Evidence map›Paper›PMID 27881461›Full record

ArticleEMBO molecular medicine2017

Lysosomal dysfunction disrupts presynaptic maintenance and restoration of presynaptic function prevents neurodegeneration in lysosomal storage diseases.

Irene Sambri, Rosa D'Alessio, Yulia Ezhova, Teresa Giuliano, Nicolina Cristina Sorrentino, Vincenzo Cacace, Maria De Risi, Mauro Cataldi, Lucio Annunziato, Elvira De Leonibus and 1 more

Open access · goldAbstract read
In one paragraph

Article in EMBO molecular medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Synaptic Proteostasis in Health and Disease.Journal of neurochemistry · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Unifying biology of neurodegeneration in lysosomal storage diseases.Journal of inherited metabolic disease · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
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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 3 institutions in 1 country.

Irene SambriTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Rosa D'AlessioTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Yulia EzhovaTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Teresa GiulianoTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Nicolina Cristina SorrentinoTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Vincenzo CacaceTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Maria De RisiTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Mauro CataldiDepartment of Neuroscience, Reproductive and Odontostomatological Sciences Federico II University, Naples, Italy.
Lucio AnnunziatoDepartment of Neuroscience, Reproductive and Odontostomatological Sciences Federico II University, Naples, Italy.
Elvira De LeonibusTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy.
Alessandro FraldiTelethon Institute of Genetics and Medicine (TIGEM), Naples, Italy fraldi@tigem.it.ORCID 0000-0002-7795-0720
Telethon Institute Of Genetics And Medicine · ITFederico II University Hospital · ITInstitute of Genetics and Biophysics · IT

Funding

Telethon TGM11MT5
6 · The paper itself

Abstract

Lysosomal storage disorders (LSDs) are inherited diseases characterized by lysosomal dysfunction and often showing a neurodegenerative course. There is no cure to treat the central nervous system in LSDs. Moreover, the mechanisms driving neuronal degeneration in these pathological conditions remain largely unknown. By studying mouse models of LSDs, we found that neurodegeneration develops progressively with profound alterations in presynaptic structure and function. In these models, impaired lysosomal activity causes massive perikaryal accumulation of insoluble α-synuclein and increased proteasomal degradation of cysteine string protein α (CSPα). As a result, the availability of both α-synuclein and CSPα at nerve terminals strongly decreases, thus inhibiting soluble NSF attachment receptor (SNARE) complex assembly and synaptic vesicle recycling. Aberrant presynaptic SNARE phenotype is recapitulated in mice with genetic ablation of one allele of both CSPα and α-synuclein. The overexpression of CSPα in the brain of a mouse model of mucopolysaccharidosis type IIIA, a severe form of LSD, efficiently re-established SNARE complex assembly, thereby ameliorating presynaptic function, attenuating neurodegenerative signs, and prolonging survival. Our data show that neurodegenerative processes associated with lysosomal dysfunction may be presynaptically initiated by a concomitant reduction in α-synuclein and CSPα levels at nerve terminals. They also demonstrate that neurodegeneration in LSDs can be slowed down by re-establishing presynaptic functions, thus identifying synapse maintenance as a novel potentially druggable target for brain treatment in LSDs.

Indexed as

alpha-SynucleinAnimalsDisease Models, AnimalHSP40 Heat-Shock ProteinsLysosomal Storage DiseasesMembrane ProteinsMiceNeurodegenerative DiseasesPresynaptic TerminalsProteolysisSNARE ProteinsSynaptic Vesiclesalpha-Synucleincysteine string proteinHSP40 Heat-Shock ProteinsMembrane ProteinsSNARE ProteinsCSPαlysosomal storage disorderslysosomesneurodegenerationα‐synuclein

Identifiers

PMID27881461
PMCPMC5210158
OpenAlexW2550718980

What OpenQuestion holds

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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.