Evidence map›Paper›PMID 28723748›Full record

ArticleMedicine2017

Clinical characteristics and mutation spectrum of GLA in Korean patients with Fabry disease by a nationwide survey: Underdiagnosis of late-onset phenotype.

Jin-Ho Choi, Beom Hee Lee, Sun Hee Heo, Gu-Hwan Kim, Yoo-Mi Kim, Dae-Seong Kim, Jung Min Ko, Young Bae Sohn, Yong Hee Hong, Dong-Hwan Lee and 11 more

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

15 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Management of Hypertension in Fabry Disease.Electrolyte & blood pressure : E & BP · 2023
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Impacts of AD-RelatedFrontiers in molecular neuroscience · 2020
    Article
  13. Retinal hyperreflective foci in Fabry disease.Orphanet journal of rare diseases · 2019
    Article
  14. Article
  15. Article
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

21 authors at 15 institutions in 1 country.

Jin-Ho ChoiDepartment of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine Asan Institute for Life Sciences Medical Genetics Center, Asan Medical Center Children's Hospital, Seoul Department of Pediatrics, Pusan National University Children's Hospital Department of Neurology, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan Department of Pediatrics, Seoul National University Children's Hospital, Seoul Department of Medical Genetics, Ajou University Hospital, Ajou University School of Medicine, Suwon Department of Pediatrics, College of Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon Department of Pediatrics, College of Medicine, Soonchunhyang University, Seoul Hospital, Seoul Department of Pediatrics, Chonnam National University Hwasun Hospital, Hwasun Department of Pediatrics, Chungnam National University Hospital, Daejeon Department of Cardiology, Bucheon Sejong Hospital, Bucheon Department of Cardiology, Kyung Hee University Hospital Department of Cardiology, Yonsei University Severance Hospital Department of Nephrology, Chung-Ang University Hospital Department of Cardiology, Eulji University Hospital, Seoul Department of Nephrology, Kyungpook National University Hospital, Daegu Division of Nephrology, Department of Internal Medicine, Dankook University Hospital, Dankook University, College of Medicine, Cheonan Department of Cardiology, Inje University Busan Paik Hospital, Busan, Republic of Korea.
Beom Hee Lee
Sun Hee Heo
Gu-Hwan Kim
Yoo-Mi Kim
Dae-Seong Kim
Jung Min Ko
Young Bae Sohn
Yong Hee Hong
Dong-Hwan Lee
Hoon Kook
Han Hyuk Lim
Kyung Hee Kim
Woo-Shik Kim
Geu-Ru Hong
Su-Hyun Kim
Sang Hyun Park
Chan-Duck Kim
So Mi Kim
Jeong-Sook Seo
Han-Wook Yoo
Asan Medical Center · KRChung-Ang University Hospital · KRPusan National University Yangsan Hospital · KRAjou University Hospital · KRBucheon University · KRChonnam National University Hwasun Hospital · KRChungnam National University Hospital · KRDaejeon Eulji Medical Center, Eulji University · KRKyung Hee University Dental Hospital · KRKyungpook National University Hospital · KRPusan National University Hospital · KRSejong General Hospital · KRSeoul National University Children's Hospital · KRSeverance Hospital · KRSoonchunhyang University Hospital Seoul · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease is a rare X-linked lysosomal storage disorder caused by an α-galactosidase A deficiency. The progressive accumulation of globotriaosylceramide (GL-3) results in life-threatening complications, including renal, cardiac, and cerebrovascular diseases. This study investigated the phenotypic and molecular spectra of GLA mutations in Korean patients with Fabry disease using a nationwide survey.This study included 94 patients from 46 independent pedigrees: 38 adult males, 46 symptomatic females, and 10 pediatric males. Each diagnosis was based on an enzyme assay and GLA gene mutation analysis.The mean age at presentation was 24 years (range, 5-65 years); however, the diagnoses were delayed by 21 ± 19 years after the onset of symptoms. Those patients with late-onset Fabry disease were diagnosed by family screening or milder symptoms at a later age. Forty different mutations were identified: 20 missense (50%), 10 nonsense (25%), 8 frameshift (20%), and 2 splice site (5%) mutations. Five of them were novel. IVS4+919G>A (c.936+919 G>A) was not detected among the 6505 alleles via newborn screening using dried blood spots. Enzyme replacement therapy (ERT) was performed in all the males and pediatric patients, whereas 75% of the symptomatic females underwent ERT for 4.2 ± 3.6 years.This study described the demographic data, wide clinical spectrum of phenotypes, and GLA mutation spectrum of Fabry disease in Korea. Most of the patients had classical Fabry disease, with a 4 times higher incidence than that of late-onset Fabry disease, indicating an underdiagnosis of mild, late-onset Fabry disease.

Indexed as

MutationAdolescentAgedAge of Onsetalpha-GalactosidaseChildChild, PreschoolDiagnostic ErrorsEnzyme Replacement TherapyFabry DiseaseFemaleGenetic Association StudiesHumansIncidenceInfant, NewbornMalealpha-GalactosidaseGLA protein, human

Identifiers

PMID28723748
PMCPMC5521888
OpenAlexW2736582684

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.