Evidence map›Paper›PMID 41691370›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2026

Focused ultrasound expands intra-CSF AAV delivery to deep brain regions in rats and non-human primates.

Rikke Hahn Kofoed, Bradford Elmer, Kate Noseworthy, Jeffery Ardinger, Kathleen Wu, Erik Wischhof, Laura Marie Vecchio, Thanga Aishwarya Mahendran, Chinaza Lilian Dibia, Hillary Koch and 11 more

Abstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2026. 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. 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

21 authors.

Rikke Hahn KofoedDepartment of Neurosurgery, Department of Clinical Medicine, Aarhus University, 8200 Aarhus N, Denmark; Center for Experimental Neuroscience - CENSE, Department of Neurosurgery, Aarhus University Hospital, 8200 Aarhus N, Denmark; Biological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada. Electronic address: rhko@clin.au.dk.
Bradford ElmerSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA. Electronic address: bradford.elmer@sanofi.com.
Kate NoseworthyBiological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Laboratory Medicine and Pathobiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Jeffery ArdingerSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA.
Kathleen WuBiological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Laboratory Medicine and Pathobiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Erik WischhofSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA.
Laura Marie VecchioBiological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Laboratory Medicine and Pathobiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Thanga Aishwarya MahendranSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA.
Chinaza Lilian DibiaBiological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Laboratory Medicine and Pathobiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Hillary KochSanofi, Evidence Generation and Decision Sciences, Cambridge, MA 02141, USA.
Shih-Ching ChouSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA.
Shuruthisai SivadasBiological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada.
Jie BuSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA.
Sheng-Kai WuPhysical Sciences, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Medical Biophysics, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5G 2C4, Canada.
Dallan McMahonPhysical Sciences, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada.
Kristina MikloskaPhysical Sciences, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Medical Biophysics, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5G 2C4, Canada.
Malik WhiteBiological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Laboratory Medicine and Pathobiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada.
Shyam RamachandranSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA.
Kullervo HynynenPhysical Sciences, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Medical Biophysics, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5G 2C4, Canada.
Christian MuellerSanofi, Genomic Medicine Unit, Waltham, MA 02451, USA.
Isabelle AubertBiological Sciences, Hurvitz Brain Sciences Research Program, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada; Department of Laboratory Medicine and Pathobiology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 3K3, Canada. Electronic address: isabelle.aubert@sri.utoronto.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A single administration of recombinant adeno-associated viruses (AAVs) has the ability to provide long-term gene expression in the brain, offering promising therapeutic options for neurodegenerative diseases that require decades of intervention. Intra-cerebrospinal fluid (CSF) administration is clinically relevant, and it enables broad transduction of superficial brain areas at lower doses compared with systemic delivery. However, intra-CSF AAV administration remains ineffective at transducing subcortical structures such as the striatum. We demonstrate in rats that following intra-CSF delivery of AAVs, targeting the striatum with focused ultrasound in the presence of intravenous microbubbles significantly enhances transduction in this brain region. When scaled to non-human primates, the AAV delivery to the caudate and putamen was increased up to 100-fold, and transgene expression up to 500-fold. These findings support intra-CSF administration of AAV combined with focused ultrasound as a promising strategy to extend gene delivery from superficial to deep brain structures with anatomical precision and clinical scalability.

Indexed as

BrainCerebrospinal FluidDependovirusGenetic VectorsGene Transfer TechniquesAnimalsGene ExpressionGenetic TherapyHumansMaleMicrobubblesRatsTransduction, GeneticTransgenesadeno-associated virusbrain gene deliveryCSF administrationfocused ultrasoundmicrobubblesnon-human primates

Identifiers

PMID41691370
PMCPMC13154304

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.