Evidence map›Paper›PMID 32776089›Full record

ArticleNucleic acids research2020

Prion protein lowering is a disease-modifying therapy across prion disease stages, strains and endpoints.

Eric Vallabh Minikel, Hien T Zhao, Jason Le, Jill O'Moore, Rose Pitstick, Samantha Graffam, George A Carlson, Michael P Kavanaugh, Jasna Kriz, Jae Beom Kim and 14 more

Open access · goldAbstract read
In one paragraph

Article in Nucleic acids research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed
6.1field-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

100 citing papers in PubMed, 133 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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  5. Article
  6. Depleting prion protein using splice-switching small molecules.bioRxiv : the preprint server for biology · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Divalent siRNA for prion disease.Nucleic acids research · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Divalent siRNA for prion disease.bioRxiv : the preprint server for biology · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

40 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

24 authors at 9 institutions in 3 countries.

Eric Vallabh MinikelStanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Hien T ZhaoIonis Pharmaceuticals Inc, Carlsbad, CA 92010, USA.
Jason LeBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Jill O'MooreMcLaughlin Research Institute, Great Falls, MT 59405, USA.
Rose PitstickMcLaughlin Research Institute, Great Falls, MT 59405, USA.
Samantha GraffamBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
George A CarlsonMcLaughlin Research Institute, Great Falls, MT 59405, USA.
Michael P KavanaughMcLaughlin Research Institute, Great Falls, MT 59405, USA.
Jasna KrizCervo Brain Research Center, Université Laval, Québec, QC G1J 2G3, Canada.
Jae Beom KimPerkinElmer, Hopkinton, MA 01748, USA.
Jiyan MaCenter for Neurodegenerative Science, Van Andel Institute, Grand Rapids, MI 49503, USA.
Holger WilleUniversity of Alberta, Edmonton, AB T6G 2M8, Canada.
Judd AikenUniversity of Alberta, Edmonton, AB T6G 2M8, Canada.
Deborah McKenzieUniversity of Alberta, Edmonton, AB T6G 2M8, Canada.
Katsumi Doh-UraDepartment of Neurochemistry, Tohoku University Graduate School of Medicine, Sendai, Miyagi 980-8575, Japan.
Matthew BeckBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Rhonda O'KeefeBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Jacquelyn StathopoulosBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Tyler CaronBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Stuart L SchreiberBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Jeffrey B CarrollWestern Washington University, Bellingham, WA 98225, USA.
Holly B KordasiewiczIonis Pharmaceuticals Inc, Carlsbad, CA 92010, USA.
Deborah E CabinMcLaughlin Research Institute, Great Falls, MT 59405, USA.
Sonia M VallabhStanley Center for Psychiatric Research, Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.
Broad Institute · USMcLaughlin Research Institute · USUniversity of Alberta · CAIonis Pharmaceuticals (United States) · USPerkinElmer (United States) · USTohoku University · JPUniversité Laval · CAVan Andel Institute · USWestern Washington University · US

Funding

Studies of Materials with Physiological PropertiesR35GM127045 · NIGMS · BROAD INSTITUTE, INC. · PI SCHREIBER, STUART L · 2018 to 2022
$3.2M
Developing in vitro assays to identify small molecules that inhibit human prionsF31AI122592 · NIAID · HARVARD MEDICAL SCHOOL · PI MINIKEL, ERIC VALLABH · 2016 to 2018
$99k
National Science Foundation GRFP 2015214731NIAID NIH HHS F31 AI122592NIGMS NIH HHS R35 GM127045
6 · The paper itself

Abstract

Lowering of prion protein (PrP) expression in the brain is a genetically validated therapeutic hypothesis in prion disease. We recently showed that antisense oligonucleotide (ASO)-mediated PrP suppression extends survival and delays disease onset in intracerebrally prion-infected mice in both prophylactic and delayed dosing paradigms. Here, we examine the efficacy of this therapeutic approach across diverse paradigms, varying the dose and dosing regimen, prion strain, treatment timepoint, and examining symptomatic, survival, and biomarker readouts. We recapitulate our previous findings with additional PrP-targeting ASOs, and demonstrate therapeutic benefit against four additional prion strains. We demonstrate that <25% PrP suppression is sufficient to extend survival and delay symptoms in a prophylactic paradigm. Rise in both neuroinflammation and neuronal injury markers can be reversed by a single dose of PrP-lowering ASO administered after the detection of pathological change. Chronic ASO-mediated suppression of PrP beginning at any time up to early signs of neuropathology confers benefit similar to constitutive heterozygous PrP knockout. Remarkably, even after emergence of frank symptoms including weight loss, a single treatment prolongs survival by months in a subset of animals. These results support ASO-mediated PrP lowering, and PrP-lowering therapeutics in general, as a promising path forward against prion disease.

Indexed as

AnimalsBrainCell LineMiceMice, Inbred C57BLOligonucleotides, AntisensePrion DiseasesPrion ProteinsRNAi TherapeuticsOligonucleotides, AntisensePrion Proteins

Identifiers

PMID32776089
PMCPMC7641729
OpenAlexW3048661959

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.