Evidence map›Paper›PMID 34516920›Full record

ArticleScience advances2021

A genome-engineered bioartificial implant for autoregulated anticytokine drug delivery.

Yun-Rak Choi, Kelsey H Collins, Luke E Springer, Lara Pferdehirt, Alison K Ross, Chia-Lung Wu, Franklin T Moutos, Natalia S Harasymowicz, Jonathan M Brunger, Christine T N Pham and 1 more

Abstract read
In one paragraph

Article in Science advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

  1. Review
  2. Review
  3. Smart closed-loop drug delivery systems.Nature reviews bioengineering · 2025
    Article
  4. Programmable chronogenetic gene circuits for self-regulated circadian delivery of biologic drugs.Journal of controlled release : official journal of the Controlled Release Society · 2025
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Yun-Rak ChoiDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0001-5197-3716
Kelsey H CollinsDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0001-7348-7348
Luke E SpringerDivision of Rheumatology, Department of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0002-0091-1520
Lara PferdehirtDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0002-1968-3636
Alison K RossDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0003-2563-220X
Chia-Lung WuDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0001-9598-7036
Franklin T MoutosCytex Therapeutics Inc., Durham, NC 27704, USA.
Natalia S HarasymowiczDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0002-2140-4157
Jonathan M BrungerDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN 37235, USA.ORCID 0000-0001-7468-7982
Christine T N PhamDivision of Rheumatology, Department of Medicine, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0003-1127-3699
Farshid GuilakDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.ORCID 0000-0001-7380-0330

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
WU-MDACC Inter-Institutional Molecular Imaging CenterP50CA094056 · NCI · WASHINGTON UNIVERSITY · PI PIWNICA-WORMS, DAVID · 2002 to 2016
$26.3M
VISCOELASTIC PROPERTIES OF NORMAL AND OA CHONDRONSR01AG015768 · NIA · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID · 1998 to 2022
$7.7M
Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Alfred Hyoungju Kim · 2018 to 2026
$7.6M
Resource Based Center for Musculoskeletal Biology and Medicine (Overall Application)P30AR074992 · NIAMS · WASHINGTON UNIVERSITY · PI MATTHEW J SILVA · 2019 to 2026
$6.8M
OBESITY, BIOMECHANICS, AND INFLAMMATION IN OSTEOARTHRITISR01AG046927 · NIA · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID · 2013 to 2023
$3.2M
Deconstructing Cartilage Mechanotransduction by Piezo ChannelsR01AR072999 · NIAMS · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID · 2020 to 2024
$2.9M
Inhibition of NF-kB with siRNA/Peptide Nanoparticles for Arthritis TreatmentR01AR067491 · NIAMS · WASHINGTON UNIVERSITY · PI PHAM, CHRISTINE T., WICKLINE, SAMUEL A · 2015 to 2019
$1.8M
Imaging, Modeling and Engineering of Diabetic TissuesT32DK108742 · NIDDK · WASHINGTON UNIVERSITY · PI NICHOLS, COLIN G · 2016 to 2020
$1.4M
Epigenetic Regulation of Chondrogenesis and Cartilage DevelopmentR00AR075899 · NIAMS · UNIVERSITY OF ROCHESTER · PI WU, CHIA-LUNG · 2021 to 2023
$1.1M
3D X-RAY PHASE CONTRAST MICROSCOPE FOR SUBMICRON QUANTITATIVE BIOLOGICAL IMAGINGS10OD021694 · OD · WASHINGTON UNIVERSITY · PI SILVA, MATTHEW J · 2016 to 2016
$1.0M
Engineering smart cells for arthritis therapyR61AR076820 · NIAMS · WASHINGTON UNIVERSITY · PI GUILAK, FARSHID, PHAM, CHRISTINE T. · 2019 to 2019
$393k
NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA094056NIAMS NIH HHS K99 AR075899NIAMS NIH HHS P30 AR073752NIAMS NIH HHS P30 AR074992NIAMS NIH HHS R00 AR075899NIAMS NIH HHS R01 AR067491NIAMS NIH HHS R01 AR072999NIAMS NIH HHS R61 AR076820NIA NIH HHS R01 AG015768NIA NIH HHS R01 AG046927NIDDK NIH HHS T32 DK108742NIH HHS S10 OD010707NIH HHS S10 OD021694
6 · The paper itself

Abstract

Biologic drug therapies are increasingly used for inflammatory diseases such as rheumatoid arthritis but may cause significant adverse effects when delivered continuously at high doses. We used CRISPR-Cas9 genome editing of iPSCs to create a synthetic gene circuit that senses changing levels of endogenous inflammatory cytokines to trigger a proportional therapeutic response. Cells were engineered into cartilaginous constructs that showed rapid activation and recovery in response to inflammation in vitro or in vivo. In the murine K/BxN model of inflammatory arthritis, bioengineered implants significantly mitigated disease severity as measured by joint pain, structural damage, and systemic and local inflammation. Therapeutic implants completely prevented increased pain sensitivity and bone erosions, a feat not achievable by current clinically available disease-modifying drugs. Combination tissue engineering and synthetic biology promises a range of potential applications for treating chronic diseases via custom-designed cells that express therapeutic transgenes in response to dynamically changing biological signals.

Identifiers

PMID34516920
PMCPMC8442875

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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.