Evolving Gene Therapy in Primary Immunodeficiency.Molecular therapy : the journal of the American Society of Gene Therapy · 2017
    Review
  19. Review
  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

21 authors at 11 institutions in 6 countries.

Burcu Bestas
Pedro M D Moreno
K Emelie M Blomberg
Dara K Mohammad
Amer F Saleh
Tolga Sutlu
Joel Z Nordin
Peter Guterstam
Manuela O Gustafsson
Shabnam Kharazi
Barbara Piątosa
Thomas C Roberts
Mark A Behlke
Matthew J A Wood
Michael J Gait
Karin E Lundin
Samir El Andaloussi
Robert Månsson
Anna Berglöf
Jesper Wengel
C I Edvard Smith
Karolinska Institutet · SEKarolinska University Hospital · SEUniversity of Oxford · GBCenter for Neuroscience and Regenerative Medicine · USChildren's Memorial Health Institute · PLIntegrated DNA Technologies (United States) · USMedical Research Council · GBMRC Laboratory of Molecular Biology · GBStockholm University · SEUniversidade do Porto · PTUniversity of Southern Denmark · DK

Funding

Medical Research Council G0900887Medical Research Council MC_U105178803Medical Research Council U105178803
6 · The paper itself

Abstract

X-linked agammaglobulinemia (XLA) is an inherited immunodeficiency that results from mutations within the gene encoding Bruton's tyrosine kinase (BTK). Many XLA-associated mutations affect splicing of BTK pre-mRNA and severely impair B cell development. Here, we assessed the potential of antisense, splice-correcting oligonucleotides (SCOs) targeting mutated BTK transcripts for treating XLA. Both the SCO structural design and chemical properties were optimized using 2'-O-methyl, locked nucleic acid, or phosphorodiamidate morpholino backbones. In order to have access to an animal model of XLA, we engineered a transgenic mouse that harbors a BAC with an authentic, mutated, splice-defective human BTK gene. BTK transgenic mice were bred onto a Btk knockout background to avoid interference of the orthologous mouse protein. Using this model, we determined that BTK-specific SCOs are able to correct aberrantly spliced BTK in B lymphocytes, including pro-B cells. Correction of BTK mRNA restored expression of functional protein, as shown both by enhanced lymphocyte survival and reestablished BTK activation upon B cell receptor stimulation. Furthermore, SCO treatment corrected splicing and restored BTK expression in primary cells from patients with XLA. Together, our data demonstrate that SCOs can restore BTK function and that BTK-targeting SCOs have potential as personalized medicine in patients with XLA.

Indexed as

RNA SplicingAgammaglobulinaemia Tyrosine KinaseAgammaglobulinemiaAnimalsB-LymphocytesCells, CulturedGenetic Diseases, X-LinkedHumansLuciferasesMice, TransgenicMonocytesOligonucleotidesProtein-Tyrosine KinasesAgammaglobulinaemia Tyrosine KinaseBTK protein, humanBtk protein, mouseLuciferasesOligonucleotidesProtein-Tyrosine Kinases

Identifiers

PMID25105368
PMCPMC4151202
OpenAlexW2152489410

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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.