Evidence map›Paper›PMID 36258013›Full record

ArticleNature communications2022

Suppression of heterotopic ossification in fibrodysplasia ossificans progressiva using AAV gene delivery.

Yeon-Suk Yang, Jung-Min Kim, Jun Xie, Sachin Chaugule, Chujiao Lin, Hong Ma, Edward Hsiao, Jaehyoung Hong, Hyonho Chun, Eileen M Shore and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
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  8. Review
  9. Gut microbiome-dependent IL-1 signaling is a mediator of ACVR1bioRxiv : the preprint server for biology · 2026
    Article
  10. Article
  11. Nature-inspired IL-1 targeted therapy to treat chronic inflammatory diseases.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Animal models of tendon calcification: Past, present, and future.Animal models and experimental medicine · 2024
    Review
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  18. Review
  19. Article
  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

13 authors at 5 institutions in 3 countries.

Yeon-Suk Yang *Department of Medicine/Division of Rheumatology, UMass Chan Medical School, Worcester, MA, USA.
Jung-Min Kim *Department of Medicine/Division of Rheumatology, UMass Chan Medical School, Worcester, MA, USA.ORCID 0000-0002-9072-4293
Jun Xie *Horae Gene Therapy Center, UMass Chan Medical School, Worcester, MA, USA.ORCID 0000-0001-9565-1567
Sachin ChauguleDepartment of Medicine/Division of Rheumatology, UMass Chan Medical School, Worcester, MA, USA.ORCID 0000-0001-6323-2034
Chujiao LinDepartment of Medicine/Division of Rheumatology, UMass Chan Medical School, Worcester, MA, USA.
Hong MaHorae Gene Therapy Center, UMass Chan Medical School, Worcester, MA, USA.
Edward HsiaoDivision of Endocrinology and Metabolism, Department of Medicine; the Institute for Human Genetics; the Program in Craniofacial Biology; and the Eli and Edyth Broad Institute of Regeneration Medicine, University of California-San Francisco, San Francisco, CA, USA.ORCID 0000-0001-8924-106X
Jaehyoung HongDepartment of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
Hyonho ChunDepartment of Mathematical Sciences, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea.
Eileen M ShoreDepartment of Orthopaedic Surgery, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-2609-6971
Frederick S KaplanDepartment of Orthopaedic Surgery, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Guangping GaoHorae Gene Therapy Center, UMass Chan Medical School, Worcester, MA, USA. guangping.gao@umassmed.edu.ORCID 0000-0003-0097-9012
Jae-Hyuck ShimDepartment of Medicine/Division of Rheumatology, UMass Chan Medical School, Worcester, MA, USA. jaehyuck.shim@umassmed.edu.ORCID 0000-0002-4947-3293
University of Massachusetts Chan Medical School · USKorea Advanced Institute of Science and Technology · KRUMass Memorial Health Care · USUniversity of Pennsylvania · USBroad Institute · US

Funding

Viral escape from AAV expressed transgenesP01AI100263 · NIAID · SCRIPPS FLORIDA · PI GAO, GUANGPING · 2012 to 2016
$11.9M
Tech-CoreP01HD080642 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DIMAURO, SALVATORE, HIRANO, MICHIO · 2014 to 2018
$7.8M
Translational Imaging and Phenotyping CoreP30AR075042 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI Marie Demay · 2019 to 2026
$7.4M
Oligodendrocyte-focused rAAV gene therapy strategies for Canavan disease and LeukodystrophiesR01NS076991 · NINDS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Guangping Gao · 2012 to 2026
$5.7M
Group testing for infectious disease detection: multiplex assays and back-end screeningR01AI121351 · NIAID · UNIVERSITY OF NEBRASKA LINCOLN · PI BILDER, CHRISTOPHER R · 2016 to 2025
$3.3M
Novel approaches to promote healing of bone loss in inflammatory arthritisR01AR078230 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Ellen M Gravallese, Jae-Hyuck Shim · 2022 to 2026
$2.6M
A novel bone-targeting AAV-mediated gene therapy to promote bone formation in osteoporosisR21AR077557 · NIAMS · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SHIM, JAE-HYUCK · 2021 to 2022
$403k
NIAID NIH HHS P01 AI100263NIAID NIH HHS R01 AI121351NIAMS NIH HHS P30 AR075042NIAMS NIH HHS R01 AR078230NIAMS NIH HHS R21 AR077557NICHD NIH HHS P01 HD080642NINDS NIH HHS R01 NS076991
6 · The paper itself

Abstract

Heterotopic ossification is the most disabling feature of fibrodysplasia ossificans progressiva, an ultra-rare genetic disorder for which there is currently no prevention or treatment. Most patients with this disease harbor a heterozygous activating mutation (c.617 G > A;p.R206H) in ACVR1. Here, we identify recombinant AAV9 as the most effective serotype for transduction of the major cells-of-origin of heterotopic ossification. We use AAV9 delivery for gene replacement by expression of codon-optimized human ACVR1, ACVR1R206H allele-specific silencing by AAV-compatible artificial miRNA and a combination of gene replacement and silencing. In mouse skeletal cells harboring a conditional knock-in allele of human mutant ACVR1 and in patient-derived induced pluripotent stem cells, AAV gene therapy ablated aberrant Activin A signaling and chondrogenic and osteogenic differentiation. In Acvr1(R206H) knock-in mice treated locally in early adulthood or systemically at birth, trauma-induced endochondral bone formation was markedly reduced, while inflammation and fibroproliferative responses remained largely intact in the injured muscle. Remarkably, spontaneous heterotopic ossification also substantially decreased in in Acvr1(R206H) knock-in mice treated systemically at birth or in early adulthood. Collectively, we develop promising gene therapeutics that can prevent disabling heterotopic ossification in mice, supporting clinical translation to patients with fibrodysplasia ossificans progressiva.

Indexed as

MicroRNAsMyositis OssificansOssification, HeterotopicActivin Receptors, Type IAdenoviridaeAdultAnimalsGenetic TherapyHumansMiceMice, TransgenicMutationOsteogenesisActivin Receptors, Type IMicroRNAs

Identifiers

PMID36258013
PMCPMC9579182
OpenAlexW4306750367

What OpenQuestion holds

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Registered trials

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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.