Evidence map›Paper›PMID 26420842›Full record

ArticleHuman molecular genetics2015

Improved dual AAV vectors with reduced expression of truncated proteins are safe and effective in the retina of a mouse model of Stargardt disease.

Ivana Trapani, Elisabetta Toriello, Sonia de Simone, Pasqualina Colella, Carolina Iodice, Elena V Polishchuk, Andrea Sommella, Linda Colecchi, Settimio Rossi, Francesca Simonelli and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Human molecular genetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Uncovering mitochondrial defects in photoreceptors opens therapeutic opportunities for Stargardt disease.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Genetic engineering and the eye.Eye (London, England) · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Bioengineering strategies for restoring vision.Nature biomedical engineering · 2023
    Review
  18. Article
  19. Developing New Vectors for Retinal Gene Therapy.Cold Spring Harbor perspectives in medicine · 2023
    Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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

14 authors at 4 institutions in 1 country.

Ivana TrapaniTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Elisabetta TorielloTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Sonia de SimoneTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Pasqualina ColellaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Carolina IodiceTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Elena V PolishchukTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Andrea SommellaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Linda ColecchiTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Settimio RossiEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, 80121, Naples, Italy.
Francesca SimonelliEye Clinic, Multidisciplinary Department of Medical, Surgical and Dental Sciences, Second University of Naples, 80121, Naples, Italy.
Massimo GiuntiDepartment of Veterinary Medical Sciences, University of Bologna, Bologna 40064, Italy and.
Maria L BacciDepartment of Veterinary Medical Sciences, University of Bologna, Bologna 40064, Italy and.
Roman S PolishchukTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy.
Alberto AuricchioTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli 80078, Italy, Medical Genetics, Department of Translational Medicine, Federico II University, Naples 80131, Italy auricchio@tigem.it.
Telethon Institute Of Genetics And Medicine · ITUniversity of Bologna · ITUniversity of Campania "Luigi Vanvitelli" · ITFederico II University Hospital · IT

Funding

Telethon TGM11MT1
6 · The paper itself

Abstract

Stargardt disease (STGD1) due to mutations in the large ABCA4 gene is the most common inherited macular degeneration in humans. We have shown that dual adeno-associated viral (AAV) vectors effectively transfer ABCA4 to the retina of Abca4-/- mice. However, they express both lower levels of transgene compared with a single AAV and truncated proteins. To increase productive dual AAV concatemerization, which would overcome these limitations, we have explored the use of either various regions of homology or heterologous inverted terminal repeats (ITR). In addition, we tested the ability of various degradation signals to decrease the expression of truncated proteins. We found the highest levels of transgene expression using regions of homology based on either alkaline phosphatase or the F1 phage (AK). The use of heterologous ITR does not decrease the levels of truncated proteins relative to full-length ABCA4 and impairs AAV vector production. Conversely, the inclusion of the CL1 degradation signal results in the selective degradation of truncated proteins from the 5'-half without affecting full-length protein production. Therefore, we developed dual AAV hybrid ABCA4 vectors including homologous ITR2, the photoreceptor-specific G protein-coupled receptor kinase 1 promoter, the AK region of homology and the CL1 degradation signal. We show that upon subretinal administration these vectors are both safe in pigs and effective in Abca4-/- mice. Our data support the use of improved dual AAV vectors for gene therapy of STGD1.

Indexed as

Genetic VectorsAdministration, OphthalmicAnimalsATP-Binding Cassette TransportersDependovirusDisease Models, AnimalFemaleGenetic TherapyHEK293 CellsHumansMacular DegenerationMiceRetinaStargardt DiseaseSwineTerminal Repeat SequencesABCA4 protein, humanATP-Binding Cassette Transporters

Identifiers

PMID26420842
PMCPMC4634381
OpenAlexW2172376325

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.