The Bubble Bursts

Data derived from the Science Watch/Hot Papers database and the Web of Science (ISI, Philadelphia) show that Hot Papers are cited 50 to 100 times more often than the average paper of the same type and age. M. Cavazzana-Calvo et al., "Gene therapy of human severe combined immunodeficiency (SCID)-X1 disease," Science, 288:669-72, April 28, 2000. (Cited in 300 papers) Reaching positive milestones in gene therapy has been difficult since a highly publicized death in 1999,1 but some have succeede

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Reaching positive milestones in gene therapy has been difficult since a highly publicized death in 1999,1 but some have succeeded. A major break came this year when researchers in Italy and Israel reported successfully treating two patients with ADA-SCID, a form of severe combined immunodeficiency that results from a defective gene for adenosine deaminase (ADA).2 In 2000--in the wake of gene therapy's darkest hour--a French group reported similar results for X-linked SCID, a form of the disease caused by a mutation in the common cytokine receptor gamma chain (gc).3 This Hot Paper, a culmination of years of work, may open the floodgates for therapies to come; the two patients, without further therapy, remain alive and well.

"There was a time that I think everyone in the field was feeling somewhat discouraged by just the difficulties of moving things forward to clinical trials," says pediatrics professor Kenneth Weinberg, Children's Hospital of ...

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