Evidence map›Paper›PMID 35843134›Full record

ArticleMolecular genetics and metabolism2022

Beneficial effects of starting oral cysteamine treatment in the first 2 months of life on glomerular and tubular kidney function in infantile nephropathic cystinosis.

Katharina Hohenfellner, Christina Nießl, Dieter Haffner, Jun Oh, Christine Okorn, Katja Palm, Karl-Peter Schlingmann, Simone Wygoda, William Allen Gahl

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Molecular genetics and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05843851 (Scientific Basis for a Newborn Screening for Cystinosis and Primary Hyperoxaluria), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT05843851 naunknown statusnot on this map

Scientific Basis for a Newborn Screening for Cystinosis and Primary Hyperoxaluria

TypeinterventionalSponsorCystinose StiftungRan2022 to 2026Enrolled200,000ConditionsCystinosis, Primary HyperoxaluriaArmsDiagnostic test
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Cystinosin regulates NaEMBO reports · 2026
    Article
  5. Review
  6. Article
  7. Long-term outcomes in nephropathic cystinosis: a review.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  8. CystadropsOphthalmology and therapy · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Cystinosin is involved in NabioRxiv : the preprint server for biology · 2025
    Article
  13. Article
  14. Let Food Be Thy Medicine: Potential of Dietary Management in Cystinosis.Journal of the American Society of Nephrology : JASN · 2024
    Article
  15. Frontiers in immunology · 2024
    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

9 authors at 8 institutions in 2 countries.

Katharina HohenfellnerDepartment of Pediatrics, Pediatric Nephrology, RoMed Kliniken, Pettenkoferstr.10, 83022 Rosenheim, Germany. