Evidence map›Paper›PMID 31332341›Full record

ArticleNature biomedical engineering2019

Immune-orthogonal orthologues of AAV capsids and of Cas9 circumvent the immune response to the administration of gene therapy.

Ana M Moreno, Nathan Palmer, Fernando Alemán, Genghao Chen, Andrew Pla, Ning Jiang, Wei Leong Chew, Mansun Law, Prashant Mali

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Nature biomedical engineering, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
5.5field-weighted citation impact, top 3% 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

89 citing papers in PubMed, 118 citations in OpenAlex.

  1. Review
  2. SORT LNPs encapsulating Cas9 mRNA achieve efficient editing in skeletal muscle in a dystrophic mouse model.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. The Role of CRISPR and Its Therapeutic Applications in Glioblastoma.International journal of molecular sciences · 2026
    Review
  10. Rational Immunogenicity Modulation of Virus-Like Particles by VLPIM.Computational and structural biotechnology journal · 2026
    Article
  11. Regulatable In Vivo Gene Expression via Adaptamers.bioRxiv : the preprint server for biology · 2025
    Article
  12. Review
  13. Review
  14. A compact base editor rescues AATD-associated liver and lung disease in mouse models.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  15. Review
  16. Review
  17. Peeling back the layers of immunogenicity in Cas9-based genomic medicine.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  18. Review
  19. Article
  20. Article

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Ana M MorenoDepartment of Bioengineering, University of California San Diego, San Diego, CA, USA.
Nathan PalmerDivision of Biological Sciences, University of California San Diego, San Diego, CA, USA.ORCID http://orcid.org/0000-0001-6347-9379
Fernando AlemánDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.
Genghao ChenDepartment of Bioengineering, University of California San Diego, San Diego, CA, USA.
Andrew PlaDepartment of Bioengineering, University of California San Diego, San Diego, CA, USA.
Ning JiangDepartment of Biomedical Engineering, The University of Texas at Austin, Austin, TX, USA.
Wei Leong ChewSynthetic Biology, Genome Institute of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-4774-7959
Mansun LawDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.
Prashant MaliDepartment of Bioengineering, University of California San Diego, San Diego, CA, USA. pmali@ucsd.edu.ORCID http://orcid.org/0000-0002-3383-1287
University of California San Diego · USScripps Research Institute · USGenome Institute of Singapore · SGThe University of Texas at Austin · US

Funding

Understanding human neutralizing antibodies to hepatitis C virusR01AI079031 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI LAW, MANSUN · 2008 to 2017
$4.6M
Next-generation Functional Genetic Screening of Un-screenable TraitsR01HG009285 · NHGRI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALI, PRASHANT, TAMAYO, PABLO · 2017 to 2020
$4.2M
Systematic mapping of genetic vulnerabilities in head and neck cancerR01CA222826 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALI, PRASHANT · 2018 to 2022
$1.8M
Dissecting virus neutralizing determinants to guide HCV vaccine developmentR01AI106005 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI LAW, MANSUN · 2014 to 2017
$1.5M
Dissecting the interplay of gene regulatory networks and cellular niche on cell fate determinationR01GM123313 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALI, PRASHANT · 2018 to 2021
$1.2M
HSRD VA CDA 16-150NCI NIH HHS R01 CA222826NHGRI NIH HHS R01 HG009285NIAID NIH HHS R01 AI079031NIAID NIH HHS R01 AI106005NIGMS NIH HHS R01 GM123313
6 · The paper itself

Abstract

Protein-based therapeutics can activate the adaptive immune system, leading to the production of neutralizing antibodies and the clearance of the treated cells mediated by cytotoxic T cells. Here, we show that the sequential use of immune-orthogonal orthologues of CRISPR-associated protein 9 (Cas9) and adeno-associated viruses (AAVs) evades adaptive immune responses and enables effective gene editing using repeated dosing. We compared total sequence similarities and predicted binding strengths to class-I and class-II major histocompatibility complex (MHC) proteins for 284 DNA-targeting and 84 RNA-targeting CRISPR effectors and 167 AAV VP1-capsid-protein orthologues. We predict the absence of cross-reactive immune responses for 79% of the DNA-targeting Cas orthologues-which we validated for three Cas9 orthologues in mice-yet we anticipate broad immune cross-reactivity among the AAV serotypes. We also show that efficacious in vivo gene editing is uncompromised when using multiple dosing with orthologues of AAVs and Cas9 in mice that were previously immunized against the AAV vector and the Cas9 cargo. Multiple dosing with protein orthologues may allow for sequential regimens of protein therapeutics that circumvent pre-existing immunity or induced immunity.

Indexed as

CapsidAdaptive ImmunityAnimalsCRISPR-Cas SystemsDependovirusGene EditingGenetic TherapyGenetic VectorsMaleMiceMice, Inbred BALB CMice, Inbred C57BLProtein Engineering

Identifiers

PMID31332341
PMCPMC6783354
OpenAlexW2963548588

What OpenQuestion holds

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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.