Evidence map›Paper›PMID 34623762›Full record

ArticleMolecular genetics & genomic medicine2021

Activity of daily living in mucopolysaccharidosis IVA patients: Evaluation of therapeutic efficacy.

Hui Chen, Shaukat Khan, Betul Celik, Yasuyuki Suzuki, Yasuhiko Ago, Shunji Tomatsu

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Natural History of Morquio A Syndrome.Journal of inherited metabolic disease · 2026
    Review
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  4. Lentiviral Vector-MediatedHuman gene therapy · 2024
    Article
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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

6 authors at 3 institutions in 2 countries.

Hui ChenUniversity of Delaware, Newark, DE, USA.
Shaukat KhanNemours/Alfred I. duPont Hospital for Children, Wilmington, DE, USA.
Betul CelikUniversity of Delaware, Newark, DE, USA.
Yasuyuki SuzukiMedical Education Development Center, Graduate School of Medicine, Gifu University, Gifu, Japan.
Yasuhiko AgoDepartment of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan.ORCID 0000-0001-5307-3658
Shunji TomatsuUniversity of Delaware, Newark, DE, USA.ORCID 0000-0002-0673-2160
Alfred I. duPont Hospital for Children · USGifu University · JPGifu University of Medical Science · JP

Funding

Center for Pediatric Research Pilot ProgramP30GM114736 · NIGMS · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI SHAFFER, THOMAS H · 2015 to 2019
$5.1M
Non-invasive functional assessment and pathogenesis of Morquio AR01HD102545 · NICHD · NEMOURS CHILDREN'S HOSPITAL, DELAWARE · PI TOMATSU, SHUNJI · 2021 to 2025
$2.9M
NICHD NIH HHS R01 HD102545NIGMS NIH HHS P30 GM114736
6 · The paper itself

Abstract

backgroundMucopolysaccharidosis IVA (MPS IVA, also called Morquio A syndrome) is caused by a deficiency of N-acetylglucosamine-6-sulfate sulfatase (GALNS) and results in skeletal dysplasia symptoms such as short stature and abnormal gait. Treatments include enzyme replacement therapy (ERT) and hematopoietic stem cell transplantation (HSCT), but the effects are limited depending on the age of initiation and clinical phenotype. Thus, this study aims to assess the effects of treatments on MPS IVA patients compared to untreated MPS IVA patients and an age-matched control group.

methodsWe used activity of daily living (ADL) survey with 4 sections: "movement," "movement with cognition," "cognition," and "other MPS symptoms." Lower scores indicate more assistance required. This study included 161 patients, 270 total surveys, and 70 patients with longitudinal data.

resultsWe describe 134 severe patients and 25 attenuated patients. ERT and HSCT treatment improved only the "other MPS symptoms" section in severe patients. There were no differences between ERT and HSCT severe patient scores. A 19-year-old male patient, who had robust physical training, provided a significant increase in "movement" without treatment, suggesting the importance of exercise.

conclusionOverall, this ADL questionnaire has demonstrated validation and reliability in assessing the MPS IVA patients and therapeutic efficacy.

Indexed as

Activities of Daily LivingAdolescentChildChild, PreschoolCognitionEnzyme Replacement TherapyHumansInfantMovementMucopolysaccharidosis IVStem Cell TransplantationYoung Adultactivity of daily livingenzyme replacement therapyhematopoietic stem cell transplantationMorquio AMPS IVA

Identifiers

PMID34623762
PMCPMC8606213
OpenAlexW3202754237

What OpenQuestion holds

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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.