Evidence map›Paper›PMID 40420149›Full record

ArticleTranslational neurodegeneration2025

Development of human targeted extracellular vesicles loaded with shRNA minicircles to prevent parkinsonian pathology.

Maria Izco, Carlos Sola, Martin Schleef, Marco Schmeer, María de Toro, Guglielmo Verona, Estefania Carlos, Alejandro Reinares-Sebastian, Sandra Colina, Maria Eugenia Marzo-Sola and 6 more

Abstract read
In one paragraph

Article in Translational neurodegeneration, 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. Review
  2. Review
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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

16 authors.

Maria IzcoLaboratory of Molecular Neurobiology, Center for Biomedical Research of La Rioja (CIBIR), 26006, Logroño, Spain. mizco@riojasalud.es.
Carlos SolaTransfusion Center and Blood Bank of La Rioja, 26006, Logroño, Spain.
Martin SchleefPlasmidFactory GmbH, 33607, Bielefeld, Germany.
Marco SchmeerPlasmidFactory GmbH, 33607, Bielefeld, Germany.
María de ToroGenomics and Bioinformatics Core Facility, Center for Biomedical Research of La Rioja (CIBIR), 26006, Logroño, Spain.
Guglielmo VeronaCentre for Amyloidosis, UCL Medical School, Rowland Hill Street, London, NW3 2PF, UK.
Estefania CarlosLaboratory of Molecular Neurobiology, Center for Biomedical Research of La Rioja (CIBIR), 26006, Logroño, Spain.
Alejandro Reinares-SebastianHM CINAC (Centro Integral de Neurociencias Abarca Campal), Hospital Universitario HM Puerta del Sur, HM Hospitales, Madrid, Spain.
Sandra ColinaServicio de Neurología, Hospital San Pedro, Piqueras 98, 26006, Logroño, Spain.
Maria Eugenia Marzo-SolaServicio de Neurología, Hospital San Pedro, Piqueras 98, 26006, Logroño, Spain.
Josune Garcia-SanmartinAngiogenesis Group, Oncology Area, Center for Biomedical Research of La Rioja (CIBIR), 26006, Logroño, Spain.
Joaquín Fernández-IrigoyenClinical Neuroproteomics Unit, Proteomics Platform, Navarrabiomed, Hospitalario, Universitario de Navarra (HUN), 31008, Pamplona, Spain.
Enrique SantamaríaClinical Neuroproteomics Unit, Proteomics Platform, Navarrabiomed, Hospitalario, Universitario de Navarra (HUN), 31008, Pamplona, Spain.
Rodolfo Mugica-VidalDepartment of Mechanical Engineering, University of La Rioja, 26004, Logroño, Spain.
Javier BlesaHM CINAC (Centro Integral de Neurociencias Abarca Campal), Hospital Universitario HM Puerta del Sur, HM Hospitales, Madrid, Spain.
Lydia Alvarez-ErvitiLaboratory of Molecular Neurobiology, Center for Biomedical Research of La Rioja (CIBIR), 26006, Logroño, Spain. laerviti@riojasalud.es.ORCID http://orcid.org/0000-0002-1238-9442

Funding

Instituto de Salud Carlos III CPII20/00027Instituto de Salud Carlos III PI19/00618
6 · The paper itself

Abstract

backgroundNeurological disorders are the second leading cause of death and the leading cause of disability in the world. Thus, the development of novel disease-modifying strategies is clearly warranted. We have previously developed a therapeutic approach using mouse targeted rabies virus glycoprotein (RVG) extracellular vesicles (EVs) to deliver minicircles (MCs) expressing shRNA (shRNA-MCs) to induce long-term α-synuclein down-regulation. Although the previous therapy successfully reduced the pathology, the clinical translation was extremely unlikely since they were mouse extracellular vesicles.

methodsTo overcome this limitation, we developed a source of human RVG-EVs compatible with a personalized therapy using immature dendritic cells. Human peripheral blood monocytes were differentiated in vitro into immature dendritic cells, which were transfected to express the RVG peptide. RVG-EVs containing shRNA-MCs, loaded by electroporation, were injected intravenously in the α-synuclein performed fibril (PFF) mouse model. Level of α-synuclein, phosphorylated α-synuclein aggregates, dopaminergic neurons and motor function were evaluated 90 days after the treatment. To confirm that EVs derived from patients were suitable as a vehicle, proteomic analysis of EVs derived from control, initial and advanced Parkinson's disease was performed.

resultsThe shRNA-MCs could be successfully loaded into human RVG-EVs and downregulate α-synuclein in SH-SY5Y cells. Intravenous injection of the shRNA-MC-loaded RVG-EVs induced long-term downregulation of α-synuclein mRNA expression and protein level, decreased α-synuclein aggregates, prevented dopaminergic cell death and ameliorated motor impairment in the α-synuclein PFF mouse model. Moreover, we confirmed that the EVs from PD patients are suitable as a personalized therapeutic vehicle.

conclusionOur study confirmed the therapeutic potential of shRNA-MCs delivered by human RVG-EVs for long-term treatment of neurodegenerative diseases. These results pave the way for clinical use of this approach.

Indexed as

Extracellular VesiclesParkinson DiseaseParkinsonian DisordersRNA, Small Interferingalpha-SynucleinAnimalsDisease Models, AnimalFemaleGlycoproteinsHumansMaleMiceMice, Inbred C57BLPeptide FragmentsViral Proteinsalpha-SynucleinGlycoproteinsPeptide Fragmentsrabies virus glycoprotein peptideRNA, Small InterferingViral ProteinsGene therapyHuman targeted extracellular vesiclesParkinson’s diseaseShRNA minicirclesα-Synuclein

Identifiers

PMID40420149
PMCPMC12105355

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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.