Evidence map›Paper›PMID 30183384›Full record

ArticleHuman gene therapy2019

Virally Mediated Overexpression of Glial-Derived Neurotrophic Factor Elicits Age- and Dose-Dependent Neuronal Toxicity and Hearing Loss.

Omar Akil, Bas Blits, Lawrence R Lustig, Patricia A Leake

Abstract read
In one paragraph

Article in Human gene therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Current Advances in Adeno-Associated Virus-Mediated Gene Therapy to Prevent Acquired Hearing Loss.Journal of the Association for Research in Otolaryngology : JARO · 2022
    Review
  12. Article
  13. Article
  14. Review
  15. Cochlear Sox2Frontiers in cell and developmental biology · 2021
    Article
  16. Article
  17. Advances in genome editing for genetic hearing loss.Advanced drug delivery reviews · 2021
    Review
  18. Review
  19. Review
  20. Gene therapy for hearing loss.Human molecular genetics · 2019
    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

4 authors at 3 institutions in 2 countries.

Omar Akil1 Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California.
Bas Blits2 Department of Research and Development, UniQure Biopharma B.V., Amsterdam, The Netherlands.
Lawrence R Lustig3 Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center, New York, New York.
Patricia A Leake1 Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California.
University of California, San Francisco · USColumbia University Irving Medical Center · USUniQure (Netherlands) · NL

Funding

AVV-Mediated Neurotrophin Expression in the Deafened CochleaR01DC013067 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEAKE, PATRICIA A. · 2014 to 2016
$1.3M
NIDCD NIH HHS R01 DC013067
6 · The paper itself

Abstract

Contemporary cochlear implants (CI) are generally very effective for remediation of severe to profound sensorineural hearing loss, but outcomes are still highly variable. Auditory nerve survival is likely one of the major factors underlying this variability. Neurotrophin therapy therefore has been proposed for CI recipients, with the goal of improving outcomes by promoting improved survival of cochlear spiral ganglion neurons (SGN) and/or residual hair cells. Previous studies have shown that glial-derived neurotrophic factor (GDNF), brain-derived neurotrophic factor, and neurotrophin-3 can rescue SGNs following insult. The current study was designed to determine whether adeno-associated virus vector serotype 5 (AAV-5) encoding either green fluorescent protein or GDNF can transduce cells in the mouse cochlea to express useful levels of neurotrophin and to approximate the optimum therapeutic dose(s) for transducing hair cells and SGN. The findings demonstrate that AAV-5 is a potentially useful gene therapy vector for the cochlea, resulting in extremely high levels of transgene expression in the cochlear inner hair cells and SGN. However, overexpression of human GDNF in newborn mice caused severe neurological symptoms and hearing loss, likely due to Purkinje cell loss and cochlear nucleus pathology. Thus, extremely high levels of transgene protein expression should be avoided, particularly for proteins that have neurological function in neonatal subjects.

Indexed as

Gene ExpressionGenetic TherapyAnimalsBiomarkersCochleaDisease Models, AnimalFluorescent Antibody TechniqueGenetic VectorsGene Transfer TechniquesGlial Cell Line-Derived Neurotrophic FactorHearing LossHumansImmunohistochemistryMiceNeuronsPhenotypeBiomarkersGlial Cell Line-Derived Neurotrophic Factoradeno-associated virus vector serotype 5 (AAV-5)auditory nervecochlear hair cellsglial-derived neurotrophic factor (GDNF)hearing lossspiral ganglion

Identifiers

PMID30183384
PMCPMC6343370
OpenAlexW2892006929

What OpenQuestion holds

Textmetadata
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.