Evidence map›Paper›PMID 31118293›Full record

ArticleScience translational medicine2019

Phagocytosis-shielded lentiviral vectors improve liver gene therapy in nonhuman primates.

Michela Milani, Andrea Annoni, Federica Moalli, Tongyao Liu, Daniela Cesana, Andrea Calabria, Sara Bartolaccini, Mauro Biffi, Fabio Russo, Ilaria Visigalli and 10 more

Abstract read
In one paragraph

Article in Science translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers.

0numbers the graph read from it
0cells of the map it votes in
85citing 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

85 citing papers in PubMed.

  1. Article
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  11. In Vivo CAR-T Therapies-A New Era of Programmable Immunity.International journal of molecular sciences · 2026
    Review
  12. FromImmune network · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. In vivo CAR cell therapy: from bench to bedside.Journal of hematology & oncology · 2025
    Review
  20. Genes & diseases · 2025
    Review

25 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

20 authors.

Michela MilaniSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-0363-678X
Andrea AnnoniSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-8541-2578
Federica MoalliIRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Tongyao LiuBioverativ, Waltham, MA 02451, USA.
Daniela CesanaSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0001-6366-4224
Andrea CalabriaSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0003-3515-3384
Sara BartolacciniSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Mauro BiffiSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Fabio RussoSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Ilaria VisigalliSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Andrea RaimondiIRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-4563-386X
Susannah Patarroyo-WhiteBioverativ, Waltham, MA 02451, USA.
Douglas DragerBioverativ, Waltham, MA 02451, USA.
Patrizia CristoforiSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-3867-062X
Eduard AyusoINSERM UMR1089, University of Nantes, CHU de Nantes, 44093 Nantes, France.ORCID 0000-0003-0811-2229
Eugenio MontiniSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Robert PetersBioverativ, Waltham, MA 02451, USA.ORCID 0000-0002-1442-3907
Matteo IannaconeIRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-9370-2671
Alessio CantoreSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy. cantore.alessio@hsr.it naldini.luigi@hsr.it.ORCID 0000-0002-9741-997X
Luigi NaldiniSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy. cantore.alessio@hsr.it naldini.luigi@hsr.it.ORCID 0000-0002-7835-527X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver-directed gene therapy for the coagulation disorder hemophilia showed safe and effective results in clinical trials using adeno-associated viral vectors to replace a functional coagulation factor, although some unmet needs remain. Lentiviral vectors (LVs) may address some of these hurdles because of their potential for stable expression and the low prevalence of preexisting viral immunity in humans. However, systemic LV administration to hemophilic dogs was associated to mild acute toxicity and low efficacy at the administered doses. Here, exploiting intravital microscopy and LV surface engineering, we report a major role of the human phagocytosis inhibitor CD47, incorporated into LV cell membrane, in protecting LVs from uptake by professional phagocytes and innate immune sensing, thus favoring biodistribution to hepatocytes after systemic administration. By enforcing high CD47 surface content, we generated phagocytosis-shielded LVs which, upon intravenous administration to nonhuman primates, showed selective liver and spleen targeting and enhanced hepatocyte gene transfer compared to parental LV, reaching supraphysiological activity of human coagulation factor IX, the protein encoded by the transgene, without signs of toxicity or clonal expansion of transduced cells.

Indexed as

Genetic TherapyPhagocytosisAnimalsCD47 AntigenGenetic VectorsGene Transfer TechniquesHepatocytesHumansImmune ToleranceImmunity, InnateKupffer CellsLentivirusLiverMacacaMice, Inbred C57BLMice, Inbred NODCD47 Antigen

Identifiers

PMID31118293
PMCPMC7613847

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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.