Evidence map›Paper›PMID 31023387›Full record

SynthesisOrphanet journal of rare diseases2019

Systematic literature review and meta-analysis on the epidemiology of methylmalonic acidemia (MMA) with a focus on MMA caused by methylmalonyl-CoA mutase (mut) deficiency.

Tímea Almási, Lin T Guey, Christine Lukacs, Kata Csetneki, Zoltán Vokó, Tamás Zelei

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Orphanet journal of rare diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07329504 (Effects of Aikido and Taijiquan Training on Joint Mobility, Reaction Time and Power Among Mixed Martial Arts Players), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.9field-weighted citation impact, top 6% 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.

NCT07329504 nacompletednot on this mapstarted 2025, after this paper: background citation

Effects of Aikido and Taijiquan Training on Joint Mobility, Reaction Time and Power Among Mixed Martial Arts Players

TypeinterventionalSponsorRiphah International UniversityRan2025 to 2025Enrolled38ConditionsSports Physical TherapyArmsAikido training, Taijiquan training
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
  2. Fabrication of vitamin BInternational journal of pharmaceutics: X · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Clinical features and treatment of methylmalonic acidemia complicated with Dandy-Walker syndrome: a report of four cases and review of literature.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Syndromic Retinitis Pigmentosa: A Narrative Review.Vision (Basel, Switzerland) · 2025
    Review
  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

6 authors at 4 institutions in 3 countries.

Tímea AlmásiSyreon Research Institute, Mexikói str. 65/A, Budapest, H-1142, Hungary. timea.almasi@syreon.eu.ORCID 0000-0001-9151-9577
Lin T GueyModerna, Inc., Cambridge, MA, USA.
Christine LukacsModerna, Inc., Cambridge, MA, USA.
Kata CsetnekiSyreon Research Institute, Mexikói str. 65/A, Budapest, H-1142, Hungary.
Zoltán VokóSyreon Research Institute, Mexikói str. 65/A, Budapest, H-1142, Hungary.
Tamás ZeleiSyreon Research Institute, Mexikói str. 65/A, Budapest, H-1142, Hungary.
Moderna Therapeutics (United States) · USSyreon Research Institute (Hungary) · HUEötvös Loránd University · HUYo quiero Yo puedo · MX

Funding

Moderna Inc. NA
6 · The paper itself

Abstract

Methylmalonic acidemia/aciduria (MMA) is a genetically heterogeneous group of inherited metabolic disorders biochemically characterized by the accumulation of methylmalonic acid. Isolated MMA is primarily caused by the deficiency of methylmalonyl-CoA mutase (MMA mut; EC 5.4.99.2). A systematic literature review and a meta-analysis were undertaken to assess and compile published epidemiological data on MMA with a focus on the MMA mut subtype (OMIM #251000). Of the 1114 identified records, 227 papers were assessed for eligibility in full text, 48 articles reported on disease epidemiology, and 39 articles were included into the quantitative synthesis. Implementation of newborn screening in various countries has allowed for the estimation of birth prevalence of MMA and its isolated form. Meta-analysis pooled point estimates of MMA (all types) detection rates were 0.79, 1.12, 1.22 and 6.04 per 100,000 newborns in Asia-Pacific, Europe, North America and the Middle East and North Africa (MENA) regions, respectively. The detection rate of isolated MMA was < 1 per 100,000 newborns in all regions with the exception of MENA where it approached 6 per 100,000 newborns. Few studies published data on the epidemiology of MMA mut, therefore no meta-analysis could have been performed on this subtype. Most of the identified papers reported birth prevalence estimates below 1 per 100,000 newborns for MMA mut. The systematic literature review clearly demonstrates that MMA and its subtypes are ultra-rare disorders.

Indexed as

Amino Acid Metabolism, Inborn ErrorsFemaleHumansInfant, NewbornMaleMetabolism, Inborn ErrorsMethylmalonyl-CoA MutaseNeonatal ScreeningMethylmalonyl-CoA MutaseEpidemiologyInherited metabolic disorderMeta-analysisMethylmalonic acidemia/aciduriaMethylmalonyl-CoA mutase deficiencyNewborn screening

Identifiers

PMID31023387
PMCPMC6485056
OpenAlexW2947826268

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.