Evidence map›Paper›PMID 31451751›Full record

ArticleScientific reports2019

Assessment of methylcitrate and methylcitrate to citrate ratio in dried blood spots as biomarkers for inborn errors of propionate metabolism.

Osama Y Al-Dirbashi, Majid Alfadhel, Khalid Al-Thihli, Nahid Al Dhahouri, Claus-Dieter Langhans, Zalikha Al Hammadi, Aisha Al-Shamsi, Jozef Hertecant, Jürgen G Okun, Georg F Hoffmann and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. New insights into the pathophysiology of methylmalonic acidemia.Journal of inherited metabolic disease · 2023
    Review
  8. Anaplerosis in action.Nature metabolism · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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 at 7 institutions in 6 countries.

Osama Y Al-DirbashiCollege of Medicine and Health Sciences, UAE University, Al-Ain, UAE. dirbashios@uaeu.ac.ae.ORCID http://orcid.org/0000-0002-4045-9647
Majid AlfadhelDivision of Genetics, Department of Pediatrics, King Abdullah Specialized Children's Hospital, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.
Khalid Al-ThihliGenetic and Developmental Medicine Clinic, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
Nahid Al DhahouriCollege of Medicine and Health Sciences, UAE University, Al-Ain, UAE.
Claus-Dieter LanghansDepartment of General Pediatrics, Division of Neuropediatrics and Metabolic Medicine, Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Zalikha Al HammadiDepartment of Genetics, Latifa Hospital, Dubai, United Arab Emirates.
Aisha Al-ShamsiDepartment of Pediatrics, Tawam Hospital, Al-Ain, United Arab Emirates.
Jozef HertecantCollege of Medicine and Health Sciences, UAE University, Al-Ain, UAE.
Jürgen G OkunDepartment of General Pediatrics, Division of Neuropediatrics and Metabolic Medicine, Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Georg F HoffmannDepartment of General Pediatrics, Division of Neuropediatrics and Metabolic Medicine, Center for Pediatric and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Fatma Al-JasmiCollege of Medicine and Health Sciences, UAE University, Al-Ain, UAE.
Heidelberg University · DEUnited Arab Emirates University · AEKing Saud bin Abdulaziz University for Health Sciences · SALatifa Hospital · AESultan Qaboos University Hospital · OMTawam Hospital · AEUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Deficiency of propionyl-CoA carboxylase causes propionic acidemia and deficiencies of methylmalonyl-CoA mutase or its cofactor adenosylcobalamin cause methylmalonic acidemia. These inherited disorders lead to pathological accumulation of propionyl-CoA which is converted in Krebs cycle to methylcitrate (MCA) in a reaction catalyzed by citrate synthase. In healthy individuals where no propionyl-CoA accumulation occurs, this enzyme drives the condensation of acetyl-CoA with oxaloacetate to produce citric acid (CA), a normal Krebs cycle intermediate. The competitive synthesis of CA and MCA through the same enzymatic mechanism implies that increase in MCA production is accompanied by decrease in CA levels. In this study, we assessed MCA concentration and the ratio of MCA/CA as plausible markers for propionic and methylmalonic acidemias. We measured MCA and CA in dried blood spots using liquid chromatography tandem mass spectrometry. The reference ranges of MCA, CA and MCA/CA in 123 healthy individuals were ≤0.63 µmol/L, 36.6-126.4 µmol/L and 0.0019-0.0074, respectively. In patients with propionic and methylmalnic acidemias (n = 7), MCA concentration ranged between 1.0-12.0 µmol/L whereas MCA/CA was between 0.012-0.279. This is the first report to describe the potential role of MCA and MCA/CA in dried blood spots as diagnostic and monitoring biomarkers for inherited disorders of propionyl-CoA metabolism.

Indexed as

Dried Blood Spot TestingBiological AssayBiomarkersCase-Control StudiesCitratesHumansMetabolism, Inborn ErrorsMethylmalonic AcidPropionates2-methylcitric acid3-methylcitrateBiomarkersCitratesMethylmalonic AcidPropionates

Identifiers

PMID31451751
PMCPMC6710289
OpenAlexW2970945712

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.