Evidence map›Paper›PMID 31194252›Full record

ArticleClinical genetics2019

Genotype-phenotype relationships in mucopolysaccharidosis type I (MPS I): Insights from the International MPS I Registry.

Lorne A Clarke, Roberto Giugliani, Nathalie Guffon, Simon A Jones, Hillary A Keenan, Maria V Munoz-Rojas, Torayuki Okuyama, David Viskochil, Chester B Whitley, Frits A Wijburg and 1 more

Abstract read
In one paragraph

Article in Clinical genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Advances in Therapies for Mucopolysaccharidoses.Current issues in molecular biology · 2026
    Review
  5. Article
  6. Article
  7. Retinal microstructual and microvascular changes in mucopolysaccharidoses.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Syndromic Retinitis Pigmentosa: A Narrative Review.Vision (Basel, Switzerland) · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Post-tonsillectomy outcomes in children with mucopolysaccharidosis and obstructive sleep apnea.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2023
    Article
  19. Article
  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

11 authors.

Lorne A ClarkeDepartment of Medical Genetics, B.C. Children's Hospital Research Institute, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0003-0512-7281
Roberto GiuglianiDepartment of Genetics, Federal University of Rio Grande do Sul and Medical Genetics Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Nathalie GuffonCentre de Référence des Maladies Héréditaires du Métabolisme, Hôpital Femme Mère Enfant, Bron Cedex, France.
Simon A JonesManchester Centre for Genomic Medicine, Manchester University NHS Trust, Manchester, UK.
Hillary A KeenanSanofi Genzyme, Cambridge, Massachusetts.
Maria V Munoz-RojasSanofi Genzyme, Cambridge, Massachusetts.
Torayuki OkuyamaDepartment of Clinical Laboratory Medicine, National Center for Child Health and Development, Tokyo, Japan.
David ViskochilUniversity of Utah, Salt Lake City, Utah.
Chester B WhitleyDepartment of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Frits A WijburgDepartment of Pediatrics, Academic Medical Center, Amsterdam, The Netherlands.
Joseph MuenzerUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucopolysaccharidosis type I (MPS I) is a rare autosomal recessive disorder resulting from pathogenic variants in the α-L-iduronidase (IDUA) gene. Clinical phenotypes range from severe (Hurler syndrome) to attenuated (Hurler-Scheie and Scheie syndromes) and vary in age of onset, severity, and rate of progression. Defining the phenotype at diagnosis is essential for disease management. To date, no systematic analysis of genotype-phenotype correlation in large MPS I cohorts have been performed. Understanding genotype-phenotype is critical now that newborn screening for MPS I is being implemented. Data from 538 patients from the MPS I Registry (380 severe, 158 attenuated) who had 2 IDUA alleles identified were examined. In the 1076 alleles identified, 148 pathogenic variants were reported; of those, 75 were unique. Of the 538 genotypes, 147 (27%) were unique; 40% of patients with attenuated and 22% of patients with severe MPS I had unique genotypes. About 67.6% of severe patients had genotypes where both variants identified are predicted to severely disrupt protein/gene function and 96.1% of attenuated patients had at least one missense or intronic variant. This dataset illustrates a close genotype/phenotype correlation in MPS I but the presence of unique IDUA missense variants remains a challenge for disease prediction.

Indexed as

Genetic Association StudiesGenetic Predisposition to DiseaseMutationAdolescentAdultAllelesChildChild, PreschoolFemaleGenotypeGlobal HealthHigh-Throughput Nucleotide SequencingHumansIduronidaseInfantInfant, NewbornIDUA protein, humanIduronidasegenotype-phenotypehurler syndromeiduronidaselysosomal storage diseaselysosomemetabolic diseasemucopolysaccharidosisScheie syndrome

Identifiers

PMID31194252
PMCPMC6852151

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.