Evidence map›Paper›PMID 41502088›Full record

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

Deaths in gene therapy of Duchenne muscular dystrophy and other diseases: Underlying mechanisms and mitigating strategies.

Dongsheng Duan, Roland W Herzog

Abstract readReview
In one paragraph

Review 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Spinal muscular atrophy: Biology, pathogenesis, and therapeutic advances.Therapeutic advances in neurological disorders · 2026
    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

2 authors.

Dongsheng DuanDepartment of Molecular Microbiology and Immunology, School of Medicine, University of Missouri, Columbia, MO 65212, USA; Department of Neurology, School of Medicine, University of Missouri, Columbia, MO 65212, USA; Department of Biomedical Sciences, College of Veterinary Medicine, University of Missouri, Columbia, MO 65212, USA; Department of Chemical and Biomedical Engineering, College of Engineering, University of Missouri, Columbia, MO 65212, USA. Electronic address: duand@missouri.edu.
Roland W HerzogDepartment of Pediatrics, Herman B Wells Center for Pediatric Research, Indiana University, Indianapolis, IN 46202, USA. Electronic address: rwherzog@iu.edu.

Funding

Whole body single AAV microgene therapy in canine DMDR01NS090634 · NINDS · UNIVERSITY OF MISSOURI-COLUMBIA · PI Dongsheng Duan · 2015 to 2026
$4.2M
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
CRISPR editing therapy for Duchenne muscular dystrophyR01NS131416 · NINDS · UNIVERSITY OF MISSOURI-COLUMBIA · PI Dongsheng Duan · 2023 to 2026
$2.2M
Development of optimized AAVrh74 vectors for gene therapy of muscular dystrophiesR21AR081018 · NIAMS · UNIVERSITY OF FLORIDA · PI DUAN, DONGSHENG, SRIVASTAVA, ARUN · 2023 to 2024
$377k
NIAID NIH HHS R01 AI177600NIAMS NIH HHS R21 AR081018NINDS NIH HHS R01 NS090634NINDS NIH HHS R01 NS131416
6 · The paper itself

Abstract

Duchenne muscular dystrophy (DMD) is a fatal muscle degenerating disease caused by dystrophin deficiency. Adeno-associated virus (AAV)-based gene therapy holds promise for restoring missing dystrophin and improving quality of life. Many clinical trials have been conducted or are ongoing. Despite compelling preclinical data, the full potential of AAV gene therapy remains to be established in DMD patients. Importantly, high-dose intravenous AAV administration has resulted in hospitalizations and several deaths in patients afflicted by DMD and other inherited diseases due to innate and adaptive immune responses to the vectors. Although fatal outcomes are rare, a critical analysis of these cases may provide insights to refine systemic AAV gene therapy for DMD and other inherited diseases. Here, we review the clinical findings of the reported deaths and related cases in AAV gene therapy for DMD and other diseases. We also evaluate the underlying mechanisms and discuss mitigating strategies and future directions.

Indexed as

Genetic TherapyGenetic VectorsMuscular Dystrophy, DuchenneAnimalsDependovirusDystrophinGene Therapy AgentsHumansDystrophinAAVadeno-associated virusdeathDMDDuchenne muscular dystrophygene therapyimmune response

Identifiers

PMID41502088
PMCPMC12882805

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.