Evidence map›Paper›PMID 21499717›Full record

ArticleJournal of inherited metabolic disease2011

Juvenile neuronal ceroid lipofuscinosis: clinical course and genetic studies in Spanish patients.

María-Socorro Pérez-Poyato, Montserrat Milà Recansens, Isidre Ferrer Abizanda, Raquel Montero Sánchez, Laia Rodríguez-Revenga, Victoria Cusí Sánchez, M Mar García González, Rosario Domingo Jiménez, Rafael Camino León, Ramón Velázquez Fragua and 2 more

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In one paragraph

Article in Journal of inherited metabolic disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Psychiatric manifestations in Neuronal ceroid lipofuscinoses.Orphanet journal of rare diseases · 2026
    Pooled it
  2. Guideline
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. The CLN3 gene and protein: What we know.Molecular genetics & genomic medicine · 2019
    Review
  10. Article
  11. Article
  12. Review
  13. Vision loss in juvenile neuronal ceroid lipofuscinosis (CLN3 disease).Annals of the New York Academy of Sciences · 2016
    Review
  14. Article
  15. Article
  16. Early-onset Lafora body disease.Brain : a journal of neurology · 2012
    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

12 authors at 8 institutions in 1 country.

María-Socorro Pérez-PoyatoDepartments of Pediatric Neurology and Clinical Biochemistry and Centre for Biomedical Research on Rare Diseases (CIBER-ER), Instituto de Salud Carlos III, Hospital de Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain.
Montserrat Milà Recansens
Isidre Ferrer Abizanda
Raquel Montero Sánchez
Laia Rodríguez-Revenga
Victoria Cusí Sánchez
M Mar García González
Rosario Domingo Jiménez
Rafael Camino León
Ramón Velázquez Fragua
Antonio Martínez-Bermejo
Mercè Pineda Marfà
Centre for Biomedical Network Research on Rare Diseases · ESHospital Sant Joan de Déu Barcelona · ESHospital Universitario La Paz · ESInstituto de Salud Carlos III · ESBellvitge University Hospital · ESHospital de FigueresHospital Universitario Reina Sofía · ESHospital Universitario Virgen de la Arrixaca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJuvenile neuronal ceroid lipofuscinosis (JNCL, NCL3, Batten disease) is usually caused by a 1.02-kb deletion in the CLN3 gene. Mutations in the CLN1 gene may be associated with a variant form of JNCL (vJNCL). We report the clinical course and molecular studies in 24 patients with JNCL collected from 1975 to 2010 with the aim of assessing the natural history of the disorder and phenotype/genotype correlations. PATIENTS AND

methodsPatients were classified into the groups of vJNCL with mutations in the CLN1 gene and/or granular osmiophilic deposit (GROD) inclusion bodies (n = 11) and classic JNCL (cJNCL) with mutations in the CLN3 gene and/or fingerprint (FP) profiles (n = 13). Psychomotor impairment included regression of acquired skills, cognitive decline, and clinical manifestations of the disease. We used Kaplan-Meier analyses to estimate the age of onset of psychomotor impairment.

resultsPatients with vJNCL showed learning delay at an earlier age (median 4 years, 95% confidence interval [CI] 3.1-4.8) than those in the cJNCL group (median 8 years, 95% CI 6.2-9.7) (P = 0.001) and regression of acquired skills at a younger age. Patients with vJNCL showed a more severe and progressive clinical course than those with cJNCL. There may be a Gypsy ancestry for V181L missense mutation in the CLN1 gene.

conclusionsThe rate of disease progression may be useful to diagnose vJNCL or cJNCL, which should be confirmed by molecular studies in CLN1/CLN3 genes. Further studies of genotype/phenotype correlation will be helpful for understanding the pathogenesis of this disease.

Indexed as

AdolescentAdultChildCognitionDisease ProgressionDNA Mutational AnalysisFemaleGenetics, PopulationHumansMaleMental DisordersMolecular Diagnostic TechniquesNeuronal Ceroid-LipofuscinosesPhenotypeSpainYoung Adult

Identifiers

PMID21499717
OpenAlexW2100634757

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Registered trials

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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.