Evidence map›Paper›PMID 36324212›Full record

ArticleHuman gene therapy2023

Seroprevalence of Adeno-Associated Virus Neutralizing Antibodies in Males with Duchenne Muscular Dystrophy.

Sumit Verma, Stella N Nwosu, Raj Razdan, Saila R Upadhyayula, Han C Phan, Abubakarr A Koroma, Isai Leguizamo, Natalie S Correa, Michael Kuipa, David Lee and 2 more

Open access · greenAbstract read
In one paragraph

Article in Human gene therapy, 2023. 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
3.4field-weighted citation impact, top 7% 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, 23 citations in OpenAlex.

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  14. High rate of seroeligibility amongFrontiers in medicine · 2025
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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 2 institutions in 1 country.

Sumit VermaDepartment of Pediatric Neurology and Neurosciences, Children's Healthcare of Atlanta, and Emory University School of Medicine, Atlanta, Georgia, USA.
Stella N NwosuDepartment of Pediatric Neurology and Neurosciences, Children's Healthcare of Atlanta, and Emory University School of Medicine, Atlanta, Georgia, USA.
Raj RazdanDepartment of Pediatric Neurology and Neurosciences, Children's Healthcare of Atlanta, and Emory University School of Medicine, Atlanta, Georgia, USA.
Saila R UpadhyayulaDepartment of Pediatric Neurology and Neurosciences, Children's Healthcare of Atlanta, and Emory University School of Medicine, Atlanta, Georgia, USA.
Han C PhanDepartment of Pediatric Neurology, The University of Alabama at Birmingham, Birmingham, Alabama, USA.
Abubakarr A KoromaDivision of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.
Isai LeguizamoDivision of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.
Natalie S CorreaDivision of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.
Michael KuipaDivision of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.
David LeeDivision of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.
Thomas H VanderfordDivision of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.
Matthew R GardnerDivision of Microbiology and Immunology, Emory National Primate Research Center, Emory University, Atlanta, Georgia, USA.ORCID 0000-0003-2872-7597
Emory University · USUniversity of Alabama at Birmingham · US

Funding

Viral Testing Core-Maintenance of the SPF Breeding Colonies at Yerkes National Primate Research CenterU42OD011023 · OD · EMORY UNIVERSITY · PI Matthew Ryan Gardner · 2018 to 2026
$17.5M
Optimizing AAV delivery of bNAbs for HIV preventionR01AI167724 · NIAID · EMORY UNIVERSITY · PI Matthew Ryan Gardner · 2022 to 2026
$4.5M
AAV-Delivered Broadly Neutralizing Antibodies for HIV SuppressionR00AI138860 · NIAID · EMORY UNIVERSITY · PI GARDNER, MATTHEW RYAN · 2020 to 2021
$498k
NIAID NIH HHS R00 AI138860NIAID NIH HHS R01 AI167724NIH HHS U42 OD011023
6 · The paper itself

Abstract

Adeno-associated virus (AAV)-based gene therapies are emerging strategies in Duchenne muscular dystrophy (DMD) treatment. Exposure to wild-type AAV can lead to development of neutralizing antibodies (NAbs) and blocking of AAV transduction, thereby limiting the delivery of AAV vector-based gene therapy. Therefore, it is imperative to check for the presence of AAV NAbs in a patient who is a candidate for gene therapy. We prospectively enrolled 101 genetically confirmed males with DMD (median age 11 years, 48% ambulatory and 59% on steroids) and performed AAV neutralization assays against AAV2, AAV8, AAV9, and AAVrh74 serotypes. The serotype analysis showed that AAV9 (36%) and AAVrh74 (32%) seroprevalence was lower compared with AAV2 (56%) and AAV8 (47%). Interestingly, age was not correlated with NAb titer for any of the capsids. NAb responses were observed at a higher frequency in African American participants and at a lower frequency in Caucasian participants for all four serotypes. Further analysis showed no significant differences in NAb titers regardless of serotype and whether participants were taking steroids or not. Finally, we observed higher AAV8, AAV9, and AAVrh74 seroprevalence and significantly higher AAV2 and AAV8 NAb titers in participants who were ambulatory compared with nonambulatory participants. Overall, these data identify AAV9 and AAVrh74 as the two serotypes with lower pre-existing NAb titers in this study's cohort of 101 males with DMD, possibly showing their utility in future gene therapy applications in treatment of this cohort of patients with DMD.

Indexed as

Antibodies, NeutralizingMuscular Dystrophy, DuchenneAntibodies, ViralChildDependovirusGenetic VectorsHumansMaleSeroepidemiologic StudiesAntibodies, NeutralizingAntibodies, ViralAAV9AAVrh74adeno-associated virusDuchenne muscular dystrophyneutralizing antibodyseroprevalence

Identifiers

PMID36324212
PMCPMC10210220
OpenAlexW4308060670

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.