Evidence map›Paper›PMID 34001602›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

The SHREAD gene therapy platform for paracrine delivery improves tumor localization and intratumoral effects of a clinical antibody.

Sheena N Smith, Rajib Schubert, Branko Simic, Dominik Brücher, Markus Schmid, Niels Kirk, Patrick C Freitag, Viviana Gradinaru, Andreas Plückthun

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Molecular therapy. Methods & clinical development · 2025
    Article
  5. DARPin-induced reactivation of p53 in HPV-positive cells.Nature structural & molecular biology · 2025
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. FAP-retargeted Ad5 enables in vivo gene delivery to stromal cells in the tumor microenvironment.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  11. Review
  12. Targeted adenovirus-mediated transduction of human T cellsMolecular therapy. Methods & clinical development · 2023
    Article
  13. Article
  14. Article
  15. 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

9 authors at 2 institutions in 2 countries.

Sheena N SmithDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland; s.smith@bioc.uzh.ch plueckthun@bioc.uzh.ch.ORCID 0000-0002-2162-7107
Rajib SchubertDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland.
Branko SimicDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland.ORCID 0000-0002-7314-3913
Dominik BrücherDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland.ORCID 0000-0002-3160-5542
Markus SchmidDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland.ORCID 0000-0002-4533-371X
Niels KirkDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland.
Patrick C FreitagDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland.ORCID 0000-0001-8803-6048
Viviana GradinaruDivision of Biology and Biological Engineering, California Institute of Technology, Pasadena, CA 91125.
Andreas PlückthunDepartment of Biochemistry, University of Zürich, 8057 Zürich, Switzerland; s.smith@bioc.uzh.ch plueckthun@bioc.uzh.ch.ORCID 0000-0003-4191-5306
University of Zurich · CHCalifornia Institute of Technology · US

Funding

Adenoviral delivery of protein-based therapeutics to the tumor microenvironmentF32CA189372 · NCI · UNIVERSITY OF ZURICH · PI SMITH, SHEENA N · 2015 to 2017
$162k
NCI NIH HHS F32 CA189372
6 · The paper itself

Abstract

The goal of cancer-drug delivery is to achieve high levels of therapeutics within tumors with minimal systemic exposure that could cause toxicity. Producing biologics directly in situ where they diffuse and act locally is an attractive alternative to direct administration of recombinant therapeutics, as secretion by the tumor itself provides high local concentrations that act in a paracrine fashion continuously over an extended duration (paracrine delivery). We have engineered a SHielded, REtargeted ADenovirus (SHREAD) gene therapy platform that targets specific cells based on chosen surface markers and converts them into biofactories secreting therapeutics. In a proof of concept, a clinically approved antibody is delivered to orthotopic tumors in a model system in which precise biodistribution can be determined using tissue clearing with passive CLARITY technique (PACT) with high-resolution three-dimensional imaging and feature quantification within the tumors made transparent. We demonstrate high levels of tumor cell-specific transduction and significant and durable antibody production. PACT gives a localized quantification of the secreted therapeutic and allows us to directly observe enhanced pore formation in the tumor and destruction of the intact vasculature. In situ production of the antibody led to an 1,800-fold enhanced tumor-to-serum antibody concentration ratio compared to direct administration. Our detailed biochemical and microscopic analyses thus show that paracrine delivery with SHREAD could enable the use of highly potent therapeutic combinations, including those with systemic toxicity, to reach adequate therapeutic windows.

Indexed as

Drug Delivery SystemsGenetic TherapyAdenoviridaeAnimalsAntibodiesAntigens, SurfaceAntineoplastic AgentsGenetic VectorsHumansImaging, Three-DimensionalMiceNeoplasmsParacrine CommunicationAntibodiesAntigens, SurfaceAntineoplastic Agents3D reconstructionadenoviruscancer therapygene therapyPACT tissue clearing

Identifiers

PMID34001602
PMCPMC8166199
OpenAlexW3160795217

What OpenQuestion holds

Textmetadata
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.