Evidence map›Paper›PMID 28395083›Full record

ArticleJournal of neuropathology and experimental neurology2017

Pathological Confirmation of Optic Neuropathy in Familial Dysautonomia.

Carlos E Mendoza-Santiesteban, Jose-Alberto Palma, Thomas R Hedges, Nora V Laver, Nada Farhat, Lucy Norcliffe-Kaufmann, Horacio Kaufmann

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Journal of neuropathology and experimental neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. ELP1 gene augmentation restores visual function in a mouse model of familial dysautonomia.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  3. Peripheral neuron phenotypes of familial dysautonomia are rescued by AAV-mediated gene therapy.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
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  14. Review
  15. Article
  16. Retina-specific loss ofDisease models & mechanisms · 2018
    Article
  17. [Syndromic Hirschsprung′s disease and its mode of inheritance].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Review
  18. Article
  19. Animal and cellular models of familial dysautonomia.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2017
    Review
  20. The application of clinical genetics · 2017
    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

7 authors at 4 institutions in 1 country.

Carlos E Mendoza-SantiestebanNew England Eye Center, Tufts Medical Center, Tufts University, Boston, Massachusetts, USA.
Jose-Alberto PalmaDepartment of Neurology, Dysautonomia Center, NYU Langone Medical Center, New York University, New York, USA.
Thomas R HedgesNew England Eye Center, Tufts Medical Center, Tufts University, Boston, Massachusetts, USA.
Nora V LaverNew England Eye Center, Tufts Medical Center, Tufts University, Boston, Massachusetts, USA.
Nada FarhatNew England Eye Center, Tufts Medical Center, Tufts University, Boston, Massachusetts, USA.
Lucy Norcliffe-KaufmannDepartment of Neurology, Dysautonomia Center, NYU Langone Medical Center, New York University, New York, USA.
Horacio KaufmannDepartment of Neurology, Dysautonomia Center, NYU Langone Medical Center, New York University, New York, USA.
Tufts Medical Center · USTufts University · USNYU Langone Health · USUniversity of Miami · US

Funding

Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FREEMAN, ROY · 2009 to 2018
$11.6M
FDA HHS R01 FD004772NINDS NIH HHS U54 NS065736
6 · The paper itself

Abstract

Clinical data suggest that optic neuropathy and retinal ganglion cell loss are the main cause of visual decline in patients with familial dysautonomia, but this has not previously been confirmed by pathological analyses. We studied retinas and optic nerves in 6 eyes from 3 affected patients obtained at autopsy. Analyses included routine neurohistology and immunohistochemistry for neurofilaments, cytochrome c oxidase (COX), and melanopsin-containing ganglion cells. We observed profound axon loss in the temporal portions of optic nerves with relative preservation in the nasal portions; this correlated with clinical and optical coherence tomography findings in 1 patient. Retinal ganglion cell layers were markedly reduced in the central retina, whereas melanopsin-containing ganglion cells were relatively spared. COX staining was reduced in the temporal portions of the optic nerve indicating reduced mitochondrial density. Axonal swelling with degenerating lysosomes and mitochondria were observed by electron microscopy. These findings support the concept that there is a specific optic neuropathy and retinopathy in patients with familial dysautonomia similar to that seen in other optic neuropathies with mitochondrial dysfunction. This raises the possibility that defective expression of the IkB kinase complex-associated protein (IKAP) resulting from mutations in IKBKAP affects mitochondrial function in the metabolism-dependent retinal parvocellular ganglion cells in this condition.

Indexed as

AdolescentChildDysautonomia, FamilialFemaleHumansMaleMiddle AgedOptic NerveOptic Nerve DiseasesRetinal Ganglion CellsFamilial dysautonomiaHereditary optic neuropathyHistopathologyOptical coherence tomographyRetinaRiley-Day syndrome

Identifiers

PMID28395083
PMCPMC5409127
OpenAlexW2588698449

What OpenQuestion holds

Textmetadata
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.