Evidence map›Paper›PMID 34819506›Full record

ArticleNature communications2021

Cas9-specific immune responses compromise local and systemic AAV CRISPR therapy in multiple dystrophic canine models.

Chady H Hakim, Sandeep R P Kumar, Dennis O Pérez-López, Nalinda B Wasala, Dong Zhang, Yongping Yue, James Teixeira, Xiufang Pan, Keqing Zhang, Emily D Million and 14 more

Abstract 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 109 papers.

0numbers the graph read from it
0cells of the map it votes in
109citing 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

109 citing papers in PubMed.

  1. Review
  2. Article
  3. SORT LNPs encapsulating Cas9 mRNA achieve efficient editing in skeletal muscle in a dystrophic mouse model.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  4. Article
  5. Cytosine base editing of LPA in transgenic mice averts large deletions.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  6. Decoding Undesirable Inflammatory Responses of Nucleic Acid-Delivering Lipid Nanoparticles.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Canine Model of Duchenne Muscular Dystrophy.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article

49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors.

Chady H HakimDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.ORCID http://orcid.org/0000-0001-6865-050X
Sandeep R P Kumar *Department of Pediatrics, Indiana University, Indianapolis, IN, USA.
Dennis O Pérez-López *Department of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Nalinda B WasalaDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Dong ZhangDepartment of Physics, The University of Missouri, Columbia, MO, USA.ORCID http://orcid.org/0000-0001-7297-5083
Yongping YueDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
James TeixeiraDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Xiufang PanDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Keqing ZhangDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Emily D MillionDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Christopher E NelsonDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0002-8423-8854
Samantha MetzgerDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Jin HanDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Jacqueline A LoudermanDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.
Florian SchmidtDepartment of Infectious Diseases/Virology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-6362-211X
Feng FengDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA.ORCID http://orcid.org/0000-0002-7299-9891
Dirk GrimmDepartment of Infectious Diseases/Virology, University of Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-6227-5665
Bruce F SmithDepartment of Pathobiology, Auburn University, Auburn, AL, USA.ORCID http://orcid.org/0000-0001-8523-0355
Gang YaoDepartment of Biomedical, Biological & Chemical Engineering, The University of Missouri, Columbia, MO, USA.
N Nora YangNational Center for Advancing Translational Sciences, NIH, Rockville, MD, USA.ORCID http://orcid.org/0000-0001-7245-8035
Charles A GersbachDepartment of Biomedical Engineering, Duke University, Durham, NC, USA.ORCID http://orcid.org/0000-0003-1478-4013
Shi-Jie ChenDepartment of Physics, The University of Missouri, Columbia, MO, USA.
Roland W HerzogDepartment of Pediatrics, Indiana University, Indianapolis, IN, USA.ORCID http://orcid.org/0000-0002-7213-998X
Dongsheng DuanDepartment of Molecular Microbiology and Immunology, The University of Missouri, Columbia, MO, USA. duand@missouri.edu.ORCID http://orcid.org/0000-0003-4109-1132

