Evidence map›Paper›PMID 27299299›Full record

ArticleAmerican journal of hematology2016

Mathematical modeling of erythrocyte chimerism informs genetic intervention strategies for sickle cell disease.

Philipp M Altrock, Christian Brendel, Raffaele Renella, Stuart H Orkin, David A Williams, Franziska Michor

Open access · greenAbstract read
In one paragraph

Article in American journal of hematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Post-Transcriptional Genetic Silencing ofThe New England journal of medicine · 2021
    Trial
  3. Article
  4. Mathematical modeling of SCD: a literature review.Journal of sickle cell disease · 2025
    Review
  5. Article
  6. A systems pharmacology model for gene therapy in sickle cell disease.CPT: pharmacometrics & systems pharmacology · 2021
    Article
  7. Genetic therapies for the first molecular disease.The Journal of clinical investigation · 2021
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Replicative cellular age distributions in compartmentalized tissues.Journal of the Royal Society, Interface · 2018
    Article
  15. Article
  16. Extinction rates in tumour public goods games.Journal of the Royal Society, Interface · 2017
    Article
  17. Gene Therapy for β-Hemoglobinopathies.Molecular therapy : the journal of the American Society of Gene Therapy · 2017
    Review
  18. Long-Term Engraftment and Fetal Globin Induction uponMolecular therapy. Methods & clinical development · 2017
    Article
  19. Article
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

6 authors at 5 institutions in 1 country.

Philipp M AltrockDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Christian BrendelDivision of Hematology/Oncology, Boston Children's Hospital and Harvard Medical School, Boston, Massachuetts.
Raffaele RenellaDivision of Hematology/Oncology, Boston Children's Hospital and Harvard Medical School, Boston, Massachuetts.
Stuart H OrkinDivision of Hematology/Oncology, Boston Children's Hospital and Harvard Medical School, Boston, Massachuetts.
David A WilliamsDivision of Hematology/Oncology, Boston Children's Hospital and Harvard Medical School, Boston, Massachuetts.
Franziska MichorDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Dana-Farber Cancer Institute · USBoston Children's Hospital · USHarvard Stem Cell Institute · USHarvard University · USHoward Hughes Medical Institute · US

Funding

Project 3: Single Cell Measures of Intratumor Diversity for Optimal Breast Cancer TherapyU54CA193461 · NCI · DANA-FARBER CANCER INST · PI POLYAK, KORNELIA · 2015 to 2020
$11.2M
Translational and clinical studies targeting y-globin modulationU01HL117720 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI SANKARAN, VIJAY GANESH · 2013 to 2017
$7.4M
NCI NIH HHS U54 CA193461NHLBI NIH HHS U01 HL117720
6 · The paper itself

Abstract

Recent advances in gene therapy and genome-engineering technologies offer the opportunity to correct sickle cell disease (SCD), a heritable disorder caused by a point mutation in the β-globin gene. The developmental switch from fetal γ-globin to adult β-globin is governed in part by the transcription factor (TF) BCL11A. This TF has been proposed as a therapeutic target for reactivation of γ-globin and concomitant reduction of β-sickle globin. In this and other approaches, genetic alteration of a portion of the hematopoietic stem cell (HSC) compartment leads to a mixture of sickling and corrected red blood cells (RBCs) in periphery. To reverse the sickling phenotype, a certain proportion of corrected RBCs is necessary; the degree of HSC alteration required to achieve a desired fraction of corrected RBCs remains unknown. To address this issue, we developed a mathematical model describing aging and survival of sickle-susceptible and normal RBCs; the former can have a selective survival advantage leading to their overrepresentation. We identified the level of bone marrow chimerism required for successful stem cell-based gene therapies in SCD. Our findings were further informed using an experimental mouse model, where we transplanted mixtures of Berkeley SCD and normal murine bone marrow cells to establish chimeric grafts in murine hosts. Our integrative theoretical and experimental approach identifies the target frequency of HSC alterations required for effective treatment of sickling syndromes in humans. Our work replaces episodic observations of such target frequencies with a mathematical modeling framework that covers a large and continuous spectrum of chimerism conditions. Am. J. Hematol. 91:931-937, 2016. © 2016 Wiley Periodicals, Inc.

Indexed as

ChimerismErythrocytesAnemia, Sickle CellAnimalsBone MarrowCell SurvivalCell TransplantationCellular SenescenceGenetic TherapyHematopoietic Stem CellsHumansMiceModels, Theoretical

Identifiers

PMID27299299
PMCPMC5093908
OpenAlexW2470839557

What OpenQuestion holds

Textmetadata
LicenceTDM
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.