Cited by 33Retinal Development and DisordersOcular Diseases and Behçet’s SyndromeOcular Infections and Treatments

Ocular Inflammation and Treatment Emergent Adverse Events in Retinal Gene Therapy

Open access
Mehta, Neesurg, Robbins, Deborah A., Yiu, Glenn·2021·International Ophthalmology Clinics

Abstract

International Ophthalmology Clinics: Summer 2021 - Volume 61 - Issue 3 - p 151-177 doi: 10.1097/IIO.0000000000000366

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Crossref · 10.1097/iio.0000000000000366

Cites

123 of 123 references verified0 citation errors · 0 not checkable

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  • Rituximab could be administered around the time of first-eye treatment to prevent the resulting increase in neutralising antibody titres by temporarily depleting B cell populations.

    “For example, rituximab, an anti-CD20 monoclonal anti­ body, could be administered around the time of first eye treatment to prevent the resulting increase in NAb titres by temporarily depleting B cell populations (Mehta et al., 2021).”

    From Gene Therapy-Associated Uveitis (GTAU): Understanding and mitigating the adverse immune response in retinal gene therapy (2025) · cites this paper as Mehta et al., 2021

    The Mitigation of Humoral Immune Responses section says that targeting B cells can limit humoral responses and that anti-CD20 treatment was partially effective in reducing AAV neutralising antibodies in some rheumatoid arthritis patients. The Route of Administration & Biodistribution section reports increased antibody titres after first-eye treatment in dogs and nonhuman primates. The paper does not name rituximab or propose giving it around first-eye treatment to prevent that increase; page numbers are unavailable in our copy. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Dose-dependent immune responses were true in both subretinal and intravitreal deliveries, although the same viral dose induced lower immune responses when delivered via the subretinal route.

    “This was true in both subretinal and intravitreal deliveries, although the same viral dose induced lower immune responses when delivered via the subretinal route.91,105–107”
  • Pre-clinical and clinical studies have indicated that gene therapy with AAV can induce dose-dependent innate and adaptive immune responses.

    “Pre-clinical and clinical studies have indicated that gene therapy with AAV can induce dose-dependent innate and adaptive immune responses.”

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Cites

1 retracted

Flagged first, then by citations

Research works printed but not linked: 3

  1. [37]Forthal D 2015. Functions of Antibodies, p 25– 48. In Crowe J, Boraschi D, Rappuoli R (ed), Antibodies for Infectious Diseases. ASM Press, Washington, DC.
  2. [78]Li Q, Miller R, Han PY, Pang J, Dinculescu A, Chiodo V, Hauswirth WW. Intraocular route of AAV2 vector administration defines humoral immune response and therapeutic potential. Mol Vis. 2008 9 24; 14: 1760– 9. 18836574 PMC2559816
  3. [105]Khanani Arshad M., Kiss Szilard, Turpcu Adam, Hoang Carol, Osborne Aaron; Phase 1 Study of Intravitreal Gene Therapy ADVM-022 for neovascular AMD (OPTIC Trial). Invest. Ophthalmol. Vis. Sci 2020; 61(7): 1154.

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Authors
Mehta, N., Robbins, D. A., & Yiu, G.
Affiliations
University of California, Davis (US)
Venue
International Ophthalmology Clinics
Published
2021-07
Volume
61
Issue
3
Pages
151-177
ISSN
0020-8167 (ISSN-L)
OpenAlex
W3173347514
Cited by
33
References
123
Citations by year
2026: 7 · 2025: 6 · 2024: 8 · 2023: 4 · 2022: 8
FWCI
1.57
Type
journal article
Language
en
Open access
Locations
  • International Ophthalmology Clinics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Eye Institute (R21EY031108, K08EY026101, R01EY032238)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinal Development and Disorders
  • Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
  • Health Sciences › Medicine › Ophthalmology › Ocular Infections and Treatments
Keywords
retinal gene therapy, ocular inflammation, treatment-emergent adverse events, gene therapy safety, retinal disease
MeSH terms
Humans, Inflammation, Retina, Vision Disorders, Genetic Therapy

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