Evidence map›Paper›PMID 30261899›Full record

ArticleGenome medicine2018

T cell dynamics and response of the microbiota after gene therapy to treat X-linked severe combined immunodeficiency.

Erik L Clarke, A Jesse Connell, Emmanuelle Six, Nadia A Kadry, Arwa A Abbas, Young Hwang, John K Everett, Casey E Hofstaedter, Rebecca Marsh, Myriam Armant and 10 more

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Genome medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.8field-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.

NCT01129544 phase1 / phase2completednot on this map

Multi-site Phase I/II Trial Evaluating the Treatment of SCID-X1 Patients With Retrovirus-mediated Gene Transfer

TypeinterventionalSponsorDavid WilliamsRan2010 to 2023Enrolled8ConditionsSevere Combined ImmunodeficiencyArmsGene transfer
NCT01175239 naunknown statusnot on this map

Gene Therapy for SCID-X1 Using a Self-inactivating (SIN) Gammaretroviral Vector

TypeinterventionalSponsorGreat Ormond Street Hospital for Children NHS Foundation TrustRan2011 to 2018Enrolled1ConditionsX-linked Severe Combined ImmunodeficiencyArmsSingle infusion of autologous CD34+ cells transduced with the self-inactivating (SIN) gammaretroviral vector pSRS11.EFS.IL2RG.pre
NCT01410019 phase1 / phase2completednot on this map

Protocol No. 2 of Gene Therapy for X-linked Severe Combined Immunodeficiency (SCID-X1) Using a Self Retroviral Vector - SCID2

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2010 to 2015Enrolled5ConditionsX-linked Severe Combined ImmunodeficiencyArmsGene transfer
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
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  7. Development and clinical translation ofComputational and structural biotechnology journal · 2022
    Review
  8. Review
  9. Article
  10. Interrogation of clonal tracking data usingNature computational science · 2021
    Article
  11. Gut Microbiota-Host Interactions in Inborn Errors of Immunity.International journal of molecular sciences · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Gene therapy for severe combined immunodeficiencies and beyond.The Journal of experimental medicine · 2020
    Review
  18. Review
  19. Review
  20. Article
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

20 authors at 7 institutions in 2 countries.

