Evidence map›Paper›PMID 27209629›Full record

ArticleMolecular genetics and metabolism2016

Outcomes and genotype-phenotype correlations in 52 individuals with VLCAD deficiency diagnosed by NBS and enrolled in the IBEM-IS database.

Loren D M Pena, Sandra C van Calcar, Joyanna Hansen, Mathew J Edick, Cate Walsh Vockley, Nancy Leslie, Cynthia Cameron, Al-Walid Mohsen, Susan A Berry, Georgianne L Arnold and 2 more

Abstract read
In one paragraph

Article in Molecular genetics and metabolism, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. [Advances in the molecular genetics of nuclear gene mutations causing pediatric mitochondrial cardiomyopathy].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Pooled it
  2. Trial
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  8. Genes · 2025
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  15. [Disease spectrum and pathogenic genes of inherited metabolic disorder in Gansu Province of China].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Article
  16. Article
  17. Four novel variants identified in theFrontiers in genetics · 2024
    Article
  18. Article
  19. Article
  20. Article

2 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

12 authors at 7 institutions in 1 country.

Loren D M PenaDuke University, USA. Electronic address: loren.pena@duke.edu.
Sandra C van CalcarOregon Health and Science University, USA.
Joyanna HansenOregon Health and Science University, USA.
Mathew J EdickMichigan Public Health Institute, USA.
Cate Walsh VockleyUniversity of Pittsburgh School of Medicine, USA.
Nancy LeslieCincinnati Children's Hospital Medical Center, USA.
Cynthia CameronMichigan Public Health Institute, USA.
Al-Walid MohsenUniversity of Pittsburgh School of Medicine, USA.
Susan A BerryUniversity of Minnesota, USA.
Georgianne L ArnoldGenetic Metabolic Center for Education, USA.
Jerry VockleyUniversity of Pittsburgh School of Medicine, USA.
IBEMC
University of Pittsburgh · USMichigan Public Health Institute · USOregon Health & Science University · USCenter for Children · USCincinnati Children's Hospital Medical Center · USDuke University · USUniversity of Minnesota · US

Funding

Inborn Errors of Long Chain Fat MetabolismR01DK078775 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VOCKLEY, GERARD · 2008 to 2019
$4.5M
Collaborative Defining the Natural History of Inborn errors of MetabolismR01HD069039 · NICHD · MICHIGAN PUBLIC HEALTH INSTITUTE · PI BERRY, SUSAN A., CAMERON, CYNTHIA A · 2011 to 2015
$4.3M
NICHD NIH HHS HHSN275201300011CNICHD NIH HHS R01 HD069039NIDDK NIH HHS R01 DK078775
6 · The paper itself

Abstract

Very long chain acyl-CoA dehydrogenase (VLCAD) deficiency can present at various ages from the neonatal period to adulthood, and poses the greatest risk of complications during intercurrent illness or after prolonged fasting. Early diagnosis, treatment, and surveillance can reduce mortality; hence, the disorder is included in the newborn Recommended Uniform Screening Panel (RUSP) in the United States. The Inborn Errors of Metabolism Information System (IBEM-IS) was established in 2007 to collect longitudinal information on individuals with inborn errors of metabolism included in newborn screening (NBS) programs, including VLCAD deficiency. We retrospectively analyzed early outcomes for individuals who were diagnosed with VLCAD deficiency by NBS and describe initial presentations, diagnosis, clinical outcomes and treatment in a cohort of 52 individuals ages 1-18years. Maternal prenatal symptoms were not reported, and most newborns remained asymptomatic. Cardiomyopathy was uncommon in the cohort, diagnosed in 2/52 cases. Elevations in creatine kinase were a common finding, and usually first occurred during the toddler period (1-3years of age). Diagnostic evaluations required several testing modalities, most commonly plasma acylcarnitine profiles and molecular testing. Functional testing, including fibroblast acylcarnitine profiling and white blood cell or fibroblast enzyme assay, is a useful diagnostic adjunct if uncharacterized mutations are identified.

Indexed as

Neonatal ScreeningAcyl-CoA Dehydrogenase, Long-ChainAdolescentCarnitineChildChild, PreschoolCongenital Bone Marrow Failure SyndromesCreatine KinaseFemaleGenetic Association StudiesGenotypeHumansInfantInfant, NewbornLipid Metabolism, Inborn ErrorsMaleacylcarnitineAcyl-CoA Dehydrogenase, Long-ChainCarnitineCreatine KinaseFatty acid oxidation disorderInborn errors of metabolismNatural historyNewborn screeningRhabdomyolysisVery long chain acyl-CoA dehydrogenase deficiency

Identifiers

PMID27209629
PMCPMC4970910
OpenAlexW2373817779

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.