Evidence map›Paper›PMID 33340584›Full record

ArticleJournal of hepatology2021

Synthetic human ABCB4 mRNA therapy rescues severe liver disease phenotype in a BALB/c.Abcb4

Guangyan Wei, Jingsong Cao, Pinzhu Huang, Ping An, Disha Badlani, Kahini A Vaid, Shuangshuang Zhao, David Q-H Wang, Jenny Zhuo, Ling Yin and 10 more

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

43 citing papers in PubMed, 70 citations in OpenAlex.

  1. Review
  2. RNA-Based Therapies for Inherited Metabolic Disorders.Journal of inherited metabolic disease · 2026
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  3. A Rare Nonsense Mutation in theJournal of clinical medicine · 2026
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  7. Cholestasis in Alcohol-Associated Liver Disease.The American journal of pathology · 2026
    Review
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  14. Review
  15. Article
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  17. Review
  18. Review
  19. Article
  20. Genetics of Gallstone Disease and Their Clinical Significance: A Narrative Review.Journal of clinical and translational hepatology · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 2 countries.

Guangyan WeiDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Department of Radiation Oncology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.
Jingsong CaoRare Diseases, Moderna Inc, Cambridge, MA, USA.
Pinzhu HuangDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Ping AnDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA; Division of Gastroenterology and Hepatology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Disha BadlaniDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Kahini A VaidDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Shuangshuang ZhaoDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
David Q-H WangDepartment of Medicine and Genetics, Division of Gastroenterology and Liver Diseases, Marion Bessin Liver Research Center, Einstein-Mount Sinai Diabetes Research Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Jenny ZhuoRare Diseases, Moderna Inc, Cambridge, MA, USA.
Ling YinRare Diseases, Moderna Inc, Cambridge, MA, USA.
Andrea FrassettoRare Diseases, Moderna Inc, Cambridge, MA, USA.
Arianna MarkelRare Diseases, Moderna Inc, Cambridge, MA, USA; Stem Cell Program, Boston Children's Hospital, Boston, MA, USA.
Vladimir PresnyakComputational Engineering, Moderna Inc, Cambridge, MA, USA.
Srujan GandhamAnalytical Development, Moderna Inc, Cambridge, MA, USA.
Serenus HuaAnalytical Development, Moderna Inc, Cambridge, MA, USA.
Christine LukacsRare Diseases, Moderna Inc, Cambridge, MA, USA.
Patrick F FinnRare Diseases, Moderna Inc, Cambridge, MA, USA.
Paloma H GiangrandeRare Diseases, Moderna Inc, Cambridge, MA, USA.
Paolo G V MartiniRare Diseases, Moderna Inc, Cambridge, MA, USA. Electronic address: paolo.Martini@modernatx.com.
Yury V PopovDivision of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. Electronic address: ypopov@bidmc.harvard.edu.
Moderna Therapeutics (United States) · USBeth Israel Deaconess Medical Center · USAlbert Einstein College of Medicine · USBoston Children's Hospital · US

Funding

STRUCTURE-FUNCTION RELATIONSHIPS IN THE ALIMENTARY TRACTP30DK034854 · NIDDK · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI JONATHAN C KAGAN · 1986 to 2026
$32.4M
Stable Isotope and Metabolomics CoreP60DK020541 · NIDDK · YESHIVA UNIVERSITY · PI PESSIN, JEFFREY E. · 1986 to 2014
$29.8M
Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
GPR30 and hepatic cholesterol metabolismR01DK126369 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI PESSIN, JEFFREY E. · 2020 to 2023
$1.9M
Apolipoprotein A5 and Gallstone FormationR01DK114516 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI WANG, DAVID Q · 2018 to 2021
$1.5M
GPR30 and Hepatic Cholesterol HomeostasisR01DK106249 · NIDDK · SAINT LOUIS UNIVERSITY · PI WANG, DAVID Q · 2015 to 2017
$1.0M
NIDDK NIH HHS P30 DK020541NIDDK NIH HHS P30 DK034854NIDDK NIH HHS P60 DK020541NIDDK NIH HHS R01 DK106249NIDDK NIH HHS R01 DK114516NIDDK NIH HHS R01 DK126369
6 · The paper itself

Abstract

BACKGROUND &

aimsProgressive familial intrahepatic cholestasis type 3 (PFIC3) is a rare lethal autosomal recessive liver disorder caused by loss-of-function variations of the ABCB4 gene, encoding a phosphatidylcholine transporter (ABCB4/MDR3). Currently, no effective treatment exists for PFIC3 outside of liver transplantation.

methodsWe have produced and screened chemically and genetically modified mRNA variants encoding human ABCB4 (hABCB4 mRNA) encapsulated in lipid nanoparticles (LNPs). We examined their pharmacological effects in a cell-based model and in a new in vivo mouse model resembling human PFIC3 as a result of homozygous disruption of the Abcb4 gene in fibrosis-susceptible BALB/c.Abcb4

resultsWe show that treatment with liver-targeted hABCB4 mRNA resulted in de novo expression of functional hABCB4 protein and restored phospholipid transport in cultured cells and in PFIC3 mouse livers. Importantly, repeated injections of the hABCB4 mRNA effectively rescued the severe disease phenotype in young Abcb4

conclusionsOur data provide strong preclinical proof-of-concept for hABCB4 mRNA therapy as a potential treatment option for patients with PFIC3. LAY SUMMARY: This report describes the development of an innovative mRNA therapy as a potential treatment for PFIC3, a devastating rare paediatric liver disease with no treatment options except liver transplantation. We show that administration of our mRNA construct completely rescues severe liver disease in a genetic model of PFIC3 in mice.

Indexed as

Gene DeletionPhenotypeAnimalsATP-Binding Cassette Sub-Family B Member 4ATP Binding Cassette Transporter, Subfamily BCholestasis, IntrahepaticDisease Models, AnimalHEK293 CellsHomozygoteHumansLiposomesLiverMiceMice, Inbred BALB CMice, KnockoutNanoparticle Drug Delivery SystemATP-Binding Cassette Sub-Family B Member 4ATP Binding Cassette Transporter, Subfamily BLipid NanoparticlesLiposomesmultidrug resistance protein 3Nanoparticle Drug Delivery SystemRNA, MessengerCholangiopathyCholangitisCongenital biliary cirrhosisGene therapyLiver fibrosis

Identifiers

PMID33340584
PMCPMC8188846
OpenAlexW3113286505

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.