Evidence map›Paper›PMID 32910272›Full record

ArticleMolecular and cellular pediatrics2020

Early clinical course after hematopoietic stem cell transplantation in children with juvenile metachromatic leukodystrophy.

Judith Beschle, Michaela Döring, Christiane Kehrer, Christa Raabe, Ute Bayha, Manuel Strölin, Judith Böhringer, Andrea Bevot, Nadja Kaiser, Benjamin Bender and 5 more

Open access · goldAbstract read
In one paragraph

Article in Molecular and cellular pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Effects of sulfatide on peripheral nerves in metachromatic leukodystrophy.Annals of clinical and translational neurology · 2024
    Trial
  6. Biologic Therapies for Alleviating Neurodegeneration in Lysosomal Storage Diseases.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
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  10. Article
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  16. Gross Motor Function in Pediatric OnsetJournal of child neurology · 2023
    Article
  17. AnMolecular genetics and metabolism reports · 2023
    Article
  18. Article
  19. Article
  20. 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

15 authors at 3 institutions in 1 country.

Judith BeschleDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Michaela DöringDepartment for General Pediatrics, Hematology/Oncology, University Children's Hospital, Tübingen, Germany.
Christiane KehrerDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Christa RaabeDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Ute BayhaDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Manuel StrölinDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Judith BöhringerDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Andrea BevotDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Nadja KaiserDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Benjamin BenderDepartment of Diagnostic and Interventional Neuroradiology, Tübingen, Germany.
Alexander GrimmCenter of Neurology, University Hospital, Tübingen, Germany.
Peter LangDepartment for General Pediatrics, Hematology/Oncology, University Children's Hospital, Tübingen, Germany.
Ingo MüllerDepartment of Pediatric Hematology and Oncology, University Hospital Eppendorf, Hamburg, Germany.
Ingeborg Krägeloh-MannDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany.
Samuel GroeschelDepartment for Pediatric Neurology, University Children's Hospital, Tübingen, Germany. samuel.groeschel@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-2706-7163
University Children's Hospital Tübingen · DEUniversität Hamburg · DEUniversity of Tübingen · DE

Funding

Deutsche Forschungsgemeinschaft GR 4688/2-1Medizinischen Fakultät, Eberhard Karls Universität Tübingen 443-0-0
6 · The paper itself

Abstract

backgroundLong-term outcomes of hematopoietic stem cell transplantation (HSCT) in children with juvenile metachromatic leukodystrophy (MLD) have been investigated systematically, while short-term effects of HSCT on the course of the disease remain to be elucidated.

resultsIn this study, the clinical course was evaluated over the first 24 months following HSCT, conducted at our center in 12 children with juvenile MLD (mean follow-up 6.75 years, range 3-13.5) and compared with 35 non-transplanted children with juvenile MLD. Motor function (GMFM-88 and GMFC-MLD), cognitive function (FSIQ), peripheral neuropathy (tibial nerve conduction velocity), and cerebral changes (MLD-MR severity score) were tested prospectively. Seven children remained neurologically stable over a long period, five exhibited rapid disease progression over the first 12 to 18 months after transplantation. In the latter, time from first gross motor symptoms to loss of independent walking was significantly shorter compared with non-transplanted patients at the same stage of disease (p < 0.02). Positive prognostic factors were good motor function (GMFM = 100%, GMFC-MLD = 0) and a low MR severity score (≤ 17) at the time of HSCT.

conclusionsOur results show that if disease progression occurs, this happens early on after HSCT and proceeds faster than in non-transplanted children with juvenile MLD, indicating that HSCT may trigger disease progression.

Indexed as

Hematopoietic stem cell transplantationMetachromatic leukodystrophy

Identifiers

PMID32910272
PMCPMC7483683
OpenAlexW3085425379

What OpenQuestion holds

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LicenceCC BY
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.