Evidence map›Paper›PMID 34916232›Full record

ArticleJournal of medical genetics2022

Novel subtype of mucopolysaccharidosis caused by arylsulfatase K (ARSK) deficiency.

Sarah Verheyen, Jasmin Blatterer, Michael R Speicher, Gandham SriLakshmi Bhavani, Geert-Jan Boons, Mai-Britt Ilse, Dominik Andrae, Jens Sproß, Frédéric Maxime Vaz, Susanne G Kircher and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% 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

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  6. Advances in Therapies for Mucopolysaccharidoses.Current issues in molecular biology · 2026
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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

17 authors at 8 institutions in 5 countries.

Sarah VerheyenDiagnostic and Research Center for Molecular BioMedicine, Medical University of Graz, Graz, Austria.
Jasmin BlattererDiagnostic and Research Center for Molecular BioMedicine, Medical University of Graz, Graz, Austria.
Michael R SpeicherDiagnostic and Research Center for Molecular BioMedicine, Medical University of Graz, Graz, Austria.
Gandham SriLakshmi BhavaniDepartment of Medical Genetics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India.
Geert-Jan BoonsComplex Carbohydrate Research Center, University of Georgia, Athens, Georgia, USA.
Mai-Britt IlseDepartment of Chemistry, Biochemistry, Bielefeld University, Bielefeld, Germany.
Dominik AndraeDepartment of Chemistry, Biochemistry, Bielefeld University, Bielefeld, Germany.
Jens SproßFaculty of Chemistry, Industrial Organic Chemistry and Biotechnology - Mass Spectrometry, Bielefeld University, Bielefeld, Germany.
Frédéric Maxime VazLaboratory Genetic Metabolic Disease, Amsterdam UMC, University of Amsterdam, Departments of Clinical Chemistry and Pediatrics, Core Facility Metabolomics, Emma Children's Hospital, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam, The Netherlands, Amsterdam UMC Locatie Meibergdreef, Amsterdam, North Holland, The Netherlands.
Susanne G KircherInstitute of Medical Chemistry, Medical University of Vienna, Vienna, Austria.
Laura Posch-PertlDepartment of Ophthalmology, Medical University of Graz, Graz, Austria.
Daniela BaumgartnerDepartment of Pediatrics and Adolescent Medicine; Division of Pediatric Cardiology, Medical University of Graz, Graz, Austria.
Torben LübkeDepartment of Chemistry, Biochemistry, Bielefeld University, Bielefeld, Germany.
Hitesh ShahDepartment of Orthopedics, Kasturba Medical College Manipal, Manipal, India.
Ali Al KaissiPediatric Department, Speising Orthopaedic Hospital, Vienna, Austria.
Katta M GirishaDepartment of Medical Genetics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India barbara.plecko@medunigraz.at girish.katta@manipal.edu.ORCID 0000-0002-0139-8239
Barbara PleckoDepartment of Pediatrics, Division of General Pediatrics, Medical University of Graz, Graz, Austria barbara.plecko@medunigraz.at girish.katta@manipal.edu.ORCID 0000-0002-3203-1325
Medical University of Graz · ATBielefeld University · DEManipal Academy of Higher Education · INEmma Kinderziekenhuis · NLKasturba Medical College, Manipal · INMedical University of Vienna · ATOrthopaedic Hospital Speising · ATUniversity of Georgia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMucopolysaccharidoses (MPS) are monogenic metabolic disorders that significantly affect the skeleton. Eleven enzyme defects in the lysosomal degradation of glycosaminoglycans (GAGs) have been assigned to the known MPS subtypes (I-IX). Arylsulfatase K (ARSK) is a recently characterised lysosomal hydrolase involved in GAG degradation that removes the 2-O-sulfate group from 2-sulfoglucuronate. Knockout of

methodsIn this study, we report four affected individuals of two unrelated consanguineous families with homozygous variants c.250C>T, p.(Arg84Cys) and c.560T>A, p.(Leu187Ter) in

resultsThe phenotypes of the affected individuals include MPS features, such as short stature, coarse facial features and dysostosis multiplex. Reverse phenotyping in two of the four individuals revealed additional cardiac and ophthalmological abnormalities. Mild elevation of dermatan sulfate was detected in the two subjects investigated by LC-MS/MS. Human HT1080 cells expressing the ARSK-Leu187Ter construct exhibited absent protein levels by western blot, and cells with the ARSK-Arg84Cys construct showed markedly reduced enzyme activity in an ARSK-specific enzymatic assay against 2-O-sulfoglucuronate-containing disaccharides as analysed by C18-reversed-phase chromatography followed by MS.

conclusionOur work provides a detailed clinical and molecular characterisation of a novel subtype of mucopolysaccharidosis, which we suggest to designate subtype X.

Indexed as

ArylsulfatasesMucopolysaccharidosesAnimalsChromatography, LiquidDermatan SulfateDisaccharidesGlycosaminoglycansHumansMiceMice, KnockoutSulfatesTandem Mass SpectrometryArylsulfatasesDermatan SulfateDisaccharidesGlycosaminoglycansSulfatesgeneticshuman geneticsorthopedicspediatricsphenotype

Identifiers

PMID34916232
PMCPMC9554054
OpenAlexW4200390963

What OpenQuestion holds

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LicenceCC BY-NC
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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.