Evidence map›Paper›PMID 27512952›Full record

ArticleCell death & disease2016

Glial degeneration with oxidative damage drives neuronal demise in MPSII disease.

Cristina Zalfa, Chiara Verpelli, Francesca D'Avanzo, Rosella Tomanin, Cinzia Vicidomini, Laura Cajola, Renzo Manara, Carlo Sala, Maurizio Scarpa, Angelo Luigi Vescovi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Genetically Programmed Single-Component Protein Hydrogel for Spinal Cord Injury Repair.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
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  10. Innate Immunity in Mucopolysaccharide Diseases.International journal of molecular sciences · 2022
    Review
  11. Article
  12. Review
  13. Clearance of heparan sulfate in the brain prevents neurodegeneration and neurocognitive impairment in MPS II mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
  14. Article
  15. Review
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  17. Review
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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

11 authors at 7 institutions in 1 country.

Cristina ZalfaDepartment of Biotechnology and Biosciences, University Milan Bicocca, Piazza della Scienza 2, Milano 20126, Italy.
Chiara VerpelliCNR Neuroscience Institute and Department of Biotechnology and Translational Medicine, University of Milan, Via Vanvitelli 32, Milano 20129, Italy.
Francesca D'AvanzoLaboratory of Diagnosis and Therapy of Lysosomal Disorders, Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, Padova 35128, Italy.
Rosella TomaninLaboratory of Diagnosis and Therapy of Lysosomal Disorders, Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, Padova 35128, Italy.
Cinzia VicidominiCNR Neuroscience Institute and Department of Biotechnology and Translational Medicine, University of Milan, Via Vanvitelli 32, Milano 20129, Italy.
Laura CajolaStemgen Srl, Viale Ca' Granda, Milano, Italy.
Renzo ManaraDepartment of Neuroradiology, University of Salerno, Via S Allende, Baronissi 84081, Italy.
Carlo SalaCNR Neuroscience Institute and Department of Biotechnology and Translational Medicine, University of Milan, Via Vanvitelli 32, Milano 20129, Italy.
Maurizio ScarpaLaboratory of Diagnosis and Therapy of Lysosomal Disorders, Department of Women's and Children's Health, University of Padova, Via Giustiniani 3, Padova 35128, Italy.
Angelo Luigi VescoviDepartment of Biotechnology and Biosciences, University Milan Bicocca, Piazza della Scienza 2, Milano 20126, Italy.
Lidia De FilippisDepartment of Biotechnology and Biosciences, University Milan Bicocca, Piazza della Scienza 2, Milano 20126, Italy.
Neuroscience Institute · ITUniversity of Padua · ITBiogen (Italy) · ITCasa Sollievo della Sofferenza · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milano-Bicocca · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucopolysaccharidosis type II (MPSII) is a lysosomal storage disorder due to the deficit of the iduronate 2-sulfatase (IDS) enzyme, causing progressive neurodegeneration in patients. Neural stem cells (NSCs) derived from the IDS-ko mouse can recapitulate MPSII pathogenesis in vitro. In differentiating IDS-ko NSCs and in the aging IDS-ko mouse brain, glial degeneration precedes neuronal degeneration. Here we show that pure IDS-ko NSC-derived astrocytes are selectively able to drive neuronal degeneration when cocultured with healthy neurons. This phenotype suggests concurrent oxidative damage with metabolic dysfunction. Similar patterns were observed in murine IDS-ko animals and in human MPSII brains. Most importantly, the mutant phenotype of IDS-ko astrocytes was reversed by low oxygen conditions and treatment with vitamin E, which also reversed the toxic effect on cocultured neurons. Moreover, at very early stages of disease we detected in vivo the development of a neuroinflammatory background that precedes astroglial degeneration, thus suggesting a novel model of MPSII pathogenesis, with neuroinflammation preceding glial degeneration, which is finally followed by neuronal death. This hypothesis is also consistent with the progression of white matter abnormalities in MPSII patients. Our study represents a novel breakthrough in the elucidation of MPSII brain pathogenesis and suggests the antioxidant molecules as potential therapeutic tools to delay MPSII onset and progression.

Indexed as

Oxidative StressAdolescentAnimalsAntioxidantsAstrocytesBrainCell DeathCells, CulturedChildChild, PreschoolCoculture TechniquesFemaleHumansIduronate SulfataseInfantInflammationAntioxidantsIduronate SulfataseOxygenVitamin E

Identifiers

PMID27512952
PMCPMC5108318
OpenAlexW2511978888

What OpenQuestion holds

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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.