Evidence map›Paper›PMID 28794993›Full record

ArticleMolecular genetics and metabolism reports2017

Limitations of galactose therapy in phosphoglucomutase 1 deficiency.

Kristine Nolting, Julien H Park, Laura C Tegtmeyer, Andrea Zühlsdorf, Marianne Grüneberg, Stephan Rust, Janine Reunert, Ingrid Du Chesne, Volker Debus, Eric Schulze-Bahr and 6 more

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics and metabolism reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  14. Update Review about Metabolic Myopathies.Life (Basel, Switzerland) · 2020
    Review
  15. Article
  16. Article
  17. Review
  18. CDG Therapies: From Bench to Bedside.International journal of molecular sciences · 2018
    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

16 authors at 7 institutions in 5 countries.

Kristine NoltingDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Julien H ParkDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Laura C TegtmeyerDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Andrea ZühlsdorfDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Marianne GrünebergDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Stephan RustDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Janine ReunertDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Ingrid Du ChesneDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
Volker DebusDepartment of Pediatric Cardiology, University Children's Hospital Muenster, Muenster, Germany.
Eric Schulze-BahrInstitute for Genetics of Heart Diseases (IfGH), Department of Cardiovascular Medicine, University Hospital Muenster, Muenster, Germany.
Robert C BaxterKolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St. Leonards, New South Wales, Australia.
Yoshinao WadaOsaka Medical Center and Research Institute for Maternal and Child Health, Osaka University, Izumi, Osaka, Japan.
Christian ThielCenter for Child and Adolescent Medicine, Pediatrics I, University of Heidelberg, Heidelberg, Germany.
Emile van SchaftingenWalloon Excellence in Lifesciences and Biotechnology (WELBIO), Brussels, Belgium.
Ralph FingerhutDivision of Metabolism and Children's Research Centre (CRC), University Children's Hospital, Zurich, Switzerland; Swiss Newborn Screening Laboratory, University Children's Hospital Zurich, Switzerland.
Thorsten MarquardtDepartment of General Pediatrics, Metabolic Diseases, University Children's Hospital Muenster, Muenster, Germany.
University Hospital Münster · DEde Duve Institute · BEHeidelberg University · DEOsaka International Cancer Institute · JPThe University of Sydney · AUUniversität Hamburg · DEUniversity Children's Hospital Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPhosphoglucomutase 1 deficiency (PGM1 deficiency) has been identified as both, glycogenosis and congenital disorder of glycosylation (CDG). The phenotype includes hepatopathy, myopathy, oropharyngeal malformations, heart disease and growth retardation. Oral galactose supplementation at a dosage of 1 g per kg body weight per day is regarded as the therapy of choice.

resultsWe report on a patient with a novel disease causing mutation, who was treated for 1.5 years with oral galactose supplementation. Initially, elevated transaminases were reduced and protein glycosylation of serum transferrin improved rapidly. Long-term surveillance however indicated limitations of galactose supplementation at the standard dose: 1 g per kg body weight per day did not achieve permanent correction of protein glycosylation. Even increased doses of up to 2.5 g per kg body weight did not result in complete normalization. Furthermore, we described for the first time heart rhythm abnormalities, i.e. long QT Syndrome associated with a glycosylation disorder. Mass spectrometry of IGFBP3, which was assumed to play a major role in growth retardation associated with PGM1 deficiency, revealed no glycosylation abnormalities. Growth rate did not improve under galactose supplementation.

conclusionsThe results of our study indicate that the current standard dose of galactose might be too low to achieve normal glycosylation in all patients. In addition, growth retardation in PGM1 deficiency is complex and multifactorial. Furthermore, heart rhythm abnormalities must be considered when treating patients with PGM1 deficiency.

Indexed as

Congenital disorder of glycosylation (CDG)GalactoseGlycogenosisGlycoprotein profileGrowth retardationPhosphoglucomutase 1 (PGM1)

Identifiers

PMID28794993
PMCPMC5540825
OpenAlexW2739691786

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.