Evidence map›Paper›PMID 34282722›Full record

ArticleeLife2021

Repurposing eflornithine to treat a patient with a rare ODC1 gain-of-function variant disease.

Surender Rajasekaran, Caleb P Bupp, Mara Leimanis-Laurens, Ankit Shukla, Christopher Russell, Joseph Junewick, Emily Gleason, Elizabeth A VanSickle, Yvonne Edgerly, Bryan M Wittmann and 2 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Polyamine Metabolism in Brain Health and Disease.Neuropharmacology and therapy · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Structural Insights into the Mechanisms Underlying Polyaminopathies.International journal of molecular sciences · 2024
    Review
  11. Bachmann-Bupp syndrome and treatment.Developmental medicine and child neurology · 2024
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  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

12 authors at 4 institutions in 1 country.

Surender Rajasekaran *Pediatric Critical Care Medicine, Helen DeVos Children's Hospital, Grand Rapids, United States.ORCID 0000-0002-4430-006X
Caleb P Bupp *Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, United States.
Mara Leimanis-LaurensPediatric Critical Care Medicine, Helen DeVos Children's Hospital, Grand Rapids, United States.
Ankit ShuklaDepartment of Pharmacy, Helen DeVos Children's Hospital, Grand Rapids, United States.
Christopher RussellSpectrum Health Office of Research and Education, Grand Rapids, United States.
Joseph JunewickDepartment of Diagnostic Radiology, Spectrum Health and Helen DeVos Children's Hospital, Grand Rapids, United States.
Emily GleasonSpectrum Health Office of Research and Education, Grand Rapids, United States.
Elizabeth A VanSickleMedical Genetics, Spectrum Health and Helen DeVos Children's Hospital, Grand Rapids, United States.ORCID 0000-0001-5504-9248
Yvonne EdgerlySpectrum Health Office of Research and Education, Grand Rapids, United States.
Bryan M WittmannMetabolon, Morrisville, United States.
Jeremy W ProkopDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, United States.
André S BachmannDepartment of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, United States.
Grand Rapids Community College · USSpectrum Health · USHelen DeVos Children's Hospital · USMetabolon (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Polyamine levels are intricately controlled by biosynthetic, catabolic enzymes and antizymes. The complexity suggests that minute alterations in levels lead to profound abnormalities. We described the therapeutic course for a rare syndrome diagnosed by whole exome sequencing caused by gain-of-function variants in the C-terminus of ornithine decarboxylase (ODC), characterized by neurological deficits and alopecia. Methods: Results: From previous studies and metabolic profiles, eflornithine was identified as potentially beneficial with therapy initiated on FDA approval. Eflornithine normalized polyamine levels without disrupting other pathways. She demonstrated remarkable improvement in both neurological symptoms and cortical architecture. She gained fine motor skills with the capacity to feed herself and sit with support. Conclusions: This work highlights the strategy of repurposing drugs to treat a rare disease. Funding: No external funding was received for this work.

Indexed as

Drug RepositioningAlopeciaChild, PreschoolDicarboxylic Acid TransportersEflornithineExome SequencingGain of Function MutationGenetic VariationHumansMitochondrial Membrane Transport ProteinsOrnithine DecarboxylasePolyaminesPutrescineRare DiseasesDicarboxylic Acid TransportersEflornithineMitochondrial Membrane Transport ProteinsN-acetylputrescineOrnithine DecarboxylasePolyaminesPutrescineSLC25A21 protein, humangeneticsgenomicsglobal metabolomicshumanrepurposing drugswhole exome sequencing

Identifiers

PMID34282722
PMCPMC8291972
OpenAlexW3185320968

What OpenQuestion holds

Textmetadata
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.