Evidence map›Paper›PMID 31949009›Full record

ArticleHaematologica2021

Expanded circulating hematopoietic stem/progenitor cells as novel cell source for the treatment of TCIRG1 osteopetrosis.

Valentina Capo, Sara Penna, Ivan Merelli, Matteo Barcella, Serena Scala, Luca Basso-Ricci, Elena Draghici, Eleonora Palagano, Erika Zonari, Giacomo Desantis and 20 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07740499 (Exploring and Exploiting the TOLerogenic Potential of Hematopoietic Stem and Progenitor Cells to Cure Pediatric Inflammatory Bowel Disease), which is not on this 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 13% 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.

NCT07740499 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Exploring and Exploiting the TOLerogenic Potential of Hematopoietic Stem and Progenitor Cells to Cure Pediatric Inflammatory Bowel Disease

TypeobservationalSponsorIRCCS San RaffaeleRan2026 to 2029Enrolled80ConditionsInflammatory Bowel Disease (Crohn's Disease, Ulcerative Colitis)Armsbiological sample collection: an additional volume of peripheral blood (3-10 ml), biological sample collection: small fragment (1-5 mm) of intestinal tissue - residual or leftover material, biological sample collection: leftover peripheral blood samples from healthy subjects
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Correction of osteopetrosis in the neonateFrontiers in endocrinology · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Human Hematopoietic Stem Cells Co-cultured in 3D with Stromal Support to Optimize Lentiviral Vector-mediated Gene Transduction.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  12. Interstitial Lung Disease in Immunocompromised Children.Diagnostics (Basel, Switzerland) · 2022
    Article
  13. Review
  14. Review
  15. Recombinant Limb Assay asFrontiers in cell and developmental biology · 2022
    Article
  16. Article
  17. The V-ATPaseInternational journal of molecular sciences · 2021
    Review
  18. Review
  19. Review
  20. Article
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

30 authors at 15 institutions in 7 countries.

Valentina CapoSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Sara PennaSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Ivan MerelliInstitute for Biomedical Technologies, National Research Council, Serrate, Italy.
Matteo BarcellaSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Serena ScalaSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Luca Basso-RicciSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Elena DraghiciSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Eleonora PalaganoCNR-IRGB, Milan Unit and Humanitas Clinical and Research Center - IRCCS, Milano, Italy.
Erika ZonariSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Giacomo DesantisSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Paolo UvaCRS4, Science and Technology Park Polaris, Pula, Italy.
Roberto CusanoCRS4, Science and Technology Park Polaris, Pula, Italy.
Lucia Sergi SergiSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Laura CrisafulliCNR-IRGB, Milan Unit and Humanitas Clinical and Research Center - IRCCS, Milano, Italy.
Despina MoshousImmunologie, Hematologie et Rhumatologie Pediatriques, Hopital Necker-Enfants Malades, Paris, France.
Polina StepenskyDept. of Bone Marrow Transplantation and Cancer Immunotherapy, Hadassah University Hospital, Jerusalem.
Katarzyna DrabkoMedical University of Lublin.
Zühre KayaDepartment of Pediatric Hematology, Gazi University, School of Medicine, Ankara, Turkey.
Ekrem UnalErciyes University, Pediatric Hematology Oncology, Kayseri.
Alper GezdiriciIstanbul Health Science University, Kanuni Sultan Suleyman Training and Research Hospital.
Giuseppe MennaHemato-Oncology Unit, Department of Oncology, Pausilipon Hospital, Napoli, italy.
Marta SerafiniDIMET, University of Milano-Bicocca, Monza, Italy.
Alessandro AiutiSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Silvia Laura LocatelliHumanitas Cancer Center, Humanitas Clinical and Research Center, Rozzano.
Carmelo Carlo-StellaHumanitas Cancer Center, Humanitas Clinical and Research Center, Rozzano, Italy.
Ansgar S SchulzDepartment of Pediatrics and Adolescent Medicine, Ulm University Medical Center, Ulm.
Francesca FicaraCNR-IRGB, Milan Unit and Humanitas Clinical and Research Center - IRCCS, Milano.
Cristina SobacchiCNR-IRGB, Milan Unit and Humanitas Clinical and Research Center - IRCCS, Milano.
Bernhard GentnerSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Anna VillaSan Raffaele Telethon Institute for Gene Therapy (SR-Tiget), IRCCS San Raffaele Scientific Institute.
Istituti di Ricovero e Cura a Carattere Scientifico · ITThe San Raffaele Telethon Institute for Gene Therapy · ITIstituto di Ricovero e Cura a Carattere Scientifico San RaffaeleEnvironment Park · ITHumanitas University · ITErciyes University · TRGazi University · TRHadassah Medical Center · ILHôpital Necker-Enfants Malades · FRMedical University of Lublin · PLNational Research Council · ITSağlık Bilimleri Üniversitesi · TRSantobono Children's Hospital · ITUniversity Medical Center · USUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation is the treatment of choice for autosomal recessive osteopetrosis caused by defects in the TCIRG1 gene. Despite recent progress in conditioning, a relevant number of patients are not eligible for allogeneic stem cell transplantation because of the severity of the disease and significant transplant-related morbidity. We exploited peripheral CD34+ cells, known to circulate at high frequency in the peripheral blood of TCIRG1-deficient patients, as a novel cell source for autologous transplantation of gene corrected cells. Detailed phenotypical analysis showed that circulating CD34+ cells have a cellular composition that resembles bone marrow, supporting their use in gene therapy protocols. Transcriptomic profile revealed enrichment in genes expressed by hematopoietic stem and progenitor cells (HSPCs). To overcome the limit of bone marrow harvest/ HSPC mobilization and serial blood drawings in TCIRG1 patients, we applied UM171-based ex-vivo expansion of HSPCs coupled with lentiviral gene transfer. Circulating CD34+ cells from TCIRG1-defective patients were transduced with a clinically-optimized lentiviral vector (LV) expressing TCIRG1 under the control of phosphoglycerate promoter and expanded ex vivo. Expanded cells maintained long-term engraftment capacity and multi-lineage repopulating potential when transplanted in vivo both in primary and secondary NSG recipients. Moreover, when CD34+ cells were differentiated in vitro, genetically corrected osteoclasts resorbed the bone efficiently. Overall, we provide evidence that expansion of circulating HSPCs coupled to gene therapy can overcome the limit of stem cell harvest in osteopetrotic patients, thus opening the way to future gene-based treatment of skeletal diseases caused by bone marrow fibrosis.

Indexed as

Hematopoietic Stem Cell TransplantationOsteopetrosisVacuolar Proton-Translocating ATPasesAntigens, CD34Genetic TherapyHematopoietic Stem CellsHumansOsteoclastsAntigens, CD34TCIRG1 protein, humanVacuolar Proton-Translocating ATPases

Identifiers

PMID31949009
PMCPMC7776247
OpenAlexW2999126029

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Registered trials

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.