Evidence map›Paper›PMID 35322226›Full record

ReviewNature reviews. Cardiology2022

RNA-targeting and gene editing therapies for transthyretin amyloidosis.

Alberto Aimo, Vincenzo Castiglione, Claudio Rapezzi, Maria Franzini, Giorgia Panichella, Giuseppe Vergaro, Julian Gillmore, Marianna Fontana, Claudio Passino, Michele Emdin

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 2 pooled it
12.7field-weighted citation impact, top 1% 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

94 citing papers in PubMed, 2 syntheses or guidelines pooled it, 158 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. A molecular perspective of gelsolin amyloidosis: An old foe with new faces.Cellular and molecular life sciences : CMLS · 2026
    Review
  7. Article
  8. Incidental Cardiac Uptake onDiseases (Basel, Switzerland) · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Observational
  13. Review
  14. Review
  15. Review
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  17. Review
  18. Review
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  20. Article

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

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

10 authors at 4 institutions in 2 countries.

Alberto AimoInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy. a.aimo@santannapisa.it.ORCID http://orcid.org/0000-0001-9129-9519
Vincenzo CastiglioneInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Claudio RapezziCardiologic Centre, University of Ferrara, Ferrara, Italy.
Maria FranziniDepartment of Translational Research and New Technologies in Medicine and Surgery, University Hospital of Pisa, Pisa, Italy.ORCID http://orcid.org/0000-0001-9496-9370
Giorgia PanichellaInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Giuseppe VergaroInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Julian GillmoreNational Amyloidosis Centre, Division of Medicine, University College London, Royal Free Hospital, London, UK.
Marianna FontanaNational Amyloidosis Centre, Division of Medicine, University College London, Royal Free Hospital, London, UK.
Claudio PassinoInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Michele EmdinInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Scuola Superiore Sant'Anna · ITThe Royal Free Hospital · GBAzienda Ospedaliera Universitaria Pisana · ITUniversity of Ferrara · IT

Funding

British Heart Foundation FS/18/21/33447
6 · The paper itself

Abstract

Transthyretin (TTR) is a tetrameric protein synthesized mostly by the liver and secreted into the plasma. TTR molecules can misfold and form amyloid fibrils in the heart and peripheral nerves, either as a result of gene variants in TTR or as an ageing-related phenomenon, which can lead to amyloid TTR (ATTR) amyloidosis. Some of the proposed strategies to treat ATTR amyloidosis include blocking TTR synthesis in the liver, stabilizing TTR tetramers or disrupting TTR fibrils. Small interfering RNA (siRNA) or antisense oligonucleotide (ASO) technologies have been shown to be highly effective for the blockade of TTR expression in the liver in humans. The siRNA patisiran and the ASO inotersen have been approved for the treatment of patients with ATTR variant polyneuropathy, regardless of the presence and severity of ATTR cardiomyopathy. Preliminary data show that therapy with patisiran improves the cardiac phenotype rather than only inducing disease stabilization in patients with ATTR variant polyneuropathy and concomitant ATTR cardiomyopathy, and this drug is being evaluated in a phase III clinical trial in patients with ATTR cardiomyopathy. Furthermore, ongoing phase III clinical trials will evaluate another siRNA, vutrisiran, and a novel ASO formulation, eplontersen, in patients with ATTR variant polyneuropathy or ATTR cardiomyopathy. In this Review, we discuss these approaches for TTR silencing in the treatment of ATTR amyloidosis as well as the latest strategy of genome editing with CRISPR-Cas9 to reduce TTR gene expression.

Indexed as

Amyloid Neuropathies, FamilialCardiomyopathiesPolyneuropathiesAmyloidGene EditingHumansOligonucleotides, AntisensePrealbuminRNA, Small InterferingAmyloidOligonucleotides, AntisensePrealbuminRNA, Small Interfering

Identifiers

PMID35322226
OpenAlexW4220826461

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.