Evidence map›Paper›PMID 30887735›Full record

ArticleStem cells translational medicine2019

Human Genomic Safe Harbors and the Suicide Gene-Based Safeguard System for iPSC-Based Cell Therapy.

Yasuyoshi Kimura, Tomoko Shofuda, Yuichiro Higuchi, Ippei Nagamori, Masaaki Oda, Masayuki Nakamori, Masafumi Onodera, Daisuke Kanematsu, Atsuyo Yamamoto, Asako Katsuma and 4 more

Open access · goldAbstract read
In one paragraph

Article in Stem cells translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Article
  3. Molecular imaging of stem cell therapies in ischemic stroke.European journal of nuclear medicine and molecular imaging · 2025
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  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Tumorigenicity risk of iPSCsPrecision clinical medicine · 2022
    Review
  12. Review
  13. Article
  14. Strategies to Improve the Safety of iPSC-Derived β Cells for β Cell Replacement in Diabetes.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Review
  15. Review
  16. Targeting theMolecular therapy. Methods & clinical development · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. Cell-Based Therapeutic Approaches for Cystic Fibrosis.International journal of molecular sciences · 2020
    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

14 authors at 7 institutions in 2 countries.

Yasuyoshi KimuraDepartment of Neurology, Graduate School of Medicine, Osaka University, Osaka, Japan.ORCID 0000-0001-9147-8058
Tomoko ShofudaDivision of Stem Cell Research, Department of Biomedical Research and Innovation, Institute for Clinical Research, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Yuichiro HiguchiLaboratory Animal Research Department, Biomedical Research Laboratory, Central Institute for Experimental Animals, Kanagawa, Japan.
Ippei NagamoriDepartment of Pathology, Graduate School of Medicine, Osaka University, Osaka, Japan.
Masaaki OdaDepartment of Pathology, Graduate School of Medicine, Osaka University, Osaka, Japan.
Masayuki NakamoriDepartment of Neurology, Graduate School of Medicine, Osaka University, Osaka, Japan.
Masafumi OnoderaDepartment of Human Genetics, National Center for Child Health and Development, Tokyo, Japan.
Daisuke KanematsuDivision of Regenerative Medicine, Department of Biomedical Research and Innovation, Institute for Clinical Research, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Atsuyo YamamotoDivision of Stem Cell Research, Department of Biomedical Research and Innovation, Institute for Clinical Research, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Asako KatsumaDivision of Regenerative Medicine, Department of Biomedical Research and Innovation, Institute for Clinical Research, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Hiroshi SuemizuLaboratory Animal Research Department, Biomedical Research Laboratory, Central Institute for Experimental Animals, Kanagawa, Japan.
Toru NakanoDepartment of Pathology, Graduate School of Medicine, Osaka University, Osaka, Japan.
Yonehiro KanemuraDivision of Regenerative Medicine, Department of Biomedical Research and Innovation, Institute for Clinical Research, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Hideki MochizukiDepartment of Neurology, Graduate School of Medicine, Osaka University, Osaka, Japan.
Osaka National Hospital · JPOsaka City University · JPCentral Institute for Experimental Animals · JPOsaka University · JPJohns Hopkins Medicine · USKeio University Hospital · JPNational Center For Child Health and Development · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The use of human induced pluripotent stem cells (hiPSCs) and recent advances in cell engineering have opened new prospects for cell-based therapy. However, there are concerns that must be addressed prior to their broad clinical applications and a major concern is tumorigenicity. Suicide gene approaches could eliminate wayward tumor-initiating cells even after cell transplantation, but their efficacy remains controversial. Another concern is the safety of genome editing. Our knowledge of human genomic safe harbors (GSHs) is still insufficient, making it difficult to predict the influence of gene integration on nearby genes. Here, we showed the topological architecture of human GSH candidates, AAVS1, CCR5, human ROSA26, and an extragenic GSH locus on chromosome 1 (Chr1-eGSH). Chr1-eGSH permitted robust transgene expression, but a 2 Mb-distant gene within the same topologically associated domain showed aberrant expression. Although knockin iPSCs carrying the suicide gene, herpes simplex virus thymidine kinase (HSV-TK), were sufficiently sensitive to ganciclovir in vitro, the resulting teratomas showed varying degrees of resistance to the drug in vivo. Our findings suggest that the Chr1-eGSH is not suitable for therapeutic gene integration and highlight that topological analysis could facilitate exploration of human GSHs for regenerative medicine applications. Our data indicate that the HSV-TK/ganciclovir suicide gene approach alone may be not an adequate safeguard against the risk of teratoma, and suggest that the combination of several distinct approaches could reduce the risks associated with cell therapy. Stem Cells Translational Medicine 2019;8:627&638.

Indexed as

Gene EditingGenes, Transgenic, SuicideGenome, HumanAnimalsCell- and Tissue-Based TherapyCell LineGanciclovirHumansInduced Pluripotent Stem CellsMiceMice, Inbred NODMice, SCIDSimplexvirusTeratomaThymidine KinaseViral ProteinsGanciclovirThymidine KinaseViral ProteinsGene editingGenomic safe harborInduced pluripotent stem cellsRegenerative medicineSuicide geneTeratoma

Identifiers

PMID30887735
PMCPMC6591650
OpenAlexW2922562839

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.