Evidence map›Paper›PMID 31283065›Full record

ArticleHuman mutation2019

Mutation update: Review of TPP1 gene variants associated with neuronal ceroid lipofuscinosis CLN2 disease.

Emily Gardner, Mitch Bailey, Angela Schulz, Mikel Aristorena, Nicole Miller, Sara E Mole

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Human mutation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT04613089 recruitingnot on this mapstarted 2020, after this paper: background citation

Natural History and Long Term Clinical Assessments of All Forms of Neuronal Ceroid Lipofuscinoses - Capturing Key Symptoms and Disease Progression as Part of the Independent, International NCL DEM-CHILD Patient Database

Typeobservational_patient_registrySponsorUniversitätsklinikum Hamburg-EppendorfRan2020 to 2050Enrolled500ConditionsNeuronal Ceroid Lipofuscinosis, Batten Disease, CLN1 Disease, CLN2 DiseaseArmsNatural History
NCT05152914 phase1 / phase2active not recruitingnot on this mapstarted 2021, after this paper: background citation

Intravitreal Enzyme Replacement Therapy to Prevent Retinal Disease Progression in Children With Neuronal Ceroid Lipofuscinosis Type 2 (CLN2)

TypeinterventionalSponsorDavid L Rogers, MDRan2021 to 2027Enrolled5ConditionsNeuronal Ceroid Lipofuscinosis Type 2ArmsCerliponase Alfa
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Lysosomal homeostasis at the crossroads of neurodegeneration.The Journal of clinical investigation · 2026
    Review
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  16. Molecular syndromology · 2024
    Article
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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

6 authors at 3 institutions in 3 countries.

Emily GardnerUCL MRC Laboratory for Molecular Cell Biology and UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Mitch BaileyGlobal Scientific Affairs, BioMarin Pharmaceutical Inc, Novato, California.
Angela SchulzDepartment of Paediatrics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Mikel AristorenaUCL MRC Laboratory for Molecular Cell Biology and UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.
Nicole MillerGlobal Scientific Affairs, BioMarin Pharmaceutical Inc, Novato, California.
Sara E MoleUCL MRC Laboratory for Molecular Cell Biology and UCL Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.ORCID 0000-0003-4385-4957
MRC Laboratory for Molecular Cell Biology · GBBioMarin (United States) · USUniversität Hamburg · DE

Funding

BioMarin Pharmaceutical
6 · The paper itself

Abstract

Neuronal ceroid lipofuscinosis type 2 (CLN2 disease) is an autosomal recessive condition caused by variants in the TPP1 gene, leading to deficient activity of the lysosomal enzyme tripeptidyl peptidase I (TPP1). We update on the spectrum of TPP1 variants associated with CLN2 disease, comprising 131 unique variants from 389 individuals (717 alleles) collected from the literature review, public databases, and laboratory communications. Previously unrecorded individuals were added to the UCL TPP1-specific database. Two known pathogenic variants, c.509-1 G>C and c.622 C>T (p.(Arg208*)), collectively occur in 60% of affected individuals in the sample, and account for 50% of disease-associated alleles. At least 86 variants (66%) are private to single families. Homozygosity occurs in 45% of individuals where both alleles are known (87% of reported individuals). Atypical CLN2 disease, TPP1 enzyme deficiency with disease onset and/or progression distinct from classic late-infantile CLN2, represents 13% of individuals recorded with associated phenotype. NCBI ClinVar currently holds records for 37% of variants collected here. Effective CLN2 disease management requires early diagnosis; however, irreversible neurodegeneration occurs before a diagnosis is typically reached at age 5. Timely classification and public reporting of TPP1 variants is essential as molecular testing increases in use as a first-line diagnostic test for pediatric-onset neurological disease.

Indexed as

Genetic Predisposition to DiseaseMutationAllelesAminopeptidasesAnimalsBiomarkersDatabases, GeneticDipeptidyl-Peptidases and Tripeptidyl-PeptidasesDisease Models, AnimalGenetic Association StudiesGenotypeHumansMolecular Dynamics SimulationNeuronal Ceroid-LipofuscinosesPhenotypeProtein ConformationAminopeptidasesBiomarkersDipeptidyl-Peptidases and Tripeptidyl-PeptidasesSerine ProteasesTPP1 protein, humanTripeptidyl-Peptidase 1genotype-phenotype correlationlate-infantile neuronal ceroid lipofuscinosislysosomal storage disordersneurodegenerationtripeptidyl peptidase I

Identifiers

PMID31283065
PMCPMC6851559
OpenAlexW2960407913

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.