Evidence map›Paper›PMID 38992003›Full record

ArticleNature communications2024

A scalable and cGMP-compatible autologous organotypic cell therapy for Dystrophic Epidermolysis Bullosa.

Gernot Neumayer, Jessica L Torkelson, Shengdi Li, Kelly McCarthy, Hanson H Zhen, Madhuri Vangipuram, Marius M Mader, Gulilat Gebeyehu, Taysir M Jaouni, Joanna Jacków-Malinowska and 21 more

Abstract read
In one paragraph

Article in Nature communications, 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. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Cell Therapy and the Skin: Great Potential but in Need of Optimization.The Journal of investigative dermatology · 2025
    Review
  11. Review
  12. Emerging Gene Therapeutics for Epidermolysis Bullosa under Development.International journal of molecular sciences · 2024
    Review
  13. Review
  14. Article
  15. The Wound Reporting in Animal and Human Preclinical Studies (WRAHPS) Guidelines.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Gernot Neumayer *Institute for Stem Cell Biology and Regenerative Medicine, Stanford University, School of Medicine, Stanford, CA, USA.
Jessica L Torkelson *Department of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.ORCID 0000-0002-1569-803X
Shengdi Li *European Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.ORCID 0000-0001-8993-3525
Kelly McCarthyDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.
Hanson H ZhenDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.
Madhuri VangipuramInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University, School of Medicine, Stanford, CA, USA.ORCID 0000-0001-7271-2689
Marius M MaderInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University, School of Medicine, Stanford, CA, USA.ORCID 0000-0002-7467-9672
Gulilat GebeyehuThermo Fisher Scientific, Life Sciences Solutions Group, Cell Biology, Research and Development, Frederick, MD, USA.
Taysir M JaouniThermo Fisher Scientific, Life Sciences Solutions Group, Cell Biology, Research and Development, Frederick, MD, USA.
Joanna Jacków-MalinowskaDepartment of Dermatology, Columbia University, New York, NY, USA.ORCID 0000-0002-5744-7896
Avina RamiDepartment of Dermatology, Columbia University, New York, NY, USA.ORCID 0000-0002-5509-6033
Corey HansenDepartment of Dermatology, Columbia University, New York, NY, USA.
Zongyou GuoDepartment of Dermatology, Columbia University, New York, NY, USA.
Sadhana GaddamDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.
Keri M TateCenter for Definitive and Curative Medicine, Stanford University, School of Medicine, Stanford, CA, USA.
Alberto PappalardoDepartment of Dermatology, Columbia University, New York, NY, USA.ORCID 0000-0002-8949-2552
Lingjie LiDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.
Grace M ChowDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.
Kevin R RoyDepartment of Genetics, Stanford University, School of Medicine, Stanford, CA, USA.ORCID 0000-0001-8799-6207
Thuylinh Michelle NguyenDepartment of Genetics, Stanford University, School of Medicine, Stanford, CA, USA.
Koji TanabeI Peace Inc., Palo Alto, CA, USA.
Patrick S McGrathDepartment of Dermatology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0002-1498-371X
Amber CramerDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.
Anna BrucknerDepartment of Dermatology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.
Ganna BilousovaDepartment of Dermatology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.
Dennis RoopDepartment of Dermatology, University of Colorado School of Medicine, Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0001-5868-5880
Jean Y TangDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.
Angela ChristianoDepartment of Dermatology, Columbia University, New York, NY, USA.
Lars M SteinmetzEuropean Molecular Biology Laboratory, Genome Biology Unit, Heidelberg, Germany.ORCID 0000-0002-3962-2865
Marius WernigInstitute for Stem Cell Biology and Regenerative Medicine, Stanford University, School of Medicine, Stanford, CA, USA. wernig@stanford.edu.ORCID 0000-0002-5309-515X
Anthony E OroDepartment of Dermatology-Program in Epithelial Biology, Stanford University, School of Medicine, Stanford, CA, USA.ORCID 0000-0002-6261-138X

Funding

Chromatin Dynamics During Epithelial CommitmentR01AR073170 · NIAMS · STANFORD UNIVERSITY · PI Anthony E Oro · 2019 to 2026
$4.4M
Capturing the phenotypic landscape of single-nucleotide variation via systematic genome editingR01GM121932 · NIGMS · STANFORD UNIVERSITY · PI STEINMETZ, LARS M · 2017 to 2021
$3.4M
Exploring Alternative iPS Cell Therapies for Recessive Dystrophic Epidermolysis BullosaU01AR075932 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI BILOUSOVA, GANNA, ROOP, DENNIS · 2019 to 2020
$808k
California Institute for Regenerative Medicine (CIRM) DISC2-12590California Institute for Regenerative Medicine (CIRM) TRAN1-10416DOD W81XWH-18-1-0706Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) ARO73170NIAMS NIH HHS R01 AR073170NIAMS NIH HHS U01 AR075932NIGMS NIH HHS R01 GM121932
6 · The paper itself

Abstract

We present Dystrophic Epidermolysis Bullosa Cell Therapy (DEBCT), a scalable platform producing autologous organotypic iPS cell-derived induced skin composite (iSC) grafts for definitive treatment. Clinical-grade manufacturing integrates CRISPR-mediated genetic correction with reprogramming into one step, accelerating derivation of COL7A1-edited iPS cells from patients. Differentiation into epidermal, dermal and melanocyte progenitors is followed by CD49f-enrichment, minimizing maturation heterogeneity. Mouse xenografting of iSCs from four patients with different mutations demonstrates disease modifying activity at 1 month. Next-generation sequencing, biodistribution and tumorigenicity assays establish a favorable safety profile at 1-9 months. Single cell transcriptomics reveals that iSCs are composed of the major skin cell lineages and include prominent holoclone stem cell-like signatures of keratinocytes, and the recently described Gibbin-dependent signature of fibroblasts. The latter correlates with enhanced graftability of iSCs. In conclusion, DEBCT overcomes manufacturing and safety roadblocks and establishes a reproducible, safe, and cGMP-compatible therapeutic approach to heal lesions of DEB patients.

Indexed as

Cell- and Tissue-Based TherapyCollagen Type VIIEpidermolysis Bullosa DystrophicaInduced Pluripotent Stem CellsAnimalsCell DifferentiationCRISPR-Cas SystemsFemaleFibroblastsGene EditingHumansKeratinocytesMaleMiceMutationSkinCOL7A1 protein, humanCollagen Type VII

Identifiers

PMID38992003
PMCPMC11239819

What OpenQuestion holds

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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.