Evidence map›Paper›PMID 27464750›Full record

ArticleScience translational medicine2016

Curative ex vivo liver-directed gene therapy in a pig model of hereditary tyrosinemia type 1.

Raymond D Hickey, Shennen A Mao, Jaime Glorioso, Faysal Elgilani, Bruce Amiot, Harvey Chen, Piero Rinaldo, Ronald Marler, Huailei Jiang, Timothy R DeGrado and 12 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.1field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 77 citations in OpenAlex.

  1. Genetically engineered porcine liver: a new era in transplantation.International journal of surgery (London, England) · 2026
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  9. State-of-the-art 2023 on gene therapy for phenylketonuria.Journal of inherited metabolic disease · 2024
    Review
  10. Article
  11. Partial Thyroid Hormone-Binding Globulin Deficiency: A Case Report and Literature Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Article
  12. Article
  13. Article
  14. Development ofFrontiers in immunology · 2022
    Article
  15. Review
  16. Review
  17. Genetic and Cellular Contributions to Liver Regeneration.Cold Spring Harbor perspectives in biology · 2021
    Article
  18. Review
  19. Article
  20. CRISPR/Cas9-Mediated Gene Correction in Newborn Rabbits with Hereditary Tyrosinemia Type I.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    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

22 authors at 5 institutions in 1 country.

Raymond D HickeyDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA. Department of Molecular Medicine, Mayo Clinic, Rochester, MN 55905, USA. hickey.raymond@mayo.edu.
Shennen A MaoDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Jaime GloriosoDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Faysal ElgilaniDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Bruce AmiotBrami Biomedical Inc., Coon Rapids, MN 55433, USA.
Harvey ChenDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Piero RinaldoDivision of Laboratory Genetics, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905, USA.
Ronald MarlerDepartment of Comparative Medicine, Mayo Clinic, Scottsdale, AZ 85259, USA.
Huailei JiangDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Timothy R DeGradoDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Lukkana SuksanpaisanDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA. Imanis Life Sciences, Rochester, MN 55902, USA.
Michael K O'ConnorDepartment of Radiology, Mayo Clinic, Rochester, MN 55905, USA.
Brittany L FreemanDivision of Pediatric Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.
Samar H IbrahimDivision of Pediatric Gastroenterology, Mayo Clinic, Rochester, MN 55905, USA.
Kah Whye PengDepartment of Molecular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Cary O HardingDepartment of Molecular and Medical Genetics and Department of Pediatrics, Oregon Health and Science University, Portland, OR 97239, USA.
Chak-Sum HoHistocompatibility Laboratory, Gift of Life Michigan, Ann Arbor, MI 48108, USA.
Markus GrompePapé Family Pediatric Research Institute, Oregon Health and Science University, Portland, OR 97239, USA.
Yasuhiro IkedaDepartment of Molecular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Joseph B LillegardDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA. Midwest Fetal Care Center, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN 55404, USA.
Stephen J RussellDepartment of Molecular Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Scott L NybergDepartment of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clinic in Arizona · USWinnMed · USMayo Clinic · USGift of Life Michigan · USOregon Health & Science University · US

Funding

PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI GREGORY J. GORES · 2009 to 2026
$22.2M
Mayo Clinic Center for Translational Science ActivitiesKL2TR000136 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$6.6M
Immunodeficient FAH-/- PigsR01DK106667 · NIDDK · MAYO CLINIC ROCHESTER · PI NYBERG, SCOTT L · 2015 to 2019
$2.1M
First in-human PET imaging studies of NIS reporter [18F]BF4R01CA196975 · NCI · MAYO CLINIC ROCHESTER · PI DEGRADO, TIMOTHY R. · 2016 to 2018
$518k
Ex vivo gene therapy for metabolic liver diseaseK01DK106056 · NIDDK · MAYO CLINIC ROCHESTER · PI HICKEY, RAYMOND · 2015 to 2017
$457k
In Vivo Cell Tracking with PETR21HL127389 · NHLBI · MAYO CLINIC ROCHESTER · PI DEGRADO, TIMOTHY R. · 2016 to 2017
$423k
FAH-Deficient PigsR41DK092105 · NIDDK · YECURIS CORPORATION · PI NYBERG, SCOTT L · 2011 to 2011
$212k
NCATS NIH HHS KL2 TR000136NCI NIH HHS R01 CA196975NHLBI NIH HHS R21 HL127389NIDDK NIH HHS K01 DK106056NIDDK NIH HHS P30 DK084567NIDDK NIH HHS R01 DK106667NIDDK NIH HHS R41 DK092105
6 · The paper itself

Abstract

We tested the hypothesis that ex vivo hepatocyte gene therapy can correct the metabolic disorder in fumarylacetoacetate hydrolase-deficient (Fah(-/-)) pigs, a large animal model of hereditary tyrosinemia type 1 (HT1). Recipient Fah(-/-) pigs underwent partial liver resection and hepatocyte isolation by collagenase digestion. Hepatocytes were transduced with one or both of the lentiviral vectors expressing the therapeutic Fah and the reporter sodium-iodide symporter (Nis) genes under control of the thyroxine-binding globulin promoter. Pigs received autologous transplants of hepatocytes by portal vein infusion. After transplantation, the protective drug 2-(2-nitro-4-trifluoromethylbenzyol)-1,3 cyclohexanedione (NTBC) was withheld from recipient pigs to provide a selective advantage for expansion of corrected FAH(+) cells. Proliferation of transplanted cells, assessed by both immunohistochemistry and noninvasive positron emission tomography imaging of NIS-labeled cells, demonstrated near-complete liver repopulation by gene-corrected cells. Tyrosine and succinylacetone levels improved to within normal range, demonstrating complete correction of tyrosine metabolism. In addition, repopulation of the Fah(-/-) liver with transplanted cells inhibited the onset of severe fibrosis, a characteristic of nontransplanted Fah(-/-) pigs. This study demonstrates correction of disease in a pig model of metabolic liver disease by ex vivo gene therapy. To date, ex vivo gene therapy has only been successful in small animal models. We conclude that further exploration of ex vivo hepatocyte genetic correction is warranted for clinical use.

Indexed as

AnimalsCyclohexanonesDisease Models, AnimalGenetic TherapyHepatocytesHydrolasesImmunohistochemistryLiverNitrobenzoatesSwineTransplantation, HomologousTyrosinemiasCyclohexanonesfumarylacetoacetaseHydrolasesnitisinoneNitrobenzoates

Identifiers

PMID27464750
PMCPMC5477771
OpenAlexW2506966466

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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.