Evidence map›Paper›PMID 34504088›Full record

ArticleNature communications2021

Treatment of skeletal and non-skeletal alterations of Mucopolysaccharidosis type IVA by AAV-mediated gene therapy.

Joan Bertolin, Víctor Sánchez, Albert Ribera, Maria Luisa Jaén, Miquel Garcia, Anna Pujol, Xavier Sánchez, Sergio Muñoz, Sara Marcó, Jennifer Pérez and 9 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.1field-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

26 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Advances in Therapies for Mucopolysaccharidoses.Current issues in molecular biology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Recent advances in mucopolysaccharidosis IVA treatment.Orphanet journal of rare diseases · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Rat models of musculoskeletal lysosomal storage disorders and their role in pre-clinical evaluation of gene therapy approaches.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Mucopolysaccharidosis IVA: Current Disease Models and Drawbacks.International journal of molecular sciences · 2023
    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

19 authors at 2 institutions in 2 countries.

Joan Bertolin *Center of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Víctor Sánchez *Center of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Albert RiberaCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.ORCID 0000-0002-7120-4276
Maria Luisa JaénCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.ORCID 0000-0002-9188-0810
Miquel GarciaCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Anna PujolCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Xavier SánchezCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.ORCID 0000-0003-0897-0661
Sergio MuñozCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Sara MarcóCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.ORCID 0000-0003-3502-5198
Jennifer PérezCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Gemma EliasCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Xavier LeónCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Carles RocaCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Veronica JimenezCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Pedro OtaeguiCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Francisca MuleroMolecular Imaging Unit, Spanish National Cancer Research Center (CNIO), Madrid, Spain.ORCID 0000-0001-9584-4211
Marc NavarroCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Jesús RuberteCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain.
Fatima BoschCenter of Animal Biotechnology and Gene Therapy, Bellaterra, Spain. fatima.bosch@uab.es.ORCID 0000-0002-7705-5515
Universitat Autònoma de Barcelona · ESSpanish National Cancer Research Centre · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucopolysaccharidosis type IVA (MPSIVA) or Morquio A disease, a lysosomal storage disorder, is caused by N-acetylgalactosamine-6-sulfate sulfatase (GALNS) deficiency, resulting in keratan sulfate (KS) and chondroitin-6-sulfate accumulation. Patients develop severe skeletal dysplasia, early cartilage deterioration and life-threatening heart and tracheal complications. There is no cure and enzyme replacement therapy cannot correct skeletal abnormalities. Here, using CRISPR/Cas9 technology, we generate the first MPSIVA rat model recapitulating all skeletal and non-skeletal alterations experienced by patients. Treatment of MPSIVA rats with adeno-associated viral vector serotype 9 encoding Galns (AAV9-Galns) results in widespread transduction of bones, cartilage and peripheral tissues. This led to long-term (1 year) increase of GALNS activity and whole-body correction of KS levels, thus preventing body size reduction and severe alterations of bones, teeth, joints, trachea and heart. This study demonstrates the potential of AAV9-Galns gene therapy to correct the disabling MPSIVA pathology, providing strong rationale for future clinical translation to MPSIVA patients.

Indexed as

Disease Models, AnimalAnimalsCartilage, ArticularChondroitinsulfatasesDependovirusGene Expression Regulation, EnzymologicGenetic TherapyGenetic VectorsHumansMaleMicroscopy, Electron, TransmissionMucopolysaccharidosis IVMusculoskeletal SystemRatsRats, Sprague-DawleyReverse Transcriptase Polymerase Chain ReactionChondroitinsulfatases

Identifiers

PMID34504088
PMCPMC8429698
OpenAlexW3197184408

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.