Evidence map›Paper›PMID 33994405›Full record

ReviewJournal of atherosclerosis and thrombosis2021

Current Diagnosis and Management of Abetalipoproteinemia.

Manabu Takahashi, Hiroaki Okazaki, Ken Ohashi, Masatsune Ogura, Shun Ishibashi, Sachiko Okazaki, Satoshi Hirayama, Mika Hori, Kota Matsuki, Shinji Yokoyama and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.5field-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

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Current Diagnosis and Management of Familial Hypobetalipoproteinemia 1.Journal of atherosclerosis and thrombosis · 2024
    Review
  12. Article
  13. Transitional Medicine of Intractable Primary Dyslipidemias in Japan.Journal of atherosclerosis and thrombosis · 2024
    Review
  14. Lipoprotein Particles in Cerebrospinal Fluid.Arteriosclerosis, thrombosis, and vascular biology · 2024
    Review
  15. Article
  16. Review
  17. Review
  18. Review
  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

11 authors at 9 institutions in 2 countries.

Manabu TakahashiDivision of Endocrinology and Metabolism, Department of Internal Medicine, Jichi Medical University.
Hiroaki OkazakiDepartment of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo.
Ken OhashiDepartment of General Internal Medicine, National Cancer Center Hospital.
Masatsune OguraDepartment of Molecular Innovation in Lipidology, National Cerebral and Cardiovascular Center Research Institute.
Shun IshibashiDivision of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, Jichi Medical University.
Sachiko OkazakiDivision for Health Service Promotion, The University of Tokyo.
Satoshi HirayamaDepartment of Clinical Laboratory Medicine, Juntendo University Graduate School of Medicine.
Mika HoriDepartment of Endocrinology, Research Institute of Environmental Medicine, Nagoya University.
Kota MatsukiDepartment of Endocrinology and Metabolism, Hirosaki University Graduate School of Medicine.
Shinji YokoyamaInstitute for Biological Functions, Chubu University.
Mariko Harada-ShibaDepartment of Molecular Pathogenesis, National Cerebral and Cardiovascular Center Research Institute.
National Cerebral and Cardiovascular Center · JPThe University of Tokyo · JPChubu University · JPHirosaki University · JPJichi Medical University · JPJichi Medical University Hospital · JPJuntendo University · JPNagoya University · JPNational Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Abetalipoproteinemia (ABL) is a rare autosomal recessive disorder caused by biallelic pathogenic mutations in the MTTP gene. Deficiency of microsomal triglyceride transfer protein (MTTP) abrogates the assembly of apolipoprotein (apo) B-containing lipoprotein in the intestine and liver, resulting in malabsorption of fat and fat-soluble vitamins and severe hypolipidemia. Patients with ABL typically manifest steatorrhea, vomiting, and failure to thrive in infancy. The deficiency of fat-soluble vitamins progressively develops into a variety of symptoms later in life, including hematological (acanthocytosis, anemia, bleeding tendency, etc.), neuromuscular (spinocerebellar ataxia, peripheral neuropathy, myopathy, etc.), and ophthalmological symptoms (e.g., retinitis pigmentosa). If left untreated, the disease can be debilitating and even lethal by the third decade of life due to the development of severe complications, such as blindness, neuromyopathy, and respiratory failure. High dose vitamin supplementation is the mainstay for treatment and may prevent, delay, or alleviate the complications and improve the prognosis, enabling some patients to live to the eighth decade of life. However, it cannot fully prevent or restore impaired function. Novel therapeutic modalities that improve quality of life and prognosis are awaited. The aim of this review is to 1) summarize the pathogenesis, clinical signs and symptoms, diagnosis, and management of ABL, and 2) propose diagnostic criteria that define eligibility to receive financial support from the Japanese government for patients with ABL as a rare and intractable disease. In addition, our diagnostic criteria and the entry criterion of low-density lipoprotein cholesterol (LDL-C) <15 mg/dL and apoB <15 mg/dL can be useful in universal or opportunistic screening for the disease. Registry research on ABL is currently ongoing to better understand the disease burden and unmet needs of this life-threatening disease with few therapeutic options.

Indexed as

AbetalipoproteinemiaApolipoproteins BCholesterol, LDLCost of IllnessDisease ManagementHumansPrognosisApolipoproteins BCholesterol, LDLAbetalipoproteinemiaChylomicronFat-soluble vitaminHypolipidemiaMTTPVLDL

Identifiers

PMID33994405
PMCPMC8560840
OpenAlexW3163354270

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.