Evidence map›Paper›PMID 30451990›Full record

ArticleNature biotechnology2018

RNAi modulation of placental sFLT1 for the treatment of preeclampsia.

Anton A Turanov, Agnes Lo, Matthew R Hassler, Angela Makris, Ami Ashar-Patel, Julia F Alterman, Andrew H Coles, Reka A Haraszti, Loic Roux, Bruno M D C Godinho and 10 more

Abstract read
In one paragraph

Article in Nature biotechnology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

99 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  4. Article
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  6. Article
  7. Therapeutic Interventions for Preeclampsia: Integrating Placental and Maternal Perspectives.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  8. LINC00607 facilitates endothelial VEGF-A receptor FLT1 splicing.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Anton A TuranovRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Agnes LoCenter for Vascular Biology Research, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Matthew R HasslerRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Angela MakrisHeart Research Institute, Sydney, New South Wales, Australia.
Ami Ashar-PatelRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Julia F AltermanRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Andrew H ColesRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Reka A HarasztiRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Loic RouxRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Bruno M D C GodinhoRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Dimas EcheverriaRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Suzanne PearsHeart Research Institute, Sydney, New South Wales, Australia.
Jim IliopoulosSchool of Medicine, Western Sydney University, Sydney, New South Wales, Australia.
Renuka ShanmugalingamHeart Research Institute, Sydney, New South Wales, Australia.
Robert OgleWomen's and Babies, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Zsuzsanna K ZsengellerCenter for Vascular Biology Research, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Annemarie HennessyHeart Research Institute, Sydney, New South Wales, Australia.
S Ananth KarumanchiCenter for Vascular Biology Research, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-2281-6831
Melissa J MooreRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
Anastasia KhvorovaRNA Therapeutics Institute, University of Massachusetts Medical School, Worcester, Massachusetts, USA.ORCID http://orcid.org/0000-0001-6928-8071

Funding

Development of RNAi based sFLT1-targeting therapeutics for treatment of PreeclampsiaR01HD086111 · NICHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KHVOROVA, ANASTASIA · 2016 to 2020
$3.4M
Mid-Scale RNA Synthesis, Purification and Quality Control SystemS10OD020012 · OD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KHVOROVA, ANASTASIA · 2015 to 2015
$563k
NICHD NIH HHS R01 HD086111NIH HHS S10 OD020012
6 · The paper itself

Abstract

Preeclampsia is a placentally induced hypertensive disorder of pregnancy that is associated with substantial morbidity and mortality to mothers and fetuses. Clinical manifestations of preterm preeclampsia result from excess circulating soluble vascular endothelial growth factor receptor FLT1 (sFLT1 or sVEGFR1) of placental origin. Here we identify short interfering RNAs (siRNAs) that selectively silence the three sFLT1 mRNA isoforms primarily responsible for placental overexpression of sFLT1 without reducing levels of full-length FLT1 mRNA. Full chemical stabilization in the context of hydrophobic modifications enabled productive siRNA accumulation in the placenta (up to 7% of injected dose) and reduced circulating sFLT1 in pregnant mice (up to 50%). In a baboon preeclampsia model, a single dose of siRNAs suppressed sFLT1 overexpression and clinical signs of preeclampsia. Our results demonstrate RNAi-based extrahepatic modulation of gene expression with nonformulated siRNAs in nonhuman primates and establish a path toward a new treatment paradigm for patients with preterm preeclampsia.

Identifiers

PMID30451990
PMCPMC6526074

What OpenQuestion holds

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Registered trials

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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.