Evidence map›Paper›PMID 31414727›Full record

ArticleAnnals of clinical and translational neurology2019

Measuring peripheral nerve involvement in Friedreich's ataxia.

Peter D Creigh, Joan Mountain, Janet E Sowden, Katy Eichinger, Bernard Ravina, Jane Larkindale, David N Herrmann

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2019. 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
0.4field-weighted citation impact, top 43% 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. Article
  2. Neurosurgical Intervention for Nerve and Muscle Biopsies.Diagnostics (Basel, Switzerland) · 2024
    Review
  3. Review
  4. Review
  5. F-waves persistence in peripheral sensory syndromes.Arquivos de neuro-psiquiatria · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

7 authors at 3 institutions in 1 country.

Peter D CreighDepartment of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York.ORCID 0000-0002-4463-422X
Joan MountainDepartment of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Janet E SowdenDepartment of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Katy EichingerDepartment of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Bernard RavinaDepartment of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York.
Jane LarkindaleFriedreich's Ataxia Research Alliance, Downingtown, Pennsylvania.
David N HerrmannDepartment of Neurology, University of Rochester School of Medicine and Dentistry, Rochester, New York.
University of Rochester · USFriedreich's Ataxia Research Alliance · USPraxis (United States) · US

Funding

EXPERIMENTAL THERAPEUTICS IN NEUROLOGICAL DISEASET32NS007338 · NINDS · UNIVERSITY OF ROCHESTER · PI ROBERT G. HOLLOWAY, Michael P McDermott · 1990 to 2026
$6.4M
NIH HHSNINDS NIH HHS T32 NS007338
6 · The paper itself

Abstract

objectiveExperimental therapies under development for Friedreich's Ataxia (FRDA) require validated biomarkers. In-vivo reflectance confocal microscopy (RCM) of skin is a noninvasive way to quantify Meissner's corpuscle (MC) density and has emerged as a sensitive measure of sensory polyneuropathies. We conducted a prospective, cross-sectional study evaluating RCM of MCs and conventional peripheral nerve measures as candidate peripheral nerve markers in FRDA.

methodsSixteen individuals with FRDA and 16 age- and gender-matched controls underwent RCM of MC density and morphology, skin biopsies for epidermal nerve fiber density (ENFD), nerve conduction studies (NCS), and quantitative sensory testing (QST) including touch, vibration, and cooling thresholds.

resultsMC densities were measurable in all participants with FRDA, and were lower at digit V (hand), thenar eminence, and arch (foot) compared to controls. By contrast, sensory NCS showed floor effects and were obtainable in only 13% of FRDA participants. QST thresholds for touch, vibration, and cooling were higher at the hand and foot in FRDA than controls. Reductions in ENFDs were present in more severely affected individuals with FRDA (Friedreich's Ataxia Rating Scale (FARS) >60) compared to matched controls, although skin biopsies were not well tolerated in children. MC densities, ENFDs, and touch and vibration thresholds were associated with clinical disease severity (FARS and modified FARS) and duration since symptom onset.

interpretationMC density, ENFD, and QST thresholds provide structural and physiologic markers of sensory involvement in FRDA. Longitudinal evaluation is needed to determine whether these measures can identify changes associated with disease progression or treatment.

Indexed as

AdolescentAdultChildCross-Sectional StudiesFemaleFriedreich AtaxiaHumansMaleMechanoreceptorsNerve FibersNeural ConductionProspective StudiesSensory ThresholdsSkinTouchVibration

Identifiers

PMID31414727
PMCPMC6764626
OpenAlexW2967637790

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.