Evidence map›Paper›PMID 30858502›Full record

ReviewNature reviews. Drug discovery2019

Gene therapy targeting haematopoietic stem cells for inherited diseases: progress and challenges.

Marina Cavazzana, Frederic D Bushman, Annarita Miccio, Isabelle André-Schmutz, Emmanuelle Six

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Drug discovery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 2 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

109 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Post-Transcriptional Genetic Silencing ofThe New England journal of medicine · 2021
    Trial
  5. Trial
  6. Trial
  7. Review
  8. Stem Cell-Based Therapies for Central Nervous System Demyelinating Diseases: Clinical Evidence, Therapeutic Niches, and Translational Boundaries.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Landscape ofMolecular therapy. Methods & clinical development · 2025
    Article
  19. Review
  20. Article

49 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

5 authors.

Marina CavazzanaBiotherapy Department, Necker Children's Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France. m.cavazzana@aphp.fr.ORCID http://orcid.org/0000-0002-0264-0891
Frederic D BushmanDepartment of Microbiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Annarita MiccioParis Descartes-Sorbonne Paris Cité University, Imagine Institute, Paris, France.
Isabelle André-SchmutzINSERM UMR 1163, Laboratory of Human Lymphohematopoiesis, Paris, France.
Emmanuelle SixINSERM UMR 1163, Laboratory of Human Lymphohematopoiesis, Paris, France.

Funding

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
Sequencing and Viral Evolution CoreU19AI117950 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI WHERRY, E. JOHN · 2015 to 2019
$12.0M
NIAID NIH HHS U19 AI117950NIAID NIH HHS UM1 AI126620
6 · The paper itself

Abstract

Pioneering gene therapy trials have shown that the genetic engineering of haematopoietic stem and progenitor cells can be an alternative to allogeneic transplantation in the treatment of primary immunodeficiencies. Early trials also highlighted the risk of insertional mutagenesis and oncogene transactivation associated with the first generation of gammaretroviral vectors. These events prompted the development of safer, self-inactivating lentiviral or gammaretroviral vectors. These lentiviral vectors have been successfully used to treat over 200 patients with 10 different haematological disorders (including primary immunodeficiencies, haemoglobinopathies and metabolic disorders) and for the generation of chimeric antigen receptor-T cells for cancer therapy. However, several challenges, such as effective reconstitution during inflammation, remain if gene therapy is to be extended to more complex diseases in which haematopoietic stem and progenitor cells can be altered by the disease environment. We discuss the progress made and future challenges for gene therapy and contrast gene therapy with gene-editing strategies.

Indexed as

Hematopoietic Stem Cell TransplantationAnemia, Sickle CellAnimalsbeta-ThalassemiaGenetic EngineeringGenetic TherapyGenetic VectorsHematopoietic Stem CellsHumansSevere Combined Immunodeficiency

Identifiers

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.