Evidence map›Paper›PMID 30666308›Full record

ArticleMolecular therapy. Methods & clinical development2019

Kinetics and MR-Based Monitoring of AAV9 Vector Delivery into Cerebrospinal Fluid of Nonhuman Primates.

Kousaku Ohno, Lluis Samaranch, Piotr Hadaczek, John R Bringas, Philip C Allen, Vivek Sudhakar, Diane E Stockinger, Christopher Snieckus, Michael V Campagna, Waldy San Sebastian and 6 more

Abstract read
In one paragraph

Article in Molecular therapy. Methods & clinical development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–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

48 citing papers in PubMed.

  1. Trial
  2. Intra-CNS AAV9-Molecular therapy. Advances · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Genetic therapies for neurological diseases.Pharmacological reviews · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Neurosurgical gene therapy for central nervous system diseases.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  20. 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

16 authors.

Kousaku OhnoDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Lluis SamaranchDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Piotr HadaczekDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
John R BringasDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Philip C AllenValley Biosystems, Inc., West Sacramento, CA 95605, USA.
Vivek SudhakarDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Diane E StockingerValley Biosystems, Inc., West Sacramento, CA 95605, USA.
Christopher SnieckusDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Michael V CampagnaValley Biosystems, Inc., West Sacramento, CA 95605, USA.
Waldy San SebastianDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Jerusha NaidooDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Haifeng ChenVirovek, Inc., Hayward, CA 94541, USA.
John ForsayethDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.
Ernesto A SalegioValley Biosystems, Inc., West Sacramento, CA 95605, USA.
Granger G C HwaValley Biosystems, Inc., West Sacramento, CA 95605, USA.
Krystof S BankiewiczDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA 94103, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Here we evaluated the utility of MRI to monitor intrathecal infusions in nonhuman primates. Adeno-associated virus (AAV) spiked with gadoteridol, a gadolinium-based MRI contrast agent, enabled real-time visualization of infusions delivered either via cerebromedullary cistern, lumbar, cerebromedullary and lumbar, or intracerebroventricular infusion. The kinetics of vector clearance from the cerebrospinal fluid (CSF) were analyzed. Our results highlight the value of MRI in optimizing the delivery of infusate into CSF. In particular, MRI revealed differential patterns of infusate distribution depending on the route of delivery. Gadoteridol coverage analysis showed that cerebellomedullary cistern delivery was a reliable and effective route of injection, achieving broad infusate distribution in the brain and spinal cord, and was even greater when combined with lumbar injection. In contrast, intracerebroventricular injection resulted in strong cortical coverage but little spinal distribution. Lumbar injection alone led to the distribution of MRI contrast agent mainly in the spinal cord with little cortical coverage, but this delivery route was unreliable. Similarly, vector clearance analysis showed differences between different routes of delivery. Overall, our data support the value of monitoring CSF injections to dissect different patterns of gadoteridol distribution based on the route of intrathecal administration.

Indexed as

AAV vectorcerebrospinal fluidcisterna magnagene therapyintracerebroventricularintrathecal infusionlumbarmagnetic resonance imagingnon-human primatespharmacokinetics

Identifiers

PMID30666308
PMCPMC6330508

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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.