Evidence map›Paper›PMID 30323181›Full record

ArticleScientific reports2018

Untargeted Metabolite Profiling of Cerebrospinal Fluid Uncovers Biomarkers for Severity of Late Infantile Neuronal Ceroid Lipofuscinosis (CLN2, Batten Disease).

Miriam Sindelar, Jonathan P Dyke, Ruba S Deeb, Dolan Sondhi, Stephen M Kaminsky, Barry E Kosofsky, Douglas J Ballon, Ronald G Crystal, Steven S Gross

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

  1. Neurofilament light is a treatment-responsive biomarker in CLN2 disease.Annals of clinical and translational neurology · 2019
    Trial
  2. Article
  3. Review
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  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Altered protein secretion in Batten disease.Disease models & mechanisms · 2021
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. 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

9 authors.

Miriam SindelarDepartment of Pharmacology, Weill Cornell Medicine, New York, New York, USA.
Jonathan P DykeDepartment of Radiology, Weill Cornell Medicine, New York, New York, USA.ORCID http://orcid.org/0000-0001-7170-488X
Ruba S DeebDepartment of Genetic Medicine, Weill Cornell Medicine, New York, New York, USA.
Dolan SondhiDepartment of Genetic Medicine, Weill Cornell Medicine, New York, New York, USA.
Stephen M KaminskyDepartment of Genetic Medicine, Weill Cornell Medicine, New York, New York, USA.
Barry E KosofskyDepartment of Pediatrics, Weill Cornell Medicine, New York, New York, USA.
Douglas J BallonDepartment of Radiology, Weill Cornell Medicine, New York, New York, USA.
Ronald G CrystalDepartment of Genetic Medicine, Weill Cornell Medicine, New York, New York, USA.
Steven S GrossDepartment of Pharmacology, Weill Cornell Medicine, New York, New York, USA. ssgross@med.cornell.edu.

Funding

Training & EducationU54NS065768 · NINDS · UNIVERSITY OF MINNESOTA · PI WHITLEY, CHESTER B. · 2009 to 2024
$17.7M
Risk Genes and Environment Interactions in NTDsP01HD067244 · NICHD · WEILL MEDICAL COLL OF CORNELL UNIV · PI ROSS, MARGARET ELIZABETH · 2011 to 2020
$12.6M
Gene Therapy for Batten Disease Using AAVrh.10 Expressing Human CLN2 cDNAR01NS061848 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI CRYSTAL, RONALD G · 2010 to 2013
$3.7M
NICHD NIH HHS P01 HD067244NINDS NIH HHS R01 NS061848NINDS NIH HHS U54 NS065768
6 · The paper itself

Abstract

Late infantile neuronal ceroid lipofuscinosis (CLN2 disease) is a rare lysosomal storage disorder caused by a monogenetic deficiency of tripeptidyl peptidase-1 (TPP1). Despite knowledge that lipofuscin is the hallmark disease product, the relevant TPP1 substrate and its role in neuronal physiology/pathology is unknown. We hypothesized that untargeted metabolite profiling of cerebrospinal fluid (CSF) could be used as an effective tool to identify disease-associated metabolic disruptions in CLN2 disease, offering the potential to identify biomarkers that inform on disease severity and progression. Accordingly, a mass spectrometry-based untargeted metabolite profiling approach was employed to differentiate CSF from normal vs. CLN2 deficient individuals. Of 1,433 metabolite features surveyed, 29 linearly correlated with currently employed disease severity scores. With tandem mass spectrometry 8 distinct metabolite identities were structurally confirmed based on retention time and fragmentation pattern matches, vs. standards. These putative CLN2 biomarkers include 7 acetylated species - all attenuated in CLN2 compared to controls. Because acetate is the major bioenergetic fuel for support of mitochondrial respiration, deficient acetylated species in CSF suggests a brain energy defect that may drive neurodegeneration. Targeted analysis of these metabolites in CSF of CLN2 patients offers a powerful new approach for monitoring CLN2 disease progression and response to therapy.

Indexed as

AcetatesAdolescentAdultAgedAminopeptidasesAnimalsBiomarkersBrainChildChild, PreschoolDipeptidyl-Peptidases and Tripeptidyl-PeptidasesDisease Models, AnimalFemaleHumansMaleMetabolomeAcetatesAminopeptidasesBiomarkersDipeptidyl-Peptidases and Tripeptidyl-PeptidasesSerine ProteasesTPP1 protein, humanTripeptidyl-Peptidase 1

Identifiers

PMID30323181
PMCPMC6189193

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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.