Evidence map›Paper›PMID 30069915›Full record

ArticleAnnals of neurology2018

Dendrimer-N-acetyl-L-cysteine modulates monophagocytic response in adrenoleukodystrophy.

Bela R Turk, Christina L Nemeth, Joel S Marx, Carol Tiffany, Richard Jones, Benjamin Theisen, Siva Kambhampati, Raj Ramireddy, Sarabdeep Singh, Melissa Rosen and 6 more

Abstract read
In one paragraph

Article in Annals of neurology, 2018. 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
1.6field-weighted citation impact, top 16% 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, 37 citations in OpenAlex.

  1. Inhibition of microglial glutaminase alleviates chronic stress-induced neurobehavioral and cognitive deficits.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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  6. Development and Initial Assessment of [Molecular imaging and biology · 2023
    Article
  7. Article
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  9. Article
  10. A Phase 1 Study of Oral Vitamin DNeurology. Genetics · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. In vivo gene editing via homology-independent targeted integration for adrenoleukodystrophy treatment.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. X-linked adrenoleukodystrophy: Pathology, pathophysiology, diagnostic testing, newborn screening and therapies.International journal of developmental neuroscience : the official journal of the International Society for Developmental Neuroscience · 2020
    Review
  20. Article
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

16 authors at 3 institutions in 1 country.

Bela R TurkMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Christina L NemethMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Joel S MarxMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Carol TiffanyMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Richard JonesMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Benjamin TheisenMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Siva KambhampatiCenter for Nanomedicine/Ophthalmology, Johns Hopkins Wilmer Eye Institute.
Raj RamireddyCenter for Nanomedicine/Ophthalmology, Johns Hopkins Wilmer Eye Institute.
Sarabdeep SinghDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Melissa RosenMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Miriam L KaufmanMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Connor F MurrayMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Paul A WatkinsMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Sujatha KannanMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Rangaramanujam KannanMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Ali FatemiMoser Center for Leukodystrophies, Kennedy Krieger Institute.
Kennedy Krieger Institute · USJohns Hopkins University · USJohns Hopkins Medicine · US

Funding

Targeted Therapies for Neonatal White Matter InjuryR01NS097511 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI FATEMI, S. ALI · 2016 to 2020
$2.1M
Mechanisms and novel therapy in intrauterine inflammation induced brain injuryR01HD069562 · NICHD · JOHNS HOPKINS UNIVERSITY · PI KANNAN, SUJATHA · 2012 to 2016
$1.6M
Nanotherapies for the treatment of neurodevelopmental disorders.R01EB018306 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI RANGARAMANUJAM, KANNAN · 2014 to 2017
$1.5M
NIBIB NIH HHS R01 EB018306NIBIB NIH HHS R01EB018306NICHD NIH HHS R01 HD069562NICHD NIH HHS R01HD069562NINDS NIH HHS R01 NS097511NINDS NIH HHS R01NS097511
6 · The paper itself

Abstract

objectiveX-linked adrenoleukodystrophy (ALD) is a neurodegenerative disorder due to mutations in the peroxisomal very long-chain fatty acyl-CoA transporter, ABCD1, with limited therapeutic options. ALD may manifest in a slowly progressive adrenomyeloneuropathy (AMN) phenotype, or switch to rapid inflammatory demyelinating cerebral disease (cALD), in which microglia have been shown to play a pathophysiological role. The aim of this study was to determine the role of patient phenotype in the immune response of ex vivo monophagocytic cells to stimulation, and to evaluate the efficacy of polyamidoamine dendrimer conjugated to the antioxidant precursor N-acetyl-cysteine (NAC) in modulating this immune response.

methodsHuman monophagocytic cells were derived from fresh whole blood, from healthy (n = 4), heterozygote carrier (n = 4), AMN (n = 7), and cALD (n = 4) patients. Cells were exposed to very long-chain fatty acids (VLCFAs; C24:0 and C26:0) and treated with dendrimer-NAC (D-NAC).

resultsEx vivo exposure to VLCFAs significantly increased tumor necrosis factor α (TNFα) and glutamate secretion from cALD patient macrophages. Additionally, a significant reduction in total intracellular glutathione was observed in cALD patient cells. D-NAC treatment dose-dependently reduced TNFα and glutamate secretion and replenished total intracellular glutathione levels in cALD patient macrophages, more efficiently than NAC. Similarly, D-NAC treatment decreased glutamate secretion in AMN patient cells.

interpretationALD phenotypes display unique inflammatory profiles in response to VLCFA stimulation, and therefore ex vivo monophagocytic cells may provide a novel test bed for therapeutic agents. Based on our findings, D-NAC may be a viable therapeutic strategy for the treatment of cALD. Ann Neurol 2018;84:452-462.

Indexed as

AcetylcysteineAdrenoleukodystrophyAdultAgedAntioxidantsATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily D, Member 1BrainChildDendrimersFemaleHumansMaleMicrogliaMiddle AgedPhenotypeABCD1 protein, humanAcetylcysteineAntioxidantsATP-Binding Cassette TransportersATP Binding Cassette Transporter, Subfamily D, Member 1Dendrimers

Identifiers

PMID30069915
PMCPMC6454885
OpenAlexW2887259701

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.