Evidence map›Paper›PMID 39838063›Full record

ArticleCommunications medicine2025

Preclinical assessment of splicing modulation therapy for ABCA4 variant c.768G>T in Stargardt disease.

Dyah W Karjosukarso, Femke Bukkems, Lonneke Duijkers, Tomasz Z Tomkiewicz, Julia Kiefmann, Andrei Sarlea, Sander Bervoets, Irene Vázquez-Domínguez, Laurie L Molday, Robert S Molday and 4 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. RNA therapeutics: current status and future directions.Signal transduction and targeted therapy · 2026
    Review
  2. Article
  3. Organoids for Metabolic Disease Modeling.Journal of inherited metabolic disease · 2026
    Review
  4. 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

14 authors.

Dyah W KarjosukarsoDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-0881-9905
Femke BukkemsDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Lonneke DuijkersDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Tomasz Z TomkiewiczDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Julia KiefmannDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Andrei SarleaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Research Institute for Medical Innovation, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-7008-1307
Sander BervoetsRadboudumc Technology Center Bioinformatics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0009-0004-3958-7520
Irene Vázquez-DomínguezDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0001-9753-521X
Laurie L MoldayDepartment of Biochemistry and Molecular Biology, The University of British Columbia, Vancouver, Canada.
Robert S MoldayDepartment of Biochemistry and Molecular Biology, The University of British Columbia, Vancouver, Canada.
Mihai G NeteaDepartment of Internal Medicine and Radboud Center for Infectious Diseases, Research Institute for Medical Innovation, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0003-2421-6052
Carel B HoyngAstherna B.V., Nijmegen, The Netherlands.
Alejandro GarantoDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands.
Rob W J CollinDepartment of Human Genetics, Research Institute for Medical Innovation, Radboud University Medical Center, Nijmegen, The Netherlands. rob.collin@radboudumc.nl.ORCID http://orcid.org/0000-0003-4347-6503

Funding

Foundation Fighting Blindness (Foundation Fighting Blindness, Inc.) TA-GT-0521-0799-RAD-TRAP
6 · The paper itself

Abstract

backgroundStargardt disease type 1 (STGD1) is a progressive retinal disorder caused by bi-allelic variants in the ABCA4 gene. A recurrent variant at the exon-intron junction of exon 6, c.768G>T, causes a 35-nt elongation of exon 6 that leads to premature termination of protein synthesis.

methodsTo correct this aberrant splicing, twenty-five 2'-O-methoxyethyl antisense oligonucleotides (AONs) were designed, spanning the entire exon elongation.

resultsTesting of these AONs in patient-derived photoreceptor precursor cells and retinal organoids allow the selection of a lead candidate AON (A7 21-mer) that rescues on average 52% and 50% expression of wild-type ABCA4 transcript and protein, respectively. In situ hybridization and probe-based ELISA demonstrate its distribution and stability in vitro and in vivo. No major safety concerns regarding off-targets, immunostimulation and toxicity are observed in transcriptomics analysis, cytokine stimulation assays in human primary immune cells, and cytotoxicity assays.

conclusionsAdditional optimization and in vivo studies will be performed to further investigate the lead candidate. Considering the high prevalence of this variant, a substantial number of patients are likely to benefit from a successful further development and implementation of this therapy.

Identifiers

PMID39838063
PMCPMC11751084

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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.