Evidence map›Paper›PMID 39813314›Full record

ArticleScience translational medicine2025

Gene therapy ameliorates bowel dysmotility and enteric neuron degeneration and extends survival in lysosomal storage disorder mouse models.

Ewa A Ziółkowska, Matthew J Jansen, Letitia L Williams, Sophie H Wang, Elizabeth M Eultgen, Keigo Takahashi, Steven Q Le, Hemanth R Nelvagal, Jaiprakash Sharma, Marco Sardiello and 12 more

Abstract read
In one paragraph

Article in Science translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Observational
  13. Review
  14. Article
  15. Gene therapy ameliorates neuromuscular pathology in CLN3 disease.Acta neuropathologica communications · 2025
    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

22 authors.

Ewa A ZiółkowskaDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0003-1822-3133
Matthew J JansenDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0009-0001-7110-8743
Letitia L WilliamsDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0009-0007-5880-2574
Sophie H WangDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.
Elizabeth M EultgenDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.
Keigo TakahashiDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0003-2183-068X
Steven Q LeDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0009-0008-3935-0653
Hemanth R NelvagalDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0003-2407-4517
Jaiprakash SharmaDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-9628-1745
Marco SardielloDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.
Brian J DeBoschDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-9924-7921
Patricia I DicksonDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0003-3467-8488
Jessica B AndersonChildren's Hospital of Philadelphia Research Institute and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0003-3099-2429
Sophie E SaxChildren's Hospital of Philadelphia Research Institute and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.
Christina M WrightChildren's Hospital of Philadelphia Research Institute and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-7004-3829
Rebecca P BradleyChildren's Hospital of Philadelphia Research Institute and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0009-0004-4509-5143
Ineka T WhitemanBatten Disease Support, Research and Advocacy Foundation (US), P.O. Box 30049, Gahanna, OH 43230, USA.ORCID 0000-0002-3302-7416
Takako MakitaDepartment of Regenerative Medicine and Cell Biology, Medical University of South Carolina, Charleston, SC 29425, USA.ORCID 0000-0002-5598-5690
John R GriderDepartment of Physiology and Biophysics, Division of Gastroenterology, VCU Program in Enteric Neuromuscular Sciences (VPENS), Virginia Commonwealth University, Richmond, VA 23298, USA.ORCID 0000-0002-0268-8772
Mark S SandsDepartment of Genetics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.
Robert O HeuckerothChildren's Hospital of Philadelphia Research Institute and Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-3282-1765
Jonathan D CooperDepartment of Pediatrics, Washington University in St. Louis, School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0003-1339-4750

Funding

Defining non-genetic mechanisms that prevent death in a Hirschsprung disease mouse modelR01DK129691 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI HEUCKEROTH, ROBERT O · 2021 to 2024
$2.3M
Characterizing and testing the efficacy of AAV-mediated gene therapy in a sheep model of CLN1 disease.R01NS124655 · NINDS · WASHINGTON UNIVERSITY · PI COOPER, JONATHAN D · 2022 to 2025
$1.9M
Next Generation Treatment for Krabbe DiseaseR01NS100779 · NINDS · WASHINGTON UNIVERSITY · PI SANDS, MARK S · 2018 to 2022
$1.7M
Defining and treating enteric nervous system damage in Cln1 diseaseR21NS116574 · NINDS · WASHINGTON UNIVERSITY · PI COOPER, JONATHAN D · 2020 to 2020
$454k
NIDDK NIH HHS R01 DK129691NINDS NIH HHS R01 NS100779NINDS NIH HHS R01 NS124655NINDS NIH HHS R21 NS116574
6 · The paper itself

Abstract

Children with neurodegenerative disease often have debilitating gastrointestinal symptoms. We hypothesized that this may be due at least in part to underappreciated degeneration of neurons in the enteric nervous system (ENS), the master regulator of bowel function. To test this hypothesis, we evaluated mouse models of neuronal ceroid lipofuscinosis type 1 and 2 (CLN1 and CLN2 disease, respectively), neurodegenerative lysosomal storage disorders caused by deficiencies in palmitoyl protein thioesterase-1 and tripeptidyl peptidase-1, respectively. Both mouse lines displayed slow bowel transit in vivo that worsened with age. Although the ENS appeared to develop normally in these mice, there was a progressive and profound loss of myenteric plexus neurons accompanied by changes in enteric glia in adult mice. Similar pathology was evident in colon autopsy material from a child with CLN1 disease. Neonatal administration of adeno-associated virus-mediated gene therapy prevented bowel transit defects, ameliorated loss of enteric neurons, and extended survival in mice. Treatment after weaning was less effective than treating neonatally but still extended the lifespan of CLN1 disease mice. These data provide proof-of-principle evidence of ENS degeneration in two lysosomal storage diseases and suggest that gene therapy can ameliorate ENS disease, also improving survival.

Indexed as

Enteric Nervous SystemGastrointestinal MotilityGenetic TherapyLysosomal Storage DiseasesNerve DegenerationNeuronsAminopeptidasesAnimalsDependovirusDipeptidyl-Peptidases and Tripeptidyl-PeptidasesDisease Models, AnimalHumansMiceNeuronal Ceroid-LipofuscinosesThiolester HydrolasesTripeptidyl-Peptidase 1AminopeptidasesDipeptidyl-Peptidases and Tripeptidyl-PeptidasesThiolester HydrolasesTpp1 protein, mouseTripeptidyl-Peptidase 1

Identifiers

PMID39813314
PMCPMC12087356

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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.