Evidence map›Paper›PMID 27942037›Full record

ArticlePloS one2016

Time of Initiating Enzyme Replacement Therapy Affects Immune Abnormalities and Disease Severity in Patients with Gaucher Disease.

Renuka Pudi Limgala, Chidima Ioanou, Matthew Plassmeyer, Mark Ryherd, Lina Kozhaya, Lauren Austin, Cem Abidoglu, Derya Unutmaz, Oral Alpan, Ozlem Goker-Alpan

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Old disease-New reflections: Gaucher, immunity, and inflammation.Journal of cellular and molecular medicine · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Gaucher Disease in Bone: From Pathophysiology to Practice.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 3 institutions in 1 country.

Renuka Pudi LimgalaLysosomal and Rare Disorders Research and Treatment Center, Fairfax, Virginia, United States of America.ORCID http://orcid.org/0000-0001-6957-6284
Chidima IoanouLysosomal and Rare Disorders Research and Treatment Center, Fairfax, Virginia, United States of America.
Matthew PlassmeyerAmerimmune, O and O Alpan, LLC, Fairfax, Virginia, United States of America.
Mark RyherdAmerimmune, O and O Alpan, LLC, Fairfax, Virginia, United States of America.
Lina KozhayaJackson Laboratory for Genomic Medicine, Farmington, Connecticut, United States of America.
Lauren AustinAmerimmune, O and O Alpan, LLC, Fairfax, Virginia, United States of America.
Cem AbidogluJackson Laboratory for Genomic Medicine, Farmington, Connecticut, United States of America.
Derya UnutmazJackson Laboratory for Genomic Medicine, Farmington, Connecticut, United States of America.
Oral AlpanAmerimmune, O and O Alpan, LLC, Fairfax, Virginia, United States of America.
Ozlem Goker-AlpanLysosomal and Rare Disorders Research and Treatment Center, Fairfax, Virginia, United States of America.
O&O Alpan (United States) · USJackson Laboratory · USLysosomal and Rare Disorders Research and Treatment Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gaucher disease (GD) patients often present with abnormalities in immune response that may be the result of alterations in cellular and/or humoral immunity. However, how the treatment and clinical features of patients impact the perturbation of their immunological status remains unclear. To address this, we assessed the immune profile of 26 GD patients who were part of an enzyme replacement therapy (ERT) study. Patients were evaluated clinically for onset of GD symptoms, duration of therapy and validated outcome measures for ERT. According to DS3 disease severity scoring system criteria, they were assigned to have mild, moderate or severe GD. Flow cytometry based immunophenotyping was performed to analyze subsets of T, B, NK, NKT and dendritic cells. GD patients showed multiple types of immune abnormalities associated to T and B lymphocytes with respect to their subpopulations as well as memory and activation markers. Skewing of CD4 and CD8 T cell numbers resulting in lower CD4/CD8 ratio and an increase in overall T cell activation were observed. A decrease in the overall B cells and an increase in NK and NKT cells were noted in the GD patients compared to controls. These immune alterations do not correlate with GD clinical type or level of biomarkers. However, subjects with persistent immune alterations, especially in B cells and DCs correlate with longer delay in initiation of ERT (ΔTX). Thus, while ERT may reverse some of these immune abnormalities, the immune cell alterations become persistent if therapy is further delayed. These findings have important implications in understanding the immune disruptions before and after treatment of GD patients.

Indexed as

Enzyme Replacement TherapyTime-to-TreatmentAdolescentAdultAgedChildFemaleFlow CytometryGaucher DiseaseHumansLymphocyte ActivationLymphocyte CountMaleMiddle AgedTreatment OutcomeYoung Adult

Identifiers

PMID27942037
PMCPMC5152900
OpenAlexW2564223030

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.