Evidence map›Paper›PMID 29907758›Full record

ReviewCell death & disease2018

Mechanism of neuroprotection by trehalose: controversy surrounding autophagy induction.

He-Jin Lee, Ye-Seul Yoon, Seung-Jae Lee

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Cell death & disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04808297 (A Study in Subjects With Neuronal Ceroid Lipofuscinoses Taking Trehalose), which is not on this map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
11.8field-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.

NCT04808297 completednot on this mapstarted 2020, after this paper: background citation

A Study in Subjects With Neuronal Ceroid Lipofuscinoses Taking Trehalose

TypeobservationalSponsorIRCCS Fondazione Stella MarisRan2020 to 2021Enrolled8ConditionsNeuronal Ceroid-Lipofuscinoses
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 185 citations in OpenAlex.

  1. Trehalose's untapped mechanisms in alzheimer's: gut-brain-autophagy signalling beyond the usual targets.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
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  14. Autophagy activator AA-20 improves proteostasis and extendsProceedings of the National Academy of Sciences of the United States of America · 2025
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45 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

3 authors at 2 institutions in 1 country.

He-Jin LeeDepartment of Anatomy, Konkuk University, Seoul, 05029, Korea. hjlee@kku.ac.kr.
Ye-Seul YoonDepartment of Anatomy, Konkuk University, Seoul, 05029, Korea.
Seung-Jae LeeDepartments of Medicine and Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea. sjlee66@snu.ac.kr.
Konkuk University · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Trehalose is a non-reducing disaccharide with two glucose molecules linked through an α, α-1,1-glucosidic bond. Trehalose has received attention for the past few decades for its role in neuroprotection especially in animal models of various neurodegenerative diseases, such as Parkinson and Huntington diseases. The mechanism underlying the neuroprotective effects of trehalose remains elusive. The prevailing hypothesis is that trehalose protects neurons by inducing autophagy, thereby clearing protein aggregates. Some of the animal studies showed activation of autophagy and reduced protein aggregates after trehalose administration in neurodegenerative disease models, seemingly supporting the autophagy induction hypothesis. However, results from cell studies have been less certain; although many studies claim that trehalose induces autophagy and reduces protein aggregates, the studies have their weaknesses, failing to provide sufficient evidence for the autophagy induction theory. Furthermore, a recent study with a thorough examination of autophagy flux showed that trehalose interfered with the flux from autophagosome to autolysosome, raising controversy on the direct effects of trehalose on autophagy. This review summarizes the fundamental properties of trehalose and the studies on its effects on neurodegenerative diseases. We also discuss the controversy related to the autophagy induction theory and seek to explain how trehalose works in neuroprotection.

Indexed as

AnimalsAutophagyInvertebratesNeuroprotectionNeuroprotective AgentsTrehaloseVertebratesNeuroprotective AgentsTrehalose

Identifiers

PMID29907758
PMCPMC6003909
OpenAlexW2808422876

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.