Evidence map›Paper›PMID 40908342›Full record

ReviewNature reviews. Neurology2025

Neuronal ceroid lipofuscinosis: underlying mechanisms and emerging therapeutic targets.

Ewa A Ziółkowska, Keigo Takahashi, Patricia I Dickson, Marco Sardiello, Mark S Sands, Jonathan D Cooper

Abstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. bioRxiv : the preprint server for biology · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Autophagy-lysosomal pathway in neurodegeneration.Molecular neurodegeneration advances · 2026
    Review
  11. Article
  12. Article
  13. Review
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

6 authors.

Ewa A ZiółkowskaDepartment of Pediatrics, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0003-1822-3133
Keigo TakahashiDepartment of Pediatrics, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0003-2183-068X
Patricia I DicksonDepartment of Pediatrics, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0003-3467-8488
Marco SardielloDepartment of Pediatrics, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0001-6484-0250
Mark S SandsDepartment of Genetics, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID 0000-0002-5559-0832
Jonathan D CooperDepartment of Pediatrics, School of Medicine, Washington University in St. Louis, St. Louis, MO, USA. cooperjd@wustl.edu.ORCID 0000-0003-1339-4750

Funding

Systems-Level Approach to Neuronopathic Lysosomal Storage DisordersRM1NS132962 · NINDS · WASHINGTON UNIVERSITY · PI JONATHAN D COOPER, PATRICIA I DICKSON · 2023 to 2026
$6.3M
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
Cellular Mechanisms of Enteric Nervous System Damage in CLN2 DiseaseR01NS140682 · NINDS · WASHINGTON UNIVERSITY · PI JONATHAN D COOPER · 2025 to 2026
$1.3M
Characterizing and testing the efficacy of AAV-mediated gene therapy in a novel CRISPR/Cas9 generated sheep model of Cln1 disease.R56NS117635 · NINDS · WASHINGTON UNIVERSITY · PI COOPER, JONATHAN D · 2021 to 2021
$502k
Defining and treating enteric nervous system damage in Cln1 diseaseR21NS116574 · NINDS · WASHINGTON UNIVERSITY · PI COOPER, JONATHAN D · 2020 to 2020
$454k
Defining and treating peripheral nervous system dysfunction in Cln1 diseaseR21NS126907 · NINDS · WASHINGTON UNIVERSITY · PI COOPER, JONATHAN D · 2022 to 2023
$433k
NINDS NIH HHS R01 NS124655NINDS NIH HHS R01 NS140682NINDS NIH HHS R21 NS116574NINDS NIH HHS R21 NS126907NINDS NIH HHS R56 NS117635NINDS NIH HHS RM1 NS132962
6 · The paper itself

Abstract

The neuronal ceroid lipofuscinoses (NCLs), more commonly known as Batten disease, are a group of fatal inherited neurodegenerative lysosomal storage disorders. Each form is caused by mutations in a different gene, resulting in lysosomal dysfunction, which, by largely unknown mechanisms, has a devastating impact on the central nervous system. The NCLs are grouped together owing to their broadly shared clinical presentations and the presence of autofluorescent storage material. Nevertheless, being caused by deficiencies in dissimilar proteins, marked differences are apparent between NCLs in their clinical presentation and pathology. The effects of disease are not confined to neurons and appear unrelated to autofluorescent storage material, with glial cells also affected. The rest of the body is also affected, with life-limiting disease in the bowel and effects on other body systems, which will also require treatment for maximal therapeutic benefit. Since the development of enzyme replacement therapy for CLN2 disease, much has been learnt about the practicalities of its delivery. Considerable progress has also been made in the understanding of NCL cell biology, disease pathogenesis and potential links to other disorders. Here, we highlight these advances and how they inform the ongoing development of therapeutic strategies and their future prospects.

Indexed as

Neuronal Ceroid-LipofuscinosesAnimalsEnzyme Replacement TherapyHumansTripeptidyl-Peptidase 1Tripeptidyl-Peptidase 1

Identifiers

PMID40908342
PMCPMC13213534

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.