Evidence map›Paper›PMID 38016519›Full record

ArticleJournal of thrombosis and haemostasis : JTH2024

Humanization and functional characterization of enhanced coagulation factor IX variants identified through ancestral sequence reconstruction.

Christopher W Coyle, Kristopher A Knight, Harrison C Brown, Stephan N George, Gabriela Denning, Gianna M Branella, Kenneth C Childers, P Clint Spiegel, H Trent Spencer, Christopher B Doering

Open access · bronzeAbstract read
In one paragraph

Article in Journal of thrombosis and haemostasis : JTH, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Review
  3. 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

10 authors at 3 institutions in 1 country.

Christopher W CoyleMolecular and Systems Pharmacology Graduate Program, Graduate Division of Biological and Biomedical Sciences, Laney Graduate School, Emory University School of Medicine, Atlanta, Georgia, USA.
Kristopher A KnightMolecular and Systems Pharmacology Graduate Program, Graduate Division of Biological and Biomedical Sciences, Laney Graduate School, Emory University School of Medicine, Atlanta, Georgia, USA.
Harrison C BrownExpression Therapeutics, Inc, Atlanta, Georgia, USA.
Stephan N GeorgeExpression Therapeutics, Inc, Atlanta, Georgia, USA.
Gabriela DenningExpression Therapeutics, Inc, Atlanta, Georgia, USA.
Gianna M BranellaCancer Biology Graduate Program, Graduate Division of Biological and Biomedical Sciences, Laney Graduate School, Emory University School of Medicine, Atlanta, Georgia, USA.
Kenneth C ChildersChemistry Department, Western Washington University, Bellingham, Washington, USA.
P Clint SpiegelChemistry Department, Western Washington University, Bellingham, Washington, USA.
H Trent SpencerCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, Georgia, USA.
Christopher B DoeringCell and Gene Therapy Program, Department of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta and Emory University, Atlanta, Georgia, USA. Electronic address: cdoerin@emory.edu.
Emory University · USExpression Therapeutics (United States) · USWestern Washington University · US

Funding

Translational Research SkillsU54HL112309 · NHLBI · EMORY UNIVERSITY · PI LOLLAR, JOHN S. · 2012 to 2016
$12.1M
Unraveling the immune response to factor VIIIU54HL141981 · NHLBI · EMORY UNIVERSITY · PI MEEKS, SHANNON L. · 2018 to 2022
$8.1M
Structural and Biochemical Studies of Blood Coagulation Factor VIII to Overcome the Immune ResponseR15HL135658 · NHLBI · WESTERN WASHINGTON UNIVERSITY · PI SPIEGEL, PAUL CLINTON · 2017 to 2024
$1.2M
Ancestral Sequence Reconstruction Engineering of Coagulation FactorsR01HL137128 · NHLBI · EMORY UNIVERSITY · PI DOERING, CHRISTOPHER BRADLEY, SPENCER, H TRENT · 2017 to 2019
$1.1M
NHLBI NIH HHS R01 HL137128NHLBI NIH HHS R15 HL135658NHLBI NIH HHS U54 HL112309NHLBI NIH HHS U54 HL141981
6 · The paper itself

Abstract

backgroundLaboratory resurrection of ancient coagulation factor (F) IX variants generated through ancestral sequence reconstruction led to the discovery of a FIX variant, designated An96, which possesses enhanced specific activity independent of and additive to that provided by human p.Arg384Lys, referred to as FIX-Padua.

objectivesThe goal of the current study was to identify the amino acid substitution(s) responsible for the enhanced activity of An96 and create a humanized An96 FIX transgene for gene therapy application.

methodsReductionist screening approaches, including domain swapping and scanning residue substitution, were used and guided by one-stage FIX activity assays. In vitro characterization of top candidates included recombinant high-purity preparation, specific activity determination, and enzyme kinetic analysis. Final candidates were packaged into adeno-associated viral (AAV) vectors and delivered to hemophilia B mice.

resultsFive of 42 total amino acid substitutions in An96 appear sufficient to retain the enhanced activity of An96 in an otherwise human FIX variant. Additional substitution of the Padua variant further increased the specific activity 5-fold. This candidate, designated ET9, demonstrated 51-fold greater specific activity than hFIX. AAV2/8-ET9 treated hemophilia B mice produced plasma FIX activities equivalent to those observed previously for AAV2/8-An96-Padua, which were 10-fold higher than AAV2/8-hFIX-Padua.

conclusionStarting from computationally inferred ancient FIX sequences, novel amino acid substitutions conferring activity enhancement were identified and translated into an AAV-FIX gene therapy cassette demonstrating high potency. This ancestral sequence reconstruction discovery and sequence mapping refinement approach represents a promising platform for broader protein drug and gene therapy candidate optimization.

Indexed as

Factor IXHemophilia BAmino Acid SubstitutionAnimalsDependovirusGenetic TherapyGenetic VectorsHumansKineticsMiceFactor IXadeno-associated virusfactor IXgene therapyhemophilia Bprotein engineering

Identifiers

PMID38016519
PMCPMC10922771
OpenAlexW4389005647

What OpenQuestion holds

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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.