Evidence map›Paper›PMID 29606503›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2018

A Blood-Brain-Barrier-Penetrating Anti-human Transferrin Receptor Antibody Fusion Protein for Neuronopathic Mucopolysaccharidosis II.

Hiroyuki Sonoda, Hideto Morimoto, Eiji Yoden, Yuri Koshimura, Masafumi Kinoshita, Galina Golovina, Haruna Takagi, Ryuji Yamamoto, Kohtaro Minami, Akira Mizoguchi and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed
9.6field-weighted citation impact, top 1% 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

106 citing papers in PubMed, 198 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Iduronate-2-sulfatase fused with anti-hTfR antibody, pabinafusp alfa, for MPS-II: A phase 2 trial in Brazil.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Trial
  4. Trial
  5. Trial
  6. Antibody-Based Biologics for CNS Disorders.Antibodies (Basel, Switzerland) · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Prenatal Delivery of Enzyme Replacement Therapy to Fetuses Affected by Early-Onset Lysosomal Storage Diseases.American journal of medical genetics. Part C, Seminars in medical genetics · 2025
    Review
  20. The blood-brain barrier: a help and a hindrance.Brain : a journal of neurology · 2025
    Review

46 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 2 institutions in 1 country.

Hiroyuki SonodaResearch Division, JCR Pharmaceuticals, Kobe, Japan. Electronic address: sonoda-h@jcrpharm.co.jp.
Hideto MorimotoResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Eiji YodenResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Yuri KoshimuraResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Masafumi KinoshitaResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Galina GolovinaResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Haruna TakagiResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Ryuji YamamotoResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Kohtaro MinamiResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Akira MizoguchiDepartment of Neural Regeneration and Cell Communication, Mie University Graduate School of Medicine, Tsu, Japan.
Katsuhiko TachibanaResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Tohru HiratoResearch Division, JCR Pharmaceuticals, Kobe, Japan.
Kenichi TakahashiResearch Division, JCR Pharmaceuticals, Kobe, Japan. Electronic address: takahasi@jcrpharm.co.jp.
JCR Pharmaceuticals (Japan) · JPMie University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucopolysaccharidosis II (MPS II) is an X-linked recessive lysosomal storage disease caused by mutations in the iduronate-2-sulfatase (IDS) gene. Since IDS catalyzes the degradation of glycosaminoglycans (GAGs), deficiency in this enzyme leads to accumulation of GAGs in most cells in all tissues and organs, resulting in severe somatic and neurological disorders. Although enzyme replacement therapy with human IDS (hIDS) has been used for the treatment of MPS II, this therapy is not effective for defects in the CNS mainly because the enzyme cannot cross the blood-brain barrier (BBB). Here, we developed a BBB-penetrating fusion protein, JR-141, which consists of an anti-human transferrin receptor (hTfR) antibody and intact hIDS. The TfR-mediated incorporation of JR-141 was confirmed by using human fibroblasts in vitro. When administrated intravenously to hTfR knockin mice or monkeys, JR-141, but not naked hIDS, was detected in the brain. In addition, the intravenous administration of JR-141 reduced the accumulation of GAGs both in the peripheral tissues and in the brain of hTfR knockin mice lacking Ids, an animal model of MPS II. These data provide a proof of concept for the translation of JR-141 to clinical study for the treatment of patients with MPS II with CNS disorders.

Indexed as

Recombinant Fusion ProteinsAnimalsAntibodies, MonoclonalBlood-Brain BarrierBrainCell LineDisease Models, AnimalFibroblastsHumansMiceMice, KnockoutMucopolysaccharidosis IIReceptor, IGF Type 2Receptors, TransferrinTissue DistributionAntibodies, Monoclonalcation-dependent mannose-6-phosphate receptorReceptor, IGF Type 2Receptors, TransferrinRecombinant Fusion Proteinsblood-brain barrierenzyme replacement therapyglycosaminoglycansiduronate-2-sulfataselysosomal storage diseasemucopolysaccharidosis IItransferrin receptor

Identifiers

PMID29606503
PMCPMC5993955
OpenAlexW2793073482

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.