Evidence map›Paper›PMID 41992614›Full record

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

Transient prophylactic immunosuppression with abatacept or dasatinib prevents immune responses in AAV gene transfer.

Rebecca Xicluna, Kentaro Yamada, Miguel Gonzalez-Visiedos, Calista M Greenwood, Daniela Zaugg, David Waiz, Guido Steiner, Kerstin Hahn, Timo Schwandt, Michael B Otteneder and 5 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Rebecca XiclunaRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland. Electronic address: rebecca.xicluna@roche.com.
Kentaro YamadaDepartment of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA.
Miguel Gonzalez-VisiedosDepartment of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA.
Calista M GreenwoodDepartment of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA.
Daniela ZauggRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.
David WaizRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.
Guido SteinerRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.
Kerstin HahnRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.
Timo SchwandtRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.
Michael B OttenederRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.
Moanaro BiswasDepartment of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA.
Maite Muñoz-MeleroDepartment of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA.
Sandeep R P KumarDepartment of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA.
Roland W HerzogDepartment of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA.
Hélène HaegelRoche Pharma Research and Early Development, Roche Innovation Center Basel, 4070 Basel, Switzerland.

Funding

Toward Safer Gene Therapy for Hemophilia AP01HL160472 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI Roland W. Herzog · 2022 to 2026
$15.1M
Enhancing immune regulation in gene therapy for hemophiliaR01HL131093 · NHLBI · UNIVERSITY OF FLORIDA · PI Ype Peter De Jong, Roland W. Herzog · 2016 to 2026
$7.2M
Mechanism of immune response to muscle-directed AAV gene transferR01AI177600 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI Dongsheng Duan, Roland W. Herzog · 2023 to 2026
$3.1M
NHLBI NIH HHS P01 HL160472NHLBI NIH HHS R01 HL131093NIAID NIH HHS R01 AI177600
6 · The paper itself

Abstract

Immune responses against the adeno-associated virus (AAV) vector capsid and transgene product pose significant hurdles to the efficacy and safety of gene therapy. Antibodies to the capsid can cause complement activation and prevent redosing, while T cell responses can mediate liver toxicity. Furthermore, responses against the transgene product can negatively impact therapy and cause tissue toxicities. Here, we investigated transient prophylactic immunosuppression at the time of AAV dosing as a means of mitigating immune responses, employing two clinically approved but mechanistically distinct drugs: abatacept, a CTLA-4-Ig fusion blocking T cell costimulation, and dasatinib, a small-molecule SRC kinase inhibitor that targets T cell receptor signaling. Results in mouse models demonstrate that both drugs can fully block neutralizing antibody formation against capsid, enable redosing by the systemic route, and suppress CD8

Indexed as

AbataceptDasatinibDependovirusGenetic VectorsImmunosuppressive AgentsAnimalsAntibodies, NeutralizingCapsidCD8-Positive T-LymphocytesFactor IXGenetic TherapyGene Transfer TechniquesHumansImmunosuppression TherapyMiceTransgenesAbataceptAntibodies, NeutralizingDasatinibFactor IXImmunosuppressive Agentsabataceptcostimulation blockadedasatinibgene therapyrAAVtransient prophylactic immunosuppression

Identifiers

PMID41992614
PMCPMC13171422

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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.