Evidence map›Paper›PMID 35994385›Full record

ReviewHuman gene therapy2022

Immune Responses and Immunosuppressive Strategies for Adeno-Associated Virus-Based Gene Therapy for Treatment of Central Nervous System Disorders: Current Knowledge and Approaches.

Suyash Prasad, David P Dimmock, Benjamin Greenberg, Jagdeep S Walia, Chanchal Sadhu, Fatemeh Tavakkoli, Gerald S Lipshutz

Open access · hybridAbstract readReview
In one paragraph

Review in Human gene therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
9.7field-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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. A systematic review of immunosuppressive protocols used in AAV gene therapy for monogenic disorders.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Epigenetic regulation of transgenes.Journal of biotechnology · 2026
    Review
  8. Transient prophylactic immunosuppression with abatacept or dasatinib prevents immune responses in AAV gene transfer.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Taming immune responses to AAV gene therapy by programmed in vivo Treg expansion.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. 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

7 authors at 4 institutions in 2 countries.

Suyash PrasadTaysha Gene Therapies, Dallas, Texas, USA.
David P DimmockRady Children's Institute for Genomic Medicine, Rady Children's Hospital, San Diego, California, USA.
Benjamin GreenbergDepartment of Neurology, O'Donnell Brain Institute, University of Texas Southwestern, Dallas, Texas, USA.
Jagdeep S WaliaDivision of Medical Genetics, Department of Pediatrics, Queen's University, Kingston, Canada.
Chanchal SadhuTaysha Gene Therapies, Dallas, Texas, USA.
Fatemeh TavakkoliTaysha Gene Therapies, Dallas, Texas, USA.
Gerald S LipshutzDepartments of Molecular and Medical Pharmacology and Surgery, Intellectual and Developmental Disabilities Research Center at UCLA, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
Children’s Institute · USQueen's University · CAThe University of Texas Southwestern Medical Center · USUniversity of California, Los Angeles · US

Funding

Understanding the Mechanism and Preventing the Unique Neuropathology of Arginase DeficiencyR01NS110596 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LIPSHUTZ, GERALD S · 2019 to 2023
$1.7M
Cell and Gene Replacement Strategies for Arginase DeficiencyR01NS100979 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LIPSHUTZ, GERALD S · 2017 to 2021
$1.7M
Elucidation of the Role of the Arginase Isoforms in Normal Neuronal Development and FunctionR03NS114623 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LIPSHUTZ, GERALD S · 2020 to 2020
$156k
NINDS NIH HHS R01 NS100979NINDS NIH HHS R01 NS110596NINDS NIH HHS R03 NS114623
6 · The paper itself

Abstract

Adeno-associated viruses (AAVs) are being increasingly used as gene therapy vectors in clinical studies especially targeting central nervous system (CNS) disorders. Correspondingly, host immune responses to the AAV capsid or the transgene-encoded protein have been observed in various clinical and preclinical studies. Such immune responses may adversely impact patients' health, prevent viral transduction, prevent repeated dosing strategies, eliminate transduced cells, and pose a significant barrier to the potential effectiveness of AAV gene therapy. Consequently, multiple immunomodulatory strategies have been used in attempts to limit immune-mediated responses to the vector, enable readministration of AAV gene therapy, prevent end-organ toxicity, and increase the duration of transgene-encoded protein expression. Herein we review the innate and adaptive immune responses that may occur during CNS-targeted AAV gene therapy as well as host- and treatment-specific factors that could impact the immune response. We also summarize the available preclinical and clinical data on immune responses specifically to CNS-targeted AAV gene therapy and discuss potential strategies for incorporating prophylactic immunosuppression regimens to circumvent adverse immune responses.

Indexed as

Central Nervous System DiseasesDependovirusGenetic TherapyGenetic VectorsHumansImmunity, HumoralImmunosuppressive AgentsImmunosuppressive Agentsadaptive immunityadeno-associated virusCNSgene therapyimmunosuppressioninnate immunity

Identifiers

PMID35994385
PMCPMC9808800
OpenAlexW4292682079

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.