Evidence map›Paper›PMID 28318037›Full record

ArticleAnnals of neurology2017

Deoxycytidine and Deoxythymidine Treatment for Thymidine Kinase 2 Deficiency.

Carlos Lopez-Gomez, Rebecca J Levy, Maria J Sanchez-Quintero, Martí Juanola-Falgarona, Emanuele Barca, Beatriz Garcia-Diaz, Saba Tadesse, Caterina Garone, Michio Hirano

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03639701 (Deoxythymidine and Deoxycytidine Treatment for Thymidine Kinase 2), which is not on this map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
10.2field-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.

NCT03639701 phase1 / phase2active not recruitingnot on this map

Deoxythymidine and Deoxycytidine Treatment for Thymidine Kinase 2 (TK2) Deficiency

TypeinterventionalSponsorColumbia UniversityRan2017 to 2026Enrolled23ConditionsMitochondrial DNA Depletion Syndrome 2 Myopathic Type, Thymidine Kinase 2 DeficiencyArmsThymidine
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 115 citations in OpenAlex.

  1. Trial
  2. Mitochondrial NADP(H)-dependent de novo dTMP biosynthesis counteracts the cytotoxicity of PARP inhibitors.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. Genetic Diagnosis in Epilepsy: Implications for Clinical Management.Current neurology and neuroscience reports · 2026
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Gene therapy and mRNA drugs approach for mitochondrial OXPHOS deficiencies.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  10. Review
  11. Observational
  12. Therapies for Mitochondrial Disease: Past, Present, and Future.Journal of inherited metabolic disease · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  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

9 authors at 2 institutions in 4 countries.

Carlos Lopez-GomezDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Rebecca J LevyDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Maria J Sanchez-QuinteroDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Martí Juanola-FalgaronaDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Emanuele BarcaDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Beatriz Garcia-DiazDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Saba TadesseDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Caterina GaroneDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Michio HiranoDepartment of Neurology, H. Houston Merritt Neuromuscular Research Center, Columbia University Medical Center, New York, NY.
Columbia University Irving Medical Center · USUniversity of Messina · IT

Funding

THERAPEUTIC APPROACHES IN MODELS OF MITOCHONDRIAL DIS.P01HD032062 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DIMAURO, SALVATORE · 1995 to 2014
$24.4M
The North American Mitochondrial Disease Consortium (NAMDC)U54NS078059 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HIRANO, MICHIO · 2011 to 2023
$17.5M
Tech-CoreP01HD080642 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI QUINZII, CATARINA M. · 2014 to 2018
$7.8M
Molecular Pathogenesis of Coenzyme Q10 DeficiencyR01HD057543 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HIRANO, MICHIO · 2008 to 2012
$2.0M
Molecular Pathogenesis and Treatment of MNGIER01HD056103 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HIRANO, MICHIO · 2010 to 2014
$1.9M
NICHD NIH HHS P01 HD032062NICHD NIH HHS P01 HD080642NICHD NIH HHS R01 HD056103NICHD NIH HHS R01 HD057543NINDS NIH HHS U54 NS078059
6 · The paper itself

Abstract

objectiveThymidine kinase 2 (TK2), a critical enzyme in the mitochondrial pyrimidine salvage pathway, is essential for mitochondrial DNA (mtDNA) maintenance. Mutations in the nuclear gene, TK2, cause TK2 deficiency, which manifests predominantly in children as myopathy with mtDNA depletion. Molecular bypass therapy with the TK2 products, deoxycytidine monophosphate (dCMP) and deoxythymidine monophosphate (dTMP), prolongs the life span of Tk2-deficient (Tk2

methodsTo test these hypotheses, we assessed two therapies in Tk2

resultsWe observed that dC+dT delayed disease onset, prolonged life span of Tk2-deficient mice and restored mtDNA copy number as well as respiratory chain enzyme activities and levels. In contrast, dCMP+dTMP+THU therapy decreased life span of Tk2

interpretationOur studies demonstrate that deoxynucleoside substrate enhancement is a novel therapy, which may ameliorate TK2 deficiency in patients. Ann Neurol 2017;81:641-652.

Indexed as

AnimalsAntimetabolitesDeoxycytidine MonophosphateDisease Models, AnimalDNA, MitochondrialDrug Therapy, CombinationMetabolism, Inborn ErrorsMiceMice, TransgenicMitochondrial DiseasesTetrahydrouridineThymidineThymidine KinaseAntimetabolitesDeoxycytidine MonophosphateDNA, MitochondrialTetrahydrouridineThymidineThymidine Kinasethymidine kinase 2

Identifiers

PMID28318037
PMCPMC5926768
OpenAlexW2598216227

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.