Evidence map›Paper›PMID 40064861›Full record

ArticleNature communications2025

Impact of liver fibrosis on AAV-mediated gene transfer to mouse hepatocytes.

Rosa Ferriero, Gemma Bruno, Agnese Padula, Simone Pisano, Iolanda Boffa, Marco Gargaro, Teresa Imperatore, Maria Battipaglia, Silvia Vivenzio, Claudia Perna and 14 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Barrier Function of the Extracellular Matrix in AAV Gene Therapy.Cellular and molecular bioengineering · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Gene-based therapies for steatotic liver disease.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    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

24 authors.

Rosa Ferriero *Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Gemma Bruno *Telethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.ORCID http://orcid.org/0000-0001-9196-2384
Agnese PadulaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Simone PisanoTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Iolanda BoffaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Marco GargaroDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0003-0645-9800
Teresa ImperatoreTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Maria BattipagliaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.ORCID http://orcid.org/0000-0002-4519-8474
Silvia VivenzioTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Claudia PernaTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Edoardo NuscoTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Luigi FerranteTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Adrian WesthausTranslational Vectorology Research Unit, Faculty of Medicine and Health, Children's Medical Research Institute, The University of Sydney, Westmead, NSW, Australia.ORCID http://orcid.org/0000-0001-6439-4326
Maddison KnightTranslational Vectorology Research Unit, Faculty of Medicine and Health, Children's Medical Research Institute, The University of Sydney, Westmead, NSW, Australia.
Giorgia ManniDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0002-5697-2648
Severo CampionePathology Unit, Cardarelli Hospital, Naples, Italy.
Evaristo Di NapoliDepartment of Veterinary Medicine and Animal Production, "Federico II" University of Naples, Naples, Italy.
Elena PolishchukTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.
Roman PolishchukTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.ORCID http://orcid.org/0000-0002-7698-1955
Orlando PacielloDepartment of Veterinary Medicine and Animal Production, "Federico II" University of Naples, Naples, Italy.
Nicola Brunetti-PierriTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy.ORCID http://orcid.org/0000-0002-6895-8819
Leszek LisowskiTranslational Vectorology Research Unit, Faculty of Medicine and Health, Children's Medical Research Institute, The University of Sydney, Westmead, NSW, Australia.ORCID http://orcid.org/0000-0002-4772-8651
Francesca FallarinoDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.ORCID http://orcid.org/0000-0002-8501-2136
Pasquale PiccoloTelethon Institute of Genetics and Medicine (TIGEM), Pozzuoli, Italy. piccolo@tigem.it.ORCID http://orcid.org/0000-0002-8614-2581

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Liver fibrosis, characterized by scar tissue accumulation due to liver injury, poses significant barriers to liver-targeted gene therapy. Current clinical trials exclude patients with fibrosis, as intact liver architecture is considered essential for efficient and safe adeno-associated viral vector (AAV)-mediated gene delivery. Here, we show that liver fibrosis reduces the efficiency of hepatocyte transduction by AAV8 vectors across three mouse models with diverse fibrotic patterns. This inefficiency stems primarily from decreased vector uptake by the liver rather than loss of vector genomes due to hepatocyte turnover. Additionally, fibrosis alters blood vector clearance and redistributes AAV particles to extra-hepatic organs, such as spleen, lung, and kidney. At the cellular level, fibrosis decreases AAV genome content in hepatocytes while increasing it in non-parenchymal liver cells and splenic immune cells. Importantly, the capsid variant AAV-KP1 retains transduction efficiency in fibrotic livers, highlighting its potential for expanding gene therapy applications to fibrotic diseases.

Indexed as

DependovirusGenetic VectorsGene Transfer TechniquesHepatocytesLiver CirrhosisAnimalsDisease Models, AnimalGenetic TherapyHumansLiverMaleMiceMice, Inbred C57BLTransduction, Genetic

Identifiers

PMID40064861
PMCPMC11893804

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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.