Evidence map›Paper›PMID 38718138›Full record

ArticleMovement disorders : official journal of the Movement Disorder Society2024

Persistent GDNF Expression 45 Months after Putaminal Infusion of AAV2-GDNF in a Patient with Parkinson's Disease.

John D Heiss, Abhik Ray-Chaudhury, David E Kleiner, Debra J Ehrlich, Gretchen Scott, Nancy A Edwards, David S Goldstein, Dima A Hammoud, Piotr Hadaczek, Victor S Van Laar and 7 more

Abstract readCase Reports
In one paragraph

Article in Movement disorders : official journal of the Movement Disorder Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. A Phase 1 Study of Convection-Enhanced Delivery of Intraputaminal AAV2-GDNF in Advanced Parkinson's Disease.Movement disorders : official journal of the Movement Disorder Society · 2026
    Article
  5. Clinical GDNF delivery methods for Parkinson's disease.Journal of Parkinson's disease · 2026
    Review
  6. Putamen dopamine synthesis, vesicular storage, and metabolism in Parkinson disease.medRxiv : the preprint server for health sciences · 2026
    Article
  7. Review
  8. Multitracer PET to Assess Cardiac Sympathetic Innervation and Vesicular Storage in Lewy Body Diseases.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Recent developments in gene therapy for Parkinson's disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  14. Review
  15. 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

17 authors.

John D HeissSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-3890-0165
Abhik Ray-ChaudhurySurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
David E KleinerLaboratory of Pathology, National Cancer Institute, Center for Cancer Research, National Institutes of Health, Bethesda, Maryland, USA.
Debra J EhrlichParkinson's Disease Clinic, Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Gretchen ScottSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Nancy A EdwardsSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
David S GoldsteinAutonomic Medicine Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-5709-9940
Dima A HammoudCenter for Infectious Disease Imaging, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
Piotr HadaczekDepartment of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Victor S Van LaarDepartment of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Shantelle A GraffSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Peter HerscovitchPositron Emission Tomography Department, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
Codrin LunguDivision of Clinical Research, and Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Mark HallettHuman Motor Control Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-3180-6811
Russell R LonserDepartment of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Kareem A ZaghloulSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, Maryland, USA.
Krystof S BankiewiczDepartment of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Funding

Investigating the neural mechanisms of human cognitive function through intracranial recordingsZIANS003144 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI ZAGHLOUL, KAREEM · 2014 to 2025
$36.1M
Biomarkers of Parkinson Disease and Related DisordersZIANS003034 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI GOLDSTEIN, DAVID · 2009 to 2025
$22.8M
Postmortem PathologyZICBC010685 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KLEINER, DAVID ERWIN · 2009 to 2025
$14.3M
Central Nervous System Drug Delivery TechniquesZIANS003051 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HEISS, JOHN · 2009 to 2025
$9.8M
Therapy of Movement DisordersZIANS003032 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HALLETT, MARK · 2009 to 2023
$3.7M
Intramural NIH HHS Z99 NS999999Intramural NIH HHS ZIA NS003032Intramural NIH HHS ZIA NS003051Intramural Research Program of the National Institute of Neurological Disorders and Stroke, NIH NS-003032-17Intramural Research Program of the National Institute of Neurological Disorders and Stroke, NIH NS003051-16NIH Rapid Access to Interventional Development (NIH-RAID) Program X01NS065758-01
6 · The paper itself

Abstract

objectiveGene therapy by convection-enhanced delivery of type 2 adeno-associated virus-glial cell derived neurotrophic factor (AAV2-GDNF) to the bilateral putamina seeks to increase GDNF gene expression and treat Parkinson's disease (PD).

methodsA 63-year-old man with advanced PD received AAV2-GDNF in a clinical trial. He died from pneumonia after anterior cervical discectomy and fusion 45 months later. An autopsy included brain examination for GDNF transgene expression. Putaminal catecholamine concentrations were compared to in vivo

resultsParkinsonian progression stabilized clinically. Postmortem neuropathology confirmed PD. Bilateral putaminal regions previously infused with AAV2-GDNF expressed the GDNF gene. Total putaminal dopamine was 1% of control, confirming the striatal dopaminergic deficiency suggested by baseline

conclusionAfter AAV2-GDNF infusion, infused putaminal regions showed increased GDNF gene expression, tyrosine hydroxylase immunoreactive sprouting, catechol levels, and

Indexed as

Glial Cell Line-Derived Neurotrophic FactorParkinson DiseasePositron-Emission TomographyPutamenDependovirusGenetic TherapyHumansMaleMiddle AgedGDNF protein, humanGlial Cell Line-Derived Neurotrophic Factorconvection‐enhanced deliveryGDNFgene therapyParkinson's diseasevector

Identifiers

PMID38718138
PMCPMC11341257

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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.