Evidence map›Paper›PMID 39810248›Full record

ArticleFluids and barriers of the CNS2025

In vivo brain delivery of BBB-enabled iduronate 2-sulfatase in rats.

Will J Costain, Arsalan S Haqqani, Greg Hussack, Henk van Faassen, Etienne Lessard, Binbing Ling, Eric Brunette, Dao Ly, Hung Fang, Jennyfer Bultinck and 7 more

Abstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Antibody-Based Biologics for CNS Disorders.Antibodies (Basel, Switzerland) · 2026
    Review
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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

17 authors.

Will J CostainHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada. Will.Costain@nrc-cnrc.gc.ca.
Arsalan S HaqqaniHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Greg HussackHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Henk van FaassenHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Etienne LessardHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Binbing LingHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Eric BrunetteHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Dao LyHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Hung FangHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.
Jennyfer BultinckOxyrane, Ghent, Belgium.
Steven GeysensOxyrane, Ghent, Belgium.
Gwenda PynaertOxyrane, Ghent, Belgium.
Kathleen PiensOxyrane, Ghent, Belgium.
Stefan RyckaertOxyrane, Ghent, Belgium.
Franck FudalejOxyrane, Ghent, Belgium.
Wouter VerveckenOxyrane, Ghent, Belgium.
Danica StanimirovicHuman Health Therapeutics Research Centre, National Research Council Canada, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIduronate-2-sulfatase (IDS) deficiency (MPS II; Hunter syndrome) is a disorder that exhibits peripheral and CNS pathology. The blood brain barrier (BBB) prevents systemic enzyme replacement therapy (ERT) from alleviating CNS pathology. We aimed to enable brain delivery of systemic ERT by using molecular BBB-Trojans targeting endothelial transcytosis receptors.

methodsSingle-domain antibody (sdAb)-enzyme fusion protein constructs were prepared in Yarrowia lipolytica. sdAb affinity and BBB permeability were characterized using SPR and an in vitro rodent BBB assay, respectively. In vivo pharmacokinetic (PK) analysis was performed in rats. Quantification of fusion protein amounts were performed using LC-MS.

resultsFusion proteins consisting of IDS and BBB-transmigrating sdAbs, albumin binding sdAbs or human serum albumin (HSA) were evaluated for their in vitro BBB permeability. IGF1R3H5-IDS was selected for in vivo PK analysis in rats. IDS and IGF1R3H5-IDS exhibited very short (< 10 min) serum half-life (t

conclusionsThese results demonstrate the utility of IGF1R-targeting sdAbs to effect brain delivery of lysosomal enzymes, as well as the utility of serum albumin-targeting sdAbs in t

Indexed as

Blood-Brain BarrierBrainEnzyme Replacement TherapyIduronate SulfataseAnimalsHumansMaleMucopolysaccharidosis IIRatsRats, Sprague-DawleyRecombinant Fusion ProteinsIduronate SulfataseRecombinant Fusion ProteinsBlood brain barrierBrainCSFEnzyme replacement therapyIduronate-2-sulfataseMPS IIPharmacokinetics

Identifiers

PMID39810248
PMCPMC11734454

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Registered trials

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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.