Evidence map›Paper›PMID 33484963›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2021

Correction of a urea cycle defect after ex vivo gene editing of human hepatocytes.

Mihaela Zabulica, Raghuraman C Srinivasan, Pinar Akcakaya, Gabriella Allegri, Burcu Bestas, Mike Firth, Christina Hammarstedt, Tomas Jakobsson, Towe Jakobsson, Ewa Ellis and 14 more

Open access · hybridAbstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Targeted gene editing ofMolecular therapy. Nucleic acids · 2026
    Article
  2. Article
  3. Cell therapy for liver disorders: past, present and future.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Research progress of stem cells in the treatment of atherosclerosis.Frontiers in cell and developmental biology · 2025
    Review
  9. Mice Engrafted with Human Liver Cells.Seminars in liver disease · 2024
    Review
  10. Review
  11. Exploring RNA therapeutics for urea cycle disorders.Journal of inherited metabolic disease · 2024
    Review
  12. Article
  13. Molecular therapy. Methods & clinical development · 2024
    Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Primary human hepatocyte gene editing: Prometheus' chains are loosening.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
  20. Synthetic human livers for modeling metabolic diseases.Current opinion in gastroenterology · 2021
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 4 institutions in 3 countries.

Mihaela ZabulicaDepartment of Laboratory Medicine, Karolinska Institutet, 141 52 Huddinge, Sweden.
Raghuraman C SrinivasanDepartment of Laboratory Medicine, Karolinska Institutet, 141 52 Huddinge, Sweden.
Pinar AkcakayaDiscovery Sciences, BioPharmaceuticals R&D Unit, AstraZeneca, Gothenburg, Sweden.
Gabriella AllegriDivision of Metabolism and Children's Research Center, University Children's Hospital, Zürich, Switzerland.
Burcu BestasDiscovery Sciences, BioPharmaceuticals R&D Unit, AstraZeneca, Gothenburg, Sweden.
Mike FirthDiscovery Sciences, BioPharmaceuticals R&D Unit, AstraZeneca, Cambridge, UK.
Christina HammarstedtDepartment of Laboratory Medicine, Karolinska Institutet, 141 52 Huddinge, Sweden.
Tomas JakobssonDepartment of Laboratory Medicine, Karolinska Institutet, 141 52 Huddinge, Sweden.
Towe JakobssonDepartment of Clinical Sciences Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Ewa EllisDepartment of Clinical Sciences Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Carl JornsDepartment of Clinical Sciences Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Georgios MakrisDivision of Metabolism and Children's Research Center, University Children's Hospital, Zürich, Switzerland.
Tanja SchererDivision of Metabolism and Children's Research Center, University Children's Hospital, Zürich, Switzerland.
Nicole RimannDivision of Metabolism and Children's Research Center, University Children's Hospital, Zürich, Switzerland.
Natalie R van ZuydamDepartment of Quantitative Biology, Discovery Sciences, R&D BioPharmaceuticals, AstraZeneca, Gothenburg, Sweden.
Roberto GramignoliDepartment of Laboratory Medicine, Karolinska Institutet, 141 52 Huddinge, Sweden.
Anna ForslöwDiscovery Sciences, BioPharmaceuticals R&D Unit, AstraZeneca, Gothenburg, Sweden.
Susanna EngbergDiscovery Sciences, BioPharmaceuticals R&D Unit, AstraZeneca, Gothenburg, Sweden.
Marcello MarescaDiscovery Sciences, BioPharmaceuticals R&D Unit, AstraZeneca, Gothenburg, Sweden.
Olav RooyackersDepartment of Clinical Sciences Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
Beat ThönyDivision of Metabolism and Children's Research Center, University Children's Hospital, Zürich, Switzerland.
Johannes HäberleDivision of Metabolism and Children's Research Center, University Children's Hospital, Zürich, Switzerland.
Barry RosenDiscovery Sciences, BioPharmaceuticals R&D Unit, AstraZeneca, Cambridge, UK.
Stephen C StromDepartment of Laboratory Medicine, Karolinska Institutet, 141 52 Huddinge, Sweden. Electronic address: stephen.strom7.4@gmail.com.
Karolinska Institutet · SEAstraZeneca (Sweden) · SEUniversity Children's Hospital Zurich · CHAstraZeneca (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ornithine transcarbamylase deficiency (OTCD) is a monogenic disease of ammonia metabolism in hepatocytes. Severe disease is frequently treated by orthotopic liver transplantation. An attractive approach is the correction of a patient's own cells to regenerate the liver with gene-repaired hepatocytes. This study investigates the efficacy and safety of ex vivo correction of primary human hepatocytes. Hepatocytes isolated from an OTCD patient were genetically corrected ex vivo, through the deletion of a mutant intronic splicing site achieving editing efficiencies >60% and the restoration of the urea cycle in vitro. The corrected hepatocytes were transplanted into the liver of FRGN mice and repopulated to high levels (>80%). Animals transplanted and liver repopulated with genetically edited patient hepatocytes displayed normal ammonia, enhanced clearance of an ammonia challenge and OTC enzyme activity, as well as lower urinary orotic acid when compared to mice repopulated with unedited patient hepatocytes. Gene expression was shown to be similar between mice transplanted with unedited or edited patient hepatocytes. Finally, a genome-wide screening by performing CIRCLE-seq and deep sequencing of >70 potential off-targets revealed no unspecific editing. Overall analysis of disease phenotype, gene expression, and possible off-target editing indicated that the gene editing of a severe genetic liver disease was safe and effective.

Indexed as

MutationAdultAgedAmmoniaAnimalsCells, CulturedChildDisease Models, AnimalFemaleGene EditingGene Expression RegulationHepatocytesHumansIntronsMaleMiceAmmoniaOrnithine CarbamoyltransferaseOrotic AcidCRISPRex vivoFRGNgenome editinghepatocyte transplantationliver-humanized mouseprimary hepatocytesurea cycle disorder

Identifiers

PMID33484963
PMCPMC8116578
OpenAlexW3125440049

What OpenQuestion holds

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Registered trials

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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.