Evidence map›Paper›PMID 30700148›Full record

ArticleHuman gene therapy2019

Optimization of Dexamethasone Administration for Maintaining Global Transduction Efficacy of Adeno-Associated Virus Serotype 9.

Zheng Chai, Xintao Zhang, Amanda Lee Dobbins, Kelly Michelle Rigsbee, Bing Wang, Richard Jude Samulski, Chengwen Li

Open access · greenAbstract 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  3. Review
  4. Article
  5. Article
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  7. Article
  8. Gene therapy for liver diseases - progress and challenges.Nature reviews. Gastroenterology & hepatology · 2023
    Review
  9. Human gene therapy · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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  18. 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

7 authors at 2 institutions in 1 country.

Zheng Chai1Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Xintao Zhang1Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Amanda Lee Dobbins1Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kelly Michelle Rigsbee1Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Bing Wang2Department of Orthopedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
Richard Jude Samulski1Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Chengwen Li1Gene Therapy Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · USUniversity of Pittsburgh · US

Funding

Enhance AAV Liver Transduction with Capsid Immune EvasionR01AI117408 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LI, CHENGWEN, SAMULSKI, RICHARD J · 2016 to 2020
$2.0M
Directed evolution of AAV vectors for hemophilia to evade neutralizationR01HL125749 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LI, CHENGWEN, NICHOLS, TIMOTHY CHARLES · 2015 to 2018
$1.5M
NHLBI NIH HHS R01 HL125749NIAID NIH HHS R01 AI117408
6 · The paper itself

Abstract

Glucocorticoids have been commonly used in clinic for their anti-inflammatory and immunosuppressive effects, and it has been proposed that they be used to prevent liver toxicity when systemic administration of adeno-associated virus (AAV) vectors is needed in patients with central nervous system diseases and muscular disorders. Glucocorticoids also enable modulation of vascular permeability. First, this study investigated the impact of dexamethasone on AAV vascular permeability after systemic injection. When a low dose of AAV9 was injected into mice treated with dexamethasone, global transduction and vector biodistribution were not significantly different in most tissues, other than the liver and the heart, when compared to control mice. When AAV9 vectors were used at a high dose, both the transgene expression and the AAV vector genome copy number were significantly decreased in the majority of murine tissues. However, no effect on global transduction was observed when dexamethasone was administered 2 h after AAV vector injection. The study on the kinetics of AAV virus clearance demonstrated that dexamethasone slowed down the clearance of AAV9 in the blood after systemic application. The mechanism study showed that dexamethasone inhibited the enhancement of AAV9 vascular permeability mediated by serum proteins. The findings indicate that dexamethasone is able to inhibit the vascular permeability of AAV and compromise the therapeutic effect after systemic administration of AAV vector. In conclusion, this study provides valuable information for the design of future clinical studies when glucocorticoids are needed to be compatible with the systemic administration of AAV vectors in patients with central nervous system and muscular diseases.

Indexed as

Transduction, GeneticAnimalsCell LineDependovirusDexamethasoneGenetic VectorsGene Transfer TechniquesGenome, ViralMicePermeabilitySerogroupTissue DistributionTransgenesVirus ReplicationDexamethasoneAAVdexamethasoneglucocorticoidvascular permeability

Identifiers

PMID30700148
PMCPMC6648223
OpenAlexW2914516122

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.