Evidence map›Paper›PMID 32341402›Full record

ArticleScientific reports2020

Systemic modified messenger RNA for replacement therapy in alpha 1-antitrypsin deficiency.

Ahmad Karadagi, Alex G Cavedon, Helen Zemack, Greg Nowak, Marianne E Eybye, Xuling Zhu, Eleonora Guadagnin, Rebecca A White, Lisa M Rice, Andrea L Frassetto and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

34 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. RNA-Based Therapies for Inherited Metabolic Disorders.Journal of inherited metabolic disease · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Biomaterials science · 2022
    Article
  19. Review
  20. Self-Amplifying RNA Approach for Protein Replacement Therapy.International journal of molecular sciences · 2022
    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 3 institutions in 2 countries.

Ahmad KaradagiDivision of Transplantation Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-1360-938X
Alex G CavedonModerna Inc, Cambridge, MA, 02139, USA.
Helen ZemackDivision of Transplantation Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Greg NowakPO Transplantation, Karolinska University Hospital Huddinge, Stockholm, Sweden.ORCID http://orcid.org/0000-0001-8766-8860
Marianne E EybyeModerna Inc, Cambridge, MA, 02139, USA.
Xuling ZhuModerna Inc, Cambridge, MA, 02139, USA.
Eleonora GuadagninModerna Inc, Cambridge, MA, 02139, USA.
Rebecca A WhiteModerna Inc, Cambridge, MA, 02139, USA.
Lisa M RiceModerna Inc, Cambridge, MA, 02139, USA.
Andrea L FrassettoModerna Inc, Cambridge, MA, 02139, USA.
Stephen StromDivision of Pathology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Carl JornsPO Transplantation, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Paolo G V MartiniModerna Inc, Cambridge, MA, 02139, USA.
Ewa EllisDivision of Transplantation Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden. ewa.ellis@ki.se.ORCID http://orcid.org/0000-0002-3057-5337
Moderna Therapeutics (United States) · USKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alpha 1-antitrypsin (AAT) deficiency arises from an inherited mutation in the SERPINA1 gene. The disease causes damage in the liver where the majority of the AAT protein is produced. Lack of functioning circulating AAT protein also causes uninhibited elastolytic activity in the lungs leading to AAT deficiency-related emphysema. The only therapy apart from liver transplantation is augmentation with human AAT protein pooled from sera, which is only reserved for patients with advanced lung disease caused by severe AAT deficiency. We tested modified mRNA encoding human AAT in primary human hepatocytes in culture, including hepatocytes from AAT deficient patients. Both expression and functional activity were investigated. Secreted AAT protein increased from 1,14 to 3,43 µg/ml in media from primary human hepatocytes following mRNA treatment as investigated by ELISA and western blot. The translated protein showed activity and protease inhibitory function as measured by elastase activity assay. Also, mRNA formulation in lipid nanoparticles was assessed for systemic delivery in both wild type mice and the NSG-PiZ transgenic mouse model of AAT deficiency. Systemic intravenous delivery of modified mRNA led to hepatic uptake and translation into a functioning protein in mice. These data support the use of systemic mRNA therapy as a potential treatment for AAT deficiency.

Indexed as

alpha 1-Antitrypsinalpha 1-Antitrypsin DeficiencyAnimalsBlotting, WesternCells, CulturedDisease Models, AnimalEnzyme-Linked Immunosorbent AssayHumansNanoparticlesRNA, Messengeralpha 1-AntitrypsinRNA, Messenger

Identifiers

PMID32341402
PMCPMC7184591
OpenAlexW3020718086

What OpenQuestion holds

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LicenceCC BY
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.