Evidence map›Paper›PMID 26908836›Full record

ArticleJournal of medical genetics2016

Clinical course of sly syndrome (mucopolysaccharidosis type VII).

Adriana M Montaño, Ngu Lock-Hock, Robert D Steiner, Brett H Graham, Marina Szlago, Robert Greenstein, Mercedes Pineda, Antonio Gonzalez-Meneses, Mahmut Çoker, Dennis Bartholomew and 18 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 2 pooled it
10.7field-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

89 citing papers in PubMed, 2 syntheses or guidelines pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Quantitative clinical characteristics of 53 patients with MPS VII: a cross-sectional analysis.Genetics in medicine : official journal of the American College of Medical Genetics · 2017
    Pooled it
  3. Trial
  4. Article
  5. Hyper-maturity and accelerated aging in the hippocampus of mouse models of neuropsychiatric disorders with anxiety-like behavior.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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  19. AMolecular genetics and metabolism reports · 2024
    Article
  20. Growth patterns in patients with mucopolysaccharidosis VII.Molecular genetics and metabolism reports · 2023
    Article

29 more citing papers are in PubMed but not listed here.

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

28 authors at 20 institutions in 11 countries.

Adriana M MontañoDepartment of Pediatrics, School of Medicine, Saint Louis University, St. Louis, Missouri, USA Edward A. Doisy Department of Biochemistry and Molecular Biology, School of Medicine, Saint Louis University, St. Louis, Missouri, USA.
Ngu Lock-HockMetabolic and Clinical Genetics, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
Robert D SteinerOregon Health & Science University, Portland, Oregon, USA Marshfield Clinic Research Foundation, Marshfield, Wisconsin, USA Current Affiliation: University of Wisconsin, Madison, Wisconsin, USA.
Brett H GrahamDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA.
Marina SzlagoConsultorio de Enfermedades Metabólicas, Hospital de Niños R. Gutiérrez, Buenos Aires, Argentina.
Robert GreensteinUniversity of Connecticut Health Center, Farmington, Connecticut, USA.
Mercedes PinedaFundació, Hospital Sant Joan De Déu, Centre for Biomedical Research on Rare Diseases, Instituto de Salud Carlos III, Barcelona, Spain.
Antonio Gonzalez-MenesesHospital Universitario Virgen del Rocío and Universidad de Sevilla, Sevilla, Spain.
Mahmut ÇokerFaculty of Medicine, Ege University, Izmir, Turkey.
Dennis BartholomewDivision of Molecular and Human Genetics, Nationwide Children's Hospital, Columbus, Ohio, USA.
Mark S SandsWashington University School of Medicine, St Louis, Missouri, USA.
Raymond WangDivision of Metabolic Disorders, CHOC, Children's Hospital Orange County, Orange, California, USA Department of Pediatrics, University of California-Irvine School of Medicine, Orange, California, USA.
Roberto GiuglianiMedical Genetics Service/HCPA & Department of Genetics/UFRGS, Porto Alegre, Brazil.
Alfons MacayaHospital Universitari Vall d'Hebron, Barcelona, Spain.
Gregory PastoresNew York University Medical Center, New York, New York, USA.
Anastasia K KetkoUniversity of Michigan Health Systems, Ann Arbor, Michigan, USA Minnesota Neonatal Physicians P.A., Children's Hospitals and Clinics of Minnesota, Minneapolis, Minnesota, USA.
Fatih EzgüGazi University Faculty of Medicine, Ankara, Turkey.
Akemi TanakaOsaka City University Graduate School of Medicine, Osaka, Japan.
Laila ArashChildrens Hospital, Johannes Gutenberg University Medical Center, Mainz, Germany.
Michael BeckChildrens Hospital, Johannes Gutenberg University Medical Center, Mainz, Germany.
Rena E FalkGenetics Institute, Cedars Sinai Medical Center, Los Angeles, California, USA.
Kaustuv BhattacharyaDiscipline of Paediatrics and Child Health, The Children's Hospital at Westmead, Sydney, Australia.
José FrancoHospital Infantil Sabará, Sao Paulo and Sao Paulo University, Sao Paulo, Brazil.
Klane K WhiteSeattle children's Hospital, Seattle, Washington, USA.
Grant A MitchellDepartment of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, Canada.
Loreta CimbalistieneDepartment of Human and Medical Genetics, Vilnius University, Vilnius, Lithuania.
Max HoltzSchool of Medicine, Saint Louis University, St. Louis, Missouri, USA.
William S SlyEdward A. Doisy Department of Biochemistry and Molecular Biology, School of Medicine, Saint Louis University, St. Louis, Missouri, USA.
Saint Louis University · USJohannes Gutenberg University Mainz · DEBaylor College of Medicine · USCedars-Sinai Medical Center · USCentre for Biomedical Network Research on Rare Diseases · ESChildren's Hospital at Westmead · AUChildren's Hospital of Orange County · USChildren's Minnesota · USColumbia University Irving Medical Center · USEge University · TRGazi University · TRHospital General de Niños Ricardo Gutierrez · ARHospital Infantil Albert Sabin · BRHospital Kuala Lumpur · MYHospital Universitario Virgen del Rocío · ESNational Institute on Population Medical Genetics · BRNationwide Children's Hospital · USOsaka City University · JPSeattle Children's Hospital · USUConn Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMucopolysaccharidosis VII (MPS VII) is an ultra-rare disease characterised by the deficiency of β-glucuronidase (GUS). Patients' phenotypes vary from severe forms with hydrops fetalis, skeletal dysplasia and mental retardation to milder forms with fewer manifestations and mild skeletal abnormalities. Accurate assessments on the frequency and clinical characteristics of the disease have been scarce. The aim of this study was to collect such data.

methodsWe have conducted a survey of physicians to document the medical history of patients with MPS VII. The survey included anonymous information on patient demographics, family history, mode of diagnosis, age of onset, signs and symptoms, severity, management, clinical features and natural progression of the disease.

resultsWe collected information on 56 patients from 11 countries. Patients with MPS VII were classified based on their phenotype into three different groups: (1) neonatal non-immune hydrops fetalis (NIHF) (n=10), (2) Infantile or adolescent form with history of hydrops fetalis (n=13) and (3) Infantile or adolescent form without known hydrops fetalis (n=33). Thirteen patients with MPS VII who had the infantile form with history of hydrops fetalis and survived childhood, had a wide range of clinical manifestations from mild to severe. Five patients underwent bone marrow transplantation and one patient underwent enzyme replacement therapy with recombinant human GUS.

conclusionsMPS VII is a pan-ethnic inherited lysosomal storage disease with considerable phenotypical heterogeneity. Most patients have short stature, skeletal dysplasia, hepatosplenomegaly, hernias, cardiac involvement, pulmonary insufficiency and cognitive impairment. In these respects it resembles MPS I and MPS II. In MPS VII, however, one unique and distinguishing clinical feature is the unexpectedly high proportion of patients (41%) that had a history of NIHF. Presence of NIHF does not, by itself, predict the eventual severity of the clinical course, if the patient survives infancy.

Indexed as

AdolescentAdultChildChild, PreschoolFemaleGlucuronidaseHumansInfantLysosomal Storage DiseasesMaleMucopolysaccharidosis VIIPhenotypeSurveys and QuestionnairesYoung AdultGlucuronidaseClinical geneticsGeneticsMetabolic disorders

Identifiers

PMID26908836
PMCPMC4893087
OpenAlexW2277262967

What OpenQuestion holds

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LicenceCC BY-NC
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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.