Evidence map›Paper›PMID 29050825›Full record

ArticleMolecular genetics and metabolism2018

Neuroimaging findings in infantile Pompe patients treated with enzyme replacement therapy.

Paul T McIntosh, Lisa D Hobson-Webb, Zoheb B Kazi, Sean N Prater, Suhrad G Banugaria, Stephanie Austin, Raymond Wang, David S Enterline, Donald P Frush, Priya S Kishnani

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Molecular genetics and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01665326 (Determination of Cross-Reactive Immunological Material), which is not on this map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
4.7field-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.

NCT01665326 recruitingnot on this map

Determination of Cross-Reactive Immunological Material (CRIM) Status and Longitudinal Follow-up of Individuals With Pompe Disease

TypeobservationalSponsorDuke UniversityRan2009 to 2029Enrolled400ConditionsPompe DiseaseArmsObservational
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Neurological glycogen storage diseases and emerging therapeutics.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. [Research progress of nervous system damage in Pompe disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Review
  13. Article
  14. 1,6-Journal of the American Chemical Society · 2022
    Article
  15. Is the brain involved in patients with late-onset Pompe disease?Journal of inherited metabolic disease · 2022
    Article
  16. Article
  17. Carnitine is a pharmacological allosteric chaperone of the human lysosomalJournal of enzyme inhibition and medicinal chemistry · 2021
    Article
  18. Article
  19. Article
  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

10 authors at 3 institutions in 1 country.

Paul T McIntoshDepartment of Pediatrics, Division of Medical Genetics, Duke University, Durham, NC, USA.
Lisa D Hobson-WebbDepartment of Neurology, Neuromuscular Division, Duke University, Durham, NC, USA.
Zoheb B KaziDepartment of Pediatrics, Division of Medical Genetics, Duke University, Durham, NC, USA.
Sean N PraterDepartment of Pediatrics, Division of Medical Genetics, Duke University, Durham, NC, USA.
Suhrad G BanugariaDepartment of Pediatrics, Division of Medical Genetics, Duke University, Durham, NC, USA.
Stephanie AustinDepartment of Pediatrics, Division of Medical Genetics, Duke University, Durham, NC, USA.
Raymond WangDepartment of Metabolic Disorders, Children's Hospital of Orange County, Orange, CA, USA.
David S EnterlineDepartment of Radiology, Division of Neuroradiology, Duke University, Durham, NC, USA.
Donald P FrushDepartment of Radiology, Division of Pediatric Radiology, Duke University, Durham, NC, USA.
Priya S KishnaniDepartment of Pediatrics, Division of Medical Genetics, Duke University, Durham, NC, USA. Electronic address: Priya.kishnani@duke.edu.
Duke Medical Center · USDuke University · USChildren's Hospital of Orange County · US

Funding

Training & EducationU54NS065768 · NINDS · UNIVERSITY OF MINNESOTA · PI WHITLEY, CHESTER B. · 2009 to 2024
$17.7M
NINDS NIH HHS U54 NS065768
6 · The paper itself

Abstract

backgroundRecombinant human acid α-glucosidase (rhGAA) enzyme replacement therapy (ERT) has prolonged survival in infantile Pompe disease (IPD), but has unmasked central nervous system (CNS) changes.

methodsBrain imaging, consisting of computed tomography (CT) and/or magnetic resonance imaging (MRI), was performed on 23 patients with IPD (17 CRIM-positive, 6 CRIM-negative) aged 2-38months. Most patients had baseline neuroimaging performed prior to the initiation of ERT. Follow-up neuroimaging was performed in eight.

resultsSixteen patients (70%) had neuroimaging abnormalities consisting of ventricular enlargement (VE) and/or extra-axial cerebrospinal fluid accumulation (EACSF) at baseline, with delayed myelination in two. Follow-up neuroimaging (n=8) after 6-153months showed marked improvement, with normalization of VE and EACSF in seven patients. Two of three patients imaged after age 10years demonstrated white matter changes, with one noted to have a basilar artery aneurysm.

conclusionsMild abnormalities on brain imaging in untreated or newly treated patients with IPD tend to resolve with time, in conjunction with ERT. However, white matter changes are emerging as seen in Patients 1 and 3 which included abnormal periventricular white matter changes with subtle signal abnormalities in the basal ganglia and minimal, symmetric signal abnormalities involving the deep frontoparietal cerebral white matter, respectively. The role of neuroimaging as part of the clinical evaluation of IPD needs to be considered to assess for white matter changes and cerebral aneurysms.

Indexed as

Enzyme Replacement TherapyAdolescentalpha-GlucosidasesBrainChildChild, PreschoolFemaleGlycogen Storage Disease Type IIHumansInfantMaleNeuroimagingTreatment Outcomealpha-GlucosidasesGAA protein, humanAcid maltase deficiencyAlglucosidase alfaBlood-brain barrierCentral nervous systemCTEnzyme replacement therapyGlycogen storage disease type IIMRINeuroimagingNeuromuscular diseasesPompe diseaserhGAA

Identifiers

PMID29050825
PMCPMC5808895
OpenAlexW2256159962

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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.