Evidence map›Paper›PMID 30787295›Full record

ArticleNature communications2019

Intradermal delivery of modified mRNA encoding VEGF-A in patients with type 2 diabetes.

Li-Ming Gan, Maria Lagerström-Fermér, Leif G Carlsson, Cecilia Arfvidsson, Ann-Charlotte Egnell, Anna Rudvik, Magnus Kjaer, Anna Collén, James D Thompson, John Joyal and 5 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 118 papers.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed
18.6field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 209 citations in OpenAlex.

  1. Direct intramyocardial injection of VEGF mRNA in patients undergoing coronary artery bypass grafting.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Trial
  2. Article
  3. Towards mRNA therapeutics 2.0.Nature reviews. Drug discovery · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. mRNA medicine for cardiovascular disease.Nature cardiovascular research · 2026
    Review
  11. RNA therapeutics: A promising therapy for future cardiology.Journal of cardiovascular and thoracic research · 2026
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. RNA Therapies in Cardio-Kidney-Metabolic Syndrome: Advancing Disease Management.Journal of cardiovascular translational research · 2025
    Review
  18. Article
  19. Unlock the sustained therapeutic efficacy of mRNA.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Review
  20. Review

58 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

15 authors at 4 institutions in 4 countries.

Li-Ming GanEarly Clinical Development, IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden. li-ming.gan@astrazeneca.com.ORCID http://orcid.org/0000-0003-2933-1404
Maria Lagerström-FermérEarly Clinical Development, IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
Leif G CarlssonCardiovascular, Renal and Metabolism IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
Cecilia ArfvidssonEarly Clinical Development, IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
Ann-Charlotte EgnellEarly Clinical Development, IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
Anna RudvikEarly Clinical Development, IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
Magnus KjaerEarly Clinical Development, IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
Anna CollénCardiovascular, Renal and Metabolism IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
James D ThompsonModerna, Inc., 200 Technology Square, Cambridge, MA, 02139, USA.
John JoyalModerna, Inc., 200 Technology Square, Cambridge, MA, 02139, USA.
Ligia ChialdaPAREXEL Early Phase Clinical Unit, Westend Clinic, House 31, 14050, Berlin, Germany.
Thomas KoernickePAREXEL Early Phase Clinical Unit, Westend Clinic, House 31, 14050, Berlin, Germany.
Rainard FuhrPAREXEL Early Phase Clinical Unit, Westend Clinic, House 31, 14050, Berlin, Germany.
Kenneth R ChienDepartment of Cell and Molecular Biology, Karolinska Institutet, 171 77, Stockholm, Sweden.
Regina Fritsche-DanielsonCardiovascular, Renal and Metabolism IMED Biotech Unit, AstraZeneca Gothenburg, Pepparedsleden 1, 431 50, Mölndal, Sweden.
AstraZeneca (Sweden) · SEModerna Therapeutics (United States) · USKarolinska Institutet · SESahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemically modified mRNA is an efficient, biocompatible modality for therapeutic protein expression. We report a first-time-in-human study of this modality, aiming to evaluate safety and potential therapeutic effects. Men with type 2 diabetes mellitus (T2DM) received intradermal injections of modified mRNA encoding vascular endothelial growth factor A (VEGF-A) or buffered saline placebo (ethical obligations precluded use of a non-translatable mRNA control) at randomized sites on the forearm. The only causally treatment-related adverse events were mild injection-site reactions. Skin microdialysis revealed elevated VEGF-A protein levels at mRNA-treated sites versus placebo-treated sites from about 4-24 hours post-administration. Enhancements in basal skin blood flow at 4 hours and 7 days post-administration were detected using laser Doppler fluximetry and imaging. Intradermal VEGF-A mRNA was well tolerated and led to local functional VEGF-A protein expression and transient skin blood flow enhancement in men with T2DM. VEGF-A mRNA may have therapeutic potential for regenerative angiogenesis.

Indexed as

AdultAgedDiabetes Mellitus, Type 2Genetic TherapyHumansInjections, IntradermalMaleMiddle AgedNeovascularization, PhysiologicPlacebosRegional Blood FlowRNA, MessengerSkinVascular Endothelial Growth Factor APlacebosRNA, MessengerVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID30787295
PMCPMC6382754
OpenAlexW2917369987

What OpenQuestion holds

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LicenceCC BY
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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.