Evidence map›Paper›PMID 31600233›Full record

ArticlePloS one2019

Japanese nationwide survey of hypophosphatasia reveals prominent differences in genetic and dental findings between odonto and non-odonto types.

Rena Okawa, Kazuma Kokomoto, Taichi Kitaoka, Takuo Kubota, Atsushi Watanabe, Takeshi Taketani, Toshimi Michigami, Keiichi Ozono, Kazuhiko Nakano

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Effects of enzyme replacement therapy in sibling cases of hypophosphatasia of varying severities.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. The impact of enzyme replacement therapy on the oral health manifestations of hypophosphatasia among children: a scoping review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023
    Article
  11. Dental manifestation and management of hypophosphatasia.The Japanese dental science review · 2022
    Review
  12. Article
  13. Article
  14. A case report of bilateral mirror feet with varus deformity.Surgical and radiologic anatomy : SRA · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Odontohypophosphatasia treated with asfotase alfa enzyme replacement therapy in a toddler: a case report.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2020
    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

9 authors at 4 institutions in 1 country.

Rena OkawaDepartment of Pediatric Dentistry, Osaka University Graduate School of Dentistry, Osaka, Japan.ORCID 0000-0002-8634-209X
Kazuma KokomotoDepartment of Pediatric Dentistry, Osaka University Graduate School of Dentistry, Osaka, Japan.
Taichi KitaokaDepartment of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
Takuo KubotaDepartment of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
Atsushi WatanabeDivision of Clinical Genetics, Kanazawa University Hospital, Ishikawa, Japan.
Takeshi TaketaniDepartment of Pediatrics, Shimane University Faculty of Medicine, Shimane, Japan.
Toshimi MichigamiDepartment of Pediatric Nephrology and Metabolism, and Department of Bone and Mineral Research, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.
Keiichi OzonoDepartment of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazuhiko NakanoDepartment of Pediatric Dentistry, Osaka University Graduate School of Dentistry, Osaka, Japan.
The University of Osaka · JPKanazawa University Hospital · JPOsaka International Cancer Institute · JPShimane University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypophosphatasia (HPP) is a rare and intractable metabolic bone disease caused by mutations in the ALPL gene. Here, we undertook a nationwide survey of HPP in Japan, specifically regarding the prominent genetic and dental manifestations of odonto (n = 16 cases) and other (termed "non-odonto") (n = 36 cases) types. Mean serum alkaline phosphatase (ALP) values in odonto-type patients were significantly greater than those of non-odonto-type patients (P<0.05). Autosomal dominant and autosomal recessive inheritance patterns were detected, respectively, in 89% of odonto-type and 96% of non-odonto-type patients. The ALPL "c.1559delT" mutation, associated with extremely low ALP activity, was found in approximately 70% of cases. Regarding dental manifestations, all patients classified as odonto-type showed early exfoliation of the primary teeth significantly more frequently than patients classified as non-odonto-type (100% vs. 56%; P<0.05). Tooth hypomineralisation was detected in 42% of non-odonto-type patients, but not in any odonto-type patients (0%; P<0.05). Collectively, these results suggest that genetic and dental manifestations of patients with odonto-type and non-odonto-type HPP are significantly different, and these differences should be considered during clinical treatment of patients with HPP.

Indexed as

AdultAlkaline PhosphataseFemaleHumansHypophosphatasiaJapanMaleMutationSurveys and QuestionnairesTooth DemineralizationAlkaline PhosphataseALPL protein, human

Identifiers

PMID31600233
PMCPMC6786601
OpenAlexW2979994264

What OpenQuestion holds

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LicenceCC BY
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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.