Evidence map›Paper›PMID 26503015›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2016

Non-neural phenotype of spinal and bulbar muscular atrophy: results from a large cohort of Italian patients.

Giorgia Querin, Cinzia Bertolin, Elisa Da Re, Marco Volpe, Gabriella Zara, Elena Pegoraro, Nicola Caretta, Carlo Foresta, Maria Silvano, Domenico Corrado and 13 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07443449 (Connecting SBMA National Registries/Databases), which is not on this map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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.

NCT07443449 active not recruitingnot on this mapstarted 2024, after this paper: background citation

Connecting SBMA National Registries/Databases: a Retrospective Study

TypeobservationalSponsorFondazione I.R.C.C.S. Istituto Neurologico Carlo BestaRan2024 to 2026Enrolled700ConditionsSBMA, Spinal and Bulbar Muscular Atrophy (SBMA)
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Guideline
  2. Best practice recommendations for the clinical care of spinal bulbar muscular atrophy.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Guideline
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  18. Metabolic Dysfunction in Spinal Muscular Atrophy.International journal of molecular sciences · 2021
    Review
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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

23 authors at 5 institutions in 3 countries.

Giorgia QuerinDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Cinzia BertolinDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Elisa Da ReDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Marco VolpeDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Gabriella ZaraDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Elena PegoraroDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Nicola CarettaDepartment of Medicine, Centre for Human Reproduction Pathology, University of Padova, Padova, Italy.
Carlo ForestaDepartment of Medicine, Centre for Human Reproduction Pathology, University of Padova, Padova, Italy.
Maria SilvanoDepartment of Cardiac, Thoracic, and Vascular Sciences, University of Padova, Padova, Italy.
Domenico CorradoDepartment of Cardiac, Thoracic, and Vascular Sciences, University of Padova, Padova, Italy.
Massimo IafrateDepartment of Oncological and Surgical Sciences, Urology Clinic, University of Padova, Padova, Italy.
Lorenzo AngeliniDepartment of Oncological and Surgical Sciences, Urology Clinic, University of Padova, Padova, Italy.
Leonardo SartoriDepartment of Medical and Surgical Sciences, University of Padova, Padova, Italy.
Maria PennutoDulbecco Telethon Institute Lab of Neurodegenerative Diseases, Centre for Integrative Biology (CIBIO), University of Trento, Trento, Italy.
Alessandra GaianiDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Luca BelloDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Claudio SempliciniDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Davide PareysonClinic of Central and Peripheral Degenerative Neuropathies Unit, Department of Clinical Neurosciences-IRCCS Foundation, "C. Besta" Neurological Institute, Milan, Italy.
Vincenzo SilaniDepartments of Neurology and Laboratory of Neuroscience, and Pathophysiology and Transplantation, IRCCS Istituto Auxologico Italiano, "Dino Ferrari" Centre, Universita' degli Studi di Milano, Milan, Italy.
Mario ErmaniDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Alberto FerlinDepartment of Medicine, Centre for Human Reproduction Pathology, University of Padova, Padova, Italy.
Gianni SorarùDepartment of Neurosciences, Neuromuscular Center, University of Padova, Padova, Italy.
Italian Study Group on Kennedy's disease
University of Padua · ITCenter for Human Reproduction · USThe Neurological Institute · USUniversity of Milan · ITUniversity of Trento · IT

Funding

Telethon GTB12001Telethon TCP12013
6 · The paper itself

Abstract

objectiveTo carry out a deep characterisation of the main androgen-responsive tissues involved in spinal and bulbar muscular atrophy (SBMA).

methods73 consecutive Italian patients underwent a full clinical protocol including biochemical and hormonal analyses, genitourinary examination, bone metabolism and densitometry, cardiological evaluation and muscle pathology.

resultsCreatine kinase levels were slightly to markedly elevated in almost all cases (68 of the 73; 94%). 30 (41%) patients had fasting glucose above the reference limit, and many patients had total cholesterol (40; 54.7%), low-density lipoproteins cholesterol (29; 39.7%) and triglyceride (35; 48%) levels above the recommended values. Although testosterone, luteinising hormone and follicle-stimulating hormone values were generally normal, in one-third of cases we calculated an increased Androgen Sensitivity Index reflecting the presence of androgen resistance in these patients. According to the International Prostate Symptom Score (IPSS), 7/70 (10%) patients reported severe lower urinal tract symptoms (IPSS score >19), and 21/73 (30%) patients were moderately symptomatic (IPSS score from 8 to 19). In addition, 3 patients were carriers of an indwelling bladder catheter. Videourodynamic evaluation indicated that 4 of the 7 patients reporting severe urinary symptoms had an overt prostate-unrelated bladder outlet obstruction. Dual-energy X-ray absorptiometry scan data were consistent with low bone mass in 25/61 (41%) patients. Low bone mass was more frequent at the femoral than at the lumbar level. Skeletal muscle biopsy was carried out in 20 patients and myogenic changes in addition to the neurogenic atrophy were mostly observed.

conclusionsOur study provides evidence of a wide non-neural clinical phenotype in SBMA, suggesting the need for comprehensive multidisciplinary protocols for these patients.

Indexed as

AdultAgedAndrogen-Insensitivity SyndromeBlood GlucoseBone DensityCase-Control StudiesCreatine KinaseHumansItalyLipidsMaleMiddle AgedMuscle, SkeletalMuscular Atrophy, SpinalPhenotypeUrologic DiseasesBlood GlucoseCreatine KinaseLipids

Identifiers

PMID26503015
PMCPMC4975824
OpenAlexW2172430847

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LicenceCC BY-NC
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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.