Evidence map›Paper›PMID 26252914›Full record

ArticleJournal of pediatric gastroenterology and nutrition2015

Clinical Features of Lysosomal Acid Lipase Deficiency.

Barbara K Burton, Patrick B Deegan, Gregory M Enns, Ornella Guardamagna, Simon Horslen, Gerard K Hovingh, Steve J Lobritto, Vera Malinova, Valerie A McLin, Julian Raiman and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
10.0field-weighted citation impact, top 1% 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

34 citing papers in PubMed, 113 citations in OpenAlex.

  1. Sebelipase alfa for lysosomal acid lipase deficiency: 5-year treatment experience from a phase 2 open-label extension study.Liver international : official journal of the International Association for the Study of the Liver · 2020
    Trial
  2. Review
  3. Review
  4. Sebelipase Alfa Improves Aminotransferase Levels in Lysosomal Acid Lipase Deficiency: Data From an International Registry.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Observational
  5. Review
  6. Article
  7. Article
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  10. Article
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  12. Therapeutic efficacy of rscAAVrh74.miniCMV.Molecular therapy. Methods & clinical development · 2022
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Inborn errors of metabolism in the differential diagnosis of fatty liver disease.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 14 institutions in 7 countries.

Barbara K Burton*Division of Genetics, Birth Defects and Metabolism, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL †Department of Medicine, Addenbrooke's Hospital NHS Trust, Cambridge, UK ‡Medical Genetics Division, Stanford University, Stanford, CA §Department of Pediatrics, Regina Margherita Hospital, Turin, Italy ||Seattle Children's Hospital, Seattle, WA ¶Department of Vascular Medicine-Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands #New York-Presbyterian/Columbia University Medical Center, New York, NY **Department of Pediatrics, First Faculty of Medicine, Charles University, Prague, Czech Republic ††Departement de l'Enfant et de l'Adolescent, Hopitaux Universitaires de Geneve, Geneva, Switzerland ‡‡Division of Clinical and Metabolic Genetics, Hospital for Sick Children, Toronto, Ontario, Canada §§Department of Pediatrics, Unit of Rare Diseases, Gaslini Institute Genoa, Genova, Italy ||||Department of Inherited Metabolic Disorders, Birmingham Children's Hospital, Birmingham, UK ¶¶Department of Adult Inherited Metabolic Diseases, Salford Royal NHS Foundation, Salford, UK ##Screening Department, Institute of Mother and Child, Warsaw, Poland ***University of Minnesota, Minneapolis, MN †††Synageva BioPharma Corp, Lexington, MA ‡‡‡Hopital Necker-Enfants Malades, Paris, France.
Patrick B Deegan
Gregory M Enns
Ornella Guardamagna
Simon Horslen
Gerard K Hovingh
Steve J Lobritto
Vera Malinova
Valerie A McLin
Julian Raiman
Maja Di Rocco
Saikat Santra
Reena Sharma
Jolanta Sykut-Cegielska
Chester B Whitley
Stephen Eckert
Vassili Valayannopoulos
Anthony G Quinn
Addenbrooke's Hospital · GBColumbia University Irving Medical Center · USLurie Children's Hospital · USAcademic Medical Center · NLBirmingham Children's Hospital · GBCenter for Vascular Biology Research · USHôpital Necker-Enfants Malades · FRHospital for Sick Children · CAIstituto Giannina Gaslini · ITOspedale Regina Margherita · ITSalford Royal NHS Foundation Trust · GBStanford University · USSynageva BioPharma (United States) · USUniversity of Minnesota System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to characterize key clinical manifestations of lysosomal acid lipase deficiency (LAL D) in children and adults.

methodsInvestigators reviewed medical records of LAL D patients ages ≥5 years, extracted historical data, and obtained prospective laboratory and imaging data on living patients to develop a longitudinal dataset.

resultsA total of 49 patients were enrolled; 48 had confirmed LAL D. Mean age at first disease-related abnormality was 9.0 years (range 0-42); mean age at diagnosis was 15.2 years (range 1-46). Twenty-nine (60%) were male patients, and 27 (56%) were <20 years of age at the time of consent/assent. Serum transaminases were elevated in most patients with 458 of 499 (92%) of alanine aminotransferase values and 265 of 448 (59%) of aspartate aminotransferase values above the upper limit of normal. Most patients had elevated low-density lipoprotein (64% patients) and total cholesterol (63%) at baseline despite most being on lipid-lowering therapies, and 44% had high-density lipoprotein levels below the lower limit of normal. More than half of the patients with liver biopsies (n = 31, mean age 13 years) had documented evidence of steatosis (87%) and/or fibrosis (52%). Imaging assessments revealed that the median liver volume was ∼1.15 multiples of normal (MN) and median spleen volume was ∼2.2 MN. Six (13%) patients had undergone a liver transplant (ages 9-43.5 years).

conclusionThis study provides the largest longitudinal case review of patients with LAL D and confirms that LAL D is predominantly a pediatric disease causing early and progressive hepatic dysfunction associated with dyslipidemia that often leads to liver failure and transplantation.

Indexed as

Cholesterol Ester Storage DiseaseLiverWolman DiseaseAdolescentAdultAlanine TransaminaseAspartate AminotransferasesChildChild, PreschoolCholesterolFatty LiverFemaleHumansLipaseLiver CirrhosisLiver TransplantationAlanine TransaminaseAspartate AminotransferasesCholesterolLipaseSterol Esterase

Identifiers

PMID26252914
PMCPMC4645959
OpenAlexW2303553415

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.