Evidence map›Paper›PMID 42368404›Full record

ArticleInternational journal of nanomedicine2026

A Brain-Targeted Organophosphorus Hydrolase Fusion Protein Mediated by Angiopep-2 Neutralizes Central Organophosphates and Alleviates Neurotoxicity.

Yanwei Xie, Yanan Zhai, Jiaxuan Shang, Ming Ma, Dan Wang, Shengye Xu, Yuhua Ran, Zhiping Li, Xiang Gao, Jing Gao

Abstract read
In one paragraph

Article in International journal of nanomedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yanwei XieState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Yanan ZhaiState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.ORCID 0009-0004-3815-8492
Jiaxuan ShangState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Ming MaState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Dan WangState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Shengye XuState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Yuhua RanState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Zhiping LiState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Xiang GaoState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.
Jing GaoState Key Laboratory of National Security Specially Needed Medicines, Beijing, 100039, People's Republic of China.ORCID 0000-0001-5083-2241

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Organophosphates (OPs) exert neurotoxicity by inhibiting acetylcholinesterase (AChE) activity, leading to acetylcholine accumulation, excessive nervous system stimulation, and even fatal outcomes. Current clinical countermeasures focus on AChE reactivation and symptom antagonism but lack the ability to efficiently clear OPs in vivo, especially in the brain, failing to mitigate central neurotoxicity and resulting in persistent neuronal damage and permanent disability in survivors. Organophosphorus hydrolase (OPH) has robust OP clearance capacity but is hindered by poor blood-brain barrier (BBB) penetration. Thus, the purpose of this study is to address the BBB penetration challenge of OPH and develop an effective strategy for efficient clearance of brain-invading OPs to improve the prognosis of patients with OP-induced central neurotoxicity. Patients and Methods: A fusion protein ANG-OPHDS5 was constructed by conjugating OPH mutant OPHDS5 with Angiopep-2 (ANG), a brain-targeting ligand that mediates transcytosis across the BBB via specific binding to low-density lipoprotein receptor-related protein 1 (LRP1). In vivo imaging and pharmacodynamic studies were performed to evaluate the brain-targeting ability, OP clearance efficiency, and neurotoxicity alleviation effect of ANG-OPHDS5. Results: In vivo imaging and pharmacodynamic studies confirmed that the constructed fusion protein ANG-OPHDS5 efficiently achieved targeted delivery to the brain, effectively cleared OPs residing in the central nervous system (CNS), and significantly alleviated neurotoxicity induced by OPs. Conclusion: Our strategy of centrally targeted delivery of OPH-based bioscavengers (ANG-OPHDS5) overcomes the limitations of current OP poisoning treatments, which lack efficient brain OP clearance capacity. This strategy holds great potential for improving the prognosis of patients with OP-induced central neurotoxicity.

Indexed as

BrainNeurotoxicity SyndromesOrganophosphatesRecombinant Fusion ProteinsAnimalsBlood-Brain BarrierHumansMaleMicePeptidesPhosphoric Monoester HydrolasesAngiopep-2OrganophosphatesPeptidesPhosphoric Monoester HydrolasesphosphorylphosphataseRecombinant Fusion Proteinsangiopep-2brain targeted deliveryfusion proteinorganophosphate poisoning treatmentorganophosphorus hydrolase

Identifiers

PMID42368404
PMCPMC13295160

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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.