Evidence map›Paper›PMID 33475257›Full record

ArticleEMBO molecular medicine2021

Modeling, optimization, and comparable efficacy of T cell and hematopoietic stem cell gene editing for treating hyper-IgM syndrome.

Valentina Vavassori, Elisabetta Mercuri, Genni E Marcovecchio, Maria C Castiello, Giulia Schiroli, Luisa Albano, Carrie Margulies, Frank Buquicchio, Elena Fontana, Stefano Beretta and 13 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06959771 (Base Editing Hematopoietic Stem Cell and BE T Cell Gene Therapy for CD40L-HyperIgM Syndrome-Single Patient Study), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.8field-weighted citation impact, top 4% 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.

NCT06959771 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Base Editing Hematopoietic Stem Cell and BE T Cell Gene Therapy for CD40L-HyperIgM Syndrome-Single Patient Study

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2025 to 2027Enrolled1ConditionsCD40L-HyperIgM SyndromeArmsBase-edited hematopoietic stem and progenitor cells, Alemtuzumab, Sirolimus, Palifermin, Busulfan
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
  2. Precision T cell correction platform for inborn errors of immunity.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. [Advances in gene therapy for inborn errors of immunity].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
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  14. Review
  15. Article
  16. Article
  17. An improved medium formulation for efficientMolecular therapy. Methods & clinical development · 2023
    Article
  18. Article
  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

23 authors at 9 institutions in 4 countries.

Valentina VavassoriSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Elisabetta MercuriSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Genni E MarcovecchioSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maria C CastielloSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Giulia SchiroliSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Luisa AlbanoSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Carrie MarguliesEditas Medicine, Cambridge, MA, USA.
Frank BuquicchioEditas Medicine, Cambridge, MA, USA.
Elena FontanaInstitute of Genetic and Biomedical Research Milan Unit, National Research Council (CNR), Milan, Italy.
Stefano BerettaSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Ivan MerelliSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Andrea CappelleriMouse and Animal Pathology Laboratory (MAPLab), Fondazione Unimi, Milano, Italy.
Paola Mv RancoitaUniversity Center for Statistics in the Biomedical Sciences (CUSSB), Vita-Salute San Raffaele University, Milan, Italy.
Vassilios LougarisUniversity of Brescia and ASST-Spedali Civili di Brescia, Brescia, Italy.
Alessandro PlebaniUniversity of Brescia and ASST-Spedali Civili di Brescia, Brescia, Italy.
Maria KanariouFirst Department of Paediatrics, Aghia Sophia Children's Hospital, Athens, Greece.
Arjan LankesterDepartment of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands.
Francesca FerruaSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Eugenio ScanzianiMouse and Animal Pathology Laboratory (MAPLab), Fondazione Unimi, Milano, Italy.
Cecilia Cotta-RamusinoEditas Medicine, Cambridge, MA, USA.
Anna VillaSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Luigi NaldiniSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-7835-527X
Pietro GenoveseSan Raffaele Telethon Institute for Gene Therapy, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0001-9507-9003
The San Raffaele Telethon Institute for Gene Therapy · ITVita-Salute San Raffaele University · ITEditas Medicine (United States) · USAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITInstitute of Genetic and Biomedical Research · ITUniversity of Milan · ITChildren's Hospital Agia Sophia · GRHumanitas University · ITLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Precise correction of the CD40LG gene in T cells and hematopoietic stem/progenitor cells (HSPC) holds promise for treating X-linked hyper-IgM Syndrome (HIGM1), but its actual therapeutic potential remains elusive. Here, we developed a one-size-fits-all editing strategy for effective T-cell correction, selection, and depletion and investigated the therapeutic potential of T-cell and HSPC therapies in the HIGM1 mouse model. Edited patients' derived CD4 T cells restored physiologically regulated CD40L expression and contact-dependent B-cell helper function. Adoptive transfer of wild-type T cells into conditioned HIGM1 mice rescued antigen-specific IgG responses and protected mice from a disease-relevant pathogen. We then obtained ~ 25% CD40LG editing in long-term repopulating human HSPC. Transplanting such proportion of wild-type HSPC in HIGM1 mice rescued immune functions similarly to T-cell therapy. Overall, our findings suggest that autologous edited T cells can provide immediate and substantial benefits to HIGM1 patients and position T-cell ahead of HSPC gene therapy because of easier translation, lower safety concerns and potentially comparable clinical benefits.

Indexed as

Hyper-IgM Immunodeficiency SyndromeHyper-IgM Immunodeficiency Syndrome, Type 1AnimalsGene EditingHematopoietic Stem CellsHumansMiceT-LymphocytesCRISPR-Cas gene editinghematopoietic stem cellsT-cell therapytruncated EGFRX-linked hyper-IgM Syndrome

Identifiers

PMID33475257
PMCPMC7933961
OpenAlexW3125261801

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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.