Evidence map›Paper›PMID 30340467›Full record

ArticleBMC gastroenterology2018

Transplantation, gene therapy and intestinal pathology in MNGIE patients and mice.

Rana Yadak, Max V Boot, Niek P van Til, Dominique Cazals-Hatem, Armin Finkenstedt, Elly Bogaerts, Irenaeus F de Coo, Marianna Bugiani

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
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  6. Gastrointestinal motility disorders in neurologic disease.The Journal of clinical investigation · 2021
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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

8 authors at 4 institutions in 3 countries.

Rana YadakDepartment of Neurology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Max V BootDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
Niek P van TilDepartment of Hematology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Dominique Cazals-HatemDepartment of Pathology, Beaujon Hospital, Clichy, France.
Armin FinkenstedtDepartment of Medicine I, Medical University of Innsbruck, Innsbruck, Austria.
Elly BogaertsDepartment of Clinical Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands.
Irenaeus F de CooDepartment of Neurology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Marianna BugianiDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands. m.bugiani@vumc.nl.ORCID http://orcid.org/0000-0001-7689-3042
Erasmus MC · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLHôpital Beaujon · FRInnsbruck Medical University · AT

Funding

Sophia Foundation SSW0645
6 · The paper itself

Abstract

backgroundGastrointestinal complications are the main cause of death in patients with mitochondrial neurogastrointestinal encephalomyopathy (MNGIE). Available treatments often restore biochemical homeostasis, but fail to cure gastrointestinal symptoms.

methodsWe evaluated the small intestine neuromuscular pathology of an untreated MNGIE patient and two recipients of hematopoietic stem cells, focusing on enteric neurons and glia. Additionally, we evaluated the intestinal neuromuscular pathology in a mouse model of MNGIE treated with hematopoietic stem cell gene therapy. Quantification of muscle wall thickness and ganglion cell density was performed blind to the genotype with ImageJ. Significance of differences between groups was determined by two-tailed Mann-Whitney U test (P < 0.05).

resultsOur data confirm that MNGIE presents with muscle atrophy and loss of Cajal cells and CD117/c-kit immunoreactivity in the small intestine. We also show that hematopoietic stem cell transplantation does not benefit human intestinal pathology at least on short-term.

conclusionsWe suggest that hematopoietic stem cell transplantation may be insufficient to restore intestinal neuropathology, especially at later stages of MNGIE. As interstitial Cajal cells and their networks play a key role in development of gastrointestinal dysmotility, alternative therapeutic approaches taking absence of these cells into account could be required.

Indexed as

Genetic TherapyHematopoietic Stem Cell TransplantationAdolescentAnimalsChildDisease Models, AnimalGastrointestinal DiseasesHumansInterstitial Cells of CajalIntestine, SmallMiceMitochondrial EncephalomyopathiesMuscular AtrophyYoung AdultCajal cellsCD117/c-kitGastrointestinal symptomsHCSGTHematopoietic stem cell gene therapyHSCTMitochondrial neurogastrointestinal encephalomyopathy

Identifiers

PMID30340467
PMCPMC6194683
OpenAlexW2897248901

What OpenQuestion holds

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LicenceCC BY
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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.