Evidence map›Paper›PMID 34477814›Full record

ArticleBlood advances2021

Identification of coagulation factor IX variants with enhanced activity through ancestral sequence reconstruction.

Kristopher A Knight, Christopher W Coyle, Caelan E Radford, Ernest T Parker, Andrew Fedanov, Jordan M Shields, Fania Szlam, Anatolii Purchel, Michelle Chen, Gabriela Denning and 5 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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  6. CRISPR-Mediated In Situ Introduction or Integration ofInternational journal of molecular sciences · 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

15 authors at 4 institutions in 1 country.

Kristopher A KnightCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.ORCID 0000-0002-7948-0072
Christopher W CoyleMolecular and Systems Pharmacology Graduate Program, Graduate Division of Biological and Biomedical Sciences, Laney Graduate School, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-2929-0219
Caelan E RadfordInstitute for Bioengineering and Biosciences, School of Biological Sciences, Georgia Institute of Technology, Atlanta, GA.
Ernest T ParkerCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.
Andrew FedanovCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.
Jordan M ShieldsCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.
Fania SzlamDepartment of Anesthesiology, Emory University School of Medicine, Atlanta, GA.
Anatolii PurchelWyatt Technology Corporation, Santa Barbara, CA.
Michelle ChenWyatt Technology Corporation, Santa Barbara, CA.
Gabriela DenningExpression Therapeutics, LLC, Tucker, GA; and.
Roman M SniecinskiDepartment of Anesthesiology, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-4766-3314
Pete LollarCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.ORCID 0000-0002-1206-8104
H Trent SpencerCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.
Eric A GaucherDepartment of Biology, Georgia State University, Atlanta, GA.ORCID 0000-0001-6836-0828
Christopher B DoeringCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.ORCID 0000-0002-5662-0060
Emory University · USExpression Therapeutics (United States) · USGeorgia Institute of Technology · USGeorgia State University · US

Funding

Unraveling the immune response to factor VIIIU54HL141981 · NHLBI · EMORY UNIVERSITY · PI MEEKS, SHANNON L. · 2018 to 2022
$8.1M
Evolution of urate metabolismR01AR069137 · NIAMS · GEORGIA STATE UNIVERSITY · PI GAUCHER, ERIC · 2016 to 2021
$1.5M
Ancestral Sequence Reconstruction Engineering of Coagulation FactorsR01HL137128 · NHLBI · EMORY UNIVERSITY · PI DOERING, CHRISTOPHER BRADLEY, SPENCER, H TRENT · 2017 to 2019
$1.1M
NHLBI NIH HHS R01 HL137128NHLBI NIH HHS U54 HL141981NIAMS NIH HHS R01 AR069137
6 · The paper itself

Abstract

Orthologous proteins contain sequence disparity guided by natural selection. In certain cases, species-specific protein functionality predicts pharmacological enhancement, such as greater specific activity or stability. However, immunological barriers generally preclude use of nonhuman proteins as therapeutics, and difficulty exists in the identification of individual sequence determinants among the overall sequence disparity. Ancestral sequence reconstruction (ASR) represents a platform for the prediction and resurrection of ancient gene and protein sequences. Recently, we demonstrated that ASR can be used as a platform to facilitate the identification of therapeutic protein variants with enhanced properties. Specifically, we identified coagulation factor VIII (FVIII) variants with improved specific activity, biosynthesis, stability, and resistance to anti-human FVIII antibody-based inhibition. In the current study, we resurrected a panel of ancient mammalian coagulation factor IX (FIX) variants with the goal of identifying improved pharmaceutical candidates. One variant (An96) demonstrated 12-fold greater FIX activity production than human FIX. Addition of the R338L Padua substitution further increased An96 activity, suggesting independent but additive mechanisms. after adeno-associated virus 2 (AAV2)/8-FIX gene therapy, 10-fold greater plasma FIX activity was observed in hemophilia B mice administered AAV2/8-An96-Padua as compared with AAV2/8-human FIX-Padua. Furthermore, phenotypic correction conferred by the ancestral variant was confirmed using a saphenous vein bleeding challenge and thromboelastography. Collectively, these findings validate the ASR drug discovery platform as well as identify an ancient FIX candidate for pharmaceutical development.

Indexed as

Factor IXHemophilia BAnimalsBlood Coagulation TestsGenetic TherapyHemorrhageMiceFactor IX

Identifiers

PMID34477814
PMCPMC8525220
OpenAlexW3198337445

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.