Evidence map›Paper›PMID 30217731›Full record

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

Complement C3-Targeted Gene Therapy Restricts Onset and Progression of Neurodegeneration in Chronic Mouse Glaucoma.

Alejandra Bosco, Sarah R Anderson, Kevin T Breen, Cesar O Romero, Michael R Steele, Vince A Chiodo, Sanford L Boye, William W Hauswirth, Stephen Tomlinson, Monica L Vetter

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 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

70 citing papers in PubMed, 110 citations in OpenAlex.

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  13. Complement updates in optic neuritis.Frontiers in neurology · 2025
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10 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

10 authors at 3 institutions in 1 country.

Alejandra BoscoDepartment of Neurobiology and Anatomy, School of Medicine, University of Utah, Salt Lake City, UT, USA. Electronic address: alejandra.bosco@neuro.utah.edu.
Sarah R AndersonDepartment of Neurobiology and Anatomy, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Kevin T BreenDepartment of Neurobiology and Anatomy, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Cesar O RomeroDepartment of Neurobiology and Anatomy, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Michael R SteeleDepartment of Neurobiology and Anatomy, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Vince A ChiodoDepartment of Ophthalmology, University of Florida, Gainesville, FL, USA.
Sanford L BoyeDepartment of Ophthalmology, University of Florida, Gainesville, FL, USA.
William W HauswirthDepartment of Ophthalmology, University of Florida, Gainesville, FL, USA.
Stephen TomlinsonDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.
Monica L VetterDepartment of Neurobiology and Anatomy, School of Medicine, University of Utah, Salt Lake City, UT, USA.
University of Utah · USUniversity of Florida · USMedical University of South Carolina · US

Funding

The role of microglia in experimental glaucomaR01EY020878 · NEI · UNIVERSITY OF UTAH · PI VETTER, MONICA L · 2010 to 2014
$1.6M
Inhibitory regulation of microglia in glaucomaR01EY023621 · NEI · UNIVERSITY OF UTAH · PI VETTER, MONICA L · 2013 to 2016
$1.2M
Novel Therapies to Improve Functional Recovery After StrokeI01RX001141 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI TOMLINSON, STEPHEN · 2014 to 2022
–
NEI NIH HHS R01 EY020878NEI NIH HHS R01 EY023621RRD VA I01 RX001141
6 · The paper itself

Abstract

Dysregulation of the complement system is implicated in neurodegeneration, including human and animal glaucoma. Optic nerve and retinal damage in glaucoma is preceded by local complement upregulation and activation, but whether targeting this early innate immune response could have therapeutic benefit remains undefined. Because complement signals through three pathways that intersect at complement C3 activation, here we targeted this step to restore complement balance in the glaucomatous retina and to determine its contribution to degeneration onset and/or progression. To achieve this, we combined adeno-associated virus retinal gene therapy with the targeted C3 inhibitor CR2-Crry. We show that intravitreal injection of AAV2.CR2-Crry produced sustained Crry overexpression in the retina and reduced deposition of the activation product complement C3d on retinal ganglion cells and the inner retina of DBA/2J mice. This resulted in neuroprotection of retinal ganglion cell axons and somata despite continued intraocular pressure elevation, suggesting a direct restriction of neurodegeneration onset and progression and significant delay to terminal disease stages. Our study uncovers a damaging effect of complement C3 or downstream complement activation in glaucoma, and it establishes AAV2.CR2-Crry as a viable therapeutic strategy to target pathogenic C3-mediated complement activation in the glaucomatous retina.

Indexed as

AnimalsComplement C3DependovirusDisease Models, AnimalDisease ProgressionGene Expression RegulationGenetic TherapyGlaucomaHumansIntraocular PressureIntravitreal InjectionsMiceNerve DegenerationRecombinant Fusion ProteinsRetinaRetinal Ganglion CellsComplement C3CR2-Crry fusion protein, mouseRecombinant Fusion ProteinscomplementCR2-CrryDBA/2Jgene therapyglaucomaneurodegenerationonsetprogression

Identifiers

PMID30217731
PMCPMC6171099
OpenAlexW2883705083

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.