Evidence map›Paper›PMID 25422446›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2014

A calcium-dependent protease as a potential therapeutic target for Wolfram syndrome.

Simin Lu, Kohsuke Kanekura, Takashi Hara, Jana Mahadevan, Larry D Spears, Christine M Oslowski, Rita Martinez, Mayu Yamazaki-Inoue, Masashi Toyoda, Amber Neilson and 8 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02882477 (Treatment of Wolfram Syndrome Type 2 With the Chelator Deferiprone, and Incretin Based Therapy), which is not on this map. Cited by 105 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% 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.

NCT02882477 phase2 / phase3unknown statusstarted 2016, after this paper: background citation

Treatment of Wolfram Syndrome Type 2 With the Chelator Deferiprone, and Incretin Based Therapy

Ran2016Enrolled20Registered outcomes6Posted comparisons0ConditionsDiabetes Mellitus, Gastroduodenal Ulcer, Iron Metabolism Disorders, Optic AtrophyArmsacetylcysteine, Deferiprone, Sitagliptin and Metformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 2 syntheses or guidelines pooled it, 148 citations in OpenAlex.

  1. Modelling mitochondrial diseases in neuronsJournal of neuromuscular diseases · 2025
    Pooled it
  2. Wolfram Syndrome Type 2: A Systematic Review of a Not Easily Identifiable Clinical Spectrum.International journal of environmental research and public health · 2022
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Evaluating the Use of GLP-1 Receptor Agonists in Wolfram syndrome Patients.medRxiv : the preprint server for health sciences · 2026
    Article
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  10. Review
  11. Article
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  19. Comprehensive overview of disease models for Wolfram syndrome: toward effective treatments.Mammalian genome : official journal of the International Mammalian Genome Society · 2024
    Review
  20. Article

45 more citing papers are in PubMed but not listed here.

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

18 authors at 5 institutions in 3 countries.

Simin LuDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110; Graduate School of Biomedical Sciences, University of Massachusetts Medical School, Worcester, MA 01655;
Kohsuke KanekuraDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110;
Takashi HaraDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110;
Jana MahadevanDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110;
Larry D SpearsDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110;
Christine M OslowskiDepartment of Medicine, Boston University School of Medicine, Boston, MA 02118;
Rita MartinezDepartment of Genetics, iPSC core facility, Washington University School of Medicine, St. Louis, MO 63110;
Mayu Yamazaki-InoueDepartment of Reproductive Biology, National Center for Child Health and Development, Tokyo 157-8535, Japan;
Masashi ToyodaDepartment of Reproductive Biology, National Center for Child Health and Development, Tokyo 157-8535, Japan;
Amber NeilsonDepartment of Genetics, iPSC core facility, Washington University School of Medicine, St. Louis, MO 63110;
Patrick BlannerDepartment of Genetics, iPSC core facility, Washington University School of Medicine, St. Louis, MO 63110;
Cris M BrownDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110;
Clay F SemenkovichDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110;
Bess A MarshallDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO 63110;
Tamara HersheyDepartments of Psychiatry, Neurology, and Radiology, Washington University School of Medicine, St. Louis, MO 63110;
Akihiro UmezawaDepartment of Reproductive Biology, National Center for Child Health and Development, Tokyo 157-8535, Japan;
Peter A GreerDepartment of Pathology and Molecular Medicine, Queen's University, Division of Cancer Biology and Genetics, Queen's Cancer Research Institute, Kingston, Ontario K7L3N6, Canada; and.
Fumihiko UranoDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, MO 63110; Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO 63110 urano@dom.wustl.edu.
Washington University in St. Louis · USNational Center For Child Health and Development · JPBoston University · USQueen's University · CAUniversity of Massachusetts Chan Medical School · US

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Jennifer Lynn Powers Carson · 2013 to 2026
$27.1M
TRANSGENICS COREP60DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI SCHAFFER, JEAN E. · 1986 to 2012
$25.2M
TRACKING NEURODEGENERATION IN EARLY WOLFRAM SYNDROMER01HD070855 · NICHD · WASHINGTON UNIVERSITY · PI HERSHEY, TAMARA G · 2012 to 2022
$5.6M
ENDOPLASMIC RETICULUM STRESS AND DIABETESR01DK067493 · NIDDK · WASHINGTON UNIVERSITY · PI URANO, FUMIHIKO · 2005 to 2013
$2.8M
NCATS NIH HHS UL1 TR000448NICHD NIH HHS R01 HD070855NIDDK NIH HHS DK067493NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P60 DK020579NIDDK NIH HHS R01 DK067493
6 · The paper itself

Abstract

Wolfram syndrome is a genetic disorder characterized by diabetes and neurodegeneration and considered as an endoplasmic reticulum (ER) disease. Despite the underlying importance of ER dysfunction in Wolfram syndrome and the identification of two causative genes, Wolfram syndrome 1 (WFS1) and Wolfram syndrome 2 (WFS2), a molecular mechanism linking the ER to death of neurons and β cells has not been elucidated. Here we implicate calpain 2 in the mechanism of cell death in Wolfram syndrome. Calpain 2 is negatively regulated by WFS2, and elevated activation of calpain 2 by WFS2-knockdown correlates with cell death. Calpain activation is also induced by high cytosolic calcium mediated by the loss of function of WFS1. Calpain hyperactivation is observed in the WFS1 knockout mouse as well as in neural progenitor cells derived from induced pluripotent stem (iPS) cells of Wolfram syndrome patients. A small-scale small-molecule screen targeting ER calcium homeostasis reveals that dantrolene can prevent cell death in neural progenitor cells derived from Wolfram syndrome iPS cells. Our results demonstrate that calpain and the pathway leading its activation provides potential therapeutic targets for Wolfram syndrome and other ER diseases.

Indexed as

AdolescentAdultAnimalsCalciumCalpainCell DeathCell LineChildDantroleneEndoplasmic ReticulumFemaleFibroblastsHEK293 CellsHumansInduced Pluripotent Stem CellsInfant, NewbornCalciumCalpainCAPN2 protein, humanCAPNS1 protein, humanDantroleneMembrane Proteinswolframin proteindiabetesendoplasmic reticulumneurodegenerationtreatmentWolfram syndrome

Identifiers

PMID25422446
PMCPMC4267371
OpenAlexW2082878925

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.