Evidence map›Paper›PMID 29672717›Full record

ArticleNucleic acids research2018

Antisense oligonucleotides correct the familial dysautonomia splicing defect in IKBKAP transgenic mice.

Rahul Sinha, Young Jin Kim, Tomoki Nomakuchi, Kentaro Sahashi, Yimin Hua, Frank Rigo, C Frank Bennett, Adrian R Krainer

Open access · goldAbstract read
In one paragraph

Article in Nucleic acids research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
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

39 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. ELP1 gene augmentation restores visual function in a mouse model of familial dysautonomia.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  3. Peripheral neuron phenotypes of familial dysautonomia are rescued by AAV-mediated gene therapy.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A Manual for Genome and Transcriptome Engineering.IEEE reviews in biomedical engineering · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Familial dysautonomia.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Genetic pain loss disorders.Nature reviews. Disease primers · 2022
    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

8 authors at 4 institutions in 3 countries.

Rahul SinhaCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Young Jin KimCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Tomoki NomakuchiCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Kentaro SahashiCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Yimin HuaCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Frank RigoIonis Pharmaceuticals, Carlsbad, CA 92008, USA.
C Frank BennettIonis Pharmaceuticals, Carlsbad, CA 92008, USA.
Adrian R KrainerCold Spring Harbor Laboratory, Cold Spring Harbor, NY 11724, USA.
Cold Spring Harbor Laboratory · USIonis Pharmaceuticals (United States) · USStanford University · USStony Brook University · US

Funding

BIOCHEMISTRY OF PREMRNA SPLICINGR01GM042699 · NIGMS · COLD SPRING HARBOR LABORATORY · PI Adrian R Krainer · 1989 to 2026
$8.8M
Biochemistry of Pre-mRNA SplicingR37GM042699 · NIGMS · COLD SPRING HARBOR LABORATORY · PI KRAINER, ADRIAN R · 2012 to 2021
$7.7M
Antisense-oligonucleotide-directed inhibition of nonsense-mediated mRNA decay of CFTR geneF30HL137326 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI KIM, YOUNG JIN · 2018 to 2021
$171k
NHLBI NIH HHS F30 HL137326NIGMS NIH HHS R01 GM042699NIGMS NIH HHS R37 GM042699
6 · The paper itself

Abstract

Familial dysautonomia (FD) is a rare inherited neurodegenerative disorder caused by a point mutation in the IKBKAP gene that results in defective splicing of its pre-mRNA. The mutation weakens the 5' splice site of exon 20, causing this exon to be skipped, thereby introducing a premature termination codon. Though detailed FD pathogenesis mechanisms are not yet clear, correcting the splicing defect in the relevant tissue(s), thus restoring normal expression levels of the full-length IKAP protein, could be therapeutic. Splice-switching antisense oligonucleotides (ASOs) can be effective targeted therapeutics for neurodegenerative diseases, such as nusinersen (Spinraza), an approved drug for spinal muscular atrophy. Using a two-step screen with ASOs targeting IKBKAP exon 20 or the adjoining intronic regions, we identified a lead ASO that fully restored exon 20 splicing in FD patient fibroblasts. We also characterized the corresponding cis-acting regulatory sequences that control exon 20 splicing. When administered into a transgenic FD mouse model, the lead ASO promoted expression of full-length human IKBKAP mRNA and IKAP protein levels in several tissues tested, including the central nervous system. These findings provide insights into the mechanisms of IKBKAP exon 20 recognition, and pre-clinical proof of concept for an ASO-based targeted therapy for FD.

Indexed as

AnimalsCarrier ProteinsCells, CulturedDysautonomia, FamilialEnhancer Elements, GeneticExonsFibroblastsHumansMice, TransgenicOligonucleotides, AntisenseRNA Splice SitesRNA SplicingTranscriptional Elongation FactorsCarrier ProteinsElp1 protein, humanOligonucleotides, AntisenseRNA Splice SitesTranscriptional Elongation Factors

Identifiers

PMID29672717
PMCPMC6007753
OpenAlexW2800100380

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.