Funding

Enhancing immune regulation in gene therapy for hemophiliaR01HL131093 · NHLBI · UNIVERSITY OF FLORIDA · PI Ype Peter De Jong, Roland W. Herzog · 2016 to 2026
$7.2M
Immunology of Factor IX Gene Transfer to LiverR01AI051390 · NIAID · UNIVERSITY OF FLORIDA · PI HERZOG, ROLAND W. · 2002 to 2022
$6.7M
Whole body single AAV microgene therapy in canine DMDR01NS090634 · NINDS · UNIVERSITY OF MISSOURI-COLUMBIA · PI Dongsheng Duan · 2015 to 2026
$4.2M
MOLECULAR BASIS OF GENE EXPRESSION AND SIGNAL PROCESSINGT32GM008396 · NIGMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI HANNINK, MARK · 1991 to 2021
$4.1M
New methods for computational modeling of RNA structuresR35GM134919 · NIGMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI SHI-JIE CHEN · 2020 to 2026
$3.3M
Treatment of Duchenne Muscular Dystrophy with the Muscle Calcium PumpR01AR070517 · NIAMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI DUAN, DONGSHENG · 2016 to 2020
$3.1M
University Training Program in Biomolecular and Tissue EngineeringT32GM144291 · NIGMS · DUKE UNIVERSITY · PI Charles A. Gersbach, Tatiana Segura · 2022 to 2026
$2.6M
Evolving High Potency AAV Vectors for Neuromuscular Genome EditingUG3AR075336 · NIAMS · DUKE UNIVERSITY · PI ASOKAN, ARAVIND · 2018 to 2020
$2.1M
Microphysiological Human Tissue Systems for Monitoring of Genome Editing OutcomesU01HL156348 · NHLBI · DUKE UNIVERSITY · PI BURSAC, NENAD, GERSBACH, CHARLES A. · 2020 to 2022
$2.0M
CRISPR/Cas9-Based Gene Editing for the Correction of Duchenne Muscular DystrophyR01AR069085 · NIAMS · DUKE UNIVERSITY · PI GERSBACH, CHARLES A. · 2016 to 2020
$1.7M
Epigenome Editing Technologies for Treating Diverse DiseaseU01AI146356 · NIAID · DUKE UNIVERSITY · PI GERSBACH, CHARLES A. · 2019 to 2022
$1.6M
New computational tools for predicting ion effects in RNA structuresR01GM117059 · NIGMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI CHEN, SHI-JIE · 2017 to 2020
$1.2M
NHLBI NIH HHS R01 HL131093NHLBI NIH HHS U01 HL156348NIAID NIH HHS R01 AI051390NIAID NIH HHS U01 AI146356NIAMS NIH HHS R01 AR069085NIAMS NIH HHS R01 AR070517NIAMS NIH HHS UG3 AR075336NIBIB NIH HHS U01 EB028901NIGMS NIH HHS R01 GM117059NIGMS NIH HHS R35 GM134919NIGMS NIH HHS T32 GM008396NIGMS NIH HHS T32 GM144291NINDS NIH HHS R01 NS090634
6 · The paper itself

Abstract

Adeno-associated virus (AAV)-mediated CRISPR-Cas9 editing holds promise to treat many diseases. The immune response to bacterial-derived Cas9 has been speculated as a hurdle for AAV-CRISPR therapy. However, immunological consequences of AAV-mediated Cas9 expression have thus far not been thoroughly investigated in large mammals. We evaluate Cas9-specific immune responses in canine models of Duchenne muscular dystrophy (DMD) following intramuscular and intravenous AAV-CRISPR therapy. Treatment results initially in robust dystrophin restoration in affected dogs but also induces muscle inflammation, and Cas9-specific humoral and cytotoxic T-lymphocyte (CTL) responses that are not prevented by the muscle-specific promoter and transient prednisolone immune suppression. In normal dogs, AAV-mediated Cas9 expression induces similar, though milder, immune responses. In contrast, other therapeutic (micro-dystrophin and SERCA2a) and reporter (alkaline phosphatase, AP) vectors result in persistent expression without inducing muscle inflammation. Our results suggest Cas9 immunity may represent a critical barrier for AAV-CRISPR therapy in large mammals.

Indexed as

AnimalsCRISPR-Cas SystemsDependovirusDisease Models, AnimalDogsDystrophinGene EditingGenes, ReporterGenetic TherapyGenetic VectorsHumansMuscle, SkeletalMuscular Dystrophy, DuchenneSarcoplasmic Reticulum Calcium-Transporting ATPasesATP2A2 protein, humanDMD protein, humanDystrophinSarcoplasmic Reticulum Calcium-Transporting ATPases

Identifiers

PMID34819506
PMCPMC8613397

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.