Evidence map›Paper›PMID 30296009›Full record

ArticleMolecular genetics & genomic medicine2018

The relationships between urinary glycosaminoglycan levels and phenotypes of mucopolysaccharidoses.

Hsiang-Yu Lin, Chung-Lin Lee, Yun-Ting Lo, Tuan-Jen Wang, Sung-Fa Huang, Tzu-Lin Chen, Yu-Shan Wang, Dau-Ming Niu, Chih-Kuang Chuang, Shuan-Pei Lin

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2018. 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
2.7field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Identification and Functional Characterization ofInternational journal of molecular sciences · 2019
    Trial
  3. Article
  4. Review
  5. Review
  6. Identification of Surrogate Biomarkers for Mucopolysaccharidosis Type IVA.International journal of molecular sciences · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Differences in MPS I and MPS II Disease Manifestations.International journal of molecular sciences · 2021
    Review
  14. Article
  15. Epidemiology of Mucopolysaccharidoses Update.Diagnostics (Basel, Switzerland) · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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 5 institutions in 1 country.

Hsiang-Yu LinDepartment of Medicine, Mackay Medical College, New Taipei City, Taiwan.ORCID 0000-0002-9619-0990
Chung-Lin LeeDepartment of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
Yun-Ting LoDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Tuan-Jen WangDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Sung-Fa HuangDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Tzu-Lin ChenDepartment of Laboratory Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Yu-Shan WangDepartment of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan.
Dau-Ming NiuDepartment of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan.
Chih-Kuang ChuangDepartment of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan.
Shuan-Pei LinDepartment of Medicine, Mackay Medical College, New Taipei City, Taiwan.
Mackay Memorial Hospital · TWChina Medical University · TWFu Jen Catholic University · TWNational Taipei University of Nursing and Health Science · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to use the liquid chromatography/tandem mass spectrometry (LC-MS/MS) method to quantitate levels of three urinary glycosaminoglycans (GAGs; dermatan sulfate [DS], heparan sulfate [HS], and keratan sulfate [KS]) to help make a correct diagnosis of mucopolysaccharidosis (MPS).

methodsWe analyzed the relationships between phenotypes and levels of urinary GAGs of 79 patients with different types of MPS.

resultsThe patients with mental retardation (n = 21) had significantly higher levels of HS than those without mental retardation (n = 58; 328.8 vs. 3.2 μg/ml, p < 0.001). The DS levels in the patients with hernia, hepatosplenomegaly, claw hands, coarse face, valvular heart disease, and joint stiffness were higher than those without. Twenty patients received enzyme replacement therapy (ERT) for 1-12.3 years. After ERT, the KS level decreased by 90% in the patients with MPS IVA compared to a 31% decrease in the change of dimethylmethylene blue (DMB) ratio. The DS level decreased by 79% after ERT in the patients with MPS VI compared to a 66% decrease in the change of DMB ratio.

conclusionsThe measurement of GAG fractionation biomarkers using the LC-MS/MS method is a more sensitive and reliable tool than the DMB ratio for MPS high-risk screening, diagnosis, subclass identification, and monitoring the efficacy of ERT.

Indexed as

AdolescentBiomarkersChildChild, PreschoolDermatan SulfateFemaleHeparan SulfateHumansInfantKeratan SulfateMaleMucopolysaccharidosesPhenotypeBiomarkersDermatan SulfateHeparan SulfateKeratan Sulfatedermatan sulfateglycosaminoglycansheparan sulfatekeratan sulfatemucopolysaccharidosistandem mass spectrometry

Identifiers

PMID30296009
PMCPMC6305646
OpenAlexW2890928166

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Registered trials

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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.