Evidence map›Paper›PMID 31819391›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2019

Diagnosing Alpha-1-Antitrypsin Deficiency Using A PCR/Luminescence-Based Technology.

Martina Veith, Andreas Klemmer, Iker Anton, Rachid El Hamss, Noelia Rapun, Sabina Janciauskiene, Viktor Kotke, Christian Herr, Robert Bals, Claus Franz Vogelmeier and 1 more

Open access · goldAbstract readComparative StudyEvaluation Study
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 29% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Alpha-1 antitrypsin deficiency associated with rareRespiratory medicine case reports · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Variants ofTherapeutic advances in chronic disease · 2021
    Review
  11. Article
  12. Review
  13. Update on and future perspectives for the diagnosis of alpha-1 antitrypsin deficiency in Brazil.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
    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 4 institutions in 2 countries.

Martina VeithDepartment of Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Research Marburg, University Medical Center Giessen And Marburg, Germany.
Andreas KlemmerDepartment of Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Research Marburg, University Medical Center Giessen And Marburg, Germany.
Iker AntonProgenika Biopharma, S.A. A Grifols Company, Derio, Bizkaia, Spain.ORCID 0000-0002-3834-1578
Rachid El HamssProgenika Biopharma, S.A. A Grifols Company, Derio, Bizkaia, Spain.
Noelia RapunProgenika Biopharma, S.A. A Grifols Company, Derio, Bizkaia, Spain.
Sabina JanciauskieneDepartment of Respiratory Medicine, Member of the German Center for Lung Research (DZL), Hannover Medical School, Biomedical Research in End Stage and Obstructive Lung Disease Hannover (BREATH), Hannover 30625, Germany.ORCID 0000-0003-3228-8021
Viktor KotkeDepartment of Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Research Marburg, University Medical Center Giessen And Marburg, Germany.
Christian HerrDepartment of Internal Medicine V, Pulmonology, Allergology, Respiratory and Intensive Care Medicine, Saarland Hospital, Homburg/Saar, Germany.ORCID 0000-0001-9422-6569
Robert BalsDepartment of Internal Medicine V, Pulmonology, Allergology, Respiratory and Intensive Care Medicine, Saarland Hospital, Homburg/Saar, Germany.
Claus Franz VogelmeierDepartment of Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Research Marburg, University Medical Center Giessen And Marburg, Germany.
Timm GreulichDepartment of Medicine, Pulmonary and Critical Care Medicine, Member of the German Center for Lung Research Marburg, University Medical Center Giessen And Marburg, Germany.ORCID 0000-0002-2368-3014
German Center for Lung Research · DEGrifols (Spain) · ESSaarland University · DEMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Alpha-1-antitrypsin deficiency (AATD) is a rare hereditary condition resulting from the mutations in the SERPINA1 (serine protease inhibitor) gene and is characterized by low circulating levels of the alpha-1 antitrypsin (AAT) protein. The traditional algorithm for laboratory testing of AATD involves the analysis of AAT concentrations (nephelometry), phenotyping (isoelectric focusing, IEF), and genotyping (polymerase chain reaction, PCR); in selected cases, full sequencing of the SERPINA1 gene can be undertaken. New technologies arise that may make diagnosis easier and faster. Methods: We developed and evaluated a new diagnostic algorithm based on Luminex xMAP (multi-analyte profiling) technology using Progenika A1AT Genotyping Test. In an initial learning phase, 1979 samples from individuals suspected of having AATD were examined by both, a traditional and a "new" algorithm. In a second phase, 1133 samples were analyzed with the Luminex xMAP only. Results: By introducing a Luminex xMAP based algorithm, we were able to simultaneously identify 14 mutations in SERPINA1 gene (instead of two- S and Z-by using our old algorithm). Although the quantity of IEF assays remained unchanged, the nephelometric measurements and sequencing were reduced by 79% and 63.4%, respectively. Conclusion: The new method is convenient, fast and user-friendly. The application of the Luminex xMAP technology can simplify and shorten the diagnostic workup of patients with suspected AATD.

Indexed as

Mutationalpha 1-Antitrypsinalpha 1-Antitrypsin DeficiencyDNA Mutational AnalysisGenetic Predisposition to DiseaseHumansLuminescent MeasurementsPolymerase Chain ReactionPredictive Value of TestsReproducibility of ResultsRetrospective StudiesTime FactorsWorkflowalpha 1-AntitrypsinSERPINA1 protein, humandiagnosisLuminex xMAP technologymutationsSERPINA1

Identifiers

PMID31819391
PMCPMC6873957
OpenAlexW2983532861

What OpenQuestion holds

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LicenceCC BY-NC
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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.