Evidence map›Paper›PMID 25071396›Full record

ReviewGenetics and molecular biology2014

Guidelines for diagnosis and treatment of Hunter Syndrome for clinicians in Latin America.

Roberto Giugliani, Martha Luz Solano Villarreal, C Araceli Arellano Valdez, Antonieta Mahfoud Hawilou, Norberto Guelbert, Luz Norela Correa Garzón, Ana Maria Martins, Angelina Acosta, Juan Francisco Cabello, Aída Lemes and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Genetics and molecular biology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. First-in-human in vivo genome editing via AAV-zinc-finger nucleases for mucopolysaccharidosis I/II and hemophilia B.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. A New Mutation inFrontiers in genetics · 2019
    Article
  14. Review
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Review
  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

12 authors at 8 institutions in 6 countries.

Roberto GiuglianiServiço de Génetica Médica , Hospital de Clinicas de Porto Alegre , Porto Alegre, RS , Brazil . ; Departamento de Génetica , Universidade Federal do Rio Grande do Sul , Porto Alegre, RS , Brasil . ; Instituto Nacional de Genética Médica Populacional , Porto Alegre, RS , Brazil .
Martha Luz Solano VillarrealAsociación Colombiana de Neurología Infantil , Bogotá , Colombia .
C Araceli Arellano ValdezInstituto Mexicano del Seguro Social , Guadalajara , Mexico .
Antonieta Mahfoud HawilouInstituto de Estudios Avanzados , Caracas , Venezuela .
Norberto GuelbertHospital de Niños , Córdoba , Argentina .
Luz Norela Correa GarzónLa Misericordia University Hospital , Bogotá , Colombia .
Ana Maria MartinsCentro de Referência em Erros Inatos do Metabolismo , Universidade Federal de São Paulo , São Paulo, SP , Brazil .
Angelina AcostaUniversidade Federal de Bahia , Salvador, BA , Brazil .
Juan Francisco CabelloInstituto de Nutrición y Tecnología de los Alimentos , Universidad de Chile , Santiago , Chile .
Aída LemesInstituto de Genética Médica , Hospital Italiano , Montevideo , Uruguay .
Mara Lucia Schmitz Ferreira SantosDepartamento de Neuropediatra , Hospital Pequeno Príncipe , Curitiba, Paraná , Brazil .
Hernán AmartinoHospital Universitario Austral , Buenos Aires , Argentina .
Hospital Ana Nery · BRHospital Italiano de Montevideo · UYHospital Universitario Austral · ARInstituto de Estudios Avanzados · VEMexican Social Security Institute · MXNational Institute on Population Medical Genetics · BRUniversidade Federal de São Paulo · BRUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This review aims to provide clinicians in Latin America with the most current information on the clinical aspects, diagnosis, and management of Hunter syndrome, a serious and progressive disease for which specific treatment is available. Hunter syndrome is a genetic disorder where iduronate-2-sulfatase (I2S), an enzyme that degrades glycosaminoglycans, is absent or deficient. Clinical manifestations vary widely in severity and involve multiple organs and tissues. An attenuated and a severe phenotype are recognized depending on the degree of cognitive impairment. Early diagnosis is vital for disease management. Clinical signs common to children with Hunter syndrome include inguinal hernia, frequent ear and respiratory infections, facial dysmorphisms, macrocephaly, bone dysplasia, short stature, sleep apnea, and behavior problems. Diagnosis is based on screening urinary glycosaminoglycans and confirmation by measuring I2S activity and analyzing I2S gene mutations. Idursulfase (recombinant I2S) (Elaprase(®), Shire) enzyme replacement therapy (ERT), designed to address the underlying enzyme deficiency, is approved treatment and improves walking capacity and respiratory function, and reduces spleen and liver size and urinary glycosaminoglycan levels. Additional measures, responding to the multi-organ manifestations, such as abdominal/inguinal hernia repair, carpal tunnel surgery, and cardiac valve replacement, should also be considered. Investigational treatment options such as intrathecal ERT are active areas of research, and bone marrow transplantation is in clinical practice. Communication among care providers, social workers, patients and families is essential to inform and guide their decisions, establish realistic expectations, and assess patients' responses.

Indexed as

enzyme replacement therapyHunter syndromeiduronate-2-sulfataselysosomal diseasetreatment guidelines

Identifiers

PMID25071396
PMCPMC4094607
OpenAlexW2137890611

What OpenQuestion holds

Textmetadata
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.