Evidence map›Paper›PMID 37822079›Full record

ReviewMolecular therapy : the journal of the American Society of Gene Therapy2023

Lethal immunotoxicity in high-dose systemic AAV therapy.

Dongsheng Duan

Open access · bronzeAbstract readReview
In one paragraph

Review in Molecular therapy : the journal of the American Society of Gene Therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 149 papers.

0numbers the graph read from it
0cells of the map it votes in
149citing papers in PubMed
52.6field-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

149 citing papers in PubMed, 168 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Preclinical efficacy of a gene therapy forMolecular therapy. Advances · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. AAV-mediated FGF21 gene therapy promotes health span extension by whole-body tissue-specific adaptations.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Safety considerations of gene-based therapies for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review

89 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

1 author at 1 institution in 1 country.

Dongsheng DuanDepartment of Molecular Microbiology and Immunology and Department of Neurology, School of Medicine, Department of Biomedical Sciences, College of Veterinary Medicine, Department of Chemical and Biomedical Engineering, College of Engineering, University of Missouri, Columbia, MO 65212, USA. Electronic address: duand@missouri.edu.
Missouri College · US

Funding

Whole body single AAV microgene therapy in canine DMDR01NS090634 · NINDS · UNIVERSITY OF MISSOURI-COLUMBIA · PI Dongsheng Duan · 2015 to 2026
$4.2M
Treatment of Duchenne Muscular Dystrophy with the Muscle Calcium PumpR01AR070517 · NIAMS · UNIVERSITY OF MISSOURI-COLUMBIA · PI DUAN, DONGSHENG · 2016 to 2020
$3.1M
Mechanism of immune response to muscle-directed AAV gene transferR01AI177600 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI Dongsheng Duan, Roland W. Herzog · 2023 to 2026
$3.1M
CRISPR editing therapy for Duchenne muscular dystrophyR01NS131416 · NINDS · UNIVERSITY OF MISSOURI-COLUMBIA · PI Dongsheng Duan · 2023 to 2026
$2.2M
Development of optimized AAVrh74 vectors for gene therapy of muscular dystrophiesR21AR081018 · NIAMS · UNIVERSITY OF FLORIDA · PI DUAN, DONGSHENG, SRIVASTAVA, ARUN · 2023 to 2024
$377k
NIAID NIH HHS R01 AI177600NIAMS NIH HHS R01 AR070517NIAMS NIH HHS R21 AR081018NINDS NIH HHS R01 NS090634NINDS NIH HHS R01 NS131416
6 · The paper itself

Abstract

High-dose systemic gene therapy with adeno-associated virus (AAV) is in clinical trials to treat various inherited diseases. Despite remarkable success in spinal muscular atrophy and promising results in other diseases, fatality has been observed due to liver, kidney, heart, or lung failure. Innate and adaptive immune responses to the vector play a critical role in the toxicity. Host factors also contribute to patient death. This mini-review summarizes clinical findings and calls for concerted efforts from all stakeholders to better understand the mechanisms underlying lethality in AAV gene therapy and to develop effective strategies to prevent/treat high-dose systemic AAV-gene-therapy-induced immunotoxicity.

Indexed as

DystrophinMuscular Dystrophy, DuchenneDependovirusGenetic TherapyGenetic VectorsHumansImmunity, HumoralDystrophinAAVacute respiratory distress syndromeadeno-associated virusARDSCRISPRdeathDMDDuchenne muscular dystrophyimmunotoxicityinnate immune responsesystemic gene therapy

Identifiers

PMID37822079
PMCPMC10638066
OpenAlexW4387475882

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.