Evidence map›Paper›PMID 23319291›Full record

ArticleJournal of inherited metabolic disease2013

Cryptic residual GALT activity is a potential modifier of scholastic outcome in school age children with classic galactosemia.

Emily L Ryan, Mary Ellen Lynch, Elles Taddeo, Tyler J Gleason, Michael P Epstein, Judith L Fridovich-Keil

Open access · greenAbstract read
In one paragraph

Article in Journal of inherited metabolic disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 22% 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, 28 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Screening for galactosemia: is there a place for it?International journal of general medicine · 2019
    Article
  9. Article
  10. Article
  11. Drosophila melanogaster Models of Galactosemia.Current topics in developmental biology · 2017
    Review
  12. Article
  13. Early menopause: A hazard to a woman's health.The Indian journal of medical research · 2016
    Review
  14. Article
  15. Article
  16. Modifiers of ovarian function in girls and women with classic galactosemia.The Journal of clinical endocrinology and metabolism · 2013
    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

6 authors at 1 institution in 1 country.

Emily L RyanGraduate Program in Biochemistry, Cell, and Developmental Biology, Emory University, Atlanta, GA, USA.
Mary Ellen Lynch
Elles Taddeo
Tyler J Gleason
Michael P Epstein
Judith L Fridovich-Keil
Emory University · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Training Program in Biochemistry, Cell and Molecular BiologyT32GM008367 · NIGMS · EMORY UNIVERSITY · PI BOISE, LAWRENCE H., CORBETT, ANITA H. · 1990 to 2019
$5.6M
Studies of Galactose Toxicity in Yeast and Human CellsR01DK059904 · NIDDK · EMORY UNIVERSITY · PI FRIDOVICH-KEIL, JUDITH L. · 2002 to 2011
$3.2M
HUMAN ENZYMES UNDERLYING GALACTOSEMIAR01DK046403 · NIDDK · EMORY UNIVERSITY · PI FRIDOVICH-KEIL, JUDITH L. · 1998 to 2011
$3.0M
Training Program in Human Disease GeneticsT32MH087977 · NIMH · EMORY UNIVERSITY · PI WARREN, STEPHEN T. · 2009 to 2013
$1.3M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalTL1TR000456 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$1.2M
Atlanta Clinical and Translational Science Institute (TL1)TL1RR025010 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$1.1M
NCATS NIH HHS TL1 TR000456NCATS NIH HHS UL1 TR000454NCRR NIH HHS TL1 RR025010NIDDK NIH HHS R01 DK046403NIDDK NIH HHS R01 DK059904NIGMS NIH HHS T32 GM008367NIMH NIH HHS T32 MH087977
6 · The paper itself

Abstract

Classic galactosemia is a potentially lethal disorder that results from profound deficiency of galactose-1-phosphate uridylyltransferase (GALT), the second enzyme in the Leloir pathway of galactose metabolism. Although early diagnosis and rigorous dietary restriction of galactose prevent or resolve the potentially lethal acute symptoms, patients are at markedly increased risk of long-term complications including significant cognitive, speech, and behavioral difficulties, among other problems. The mechanisms that underlie these long-term complications remain unclear, as do the factors that modify their severity. Here we explored the scholastic and behavioral outcomes experienced by a cohort of 54 school age children with classic galactosemia. Data collected included survey responses from parents and teachers, school records including standardized test scores, and GALT genotype data used to estimate predicted residual GALT activity based on a yeast expression system. As expected, many but not all of the children in our study demonstrated speech, scholastic, and behavioral difficulties. Perhaps most striking, we found that predicted cryptic residual GALT activity, often below the threshold of detection of clinical assays, appeared to modify scholastic outcome. These data raise the intriguing possibility that cryptic GALT activity might also influence the severity of other long-term complications in classic galactosemia.

Indexed as

SchoolsAdolescentChildChild BehaviorChild, PreschoolCognitionFemaleGalactosemiasHumansLanguage DevelopmentLearningMalePrognosisSpeechUTP-Hexose-1-Phosphate UridylyltransferaseUTP-Hexose-1-Phosphate Uridylyltransferase

Identifiers

PMID23319291
PMCPMC3657299
OpenAlexW2039290669

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.