Evidence map›Paper›PMID 21290185›Full record

ReviewJournal of inherited metabolic disease2012

Advances and challenges in the treatment of branched-chain amino/keto acid metabolic defects.

Ina Knerr, Natalie Weinhold, Jerry Vockley, K Michael Gibson

Open access · greenAbstract readReview
In one paragraph

Review in Journal of inherited metabolic disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
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

38 citing papers in PubMed, 93 citations in OpenAlex.

  1. Review
  2. Article
  3. NovelFrontiers in genetics · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. New insights into the pathophysiology of methylmalonic acidemia.Journal of inherited metabolic disease · 2023
    Review
  8. Sex-Gender-Based Differences in Metabolic Diseases.Handbook of experimental pharmacology · 2023
    Review
  9. Anaplerosis in action.Nature metabolism · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Neurological manifestations of organic acidurias.Nature reviews. Neurology · 2019
    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

4 authors at 3 institutions in 2 countries.

Ina KnerrChildren's and Adolescents' Hospital, Otto-Heubner Centrum, Pediatric Metabolic Unit, Charité - Universitätsmedizin, Berlin, Germany. ina.knerr@charite.de
Natalie Weinhold
Jerry Vockley
K Michael Gibson
Charité - Universitätsmedizin Berlin · DEMichigan Technological University · USUniversity of Pittsburgh · US

Funding

METABOLISM OF SHORT CHAIN ACYL COAS AND THEIR DEFICIENCYR01DK054936 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VOCKLEY, GERARD · 1999 to 2013
$2.5M
NIDDK NIH HHS R01 DK054936
6 · The paper itself

Abstract

Disorders of branched-chain amino/keto acid metabolism encompass diverse entities, including maple syrup urine disease (MSUD), the 'classical' organic acidurias isovaleric acidemia (IVA), propionic acidemia (PA), methylmalonic acidemia (MMA) and, among others, rarely described disorders such as 2-methylbutyryl-CoA dehydrogenase deficiency (MBDD) or isobutyryl-CoA dehydrogenase deficiency (IBDD). Our focus in this review is to highlight the biochemical basis underlying recent advances and ongoing challenges of long-term conservative therapy including precursor/protein restriction, replenishment of deficient substrates, and the use of antioxidants and anaplerotic agents which refill the Krebs cycle. Ongoing clinical assessments of affected individuals in conjunction with monitoring of disease-specific biochemical parameters remain essential. It is likely that mass spectrometry-based 'metabolomics' may be a helpful tool in the future for studying complete biochemical profiles and diverse metabolic phenotypes. Prospective studies are needed to test the effectiveness of adjunct therapies such as antioxidants, ornithine-alpha-ketoglutarate (OKG) or creatine in addition to specialized diets and to optimize current therapeutic strategies in affected individuals. With the individual life-time risk and degree of severity being unknown in asymptomatic individuals with MBDD or IBDD, instructions regarding risks for metabolic stress and fasting avoidance along with clinical monitoring are reasonable interventions at the current time. Overall, it is apparent that carefully designed prospective clinical investigations and multicenter cohort-controlled trials are needed in order to leverage that knowledge into significant breakthroughs in treatment strategies and appropriate approaches.

Indexed as

Amino Acid Metabolism, Inborn ErrorsAmino Acids, Branched-ChainAnimalsCreatinineHumansMaple Syrup Urine DiseaseMass SpectrometryMetabolomicsMiceMice, KnockoutMice, TransgenicOrnithinePhenotypeRiskAmino Acids, Branched-ChainCreatinineOrnithineornithine alpha-ketoglutarate

Identifiers

PMID21290185
PMCPMC4136412
OpenAlexW2066518220

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.