Evidence map›Paper›PMID 34366366›Full record

ArticleJournal of neuromuscular diseases2022

Intrahepatic Cholestasis Is a Clinically Significant Feature Associated with Natural History of X-Linked Myotubular Myopathy (XLMTM): A Case Series and Biopsy Report.

Cristina Molera, Tinatin Sarishvili, Andrés Nascimento, Irakli Rtskhiladze, Gema Muñoz Bartolo, Santiago Fernández Cebrián, Justo Valverde Fernández, Beatriz Muñoz Cabello, Robert J Graham, Weston Miller and 4 more

Open access · greenAbstract readCase Reports
In one paragraph

Article in Journal of neuromuscular diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.1field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 37 citations in OpenAlex.

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  20. Phenotypic Spectrum ofNeurology. Genetics · 2022
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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

14 authors at 8 institutions in 3 countries.

Cristina MoleraPediatric Gastroenterology, Hepatology and Nutrition Department, Hospital Sant Joan de Déu, Universidad de Barcelona, España.
Tinatin SarishviliPediatric Department, Medical Center Mrcheveli, Tbilisi, Georgia.
Andrés NascimentoUnidadde Patología Neuromuscular, Servicio de Neurología Pediátrica, Hospital Sant Joan de Déu, Universidad de Barcelona, CIBERER, España.
Irakli RtskhiladzePediatric Department, Medical Center Mrcheveli, Tbilisi, Georgia.
Gema Muñoz BartoloDepartment of Pediatric Hepatology, Hospital Universitario La Paz, Madrid, España.
Santiago Fernández CebriánSección de Gastroenterología, Hepatología y Nutrición Pediátrica. Departamento de Pediatría. Complexo Hospitalario Universitario de Ourense, España.
Justo Valverde FernándezSección de Gastroenterología, Hepatología y Nutrición Pediátrica UGC Pediatría. Hospital Infantil Virgen del Rocio, Sevilla, España.
Beatriz Muñoz CabelloSección de Neuropediatría, Hospital Infantil Virgen del Rocío, Sevilla, España.
Robert J GrahamBoston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Weston MillerAstellas Gene Therapies, San Francisco, CA, USA.
Bryan SepulvedaAstellas Gene Therapies, San Francisco, CA, USA.
Binita M KamathThe Hospital for Sick Children and University of Toronto, Toronto, Canada.
Hui MengDepartment of Pathology and Laboratory Medicine and Neuroscience Research Center, Medical College of Wisconsin, Milwaukee, WI, USA.
Michael W LawlorDepartment of Pathology and Laboratory Medicine and Neuroscience Research Center, Medical College of Wisconsin, Milwaukee, WI, USA.
Hospital Sant Joan de Déu Barcelona · ESHospital Universitario Virgen del Rocío · ESMedical College of Wisconsin · USVital Therapies (United States) · USBoston Children's Hospital · USComplexo Hospitalario Universitario A Coruña · ESHospital Universitario La Paz · ESUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

X-linked myotubular myopathy (XLMTM) is a rare, life-threatening congenital myopathy characterized by profound skeletal muscle weakness, respiratory distress, and motor dysfunction. However, pathology is not limited to muscle and can be associated with life-threatening hepatic peliosis. Hepatobiliary disease has been reported in up to 17% of XLMTM patients but has not been extensively characterized. We report on five XLMTM patients who experienced intrahepatic cholestasis in their disease natural history, illustrating the need to further investigate these manifestations. These patients shared presentations that included pruritus, hypertransaminemia, and hyperbilirubinemia with normal gamma-glutamyl transferase, following infection or vaccination. Three patients who had genetic testing showed no evidence of genetic mutations associated with familial cholestasis. In one patient, progression to cirrhotic, decompensated liver disease occurred. Further investigations into the molecular pathomechanism underpinning these clinical observations in XLMTM patients will be important for informing patient care.

Indexed as

BiopsyCholestasis, IntrahepaticFatal OutcomeHumansInfantMaleMyopathies, Structural, Congenitalhepatobiliary diseaseintrahepatic cholestasisliver abnormalitiesmyotubularinX-linked myotubular myopathy

Identifiers

PMID34366366
PMCPMC8842755
OpenAlexW3191586075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.