Evidence map›Paper›PMID 26857895›Full record

ArticleAmerican journal of medical genetics. Part A2016

Treatment of hypophosphatemic rickets in generalized arterial calcification of infancy (GACI) without worsening of vascular calcification.

Carlos R Ferreira, Shira G Ziegler, Ashutosh Gupta, Catherine Groden, Kevin S Hsu, William A Gahl

Open access · greenAbstract read
In one paragraph

Article in American journal of medical genetics. Part A, 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
1.8field-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

22 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
  2. Review
  3. Autosomal Recessive Hypophosphatemic Rickets Type 2 Associated with a NovelJournal of clinical research in pediatric endocrinology · 2026
    Article
  4. NovelNeurosciences (Riyadh, Saudi Arabia) · 2026
    Article
  5. Six cases ofJBMR plus · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Musculoskeletal Comorbidities and Quality of Life in ENPP1-Deficient Adults and the Response of Enthesopathy to Enzyme Replacement Therapy in Murine Models.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  10. Review
  11. Article
  12. Article
  13. Response of the ENPP1-Deficient Skeletal Phenotype to Oral Phosphate Supplementation and/or Enzyme Replacement Therapy: Comparative Studies in Humans and Mice.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Article
  14. Article
  15. Congenital Conditions of Hypophosphatemia in Children.Calcified tissue international · 2021
    Review
  16. Review
  17. Article
  18. Review
  19. [Persistent hypertension for two months in a preterm infant].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Article
  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

6 authors at 3 institutions in 1 country.

Carlos R FerreiraNational Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
Shira G ZieglerMcKusick-Nathans Institute of Genetic Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Ashutosh GuptaPediatric Specialists, Avera Medical Group, Sioux Falls, South Dakota.
Catherine GrodenNational Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
Kevin S HsuNational Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
William A GahlNational Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland.
National Institutes of Health · USAvera Health · USJohns Hopkins University · US

Funding

NHGRI/DIR Clinical Support ServicesZIDHG200352 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI SOLOMON, BENJAMIN · 2009 to 2025
$182.8M
Human Biochemical GeneticsZIAHG000215 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM · 2009 to 2025
$72.6M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
Predoctoral Training Program in Human GeneticsT32GM007814 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI VALLE, DAVID · 1985 to 2021
$10.6M
Intramural NIH HHS Z99 HG999999NIGMS NIH HHS T32 GM007309NIGMS NIH HHS T32 GM007814
6 · The paper itself

Abstract

Patients with generalized arterial calcification of infancy (GACI) develop vascular calcifications early in life. About half of them die within the first 6 months despite optimal medical care. A subset of those who survive eventually develop hypophosphatemic rickets. Since hypophosphatemia and hyperphosphaturia have been previously associated with increased survival in GACI patients, physicians often avoid phosphate repletion as treatment for rickets. As a consequence, GACI patients develop severe rachitic complications such as short stature and skeletal deformities. It appears that the recognition of hypophosphatemia later in life in some GACI patients is a consequence of having survived the first few months of life, and not the cause of their survival per se. Here, we report the long-term follow-up of a GACI patient who was phosphate-repleted for his rickets for more than 7 years without worsening of vascular calcification.

Indexed as

AdolescentAdultChildFollow-Up StudiesHumansMaleMutationPhosphatesPhosphoric Diester HydrolasesPyrophosphatasesRickets, HypophosphatemicVascular Calcificationectonucleotide pyrophosphatase phosphodiesterase 1PhosphatesPhosphoric Diester HydrolasesPyrophosphatasesENPP1generalized arterial calcification of infancyhyperphosphaturiahypophosphatemiahypophosphatemic rickets

Identifiers

PMID26857895
PMCPMC4833596
OpenAlexW2265376115

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.