Erik L ClarkeDepartment of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA.
A Jesse ConnellDepartment of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA.
Emmanuelle SixImagine Institute, Paris Descartes-Sorbonne Paris Cité University, Paris, France.
Nadia A KadryDepartment of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA.
Arwa A AbbasDepartment of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA.
Young HwangDepartment of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA.
John K EverettDepartment of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA.
Casey E HofstaedterDivision of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Rebecca MarshCincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229-3039, USA.
Myriam ArmantBoston Children's Hospital, Karp 08125.3, 300 Longwood Avenue, Boston, MA, 02115, USA.
Judith KelsenDivision of Gastroenterology, Hepatology, and Nutrition, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Luigi D NotarangeloLaboratory of Host Defenses, Laboratory of Clinical Infectious Diseases, Immune Deficiency Genetics Section, NIAID, NIH, Bethesda, MD, USA.
Ronald G CollmanDepartment of Medicine, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA.
Salima Hacein-Bey-AbinaClinical Immunology Laboratory, Groupe Hospitalier Universitaire Paris-Sud, Hôpital Kremlin-Bicêtre, Assistance Publique-Hôpitaux de Paris, 78, r. du Général-Leclerc, 94270, Le-Kremlin-Bicêtre, France.
Donald B KohnDepartments of Microbiology, Immunology & Molecular Genetics; and Pediatrics, University of California, Los Angeles, USA.
Marina CavazzanaImagine Institute, Paris Descartes-Sorbonne Paris Cité University, Paris, France.
Alain FischerImagine Institute, Paris Descartes-Sorbonne Paris Cité University, Paris, France.
David A WilliamsBoston Children's Hospital, Karp 08125.3, 300 Longwood Avenue, Boston, MA, 02115, USA.
Sung-Yun PaiBoston Children's Hospital, Karp 08125.3, 300 Longwood Avenue, Boston, MA, 02115, USA.
Frederic D BushmanDepartment of Microbiology, University of Pennsylvania School of Medicine, 3610 Hamilton Walk, Philadelphia, PA, 19104-6076, USA. bushman@pennmedicine.upenn.edu.ORCID 0000-0003-4740-4056
University of Pennsylvania · USDélégation Paris 5 · FRBoston Children's Hospital · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USNational Institute of Allergy and Infectious Diseases · USUniversity of California, Los Angeles · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Ronald G Collman · 1999 to 2026
$78.6M
First-in-human study of two anti-SARS CoV-2 antibodies in health volunteersUM1AI126620 · NIAID · WISTAR INSTITUTE · PI MONTANER, LUIS J, RILEY, JAMES L. · 2016 to 2021
$24.5M
Characterization of the cellular and molecular bases of inborn errors of immunityZIAAI001222 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI NOTARANGELO, LUIGI · 2017 to 2025
$15.2M
Sequencing and Viral Evolution CoreU19AI117950 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI HOLMES, MICHAEL · 2015 to 2019
$12.0M
Favored Sites for HIV Integration in the Human GenomeR01AI052845 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D · 2002 to 2017
$5.6M
Gene Therapy for SCID-X1 using a self-inactivating (SIN) gammaretroviral vectorU01AI087628 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI WILLIAMS, DAVID A · 2010 to 2014
$4.6M
Massively Parallel Analysis of Integration in Therapeutic Gene TransferR01AI082020 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI BUSHMAN, FREDERIC D · 2009 to 2018
$3.5M
European Research Council 269037NIAID NIH HHS P30 AI045008NIAID NIH HHS R01 AI052845NIAID NIH HHS R01 AI082020NIAID NIH HHS U01 AI087628NIAID NIH HHS U19 AI117950NIAID NIH HHS UM1 AI126620
6 · The paper itself

Abstract

backgroundMutation of the IL2RG gene results in a form of severe combined immune deficiency (SCID-X1), which has been treated successfully with hematopoietic stem cell gene therapy. SCID-X1 gene therapy results in reconstitution of the previously lacking T cell compartment, allowing analysis of the roles of T cell immunity in humans by comparing before and after gene correction.

methodsHere we interrogate T cell reconstitution using four forms of high throughput analysis. (1) Estimation of the numbers of transduced progenitor cells by monitoring unique positions of integration of the therapeutic gene transfer vector. (2) Estimation of T cell population structure by sequencing of the recombined T cell receptor (TCR) beta locus. (3) Metagenomic analysis of microbial populations in oropharyngeal, nasopharyngeal, and gut samples. (4) Metagenomic analysis of viral populations in gut samples.

resultsComparison of progenitor and mature T cell populations allowed estimation of a minimum number of cell divisions needed to generate the observed populations. Analysis of microbial populations showed the effects of immune reconstitution, including normalization of gut microbiota and clearance of viral infections. Metagenomic analysis revealed enrichment of genes for antibiotic resistance in gene-corrected subjects relative to healthy controls, likely a result of higher healthcare exposure.

conclusionsThis multi-omic approach enables the characterization of multiple effects of SCID-X1 gene therapy, including T cell repertoire reconstitution, estimation of numbers of cell divisions between progenitors and daughter T cells, normalization of the microbiome, clearance of microbial pathogens, and modulations in antibiotic resistance gene levels. Together, these results quantify several aspects of the long-term efficacy of gene therapy for SCID-X1. This study includes data from ClinicalTrials.gov numbers NCT01410019, NCT01175239, and NCT01129544.

Indexed as

Genetic TherapyMicrobiotaCell DivisionChild, PreschoolComplementarity Determining RegionsHumansReceptors, Antigen, T-Cell, alpha-betaT-LymphocytesX-Linked Combined Immunodeficiency DiseasesComplementarity Determining RegionsReceptors, Antigen, T-Cell, alpha-beta

Identifiers

PMID30261899
PMCPMC6161392
OpenAlexW2891335288

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.