000 01870nam a2200337 4500
001 ESSALUD
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040 _aBMG
041 _aeng
100 _aAhrens-Nicklas, Rebecca C.
_eAutor
_954204
245 _aNeuroepithelial tumor with AAV integration after intracisternal magna vector delivery
300 _apáginas: 2126-2133
520 _aRecombinant adeno-associated virus (AAV) vectors are predominantly nonintegrating, but rare genomic integration events have been associated with oncogenesis in neonatal murine models. Here we report a case of a neuroepithelial tumor that developed in a 5-year-old boy with severe mucopolysaccharidosis type I (MPSI, Hurler subtype) 4 years after intracisternal magna administration of AAV serotype 9 gene therapy. The patient underwent successful resection of the primary tumor. Postoperatively, he has continued to have advanced cognitive function for his age, a finding that indicates mitigation of MPSI. Molecular analysis of the tumor showed clonal integration of rearranged AAV vector elements into the gene PLAG1 and expression of a chimeric AAV-PLAG1 transcript.
650 _aTUMOR CEREBRAL
_954205
650 _aENFERMEDADES INFANTILES
_953890
650 _aGENÉTICA GENERAL
_954107
650 _aNEUROLOGÍA
650 _aNEUROCIRUGÍA
_97782
650 _aPEDIATRÍA
_96401
700 _aKotch, Chelsea
_954206
700 _aRoche, Aoife M.
_954207
700 _aEverett, John K.
_954208
700 _aReddy, Shantan
_954209
700 _aSanti, Mariarita
_954210
700 _aMadsen, Peter J.
_954211
700 _aMartos-Rus, Cristina
_954212
773 0 _022717
_922648
_dMassachusetts NEJM Group
_oNEJM011
_tThe New England Journal of Medicine
_wESSALUD
_x0028-4793
942 _cARTICULOS
_e2026-08-20
_zsqb
999 _c22843
_d22843