Evidence map›Paper›PMID 25953425›Full record

ArticleHuman gene therapy2015

High-Pressure Transvenous Perfusion of the Upper Extremity in Human Muscular Dystrophy: A Safety Study with 0.9% Saline.

Zheng Fan, Keith Kocis, Robert Valley, James F Howard, Manisha Chopra, Yasheng Chen, Hongyu An, Weili Lin, Joseph Muenzer, William Powers

Open access · greenAbstract readSeminal Article
In one paragraph

Article in Human gene therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Plasmid-Mediated Gene Therapy in Mouse Models of Limb Girdle Muscular Dystrophy.Molecular therapy. Methods & clinical development · 2019
    Article
  8. Article
  9. An Isolated Limb Infusion Method Allows for Broad Distribution of rAAVrh74.MCK.Molecular therapy. Methods & clinical development · 2018
    Article
  10. DNA-Mediated Gene Therapy in a Mouse Model of Limb Girdle Muscular Dystrophy 2B.Molecular therapy. Methods & clinical development · 2017
    Article
  11. Article
  12. Review
  13. Review
  14. 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

10 authors at 1 institution in 1 country.

Zheng Fan1 Department of Neurology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Keith Kocis2 Wellstone Muscular Dystrophy Cooperative Research Center, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Robert Valley3 Department of Pediatrics, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
James F Howard1 Department of Neurology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Manisha Chopra1 Department of Neurology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Yasheng Chen5 Department of Radiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Hongyu An5 Department of Radiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Weili Lin5 Department of Radiology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
Joseph Muenzer2 Wellstone Muscular Dystrophy Cooperative Research Center, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
William Powers1 Department of Neurology, University of North Carolina at Chapel Hill , Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · US

Funding

Training & EducationU54AR056953 · NIAMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SAMULSKI, RICHARD J · 2008 to 2012
$7.1M
NIAMS NIH HHS 1U54AR056953-01DENIAMS NIH HHS U54 AR056953
6 · The paper itself

Abstract

We evaluated safety and feasibility of high-pressure transvenous limb perfusion in an upper extremity of adult patients with muscular dystrophy, after completing a similar study in a lower extremity. A dose escalation study of single-limb perfusion with 0.9% saline was carried out in nine adults with muscular dystrophies under intravenous analgesia. Our study demonstrates that it is feasible and definitely safe to perform high-pressure transvenous perfusion with 0.9% saline up to 35% of limb volume in the upper extremities of young adults with muscular dystrophy. Perfusion at 40% limb volume is associated with short-lived physiological changes in peripheral nerves without clinical correlates in one subject. This study provides the basis for a phase 1/2 clinical trial using pressurized transvenous delivery into upper limbs of nonambulatory patients with Duchenne muscular dystrophy. Furthermore, our results are applicable to other conditions such as limb girdle muscular dystrophy as a method for delivering regional macromolecular therapeutics in high dose to skeletal muscles of the upper extremity.

Indexed as

AdultFemaleGenetic TherapyGene Transfer TechniquesHumansMaleMiddle AgedMuscular Dystrophy, DuchennePerfusionPressureSodium ChlorideTreatment OutcomeYoung AdultSodium Chloride

Identifiers

PMID25953425
PMCPMC4575535
OpenAlexW2213219615

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.