Evidence map›Paper›PMID 32364223›Full record

ReviewEndocrine reviews2020

The Changing Face of Adrenoleukodystrophy.

Jia Zhu, Florian Eichler, Alessandra Biffi, Christine N Duncan, David A Williams, Joseph A Majzoub

Open access · bronzeAbstract readReview
In one paragraph

Review in Endocrine reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
  2. Inpatient Deaths in Pediatric Leukodystrophies.Annals of the Child Neurology Society · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Reporting ABCD1 variants as actionable secondary findings on exome and genome sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  7. Article
  8. Article
  9. AnMolecular therapy. Methods & clinical development · 2024
    Article
  10. Article
  11. Article
  12. Easily misdiagnosed X-linked adrenoleukodystrophy.Italian journal of pediatrics · 2024
    Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. [Research advances in pharmacotherapy for rare diseases in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Review
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 2 institutions in 2 countries.

Jia ZhuDivision of Endocrinology, Boston Children's Hospital, Boston, Massachusetts.
Florian EichlerMassachusetts General Hospital, Boston, Massachusetts.
Alessandra BiffiHarvard Medical School, Boston, Massachusetts.
Christine N DuncanHarvard Medical School, Boston, Massachusetts.
David A WilliamsHarvard Medical School, Boston, Massachusetts.
Joseph A MajzoubDivision of Endocrinology, Boston Children's Hospital, Boston, Massachusetts.
Harvard University · USBoston Children's Hospital · US

Funding

Research in Development Endocrinology and MetabolismT32DK007699 · NIDDK · CHILDREN'S HOSPITAL BOSTON · PI JOEL N HIRSCHHORN · 1992 to 2026
$7.1M
NIDDK NIH HHS T32 DK007699
6 · The paper itself

Abstract

Adrenoleukodystrophy (ALD) is a rare X-linked disorder of peroxisomal oxidation due to mutations in ABCD1. It is a progressive condition with a variable clinical spectrum that includes primary adrenal insufficiency, myelopathy, and cerebral ALD. Adrenal insufficiency affects over 80% of ALD patients. Cerebral ALD affects one-third of boys under the age of 12 and progresses to total disability and death without treatment. Hematopoietic stem cell transplantation (HSCT) remains the only disease-modifying therapy if completed in the early stages of cerebral ALD, but it does not affect the course of adrenal insufficiency. It has significant associated morbidity and mortality. A recent gene therapy clinical trial for ALD reported short-term MRI and neurological outcomes comparable to historical patients treated with HSCT without the associated adverse side effects. In addition, over a dozen states have started newborn screening (NBS) for ALD, with the number of states expecting to double in 2020. Genetic testing of NBS-positive neonates has identified novel variants of unknown significance, providing further opportunity for genetic characterization but also uncertainty in the monitoring and therapy of subclinical and/or mild adrenal insufficiency or cerebral involvement. As more individuals with ALD are identified at birth, it remains uncertain if availability of matched donors, transplant (and, potentially, gene therapy) centers, and specialists may affect the timely treatment of these individuals. As these promising gene therapy trials and NBS transform the clinical management and outcomes of ALD, there will be an increasing need for the endocrine management of presymptomatic and subclinical adrenal insufficiency. (Endocrine Reviews 41: 1 - 17, 2020).

Indexed as

Genetic TestingGenetic TherapyHematopoietic Stem Cell TransplantationNeonatal ScreeningAdrenal InsufficiencyAdrenoleukodystrophyHumansInfant, NewbornMaleadrenoleukodystrophygene therapyhematopoietic stem cell transplantnewborn screening

Identifiers

PMID32364223
PMCPMC7286618
OpenAlexW3021566002

What OpenQuestion holds

Textmetadata
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.