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ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Long-term follow-up in PMM2-CDG: are we ready to start treatment trials?

Peter Witters, Tomas Honzik, Eric Bauchart, Ruqaiah Altassan, Tiffany Pascreau, Arnaud Bruneel, Sandrine Vuillaumier, Nathalie Seta, Delphine Borgel, Gert Matthijs and 5 more

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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Impaired myoblast differentiation and muscle IGF-1 receptor signaling pathway activation after N-glycosylation inhibition.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  8. Article
  9. Review
  10. Article
  11. Hemostatic defects in congenital disorders of glycosylation.Research and practice in thrombosis and haemostasis · 2023
    Article
  12. [Advances in the diagnosis and treatment of phosphomannomutase 2 deficiency].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Anthropometric Phenotype of Patients with PMM2-CDG.Children (Basel, Switzerland) · 2021
    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

15 authors.

Peter WittersPediatrics and Metabolic Center, University Hospitals Leuven, Leuven, Belgium. peter.witters@uzleuven.be.
Tomas HonzikDepartment of Pediatrics, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Eric BauchartAP-HP, Necker University Hospital, French National Reference Centre for Inborn Errors of Metabolism, Paris, France.
Ruqaiah AltassanMedical Genetic Department, Montréal Children Hospital, McGill University, Montreal, Canada.
Tiffany PascreauAP-HP, Hôpital Necker, Service d'Hématologie Biologique, Paris, France.
Arnaud BruneelBiochemistry Department, AP-HP, Bichat Hospital, Paris, France.
Sandrine VuillaumierBiochemistry Department, AP-HP, Bichat Hospital, Paris, France.
Nathalie SetaBiochemistry Department, AP-HP, Bichat Hospital, Paris, France.
Delphine BorgelAP-HP, Hôpital Necker, Service d'Hématologie Biologique, Paris, France.
Gert MatthijsCenter for Human Genetics, KU Leuven, Leuven, Belgium.
Jaak JaekenPediatrics and Metabolic Center, University Hospitals Leuven, Leuven, Belgium.
Wouter MeerssemanMetabolic Center, University Hospitals Leuven, Leuven, Belgium.
David CassimanGastroenterology-Hepatology and Metabolic Center, University Hospitals Leuven, Leuven, Belgium.
Lonlay Pascale deAP-HP, Necker University Hospital, French National Reference Centre for Inborn Errors of Metabolism, Paris, France.
Eva MoravaPediatrics and Metabolic Center, University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePMM2-CDG is the most common congenital disorder of glycosylation (CDG), which presents with either a neurologic or multisystem phenotype. Little is known about the longitudinal evolution.

methodsWe performed data analysis on PMM2-CDG patients' clinical features according to the Nijmegen CDG severity score and laboratory data. Seventy-five patients (28 males) were followed up from 11.0 ± 6.91 years for an average of 7.4 ± 4.5 years.

resultsOn a group level, there was no significant evolution in overall clinical severity. There was some improvement in mobility and communication, liver and endocrine function, and strabismus and eye movements. Educational achievement and thyroid function worsened in some patients. Overall, the current clinical function, the system-specific involvement, and the current clinical assessment remained unchanged. On follow-up there was improvement of biochemical variables with (near) normalization of activated partial thromboplastin time (aPTT), factor XI, protein C, antithrombin, thyroid stimulating hormone, and liver transaminases.

conclusionPMM2-CDG patients show a spontaneous biochemical improvement and stable clinical course based on the Nijmegen CDG severity score. This information is crucial for the definition of endpoints in clinical trials.

Indexed as

AdolescentChildChild, PreschoolCongenital Disorders of GlycosylationDisease ProgressionFemaleFollow-Up StudiesHumansMalePhenotypePhosphotransferases (Phosphomutases)Young AdultPhosphotransferases (Phosphomutases)CDG severity scalecoagulationliver function testlong-term follow-upPMM2-CDG

Identifiers

What OpenQuestion holds

Textmetadata
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.