Evidence map›Paper›PMID 39674763›Full record

ArticleNeurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics2025

Cross-species RNAi therapy via AAV delivery alleviates neuropathic pain by targeting GCH1.

Heesue Chang, Kyoung Jin Lee, Minkyung Park, Ha-Na Woo, Ji Hyun Kim, Im Kyeung Kang, Hyochan Park, Chan Hee Chon, Heuiran Lee, Hyun Ho Jung

Abstract read
In one paragraph

Article in Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. From a clinically relevant pain target to a possible analgesic treatment strategy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
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.

Heesue ChangDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of Korea.
Kyoung Jin LeeDepartment of Microbiology, University of Ulsan College of Medicine, Seoul, Republic of Korea; Bio-Medical Institute of Technology, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Minkyung ParkDivision of Systems Neuroscience, Department of Psychiatry, Columbia University Irving Medical Center (CUIMC), and Research Foundation for Mental Hygiene, Inc. (RFMH), New York State Psychiatric Institute (NYSPI), New York, NY, 10032, USA.
Ha-Na WooBio-Medical Institute of Technology, University of Ulsan College of Medicine, Seoul, Republic of Korea; Department of Biochemistry & Molecular Biology, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Ji Hyun KimDepartment of Microbiology, University of Ulsan College of Medicine, Seoul, Republic of Korea; Bio-Medical Institute of Technology, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Im Kyeung KangDepartment of Microbiology, University of Ulsan College of Medicine, Seoul, Republic of Korea; Asan Medical Institute of Convergence Science and Technology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Hyochan ParkInventage Lab, Seongnam, Republic of Korea.
Chan Hee ChonInventage Lab, Seongnam, Republic of Korea.
Heuiran LeeBio-Medical Institute of Technology, University of Ulsan College of Medicine, Seoul, Republic of Korea; Department of Microbiology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Republic of Korea. Electronic address: heuiran@amc.seoul.kr.
Hyun Ho JungDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of Korea; Department of Neurosurgery, Brain Research institute, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address: junghh@yuhs.ac.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tetrahydrobiopterin (BH4) expression is normally strictly controlled; however, its intracellular levels increase considerably following nerve damage. GTP cyclohydrolase I (GCH1) plays a crucial role in regulating BH4 concentration, with an upregulation observed in the dorsal root ganglion in cases of neuropathic pain. In this study, we aimed to develop and evaluate the clinical potential of an RNA interference-based adeno-associated virus (AAV) targeting GCH1 across various species to decrease BH4 levels and, consequently, alleviate neuropathic pain symptoms. We identified universal small-interfering RNA sequences effective across species and developed an AAV-u-shRNA that successfully suppressed GCH1 expression with minimal off-target effects. Male Sprague Dawley rats were divided into four groups: normal, spared nerve injury, AAV-shCON, and AAV-u-shGCH1. The rats were sacrificed on post-injection day 28 to collect blood for BH4 level assessment. The AAV-u-shGCH1 group demonstrated remarkable improvement in the mechanical withdrawal threshold by PID 28, significantly outperforming the normal, spared nerve injury, and AAV-shCON groups. Plasma BH4 levels confirmed that AAV-u-shGCH1 effectively reduced neuropathic pain by inhibiting BH4 synthesis in vivo, introducing a novel, multispecies-compatible therapeutic strategy. Our results suggest that a single application of AAV-u-shGCH1 could offer a viable solution for neuropathic pain relief.

Indexed as

GTP CyclohydrolaseNeuralgiaRNA InterferenceRNAi TherapeuticsAnimalsBiopterinsDependovirusGenetic VectorsHumansMaleRatsRats, Sprague-DawleyRNA, Small InterferingBiopterinsGTP CyclohydrolaseRNA, Small InterferingsapropterinAdeno-associated virusGTP cyclohydrolase IMultispecies-compatibilityNeuropathic painRNA interferenceTetrahydrobiopterin

Identifiers

PMID39674763
PMCPMC12014335

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LicenceCC BY-NC-ND
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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.