Evidence map›Paper›PMID 30059156›Full record

ArticleAllergy2019

Gene therapy for C1 esterase inhibitor deficiency in a Murine Model of Hereditary angioedema.

Ting Qiu, Maria J Chiuchiolo, Adele S Whaley, Anthony R Russo, Dolan Sondhi, Stephen M Kaminsky, Ronald G Crystal, Odelya E Pagovich

Open access · greenAbstract read
In one paragraph

Article in Allergy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

18 citing papers in PubMed, 46 citations in OpenAlex.

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  13. [Hereditary angioedema].Der Internist · 2019
    Review
  14. Advances in drug allergy, urticaria, angioedema, and anaphylaxis in 2018.The Journal of allergy and clinical immunology · 2019
    Review
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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 2 institutions in 2 countries.

Ting QiuDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Maria J ChiuchioloDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Adele S WhaleyDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Anthony R RussoDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Dolan SondhiDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Stephen M KaminskyDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Ronald G CrystalDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Odelya E PagovichDepartment of Genetic Medicine, Weill Cornell Medical College, New York, New York.
Cornell University · USTraditional Chinese Medicine Hospital of Kunshan · CN

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Gene Therapy for the Treatment of Hereditary AngioedemaR03AI122040 · NIAID · WEILL MEDICAL COLL OF CORNELL UNIV · PI PAGOVICH, ODELYA EDITH · 2016 to 2017
$170k
Adverum BiotechnologiesNCI NIH HHS P30 CA008748NIAID NIH HHS R03 AI122040
6 · The paper itself

Abstract

backgroundHereditary angioedema (HAE) is a life-threatening, autosomal dominant disorder characterized by unpredictable, episodic swelling of the face, upper airway, oropharynx, extremities, genitalia, and gastrointestinal tract. Almost all cases of HAE are caused by mutations in the SERPING1 gene resulting in a deficiency in functional plasma C1 esterase inhibitor (C1EI), a serine protease inhibitor that normally inhibits proteases in the contact, complement, and fibrinolytic systems. Current treatment of HAE includes long-term prophylaxis with attenuated androgens or human plasma-derived C1EI and management of acute attacks with human plasma-derived or recombinant C1EI, bradykinin, and kallikrein inhibitors, each of which requires repeated administration. As an approach to effectively treat HAE with a single treatment, we hypothesized that a one-time intravenous administration of an adeno-associated virus (AAV) gene transfer vector expressing the genetic sequence of the normal human C1 esterase inhibitor (AAVrh.10hC1EI) would provide sustained circulating C1EI levels sufficient to prevent angioedema episodes.

methodsTo study the efficacy of AAVrh.10hC1EI, we used CRISPR/Cas9 technology to create a heterozygote C1EI-deficient mouse model (S63±) that shares characteristics associated with HAE in humans including decreased plasma C1EI and C4 levels. Phenotypically, these mice have increased vascular permeability of skin and internal organs.

resultsSystemic administration of AAVrh.10hC1EI to the S63± mice resulted in sustained human C1EI activity levels above the predicted therapeutic levels and correction of the vascular leak in skin and internal organs.

conclusionA single treatment with AAVrh.10hC1EI has the potential to provide long-term protection from angioedema attacks in affected individuals.

Indexed as

Gene Transfer TechniquesAngioedemas, HereditaryAnimalsCapillary PermeabilityComplement C1 Inhibitor ProteinCRISPR-Cas SystemsDependovirusDisease Models, AnimalFemaleGenetic TherapyGenetic VectorsHumansMaleMiceMice, TransgenicMutationComplement C1 Inhibitor ProteinSERPING1 protein, humanSerping1 protein, mouseC1 esterase inhibitorcomplementgene therapyhereditary angioedemavascular permeability

Identifiers

PMID30059156
PMCPMC6752709
OpenAlexW2885378797

What OpenQuestion holds

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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.