Evidence map›Paper›PMID 26310963›Full record

ArticleJournal of inherited metabolic disease2016

Mannose receptor-mediated delivery of moss-made α-galactosidase A efficiently corrects enzyme deficiency in Fabry mice.

Jin-Song Shen, Andreas Busch, Taniqua S Day, Xing-Li Meng, Chun I Yu, Paulina Dabrowska-Schlepp, Benjamin Fode, Holger Niederkrüger, Sabrina Forni, Shuyuan Chen and 3 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of inherited metabolic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02995993 (An Open-Label, Multi-Center Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Moss-aGal in Patients With Fabry Disease), which is not on this map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
4.0field-weighted citation impact, top 6% 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.

NCT02995993 phase1completednot on this map

An Open-Label, Multi-Center Study to Evaluate the Pharmacokinetics, Pharmacodynamics, and Safety of Moss-aGal in Patients With Fabry Disease

TypeinterventionalSponsorGreenovation Biotech GmbHRan2016 to 2017Enrolled6ConditionsFabry DiseaseArmsMoss-aGal (recombinant human alpha-galactosidase A produced in moss)
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 101 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Cardiac manifestations of Fabry disease.NPJ cardiovascular health · 2025
    Review
  5. Article
  6. Status and frontiers of Fabre disease.Orphanet journal of rare diseases · 2025
    Review
  7. Review
  8. Article
  9. Engineering the mossFrontiers in plant science · 2025
    Article
  10. Article
  11. Article
  12. Fabry disease: a rare disorder calling for personalized medicine.International urology and nephrology · 2024
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article

3 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

13 authors at 1 institution in 1 country.

Jin-Song ShenInstitute of Metabolic Disease, Baylor Research Institute, 3812 Elm Street, Dallas, TX, 75226, USA. Jinsong.Shen@baylorhealth.edu.
Andreas BuschGreenovation Biotech GmbH, Freiburg, Germany.
Taniqua S DayInstitute of Metabolic Disease, Baylor Research Institute, 3812 Elm Street, Dallas, TX, 75226, USA.
Xing-Li MengInstitute of Metabolic Disease, Baylor Research Institute, 3812 Elm Street, Dallas, TX, 75226, USA.
Chun I YuBaylor Institute for Immunology Research, Dallas, TX, 75204, USA.
Paulina Dabrowska-SchleppGreenovation Biotech GmbH, Freiburg, Germany.
Benjamin FodeGreenovation Biotech GmbH, Freiburg, Germany.
Holger NiederkrügerGreenovation Biotech GmbH, Freiburg, Germany.
Sabrina ForniInstitute of Metabolic Disease, Baylor Research Institute, 3812 Elm Street, Dallas, TX, 75226, USA.
Shuyuan ChenBaylor Research Institute, Dallas, TX, 75226, USA.
Raphael SchiffmannInstitute of Metabolic Disease, Baylor Research Institute, 3812 Elm Street, Dallas, TX, 75226, USA.
Thomas FrischmuthGreenovation Biotech GmbH, Freiburg, Germany.
Andreas SchaafGreenovation Biotech GmbH, Freiburg, Germany.
Baylor University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Enzyme replacement therapy (ERT) is an effective treatment for several lysosomal storage disorders (LSDs). Intravenously infused enzymes are taken up by tissues through either the mannose 6-phosphate receptor (M6PR) or the mannose receptor (MR). It is generally believed that M6PR-mediated endocytosis is a key mechanism for ERT in treating LSDs that affect the non-macrophage cells of visceral organs. However, the therapeutic efficacy of MR-mediated delivery of mannose-terminated enzymes in these diseases has not been fully evaluated. We tested the effectiveness of a non-phosphorylated α-galactosidase A produced from moss (referred to as moss-aGal) in vitro and in a mouse model of Fabry disease. Endocytosis of moss-aGal was MR-dependent. Compared to agalsidase alfa, a phosphorylated form of α-galactosidase A, moss-aGal was more preferentially targeted to the kidney. Cellular localization of moss-aGal and agalsidase alfa in the heart and kidney was essentially identical. A single injection of moss-aGal led to clearance of accumulated substrate in the heart and kidney to an extent comparable to that achieved by agalsidase alfa. This study suggested that mannose-terminated enzymes may be sufficiently effective for some LSDs in which non-macrophage cells are affected, and that M6P residues may not always be a prerequisite for ERT as previously considered.

Indexed as

alpha-GalactosidaseAnimalsCell LineDisease Models, AnimalEnzyme Replacement TherapyFabry DiseaseFemaleHumansIsoenzymesKidneyLectins, C-TypeLysosomal Storage DiseasesMaleMannose-Binding LectinsMannosephosphatesMannose Receptoragalsidase alfaalpha-GalactosidaseIsoenzymesLectins, C-Typemannose-6-phosphateMannose-Binding LectinsMannosephosphatesMannose ReceptorReceptor, IGF Type 2Receptors, Cell SurfaceRecombinant Proteins

Identifiers

PMID26310963
PMCPMC4754329
OpenAlexW1898679873

What OpenQuestion holds

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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.