Evidence map›Paper›PMID 24398093›Full record

ArticleInvestigative ophthalmology & visual science2014

Retinal ganglion cell dysfunction in asymptomatic G11778A: Leber hereditary optic neuropathy.

John Guy, William J Feuer, Vittorio Porciatti, Joyce Schiffman, Fawzi Abukhalil, Ruth Vandenbroucke, Potyra R Rosa, Byron L Lam

Registry-linked trialAbstract read
In one paragraph

Article in Investigative ophthalmology & visual science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02161380 (An Open-label Dose Escalation Study of an Adeno-associated Virus Vector), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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.

NCT02161380 phase1completednot on this map

An Open-label Dose Escalation Study of an Adeno-associated Virus Vector (scAAV2-P1ND4v2) for Gene Therapy of Leber's Hereditary Optic Neuropathy (LHON) Caused by the G11778A Mutation in Mitochondrial DNA

TypeinterventionalSponsorByron LamRan2014 to 2025Enrolled28ConditionsLeber's Hereditary Optic NeuropathyArmsinjection of scAAV2-P1ND4v2 1.18x10e9 vg (Low),, injection of scAAV2-P1ND4v2 5.81 X10e9 vg (Med), injection of scAAV2-P1ND4v2 2.4 X10e10vg (High), injection of scAAV2-P1ND4v2 1.0 X10e11vg (Higher)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  11. Mitochondrial Transfer of the Mutant HumanTranslational vision science & technology · 2020
    Article
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  17. Mitochondrial DNA Heteroplasmy Associations With Neurosensory and Mobility Function in Elderly Adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2015
    Article
  18. Leber hereditary optic neuropathy: current perspectives.Clinical ophthalmology (Auckland, N.Z.) · 2015
    Review
  19. Article
  20. 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

8 authors.

John GuyBascom Palmer Eye Institute University of Miami, Miller School of Medicine, Miami, Florida.
William J Feuer
Vittorio Porciatti
Joyce Schiffman
Fawzi Abukhalil
Ruth Vandenbroucke
Potyra R Rosa
Byron L Lam

Funding

Shared Equipment ModuleP30EY014801 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Victor L Perez · 2004 to 2026
$12.2M
Leber Hereditary Optic Neuropathy: Gene Therapy TrialR24EY018600 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GUY, JOHN · 2008 to 2012
$5.1M
REVERSIBLE GANGLION CELL DYSFUNCTION IN GLAUCOMAR01EY014957 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PORCIATTI, VITTORIO · 2005 to 2017
$4.3M
RETINAL GANGLION CELL PLASTICITY IN GLAUCOMAR01EY019077 · NEI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PORCIATTI, VITTORIO · 2009 to 2015
$2.1M
NEI NIH HHS P30 EY014801NEI NIH HHS P30-EY014801NEI NIH HHS R01 EY014957NEI NIH HHS R01 EY019077NEI NIH HHS R24 EY018600NEI NIH HHS R24EY018600
6 · The paper itself

Abstract

purposeTo report the serial evaluation of asymptomatic eyes of subjects with mutated G11778A mitochondrial DNA.

methodsForty-five asymptomatic G11778A Leber hereditary optic neuropathy (LHON) carriers and two patients with the mutation who developed unilateral visual loss underwent testing that included visual acuity, automated visual field, pattern electroretinogram (PERG), and spectral-domain optical coherence tomography every 6 months between September 2008 and March 2012.

resultsVisual acuity, visual fields, and retinal nerve fiber layer thickness remained stable within the normal range. Mean PERG amplitudes of carriers dropped progressively by ∼ 40% from baseline to 36 months. In addition, comparisons with the fellow eyes of patients with unilateral optic neuritis revealed a 3.4 ETDRS (Early Treatment Diabetic Retinopathy Study) letter loss in the LHON carriers. A single carrier developed visual loss, with PERG amplitudes dropping by half. In one of two LHON cases who presented with unilateral visual loss, visual acuity in the asymptomatic eye was ∼ 20/40 at baseline. The PERG amplitude of this eye was reduced to ∼ 30% of normal. Six months later, his visual acuity had dropped to ∼ 20/500. A second patient who was ∼ 20/20 and had a visual field defect in the asymptomatic eye at baseline remained at this level for the 18 months of follow-up. His PERG amplitudes were similar to those of asymptomatic carriers, with 0.78 μV at baseline that did not decline with follow-up.

conclusionsDeclines of the PERG amplitude suggest subclinical retinal ganglion cell dysfunction in asymptomatic G11778A subjects, which is progressive.

Indexed as

AdultDNA, MitochondrialElectroretinographyFemaleHeterozygoteHumansMaleMiddle AgedMutationOptic Atrophy, Hereditary, LeberPolymerase Chain ReactionRetinal DiseasesRetinal Ganglion CellsTomography, Optical CoherenceVision DisordersVisual AcuityDNA, MitochondrialelectrophysiologyLeber hereditary optic neuropathymitochondrial DNA

Identifiers

PMID24398093
PMCPMC3920864

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Registered trials

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.