Evidence map›Paper›PMID 26845103›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2016

New targets for monitoring and therapy in Barth syndrome.

W Reid Thompson, Brittany DeCroes, Rebecca McClellan, Jessica Rubens, Frédéric M Vaz, Kara Kristaponis, Dimitrios Avramopoulos, Hilary J Vernon

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Barth Syndrome:Genes · 2025
    Review
  5. Article
  6. A novelFrontiers in pediatrics · 2025
    Article
  7. A Barth Syndrome Patient-DerivedInternational journal of molecular sciences · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Barth syndrome: mechanisms and management.The application of clinical genetics · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. Cardiolipin in Central Nervous System Physiology and Pathology.Cellular and molecular neurobiology · 2017
    Review
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

8 authors at 3 institutions in 2 countries.

W Reid ThompsonDivision of Pediatric Cardiology, Department of Pediatrics, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Brittany DeCroesDepartment of Physical Therapy, Kennedy Krieger Institute, Baltimore, Maryland.ORCID 0000-0003-2247-9254
Rebecca McClellanDepartment of Neurogenetics, Kennedy Krieger Institute, Baltimore, Maryland.
Jessica RubensDepartment of Pediatrics, Johns Hopkins University, Baltimore, Maryland.
Frédéric M VazDepartment of Clinical Chemistry and Pediatrics, Academic Medical Center, Amsterdam, The Netherlands.
Kara KristaponisDepartment of Neurogenetics, Kennedy Krieger Institute, Baltimore, Maryland.
Dimitrios AvramopoulosMcKusick-Nathans Institute of Genetic Medicine, Department of Pediatrics, Johns Hopkins University, Baltimore, Maryland.
Hilary J VernonDepartment of Neurogenetics, Kennedy Krieger Institute, Baltimore, Maryland.ORCID 0000-0001-9940-9866
Kennedy Krieger Institute · USJohns Hopkins University · USAmsterdam UMC Location University of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBarth syndrome (BTHS), an X-linked disorder caused by defects in TAZ, is the only known single-gene disorder of cardiolipin remodeling. We hypothesized that through analysis of affected individuals, we would gain a better understanding of the range of clinical features and identify targets for monitoring and therapy.

methodsWe conducted a multidisciplinary investigation involving 42 patients with BTHS, including echocardiograms, muscle strength testing, functional exercise capacity testing, physical activity assessments, cardiolipin analysis, 3-methylglutaconic acid analysis, and review of genotype data. We analyzed data points to provide a quantitative spectrum of disease characteristics and to identify relationships among phenotype, genotype, and relevant metabolites.

resultsEchocardiography revealed considerable variability in cardiac features. By contrast, almost all patients had significantly reduced functional exercise capacity. Multivariate analysis revealed significant relationships between cardiolipin ratio and left ventricular mass and between cardiolipin ratio and functional exercise capacity. We additionally identified genotypes associated with a less severe metabolic and clinical profile.

conclusionWe defined previously unrecognized metabolite/phenotype/genotype relationships, established targets for therapeutic monitoring, and validated avenues for clinical assessment. In addition to providing insight into BTHS, these studies also provide insight into the myriad of multifactorial disorders that converge on the cardiolipin pathway.Genet Med 18 10, 1001-1010.

Indexed as

AcyltransferasesAdolescentAdultBarth SyndromeCardiolipinsCardiomyopathiesChildChild, PreschoolEchocardiographyGenotypeGlutaratesHumansMaleMuscle StrengthPhenotypeTranscription Factors3-methylglutaconic acidAcyltransferasesCardiolipinsGlutaratesTAFAZZIN protein, humanTranscription Factors

Identifiers

PMID26845103
OpenAlexW2274084935

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.