Evidence map›Paper›PMID 29779903›Full record

ArticleMolecular genetics and metabolism2018

Glycosaminoglycans analysis in blood and urine of patients with mucopolysaccharidosis.

Shaukat A Khan, Robert W Mason, Roberto Giugliani, Kenji Orii, Toshiyuki Fukao, Yasuyuki Suzuki, Seiji Yamaguchi, Hironori Kobayashi, Tadao Orii, Shunji Tomatsu

Abstract 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. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
5.4field-weighted citation impact, top 3% 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

62 citing papers in PubMed, 84 citations in OpenAlex.

  1. Article
  2. Natural History of Morquio A Syndrome.Journal of inherited metabolic disease · 2026
    Review
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Identification of Surrogate Biomarkers for Mucopolysaccharidosis Type IVA.International journal of molecular sciences · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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 3 countries.

Shaukat A KhanNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, United States.
Robert W MasonNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, United States.
Roberto GiuglianiMedical Genetics Service, HCPA, Dep. Genetics, UFRGS, INAGEMP, Porto Alegre, Brazil.
Kenji OriiDepartment of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.
Toshiyuki FukaoDepartment of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.
Yasuyuki SuzukiMedical Education Development Center, Gifu University, Japan.
Seiji YamaguchiDepartment of Pediatrics, Shimane University, Shimane, Japan.
Hironori KobayashiDepartment of Pediatrics, Shimane University, Shimane, Japan.
Tadao OriiDepartment of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.
Shunji TomatsuNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, United States; Department of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan; Department of Pediatrics, Shimane University, Shimane, Japan; Department of Pediatrics, Thomas Jefferson University, Philadelphia, PA, United States. Electronic address: stomatsu@nemours.org.
Gifu University · JPAlfred I. duPont Hospital for Children · USShimane University · JPUniversidade Federal do Rio Grande do Sul · BR

Funding

Center for Pediatric Research Pilot ProgramP30GM114736 · NIGMS · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI SHAFFER, THOMAS H · 2015 to 2019
$5.1M
Newborn Screening and Biomarkers for MucopolysaccharidosesR01HD065767 · NICHD · SAINT LOUIS UNIVERSITY · PI MONTANO, ADRIANA MARIA, TOMATSU, SHUNJI · 2011 to 2015
$2.4M
NICHD NIH HHS R01 HD065767NIGMS NIH HHS P30 GM114736
6 · The paper itself

Abstract

To explore the correlation between glycosaminoglycan (GAG) levels and mucopolysaccharidosis (MPS) type, we have evaluated the GAG levels in blood of MPS II, III, IVA, and IVB and urine of MPS IVA, IVB, and VI by tandem mass spectrometry. Dermatan sulfate (DS), heparan sulfate (HS), keratan sulfate (KS; mono-sulfated KS, di-sulfated KS), and the ratio of di-sulfated KS in total KS were measured. Patients with untreated MPS II had higher levels of DS and HS in blood while untreated MPS III had higher levels of HS in blood than age-matched controls. Untreated MPS IVA had higher levels of KS in blood and urine than age-matched controls. The ratio of blood di-sulfated KS/total KS in untreated MPS IVA was constant and higher than that in controls for children up to 10 years of age. The ratio of urine di-sulfated KS/total KS in untreated MPS IVA was also higher than that in age-matched controls, but the ratio in untreated MPS IVB was lower than controls. ERT reduced blood DS and HS in MPS II, and urine KS in MPS IVA patients, although GAGs levels remained higher than the observed in age-matched controls. ERT did not change blood KS levels in MPS IVA. MPS VI under ERT still had an elevation of urine DS level compared to age-matched controls. There was a positive correlation between blood and urine KS in untreated MPS IVA patients but not in MPS IVA patients treated with ERT. Blood and urine KS levels were secondarily elevated in MPS II and VI, respectively. Overall, measurement of GAG levels in blood and urine is useful for diagnosis of MPS, while urine KS is not a useful biomarker for monitoring therapeutic efficacy in MPS IVA.

Indexed as

AdolescentAdultBiomarkersChildChild, PreschoolDermatan SulfateFemaleGlycosaminoglycansHeparan SulfateHumansKeratan SulfateMaleMucopolysaccharidosesMucopolysaccharidosis IIMucopolysaccharidosis IIIMucopolysaccharidosis IVBiomarkersDermatan SulfateGlycosaminoglycansHeparan SulfateKeratan SulfateChondroitin sulfateDermatan sulfateGlycosaminoglycansHeparan sulfateHyaluronanKeratan sulfateLC/MSMucopolysaccharidoses

Identifiers

PMID29779903
PMCPMC6175648
OpenAlexW2804407043

What OpenQuestion holds

Textmetadata
LicenceTDM
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.