Evidence map›Paper›PMID 30007561›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2018

AAV5-miHTT Gene Therapy Demonstrates Broad Distribution and Strong Human Mutant Huntingtin Lowering in a Huntington's Disease Minipig Model.

Melvin M Evers, Jana Miniarikova, Stefan Juhas, Astrid Vallès, Bozena Bohuslavova, Jana Juhasova, Helena Kupcova Skalnikova, Petr Vodicka, Ivona Valekova, Cynthia Brouwers and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 1% 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

97 citing papers in PubMed, 1 synthesis or guideline pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Treatment of Huntington's disease with a pan-HTT-targeting CRISPR nuclease.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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  11. MicroRNAs in neurodegenerative diseases: from molecular mechanisms to clinical biomarkers, detection methods and therapeutic strategies-advances and challenges.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
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37 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

18 authors at 2 institutions in 2 countries.

Melvin M EversDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands. Electronic address: m.evers@uniqure.com.
Jana MiniarikovaDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Stefan JuhasInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Astrid VallèsDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Bozena BohuslavovaInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Jana JuhasovaInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Helena Kupcova SkalnikovaInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Petr VodickaInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Ivona ValekovaInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Cynthia BrouwersDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Bas BlitsDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Jacek LubelskiDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Hana KovarovaInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Zdenka EllederovaInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Sander J van DeventerDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Harald PetryDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Jan MotlikInstitute of Animal Physiology and Genetics, Libechov, Czech Republic.
Pavlina KonstantinovaDepartment of Research & Development, uniQure biopharma B.V., Amsterdam, the Netherlands.
Czech Academy of Sciences, Institute of Animal Physiology and Genetics · CZUniQure (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Huntington's disease (HD) is a fatal neurodegenerative disorder caused by a CAG trinucleotide repeat expansion in the huntingtin gene. Previously, we showed strong huntingtin reduction and prevention of neuronal dysfunction in HD rodents using an engineered microRNA targeting human huntingtin, delivered via adeno-associated virus (AAV) serotype 5 vector with a transgene encoding an engineered miRNA against HTT mRNA (AAV5-miHTT). One of the challenges of rodents as a model of neurodegenerative diseases is their relatively small brain, making successful translation to the HD patient difficult. This is particularly relevant for gene therapy approaches, where distribution achieved upon local administration into the parenchyma is likely dependent on brain size and structure. Here, we aimed to demonstrate the translation of huntingtin-lowering gene therapy to a large-animal brain. We investigated the feasibility, efficacy, and tolerability of one-time intracranial administration of AAV5-miHTT in the transgenic HD (tgHD) minipig model. We detected widespread dose-dependent distribution of AAV5-miHTT throughout the tgHD minipig brain that correlated with the engineered microRNA expression. Both human mutant huntingtin mRNA and protein were significantly reduced in all brain regions transduced by AAV5-miHTT. The combination of widespread vector distribution and extensive huntingtin lowering observed with AAV5-miHTT supports the translation of a huntingtin-lowering gene therapy for HD from preclinical studies into the clinic.

Indexed as

AnimalsAnimals, Genetically ModifiedDependovirusDisease Models, AnimalGenetic TherapyGenetic VectorsHumansHuntingtin ProteinHuntington DiseaseMicroRNAsSwineSwine, MiniatureTrinucleotide Repeat ExpansionHuntingtin ProteinMicroRNAsAAVgene silencingHuntington diseasemicroRNAtransgenic minipig

Identifiers

PMID30007561
PMCPMC6127509
OpenAlexW2811325414

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.