Evidence map›Paper›PMID 26937399›Full record

ArticleMolecular genetics and metabolism reports2015

Enzymatic replacement therapy for Hunter disease: Up to 9 years experience with 17 patients.

Rossella Parini, Miriam Rigoldi, Lucia Tedesco, Lucia Boffi, Alessandra Brambilla, Sara Bertoletti, Agata Boncimino, Alessandra Del Longo, Paola De Lorenzo, Renato Gaini and 13 more

Abstract read
In one paragraph

Article in Molecular genetics and metabolism reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Rescue of neurologic disease in mucopolysaccharidosis type II mice via AAV-mediated liver delivery of brain-penetrating iduronate-2-sulfatase.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  9. Article
  10. Targeting Neurological Aspects of Mucopolysaccharidosis Type II: Enzyme Replacement Therapy and Beyond.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024
    Review
  11. Review
  12. Article
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  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Differences in MPS I and MPS II Disease Manifestations.International journal of molecular sciences · 2021
    Review
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

23 authors.

Rossella PariniDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
Miriam RigoldiDept of Internal Medicine, San Gerardo Hospital, Monza, Italy.
Lucia TedescoDept of Rehabilitation Medicine San Gerardo Hospital, Monza, Italy.
Lucia BoffiDept of Cardiology, San Gerardo Hospital, Monza, Italy.
Alessandra BrambillaDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
Sara BertolettiDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
Agata BonciminoDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
Alessandra Del LongoDept of Pediatric Ophthalmology, Niguarda Hospital, Milano, Italy.
Paola De LorenzoStatistical Unit, Department of Preventive Medicine, University Milano Bicocca, Monza, Italy.
Renato GainiDept of Otholaryngology, San Gerardo Hospital, Monza, Italy.
Denise GalloneDept of Orthopedics, San Gerardo Hospital, Monza, Italy.
Serena GasperiniDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
Carlo GiussaniDept of Neurosurgery, San Gerardo Hospital, Monza, Italy.
Marco GrimaldiDept of Radiology, San Gerardo Hospital, Monza, Italy.
Daniele GrioniDept of Pediatric Neurology San Gerardo Hospital, Monza, Italy.
Pamela MeregalliDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
Grazia MessinesiDept of Pneumology, University of Milano-Bicocca, San Gerardo Hospital, Monza, Italy.
Francesca NichelliDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.
Marco RomagnoliDept of Otholaryngology, San Gerardo Hospital, Monza, Italy.
Pierluigi RussoDept of Cardiology, San Gerardo Hospital, Monza, Italy.
Erik SganzerlaDept of Neurosurgery, San Gerardo Hospital, Monza, Italy.
Grazia ValsecchiStatistical Unit, Department of Preventive Medicine, University Milano Bicocca, Monza, Italy.
Andrea BiondiDept of Pediatrics, Fondazione MBBM, San Gerardo Hospital, Monza, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hunter disease is an X-linked lysosomal storage disorder characterized by progressive storage of glycosaminoglycans (GAGs) and multi-organ impairment. The central nervous system (CNS) is involved in at least 50% of cases. Since 2006, the enzymatic replacement therapy (ERT) is available but with no effect on the cognitive impairment, as the present formulation does not cross the blood-brain barrier. Here we report the outcome of 17 Hunter patients treated in a single center. Most of them (11) started ERT in 2006, 3 had started it earlier in 2004, enrolled in the phase III trial, and 3 after 2006, as soon as the diagnosis was made. The liver and spleen sizes and urinary GAGs significantly decreased and normalized throughout the treatment. Heart parameters improved, in particular the left ventricular mass index/m(2) decreased significantly. Amelioration of hearing was seen in many patients. Joint range of motion improved in all patients. However, no improvement on respiratory function, eye, skeletal and CNS disease was found. The developmental quotient of patients with a CNS involvement showed a fast decline. These patients were no more testable after 6 years of age and, albeit the benefits drawn from ERT, their quality of life worsened throughout the years. The whole group of patients showed a consistent residual disease burden mainly represented by persistent skeletal disease and frequent need of surgery. This study suggests that early diagnosis and treatment and other different therapies which are able to cross the blood-brain barrier, might in the future improve the MPS II outcome.

Indexed as

6MWT, Six minute walking testBAER, Brainstem auditory evoked responsesCNS, Central nervous systemEF, Ejection fractionENT, Ear nose and throatEnzymatic replacement therapyERTERT, Enzyme replacement therapyGAGs, GlycosaminoglycansHAQ, Health Assessment QuestionnaireHunter diseaseHunter syndromeI2S, Iduronate-2-sulfataseIdursulfaseJROM, Joint range of motionLVM/LVMI, Left ventricular mass/left-ventricular mass indexMDCT, Multidetector computed tomographyMPS IIMPS II, Mucopolysaccharidosis type IIMPS, MucopolysaccharidosisMRI, Magnetic resonance imagingMucopolysaccharidosis type IIQoL, Quality of LifeUAI, Upper airway infections

Identifiers

PMID26937399
PMCPMC4750582

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Registered trials

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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.