Evidence map›Paper›PMID 27036983›Full record

ArticleHuman gene therapy2016

Preclinical Dose-Escalation Study of Intravitreal AAV-RS1 Gene Therapy in a Mouse Model of X-linked Retinoschisis: Dose-Dependent Expression and Improved Retinal Structure and Function.

Ronald A Bush, Yong Zeng, Peter Colosi, Sten Kjellstrom, Suja Hiriyanna, Camasamudram Vijayasarathy, Maria Santos, Jinbo Li, Zhijian Wu, Paul A Sieving

Open access · greenAbstract read
In one paragraph

Article in Human gene therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Intravitreal adenine base editing of RS1 improves vision in a preclinical mouse model of retinoschisis.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  8. Rekindling Vision: Innovative Strategies for Treating Retinal Degeneration.International journal of molecular sciences · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Diurnal functional and anatomical changes in X-linked retinoschisis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
    Article
  18. Review
  19. X-Linked Retinoschisis.Cold Spring Harbor perspectives in medicine · 2023
    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

10 authors at 3 institutions in 2 countries.

Ronald A Bush1 National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda, Maryland.
Yong Zeng1 National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda, Maryland.
Peter Colosi2 National Eye Institute, National Institutes of Health , Bethesda, Maryland.
Sten Kjellstrom1 National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda, Maryland.
Suja Hiriyanna2 National Eye Institute, National Institutes of Health , Bethesda, Maryland.
Camasamudram Vijayasarathy1 National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda, Maryland.
Maria Santos2 National Eye Institute, National Institutes of Health , Bethesda, Maryland.
Jinbo Li1 National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda, Maryland.
Zhijian Wu2 National Eye Institute, National Institutes of Health , Bethesda, Maryland.
Paul A Sieving1 National Institute on Deafness and Other Communication Disorders, National Institutes of Health , Bethesda, Maryland.
National Institute on Deafness and Other Communication Disorders · USNational Institutes of Health · USNational Eye Institute · US

Funding

Retinal Gene TherapyZIAEY000443 · NEI · NATIONAL EYE INSTITUTE · PI LI, TIANSEN · 2009 to 2020
$8.4M
Preclinical and Clinical Development of Treatment for X-linked RetinoschisisZIADC000065 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI SIEVING, PAUL · 2009 to 2019
$5.7M
Pathophysiology and Treatment of Retinal Degenerations in Animal ModelsZIADC000077 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI SIEVING, PAUL · 2009 to 2019
$3.2M
Intramural NIH HHS
6 · The paper itself

Abstract

Gene therapy for inherited retinal diseases has been shown to ameliorate functional and structural defects in both animal models and in human clinical trials. X-linked retinoschisis (XLRS) is an early-age onset macular dystrophy resulting from loss of an extracellular matrix protein (RS1). In preparation for a human clinical gene therapy trial, we conducted a dose-range efficacy study of the clinical vector, a self-complementary AAV delivering a human retinoschisin (RS1) gene under control of the RS1 promoter and an interphotoreceptor binding protein enhancer (AAV8-scRS/IRBPhRS), in the retinoschisin knockout (Rs1-KO) mouse. The therapeutic vector at 1 × 10(6) to 2.5 × 10(9) (1E6-2.5E9) vector genomes (vg)/eye or vehicle was administered to one eye of 229 male Rs1-KO mice by intravitreal injection at 22 ± 3 days postnatal age (PN). Analysis of retinal function (dark-adapted electroretinogram, ERG), structure (cavities and outer nuclear layer thickness) by in vivo retinal imaging using optical coherence tomography, and retinal immunohistochemistry (IHC) for RS1 was done 3-4 months and/or 6-9 months postinjection (PI). RS1 IHC staining was dose dependent across doses ≥1E7 vg/eye, and the threshold for significant improvement in all measures of retinal structure and function was 1E8 vg/eye. Higher doses, however, did not produce additional improvement. At all doses showing efficacy, RS1 staining in Rs1-KO mouse was less than that in wild-type mice. Improvement in the ERG and RS1 staining was unchanged or greater at 6-9 months than at 3-4 months PI. This study demonstrates that vitreal administration of AAV8 scRS/IRBPhRS produces significant improvement in retinal structure and function in the mouse model of XLRS over a vector dose range that can be extended to a human trial. It indicates that a fully normal level of RS1 expression is not necessary for a therapeutic effect.

Indexed as

Genes, X-LinkedGenetic TherapyAnimalsCell Adhesion MoleculesDependovirusDisease Models, AnimalElectroretinographyEye ProteinsGene ExpressionGenetic VectorsImmunohistochemistryIntravitreal InjectionsMaleMiceMice, KnockoutRetinaCell Adhesion MoleculesEye ProteinsRS1 protein, mouse

Identifiers

PMID27036983
PMCPMC4840830
OpenAlexW2318885789

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.