Evidence map›Paper›PMID 32683607›Full record

ArticleJournal of neurology2020

Liver transplantation in mitochondrial neurogastrointestinal encephalomyopathy (MNGIE): clinical long-term follow-up and pathogenic implications.

Roberto D'Angelo, Elisa Boschetti, Giulia Amore, Roberta Costa, Alessia Pugliese, Leonardo Caporali, Laura Ludovica Gramegna, Valentina Papa, Luca Vizioli, Mariantonietta Capristo and 19 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2020. 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
2.4field-weighted citation impact, top 11% 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, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Progressive external ophthalmoplegia.Handbook of clinical neurology · 2023
    Review
  12. Common methods in mitochondrial research (Review).International journal of molecular medicine · 2022
    Article
  13. Article
  14. Therapy Prospects for Mitochondrial DNA Maintenance Disorders.International journal of molecular sciences · 2021
    Review
  15. Article
  16. Article
  17. Gastrointestinal motility disorders in neurologic disease.The Journal of clinical investigation · 2021
    Review
  18. 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

29 authors at 9 institutions in 1 country.

Roberto D'AngeloIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Interaziendale Clinica Neurologica Rete Metropolitana (NeuroMet), Neurologia AOU S. Orsola-Malpighi, Policlinico Sant'Orsola-Malpighi, Building #2, Via Albertoni, 15, 40138, Bologna, Italy. roberto.dangelo@aosp.bo.it.ORCID http://orcid.org/0000-0002-5862-8074
Elisa BoschettiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Giulia AmoreDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Roberta CostaDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Alessia PuglieseDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Leonardo CaporaliUOC Clinica Neurologica, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Laura Ludovica GramegnaDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Valentina PapaDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Luca VizioliDepartment of Organ Insufficiency and Transplantation, St. Orsola-Malpighi University Hospital, Bologna, Italy.
Mariantonietta CapristoUOC Clinica Neurologica, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Manuela ContinUOC Clinica Neurologica, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Susan MohamedUOC Clinica Neurologica, IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Giovanna CenacchiDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Raffaele LodiIRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Maria Cristina MorelliDepartment of Organ Insufficiency and Transplantation, St. Orsola-Malpighi University Hospital, Bologna, Italy.
Luca FasanoRespiratory and Critical Care Unit, St. Orsola-Malpighi University Hospital, Bologna, Italy.
Lara PisaniRespiratory and Critical Care Unit, St. Orsola-Malpighi University Hospital, Bologna, Italy.
Matteo CesconDepartment of Organ Insufficiency and Transplantation, St. Orsola-Malpighi University Hospital, Bologna, Italy.
Caterina TononDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Antonio Daniele PinnaDepartment of Organ Insufficiency and Transplantation, St. Orsola-Malpighi University Hospital, Bologna, Italy.
Maria Teresa DottiDepartment of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Francesco SicurelliDepartment of Medical, Surgical and Neurological Sciences, University of Siena, Siena, Italy.
Mauro ScarpelliInstitute of Neurology, University of Verona, Verona, Italy.
Massimiliano FilostoCenter for Neuromuscular Diseases, Unit of Neurology, ASST "Spedali Civili", Brescia, Italy.
Carlo CasaliDepartment of Medico-Surgical Sciences and Biotechnologies, University 'La Sapienza', Roma, Italy.
Loris PironiDepartment of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Valerio CarelliDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Roberto De GiorgioDepartment of Morphology, Surgery and Experimental Medicine, St. Anna Hospital, University of Ferrara, Ferrara, Italy.
Rita RinaldiIRCCS Istituto delle Scienze Neurologiche di Bologna, UOC Interaziendale Clinica Neurologica Rete Metropolitana (NeuroMet), Neurologia AOU S. Orsola-Malpighi, Policlinico Sant'Orsola-Malpighi, Building #2, Via Albertoni, 15, 40138, Bologna, Italy.
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIstituto delle Scienze Neurologiche di Bologna · ITUniversity of Bologna · ITUniversity of Siena · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITSapienza University of Rome · ITUniversity of Ferrara · ITUniversity of Messina · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the longest follow-up of clinical and biochemical features of two previously reported adult mitochondrial neurogastrointestinal encephalomyopathy (MNGIE) patients treated with liver transplantation (LT), adding information on a third, recently transplanted, patient. All three patients overcame the early post-operative period and tolerated immunosuppressive therapy. Plasma nucleoside levels dramatically decreased, with evidence of clinical improvement of ambulation and neuropathy. Conversely, other features of MNGIE, as gastrointestinal dysmotility, low weight, ophthalmoparesis, and leukoencephalopathy were essentially unchanged. A similar picture characterized two patients treated with allogenic hematopoietic stem cell transplantation (AHSCT). In conclusion, LT promptly and stably normalizes nucleoside imbalance in MNGIE, stabilizing or improving some clinical parameters with marginal periprocedural mortality rate as compared to AHSCT. Nevertheless, restoring thymidine phosphorylase (TP) activity, achieved by both LT and AHSCT, does not allow a full clinical recovery, probably due to consolidated cellular damage and/or incomplete enzymatic tissue replacement.

Indexed as

Liver TransplantationMitochondrial EncephalomyopathiesOphthalmoplegiaAdultFollow-Up StudiesHumansThymidine PhosphorylaseThymidine PhosphorylaseAllogenic hematopoietic stem cell transplantationLiver transplantationMitochondrial neurogastrointestinal encephalomyopathyThymidine phosphorylase

Identifiers

PMID32683607
OpenAlexW3042925610

What OpenQuestion holds

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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.