Evidence map›Paper›PMID 28778179›Full record

ArticleOrphanet journal of rare diseases2017

Is age a risk factor for liver disease and metabolic alterations in ataxia Telangiectasia patients?

Talita Lemos Paulino, Marina Neto Rafael, Sonia Hix, David Carlos Shigueoka, Sergio Aron Ajzen, Cristiane Kochi, Fabíola Isabel Suano-Souza, Rosangela da Silva, Beatriz T Costa-Carvalho, Roseli O S Sarni

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 18% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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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 4 institutions in 1 country.

Talita Lemos PaulinoDepartment of Pediatrics, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), Rua dos Otonis, n° 725, Vila Clementino, São Paulo, SP, CEP 04025-002, Brazil.
Marina Neto RafaelDepartment of Pediatrics, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), Rua dos Otonis, n° 725, Vila Clementino, São Paulo, SP, CEP 04025-002, Brazil.
Sonia HixDepartment of Morphology and Physiology, Faculdade de Medicina do ABC, ABC Foundation (FMABC), Santo André, SP, Brazil.
David Carlos ShigueokaDepartment of Diagnostic Imaging, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
Sergio Aron AjzenDepartment of Diagnostic Imaging, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.
Cristiane KochiSanta Casa de Sao Paulo School of Medical Sciences (FCMSCSP), São Paulo, SP, Brazil.
Fabíola Isabel Suano-SouzaDepartment of Pediatrics, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), Rua dos Otonis, n° 725, Vila Clementino, São Paulo, SP, CEP 04025-002, Brazil. fsuano@gmail.com.
Rosangela da SilvaSchool of Nutrition, Federal University of Alfenas (UNIFAL, Alfenas, MG, Brazil.
Beatriz T Costa-CarvalhoDepartment of Pediatrics, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), Rua dos Otonis, n° 725, Vila Clementino, São Paulo, SP, CEP 04025-002, Brazil.
Roseli O S SarniDepartment of Pediatrics, Escola Paulista de Medicina, Federal University of São Paulo (UNIFESP), Rua dos Otonis, n° 725, Vila Clementino, São Paulo, SP, CEP 04025-002, Brazil.
Universidade Federal de São Paulo · BRFaculdade de Ciências Médicas da Santa Casa de São Paulo · BRFaculdade de Medicina do ABC · BRUniversidade Federal de Alfenas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtaxia telangiectasia (A-T) is a neurodegenerative disease that leads to mitochondrial dysfunction and oxidative stress. Insulin resistance (IR), type 2 diabetes and the risk for development of cardiovascular disease was recently associated as an extended phenotype of the disease. We aimed to assess IR; liver involvement; carotid intima-media thickness (cIMT) and metabolic alterations associated to cardiovascular risk in A-T patients, and relate them with age.

resultsGlucose metabolism alterations were found in 54.6% of the patients. Hepatic steatosis was diagnosed in 11/17 (64.7%) A-T patients. AST/ALT ratio > 1 was observed in 10/17 (58.8%). A strong positive correlation was observed between insulin sum concentrations with ALT (r = 0.782, p < 0.004) and age (r = 0.818, p = 0.002). Dyslipidemia was observed in 55.5% of the patients. The apolipoprotein (Apo-B)/ApoA-I ratio (r = 0.619; p < 0.01), LDL/HDL-c (r = 0.490; p < 0.05) and the Apo-B levels (r = 0.545; p < 0.05) were positively correlated to cIMT.

conclusionsMetabolic disorders implicated in cardiovascular and liver diseases are frequently observed in adolescent A-T patients and those tend to get worse as they become older. Therefore, nutritional intervention and the use of drugs may be necessary.

Indexed as

AdolescentAdultAge FactorsAtaxia TelangiectasiaAtherosclerosisBody Mass IndexCarotid Intima-Media ThicknessChildChild, PreschoolDyslipidemiasFatty LiverFemaleHumansInsulin ResistanceLiver DiseasesMaleAtaxia TelangiectasiaAtherosclerosisCarotid Intima-media thicknessDiabetesDyslipidemiaFatty liver diseaseInsulin resistanceNutritional status

Identifiers

PMID28778179
PMCPMC5545012
OpenAlexW2742693511

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.