Evidence map›Paper›PMID 36293546›Full record

ArticleInternational journal of molecular sciences2022

Sex Difference Leads to Differential Gene Expression Patterns and Therapeutic Efficacy in Mucopolysaccharidosis IVA Murine Model Receiving AAV8 Gene Therapy.

Matthew Piechnik, Paige C Amendum, Kazuki Sawamoto, Molly Stapleton, Shaukat Khan, Nidhi Fnu, Victor Álvarez, Angelica Maria Herreño Pachon, Olivier Danos, Joseph T Bruder and 2 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Advances in Therapies for Mucopolysaccharidoses.Current issues in molecular biology · 2026
    Review
  3. Article
  4. Article
  5. Recent advances in mucopolysaccharidosis IVA treatment.Orphanet journal of rare diseases · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. A comprehensive atlas of AAV tropism in the mouse.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  11. Characterization of the ocular inflammatory response to AAV reveals divergence by sex and age.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  12. An Nrf2-NF-κB Crosstalk Controls Hepatocyte Proliferation in the Normal and Injured Liver.Cellular and molecular gastroenterology and hepatology · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
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

12 authors at 3 institutions in 2 countries.

Matthew PiechnikNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Paige C AmendumNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Kazuki SawamotoNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Molly StapletonNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Shaukat KhanNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Nidhi FnuNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Victor ÁlvarezNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Angelica Maria Herreño PachonNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.
Olivier DanosREGENXBIO Inc., Rockville, MD 20850, USA.
Joseph T BruderREGENXBIO Inc., Rockville, MD 20850, USA.
Subha Karumuthil-MelethilREGENXBIO Inc., Rockville, MD 20850, USA.
Shunji TomatsuNemours/Alfred I. DuPont Hospital for Children, Wilmington, DE 19803, USA.ORCID 0000-0002-0673-2160
DuPont (United States) · USRegenxbio (United States) · USPhiladelphia College of Osteopathic Medicine · US

Funding

Non-invasive functional assessment and pathogenesis of Morquio AR01HD102545 · NICHD · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI TOMATSU, SHUNJI · 2021 to 2025
$2.9M
National Institute of Health 1R01HD102545-01A1NICHD NIH HHS R01 HD102545
6 · The paper itself

Abstract

Adeno-associated virus (AAV) vector-based therapies can effectively correct some disease pathology in murine models with mucopolysaccharidoses. However, immunogenicity can limit therapeutic effect as immune responses target capsid proteins, transduced cells, and gene therapy products, ultimately resulting in loss of enzyme activity. Inherent differences in male versus female immune response can significantly impact AAV gene transfer. We aim to investigate sex differences in the immune response to AAV gene therapies in mice with mucopolysaccharidosis IVA (MPS IVA). MPS IVA mice, treated with different AAV vectors expressing human N-acetylgalactosamine 6-sulfate sulfatase (GALNS), demonstrated a more robust antibody response in female mice resulting in subsequent decreased GALNS enzyme activity and less therapeutic efficacy in tissue pathology relative to male mice. Under thyroxine-binding globulin promoter, neutralizing antibody titers in female mice were approximately 4.6-fold higher than in male mice, with GALNS enzyme activity levels approximately 6.8-fold lower. Overall, male mice treated with AAV-based gene therapy showed pathological improvement in the femur and tibial growth plates, ligaments, and articular cartilage as determined by contrasting differences in pathology scores compared to females. Cardiac histology revealed a failure to normalize vacuolation in females, in contrast, to complete correction in male mice. These findings promote the need for further determination of sex-based differences in response to AAV-mediated gene therapy related to developing treatments for MPS IVA.

Indexed as

ChondroitinsulfatasesMucopolysaccharidosesMucopolysaccharidosis IVAmino Acid Metabolism, Inborn ErrorsAnimalsAntibodies, NeutralizingCapsid ProteinsDisease Models, AnimalFemaleGene ExpressionGenetic TherapyHumansIsovaleryl-CoA DehydrogenaseMaleMiceSex CharacteristicsAntibodies, NeutralizingCapsid ProteinsChondroitinsulfatasesGALNS protein, humanIsovaleryl-CoA DehydrogenaseThyroxine-Binding Globulinadeno-associated virusimmune responsemucopolysaccharidoses

Identifiers

PMID36293546
PMCPMC9604118
OpenAlexW4307263165

What OpenQuestion holds

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LicenceCC BY
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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.