Evidence map›Paper›PMID 25428120›Full record

ReviewAmerican journal of medical genetics. Part A2015

Menkes disease in affected females: the clinical disease spectrum.

Patroula Smpokou, Monisha Samanta, Gerard T Berry, Leah Hecht, Elizabeth C Engle, Uta Lichter-Konecki

Abstract readCase ReportsReview
In one paragraph

Review in American journal of medical genetics. Part A, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Phenotypic and mutational spectrum of 17 Chinese patients with Menkes Disease.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Observational
  5. Review
  6. Article
  7. Article
  8. Dosage Compensation in Females with X-Linked Metabolic Disorders.International journal of molecular sciences · 2021
    Review
  9. Review
  10. West syndrome: a comprehensive review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Review
  11. Article
  12. Article
  13. Urological Problems in Patients with Menkes Disease.Journal of Korean medical science · 2019
    Article
  14. Disorders of metal metabolism.Translational science of rare diseases · 2017
    Review
  15. Arterial tortuosity in genetic arteriopathies.Current opinion in cardiology · 2015
    Review
  16. Menkes disease with discordant phenotype in female monozygotic twins.American journal of medical genetics. Part A · 2015
    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 3 institutions in 1 country.

Patroula SmpokouDivision of Genetics & Metabolism, Children's National Health System, Washington, District of Columbia; The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia.
Monisha Samanta
Gerard T Berry
Leah Hecht
Elizabeth C Engle
Uta Lichter-Konecki
Boston Children's Hospital · USChildren's National · USMorgan Stanley Children's Hospital · US

Funding

SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI CHEN, CHINFEI · 1985 to 2015
$26.2M
Howard Hughes Medical InstituteNICHD NIH HHS P30 HD018655
6 · The paper itself

Abstract

Menkes disease (MD; OMIM 309400) is an X-linked, neurodegenerative disorder resulting from deficient activity of copper-dependent enzymes and caused by alterations in the APT7A gene. In its classic form, it manifests in boys with hypotonia, seizures, skin and joint laxity, hair twisting (pili torti), cerebrovascular tortuosity, and bladder diverticulae. Menkes disease phenotypes have been reported in females with X; autosome translocations-disrupting ATP7A gene function- or ATP7A gene alterations. Those females manifest variable clinical findings, some of which, such as pili torti, seizure presence and/or age of onset, cerebrovascular tortuosity, degree of intellectual disability, and bladder divericulae are largely under-reported and under-studied. Here, we report on three females with Menkes disease and variant phenotypes, sharing characteristic features, one with classic Menkes disease and two with Menkes disease variants. We conclude that Menkes disease in females manifests with a variable spectrum of clinical findings but a few are uniformly present such as neurodevelopmental disability, hypotonia, and connective tissue findings. Others, such as seizures, cerebral atrophy, and cerebrovascular tortuosity may be present but are under-reported and under- studied. We propose that the diagnosis of Menkes disease or variants in females with suspicious clinical findings is an important one to consider as early treatment with parenteral copper may be considered. The effect of this treatment on the disease course in females with MD is unknown and remains to be seen.

Indexed as

PhenotypeAdenosine TriphosphatasesCation Transport ProteinsCerebral AngiographyChildChild, PreschoolCopper-Transporting ATPasesExonsFemaleHeterozygoteHumansInfantMagnetic Resonance AngiographyMenkes Kinky Hair SyndromeMutationAdenosine TriphosphatasesATP7A protein, humanCation Transport ProteinsCopper-Transporting ATPasesATP7Acopper deficiencykinky hair syndromeMenkes diseaseMenkes syndromepili torti

Identifiers

PMID25428120
PMCPMC4351723
OpenAlexW2095494905

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.