Evidence map›Paper›PMID 40251406›Full record

ArticleCommunications medicine2025

N-glycan-modified α-L-iduronidase produced by transgenic silkworms ameliorates clinical signs in a Japanese macaque with mucopolysaccharidosis I.

Chika Shinoda, Keisuke Kitakaze, Yuya Sasai, So-Ichiro Nishioka, Isao Kobayashi, Megumi Sumitani, Ken-Ichiro Tatematsu, Tetsuya Iizuka, Akira Harazono, Ai Mitani and 17 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Application of Transgenic Silk Fibroin to Biomaterials.Biotechnology and bioengineering · 2026
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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

27 authors.

Chika Shinoda *Department of Medicinal Biotechnology, Graduate School of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan.
Keisuke Kitakaze *Department of Pharmacology, Kawasaki Medical School, Kurashiki, Okayama, Japan.ORCID http://orcid.org/0000-0002-4852-1257
Yuya SasaiDepartment of Medicinal Biotechnology, Graduate School of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan.
So-Ichiro NishiokaDepartment of Medicinal Biotechnology, Graduate School of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan.
Isao KobayashiInstitute of Agrobiological Sciences, National Agriculture and Food Research Organization, Tsukuba, Ibaraki, Japan.
Megumi SumitaniInstitute of Agrobiological Sciences, National Agriculture and Food Research Organization, Tsukuba, Ibaraki, Japan.ORCID http://orcid.org/0000-0001-6072-9600
Ken-Ichiro TatematsuInstitute of Agrobiological Sciences, National Agriculture and Food Research Organization, Tsukuba, Ibaraki, Japan.
Tetsuya IizukaInstitute of Agrobiological Sciences, National Agriculture and Food Research Organization, Tsukuba, Ibaraki, Japan.
Akira HarazonoDivision of Biological Chemistry and Biologicals, National Institute of Health Sciences, Kawasaki, Kanagawa, Japan.
Ai MitaniCarbohydrate Research & Development Department, Fushimi Pharmaceutical Co., Ltd. 307 Minato-machi, Marugame, Kagawa, Japan.
Akihisa KanekoPrimate Research Institute, Kyoto University (PRI), Inuyama, Aichi, Japan.
Masanori ImamuraPrimate Research Institute, Kyoto University (PRI), Inuyama, Aichi, Japan.
Takako Miyabe-NishiwakiPrimate Research Institute, Kyoto University (PRI), Inuyama, Aichi, Japan.
Yasuhiro GoGraduate School of Information Science, University of Hyogo, Hyogo, Japan.ORCID http://orcid.org/0000-0003-4581-0325
Akihiro HirataJoint Department of Veterinary Medicine, Faculty of Applied Biological Sciences, Gifu University, Gifu, Japan.
Yoshie TakeuchiDepartment of Medicinal Biotechnology, Faculty of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan.
Teru MizunoDepartment of Medicinal Biotechnology, Graduate School of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan.
Kei KiriyamaDepartment of Medicinal Biotechnology, Graduate School of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan.
Jun TsukimotoDepartment of Medicinal Biotechnology, Graduate School of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan.
Satomi NadanakaLaboratory of Biochemistry, Kobe Pharmaceutical University, Kobe, Hyogo, Japan.ORCID http://orcid.org/0000-0001-7650-836X
Akiko Ishii-WatabeDivision of Biological Chemistry and Biologicals, National Institute of Health Sciences, Kawasaki, Kanagawa, Japan.
Takashi KinoshitaCarbohydrate Research & Development Department, Fushimi Pharmaceutical Co., Ltd. 307 Minato-machi, Marugame, Kagawa, Japan.ORCID http://orcid.org/0000-0002-3468-002X
Hiroshi KitagawaLaboratory of Biochemistry, Kobe Pharmaceutical University, Kobe, Hyogo, Japan.ORCID http://orcid.org/0000-0002-9307-7079
Yasuyuki SuzukiMedical Education Development Center, Gifu University, Gifu, Japan.
Takao OishiPrimate Research Institute, Kyoto University (PRI), Inuyama, Aichi, Japan. oishi.takao.5e@kyoto-u.ac.jp.ORCID http://orcid.org/0000-0003-1067-3746
Hideki SezutsuInstitute of Agrobiological Sciences, National Agriculture and Food Research Organization, Tsukuba, Ibaraki, Japan.
Kohji ItohDepartment of Medicinal Biotechnology, Graduate School of Pharmaceutical Sciences, Tokushima University, Tokushima, Japan. kitoh@tokushima-u.ac.jp.ORCID http://orcid.org/0000-0002-2953-5530

Funding

Japan Agency for Medical Research and Development (AMED) A-187Japan Agency for Medical Research and Development (AMED) JP18ak0101074MEXT | Japan Science and Technology Agency (JST) JPMJTM17DBMEXT | Japan Society for the Promotion of Science (JSPS) 17H04102MEXT | Japan Society for the Promotion of Science (JSPS) 18K06442MEXT | Japan Society for the Promotion of Science (JSPS) 26293120Ministry of Agriculture, Forestry and Fisheries (Ministry of Agriculture, Forestry and Fisheries of Japan) N/AMizutani Foundation for Glycoscience (Mizutani Foundation) N/A
6 · The paper itself

Abstract

backgroundMucopolysaccharidosis type I (MPS I) is an inherited lysosomal storage disorder (LSD) caused by recessive mutations in the α-L-iduronidase (IDUA) gene. Enzyme replacement therapy (ERT) utilizing terminal mannose-6-phosphate (M6P)-carrying N-glycans attached to therapeutic enzymes produced by mammalian cell lines has been clinically applied to several LSDs. Recent studies suggested an unidentified delivery pathway mediated by sialic acid-containing N-glycans. However, more economical platform development is required to produce large quantities of recombinant enzymes. Transgenic silkworms have been established as low-cost systems for expressing recombinant glycoproteins. Microbial endo-β-N-acetylglucosaminidases (ENGases) enable the transglycosylation of N-glycans to other types.

methodsWe purified recombinant human IDUA from IDUA transgenic silkworm cocoons and performed ENGase-mediated transglycosylation. Furthermore, we performed intravenous enzyme replacement therapy in a Japanese macaque MPS I non-human primate model carrying a homozygous IDUA missense mutation.

resultsHere we show the establishment of IDUA transgenic silkworms and purification of recombinant human IDUA from cocoons. As M6P- and sialic acid-containing N-glycans are not attached to purified hIDUA, we perform ENGase-mediated transglycosylation to obtain hIDUAs with M6P- and sialic acid-containing N-glycans (neoglyco-hIDUAs). Furthermore, we perform intravenous neoglyco-hIDUA replacement therapy in MPS I non-human primate model and succeed in improving the clinical signs and reducing the urinary glycosaminoglycan (GAG) levels.

conclusionsThese glycotechnologies using transgenic silkworms and ENGases are expected to serve as platforms for developing therapeutic glycoproteins.

Identifiers

PMID40251406
PMCPMC12008302

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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.