Evidence map›Paper›PMID 24839594›Full record

ArticleResearch and reports in endocrine disorders2012

Current and emerging treatments and surgical interventions for Morquio A syndrome: a review.

Shunji Tomatsu, William G Mackenzie, Mary C Theroux, Robert W Mason, Mihir M Thacker, Thomas H Shaffer, Adriana M Montaño, Daniel Rowan, William Sly, Carlos J Alméciga-Díaz and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Research and reports in endocrine disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
3.5field-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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Natural History of Morquio A Syndrome.Journal of inherited metabolic disease · 2026
    Review
  5. Molecular therapy. Methods & clinical development · 2025
    Article
  6. Article
  7. Lentiviral Vector-MediatedHuman gene therapy · 2024
    Article
  8. Article
  9. Article
  10. Bone Growth Induction in Mucopolysaccharidosis IVA Mouse.International journal of molecular sciences · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

16 authors at 6 institutions in 3 countries.

Shunji TomatsuNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
William G MackenzieNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Mary C TherouxNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Robert W MasonNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Mihir M ThackerNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Thomas H ShafferNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Adriana M MontañoDepartment of Pediatrics, Saint Louis University, St Louis, MO, USA.
Daniel RowanDepartment of Pediatrics, Saint Louis University, St Louis, MO, USA.
William SlyEdward A Doisy Department of Biochemistry and Molecular Biology, Saint Louis University, St Louis, MO, USA.
Carlos J Alméciga-DíazInstitute for the Study of Inborn Errors of Metabolism, Pontificia Universidad Javeriana, Bogotá DC, Colombia.
Luis A BarreraInstitute for the Study of Inborn Errors of Metabolism, Pontificia Universidad Javeriana, Bogotá DC, Colombia.
Yasutsugu ChinenDepartment of Pediatrics, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan.
Eriko YasudaNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Kristen RuhnkeNemours/Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Yasuyuki SuzukiMedical Education Development Center, Gifu University, Gifu, Japan.
Tadao OriiDepartment of Pediatrics, Gifu University, Gifu, Japan.
Alfred I. duPont Hospital for Children · USPediatrics and Genetics · USPontificia Universidad Javeriana · COGifu University · JPSaint Louis University · USUniversity of the Ryukyus · JP

Funding

Center for Pediatric ResearchP20GM103464 · NIGMS · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI SHAFFER, THOMAS H · 2012 to 2014
$5.6M
RECEPTOR MEDIATED TRANSPORT OF LYSOSOMAL ENZYMESR01GM034182 · NIGMS · SAINT LOUIS UNIVERSITY · PI SLY, WILLIAM S · 1985 to 2013
$4.9M
Newborn Screening and Biomarkers for MucopolysaccharidosesR01HD065767 · NICHD · SAINT LOUIS UNIVERSITY · PI MONTANO, ADRIANA MARIA, TOMATSU, SHUNJI · 2011 to 2015
$2.4M
Oral tolerance in enzyme replacement therapy of Morquio A diseaseR03HD064749 · NICHD · SAINT LOUIS UNIVERSITY · PI MONTANO, ADRIANA MARIA, TOMATSU, SHUNJI · 2010 to 2011
$145k
NICHD NIH HHS R01 HD065767NICHD NIH HHS R03 HD064749NIGMS NIH HHS P20 GM103464NIGMS NIH HHS R01 GM034182
6 · The paper itself

Abstract

Patients with mucopolysaccharidosis type IVA (MPS IVA; Morquio A syndrome) have accumulation of the glycosaminoglycans, keratan sulfate, and chondroitin-6-sulfate, in bone and cartilage, causing systemic spondyloepiphyseal dysplasia. Features include lumbar gibbus, pectus carinatum, faring of the rib cage, marked short stature, cervical instability and stenosis, kyphoscoliosis, genu valgum, and laxity of joints. Generally, MPS IVA patients are wheelchair-bound as teenagers and do not survive beyond the second or third decade of life as a result of severe bone dysplasia, causing restrictive lung disease and airway narrowing, increasing potential for pneumonia and apnea; stenosis and instability of the upper cervical region; high risk during anesthesia administration due to narrowed airway as well as thoracoabdominal dysfunction; and surgical complications. Patients often need multiple surgical procedures, including cervical decompression and fusion, hip reconstruction and replacement, and femoral or tibial osteotomy, throughout their lifetime. Current measures to intervene in disease progression are largely palliative, and improved therapies are urgently needed. A clinical trial for enzyme replacement therapy (ERT) and an investigational trial for hematopoietic stem cell transplantation (HSCT) are underway. Whether sufficient enzyme will be delivered effectively to bone, especially cartilage (avascular region) to prevent the devastating skeletal dysplasias remains unclear. This review provides an overview of historical aspects of studies on MPS IVA, including clinical manifestations and pathogenesis of MPS IVA, orthopedic surgical interventions, and anesthetic care. It also describes perspectives on potential ERT, HSCT, and gene therapy.

Indexed as

enzyme replacement therapyGALNSgene therapyhematopoietic stem cell transplantationkeratan sulfatemucopolysaccharidosis IVA

Identifiers

PMID24839594
PMCPMC4020877
OpenAlexW2166401212

What OpenQuestion holds

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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.