Evidence map›Paper›PMID 39044426›Full record

SynthesisMolecular therapy : the journal of the American Society of Gene Therapy2024

A systematic review of immunosuppressive protocols used in AAV gene therapy for monogenic disorders.

Besarte Vrellaku, Ilda Sethw Hassan, Rebecca Howitt, Christopher P Webster, Eli Harriss, Fraser McBlane, Corinne Betts, Jorge Schettini, Mattia Lion, John E Mindur and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in Molecular therapy : the journal of the American Society of Gene Therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

45 citing papers in PubMed.

  1. Trial
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  6. Article
  7. Taming immune responses to AAV gene therapy by programmed in vivo Treg expansion.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
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  15. Immune Toxicities in AAV Gene Therapy: Overview for Clinicians.International journal of molecular sciences · 2026
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. 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

15 authors.

Besarte VrellakuDepartment of Paediatrics, MDUK Oxford Neuromuscular Centre & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.
Ilda Sethw HassanSheffield Institute for Translational Neuroscience, Division of Neuroscience, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Rebecca HowittThe Queen's College, University of Oxford, Oxford, UK.
Christopher P WebsterSheffield Institute for Translational Neuroscience, Division of Neuroscience, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Eli HarrissBodleian Health Care Libraries, University of Oxford, Oxford, UK.
Fraser McBlaneNovartis Pharma AG, Basel, Switzerland.
Corinne BettsDepartment of Paediatrics, MDUK Oxford Neuromuscular Centre & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.
Jorge SchettiniDepartment of Paediatrics, MDUK Oxford Neuromuscular Centre & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.
Mattia LionTakeda Pharmaceuticals USA, Inc, Cambridge, MA, USA.
John E MindurTakeda Pharmaceuticals USA, Inc, Cambridge, MA, USA.
Michael DuerrBayer Aktiengesellschaft, CGT&Rare Diseases, Leverkusen, Deutschland.
Pamela J ShawSheffield Institute for Translational Neuroscience, Division of Neuroscience, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Janine KirbySheffield Institute for Translational Neuroscience, Division of Neuroscience, School of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Mimoun AzzouzSheffield Institute for Translational Neuroscience, Division of Neuroscience, School of Medicine and Population Health, University of Sheffield, Sheffield, UK; Gene Therapy Innovation & Manufacturing Centre (GTIMC), University of Sheffield, Sheffield, UK. Electronic address: m.azzouz@sheffield.ac.uk.
Laurent ServaisDepartment of Paediatrics, MDUK Oxford Neuromuscular Centre & NIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK; Division of Child Neurology, Department of Paediatrics, Centre de Référence des Maladies Neuromusculaires, University Hospital Liège and University of Liège, Liège, Belgium. Electronic address: laurent.servais@paediatrics.ox.ac.uk.

Funding

Medical Research Council 129016Medical Research Council MR/V000470/1Medical Research Council MR/V030140/1
6 · The paper itself

Abstract

The emergence of adeno-associated virus (AAV)-based gene therapy has brought hope to patients with severe monogenic disorders. However, immune responses to AAV vectors and transgene products present challenges that require effective immunosuppressive strategies. This systematic review focuses on the immunosuppressive protocols used in 38 clinical trials and 35 real-world studies, considering a range of monogenic diseases, AAV serotypes, and administration routes. The review underscores the need for a deeper understanding of immunosuppressive regimens to enhance the safety and effectiveness of AAV-based gene therapy. Characterizing the immunological responses associated with various gene therapy treatments is crucial for optimizing treatment protocols and ensuring the safety and efficacy of forthcoming gene therapy interventions. Further research and understanding of the impact of immunosuppression on disease, therapy, and route of administration will contribute to the development of more effective and safer gene therapy approaches in the future.

Indexed as

DependovirusGenetic TherapyGenetic VectorsImmunosuppressive AgentsClinical Trials as TopicGenetic Diseases, InbornHumansImmunosuppression TherapyTransgenesImmunosuppressive Agentsadeno-associated virus, AAVclinical trialsgene therapyimmunityimmunosuppressantimmunosuppression protocolsmonogenic disorders

Identifiers

PMID39044426
PMCPMC11489562

What OpenQuestion holds

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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.