Evidence map›Paper›PMID 34174440›Full record

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

Predicting genotoxicity of viral vectors for stem cell gene therapy using gene expression-based machine learning.

Adrian Schwarzer, Steven R Talbot, Anton Selich, Michael Morgan, Juliane W Schott, Oliver Dittrich-Breiholz, Antonella L Bastone, Bettina Weigel, Teng Cheong Ha, Violetta Dziadek and 7 more

Open access · bronzeAbstract 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 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
6.4field-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

27 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
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  5. Machine Learning in Stem Cell Research: From Biological Data to Clinical Translation.Computational and structural biotechnology journal · 2026
    Review
  6. Review
  7. Gene therapy · 2025
    Article
  8. Safety and efficacy of gene therapy for RAG1-deficient SCID.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Third-generation lentiviral gene therapy rescues function in a mouse model of Usher 1B.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  18. Review
  19. Development of anMolecular therapy. Methods & clinical development · 2023
    Article
  20. TGFCells · 2023
    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

17 authors at 7 institutions in 5 countries.

Adrian SchwarzerInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany; Department of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Steven R TalbotInstitute for Laboratory Animal Science, Hannover Medical School, Hannover, Germany.
Anton SelichInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Michael MorganInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Juliane W SchottInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Oliver Dittrich-BreiholzResearch Core Unit Genomics, Hannover Medical School, Hannover, Germany.
Antonella L BastoneInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Bettina WeigelInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Teng Cheong HaInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Violetta DziadekInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany.
Rik GijsbersMolecular Virology and Gene Therapy, KU Leuven, Leuven, Belgium.
Adrian J ThrasherMolecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, London, UK.
Frank J T StaalDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden 2333 ZA, the Netherlands.
Hubert B GasparMolecular and Cellular Immunology Section, UCL Great Ormond Street Institute of Child Health, London, UK.
Ute ModlichResearch Group for Gene Modification in Stem Cells, Division of Veterinary Medicine, Paul Ehrlich Institute, Langen, Germany.
Axel SchambachInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany; Division of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Michael RotheInstitute of Experimental Hematology, Hannover Medical School, Carl-Neuberg-Straße 1, 30625 Hannover, Germany. Electronic address: rothe.michael@mh-hannover.de.
Medizinische Hochschule Hannover · DEGreat Ormond Street Hospital · GBHarvard University · USKU Leuven · BELeiden University Medical Center · NLPaul Ehrlich Institut · DEUniversity College London · GB

Funding

Wellcome Trust 090233/Z/09/Z
6 · The paper itself

Abstract

Hematopoietic stem cell gene therapy is emerging as a promising therapeutic strategy for many diseases of the blood and immune system. However, several individuals who underwent gene therapy in different trials developed hematological malignancies caused by insertional mutagenesis. Preclinical assessment of vector safety remains challenging because there are few reliable assays to screen for potential insertional mutagenesis effects in vitro. Here we demonstrate that genotoxic vectors induce a unique gene expression signature linked to stemness and oncogenesis in transduced murine hematopoietic stem and progenitor cells. Based on this finding, we developed the surrogate assay for genotoxicity assessment (SAGA). SAGA classifies integrating retroviral vectors using machine learning to detect this gene expression signature during the course of in vitro immortalization. On a set of benchmark vectors with known genotoxic potential, SAGA achieved an accuracy of 90.9%. SAGA is more robust and sensitive and faster than previous assays and reliably predicts a mutagenic risk for vectors that led to leukemic severe adverse events in clinical trials. Our work provides a fast and robust tool for preclinical risk assessment of gene therapy vectors, potentially paving the way for safer gene therapy trials.

Indexed as

Genetic TherapyGenetic VectorsAnimalsDNA DamageGene ExpressionHematopoietic Stem CellsHumansMachine LearningMiceMutagenesis, Insertionalgene expressiongene therapygenotoxicityinsertional mutagenesisintegrating viral vectorsin vitro assaymachine learningpreclinical risk assessmentsafety assay gene therapysupport vector machine

Identifiers

PMID34174440
PMCPMC8636173
OpenAlexW3175998249

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.