Evidence map›Paper›PMID 40831988›Full record

ArticleVascular cell2020

Vascular Tumors Result from Adeno-Associated Virus-9 Angiogenic Gene Therapy of Bone Allografts.

Elisa S Rezaie, Noortje J Visser, Roman Thaler, Farzaneh Khani, Patricia F Friedrich, Andrew L Folpe, David R Deyle, Alexander Y Shin, Andre J van Wijnen, Allen T Bishop

Abstract read
In one paragraph

Article in Vascular cell, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Vasculogenic gene therapy: No role for revitalization of structural bone allografts.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2023
    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.

Elisa S RezaieAcademic Medical Centre, Department of Plastic-Reconstructive and Hand Surgery - Amsterdam University Medical Centre; Amsterdam, 1105AZ, Netherlands.
Noortje J VisserAcademic Medical Centre, Department of Plastic-Reconstructive and Hand Surgery - Amsterdam University Medical Centre; Amsterdam, 1105AZ, Netherlands.
Roman ThalerMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.
Farzaneh KhaniMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.
Patricia F FriedrichMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.
Andrew L FolpeMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.
David R DeyleMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.
Alexander Y ShinMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.
Andre J van WijnenMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.
Allen T BishopMicrovascular Research Laboratory, Department of Orthopedic Surgery - Mayo Clinic; Rochester, Minnesota 55905, USA.

Funding

Angiogenesis and Long-term Bone and Joint Allotransplant SurvivalR01AR049718 · NIAMS · MAYO CLINIC ROCHESTER · PI BISHOP, ALLEN T · 2003 to 2018
$4.8M
NIAMS NIH HHS R01 AR049718
6 · The paper itself

Abstract

Background: Cryopreserved bone allografts are often used to reconstruct segmental bone defects. They are non-viable, which can result in infection, non-union and stress-fractures. We aimed to revascularize allografts in porcine and rat models using vascular endothelial growth factor (VEGF), combined with platelet derived growth factor (PDGF) administered through an adeno-associated viral vector. We report the development of vascular tumors resulting from this treatment. Methods: In two separate studies, an identical AAV.VEGF.PDGF vector was used to promote angiogenesis in cryopreserved bone allografts. In 8 Yucatan minipigs, a 3.5 cm segmental tibial defect was reconstructed with a matched allograft, revascularized by placement of a transfected arteriovenous (AV) bundle within the medullary canal. In another experiment, cryopreserved femoral bone allografts coated with AAV.VEGF.PDGF were placed across a 10 mm segmental femoral gap in 10 Lewis rats. Results: Vascular tumors developed in skin and subcutaneous tissues in 5 out of 8 pigs and all of the rats. Histology revealed changes essentially identical to those seen in pyogenic granuloma (lobular capillary hemangioma) in humans. Polymerase chain reaction (PCR) identified the sequence of human VEGF-DNA in all of the sampled tumor tissues. Conclusion: Recombinant AAV gene therapy used to promote angiogenesis in avascular bone risks the development of vascular cutaneous lesions. Gene therapy using an identical AAV.VEGF.PDGF vector should not be considered clinically until safe use can be demonstrated and.concerns regarding chromosomal integration, dose effect and species differences are addressed.

Indexed as

adeno-associatedangiogenicgene therapyvascular tumorsvirus-9

Identifiers

PMID40831988
PMCPMC12359904

What OpenQuestion holds

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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.