Evidence map›Paper›PMID 31455839›Full record

ReviewJournal of human genetics2019

Enzyme replacement therapy for mucopolysaccharidoses; past, present, and future.

Hui Hsuan Chen, Kazuki Sawamoto, Robert W Mason, Hironori Kobayashi, Seiji Yamaguchi, Yasuyuki Suzuki, Kenji Orii, Tadao Orii, Shunji Tomatsu

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of human genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Natural History of Morquio A Syndrome.Journal of inherited metabolic disease · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Molecular therapy. Methods & clinical development · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. 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

9 authors at 4 institutions in 2 countries.

Hui Hsuan ChenNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Kazuki SawamotoNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Robert W MasonNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Hironori KobayashiDepartment of Pediatrics, Shimane University, Matsue, Shimane, Japan.
Seiji YamaguchiDepartment of Pediatrics, Shimane University, Matsue, Shimane, Japan.
Yasuyuki SuzukiMedical Education Development Center, Gifu University, Gifu, Japan.
Kenji OriiDepartment of Pediatrics, Gifu University, Gifu, Japan.
Tadao OriiDepartment of Pediatrics, Gifu University, Gifu, Japan.
Shunji TomatsuNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA. stomatsu@nemours.org.
Gifu University · JPShimane University · JPAlfred I. duPont Hospital for Children · USUniversity of Delaware · US

Funding

Center for Pediatric Research Pilot ProgramP30GM114736 · NIGMS · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI SHAFFER, THOMAS H · 2015 to 2019
$5.1M
NIGMS NIH HHS P30 GM114736
6 · The paper itself

Abstract

Mucopolysaccharidoses (MPS) are a group of lysosomal storage disorders, which lack an enzyme corresponding to the specific type of MPS. Enzyme replacement therapy (ERT) has been the standard therapeutic option for some types of MPS because of the ability to start immediate treatment with feasibility and safety and to improve prognosis. There are several disadvantages for current ERT, such as limited impact to the brain and avascular cartilage, weekly or biweekly infusions lasting 4-5 h, the immune response against the infused enzyme, a short half-life, and the high cost. Clinical studies of ERT have shown limited efficacy in preventing or resolving progression in neurological, cardiovascular, and skeletal diseases. One focus is to penetrate the avascular cartilage area to at least stabilize, if not reverse, musculoskeletal diseases. Although early intervention in some types of MPS has shown improvements in the severity of skeletal dysplasia and stunted growth, this limits the desired effect of ameliorating musculoskeletal disease progression to young MPS patients. Novel ERT strategies are under development to reach the brain: (1) utilizing a fusion protein with monoclonal antibody to target a receptor on the BBB, (2) using a protein complex from plant lectin, glycan, or insulin-like growth factor 2, and (3) direct infusion across the BBB. As for MPS IVA and VI, bone-targeting ERT will be an alternative to improve therapeutic efficacy in bone and cartilage. This review summarizes the effect and limitations on current ERT for MPS and describes the new technology to overcome the obstacles of conventional ERT.

Indexed as

Enzyme Replacement TherapyBlood-Brain BarrierBrainDisease ProgressionGlycosaminoglycansHematopoietic Stem Cell TransplantationHumansLysosomal Storage DiseasesMucopolysaccharidosesGlycosaminoglycans

Identifiers

PMID31455839
OpenAlexW2970703882

What OpenQuestion holds

Textmetadata
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.