Evidence map›Paper›PMID 18339183›Full record

ReviewActa paediatrica (Oslo, Norway : 1992)2008

CNS-directed gene therapy for lysosomal storage diseases.

Mark S Sands, Mark E Haskins

Open access · greenAbstract readReview
In one paragraph

Review in Acta paediatrica (Oslo, Norway : 1992), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
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

34 citing papers in PubMed, 69 citations in OpenAlex.

  1. Review
  2. Fucosidosis: A Review of a Rare Disease.International journal of molecular sciences · 2025
    Review
  3. Neurological manifestations of lysosomal storage diseases.Annals of medicine and surgery (2012) · 2024
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Possible strategies to cross the blood-brain barrier.Italian journal of pediatrics · 2018
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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 at 2 institutions in 1 country.

Mark S SandsDepartment of Internal Medicine and Department of Genetics, Washington University School of Medicine, St. Louis, MO, USA. msands@im.wustl.edu
Mark E Haskins
University of Pennsylvania · USWashington University in St. Louis · US

Funding

Gene Therapy of Mucopolysaccharidosis VIIR01DK054481 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI CASAL, MARGRET L · 1998 to 2017
$7.0M
NOVEL THERAPIES FOR LYSOSOMAL STORAGE DISEASESR01DK057586 · NIDDK · WASHINGTON UNIVERSITY · PI SANDS, MARK S · 2001 to 2007
$1.5M
NIDDK NIH HHS DK54481NIDDK NIH HHS DK57586NIDDK NIH HHS R01 DK054481NIDDK NIH HHS R01 DK057586
6 · The paper itself

Abstract

unlabelledLysosomal storage diseases (LSDs) are a group of inherited metabolic disorders usually caused by deficient activity of a single lysosomal enzyme. As most lysosomal enzymes are ubiquitously expressed, a deficiency in a single enzyme can affect multiple organ systems, including the central nervous system (CNS). At least 75% of all LSDs have a significant CNS component. Approaches such as bone marrow transplantation (BMT) or enzyme replacement therapy (ERT) can effectively treat the systemic disease associated with LSDs in some patients. However, CNS disease remains a major challenge. Gene therapy represents a promising approach for the treatment of CNS disease as it has the potential to provide a permanent source of the deficient enzyme. Direct intracranial injection of viral gene transfer vectors has resulted in reduced lysosomal storage and functional improvement in certain small (rodent) and large (canine and feline) animal models of LSDs. The addition of protein transduction domains (PTDs) to the recombinant enzymes increased the distribution of enzyme and the extent of correction. Therapeutic levels of lysosomal enzymes can also be delivered to distant sites in the brain by anterograde and retrograde axonal transport. Finally, combining disparate approaches such as BMT and CNS-directed gene therapy can increase treatment efficacy in LSDs with severe CNS disease that are refractory to more conventional approaches.

conclusionThe development of gene transfer vectors that mediate persistent expression in vivo, the addition of PTDs, a better understanding of lysosomal enzyme trafficking and combining different therapies provide hope that the CNS component of LSDs can be effectively treated.

Indexed as

AnimalsCentral Nervous System DiseasesDependovirusDisease Models, AnimalGenetic TherapyGenetic VectorsGlucuronidaseHumansLysosomal Storage DiseasesGlucuronidase

Identifiers

PMID18339183
PMCPMC3340572
OpenAlexW2031826717

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.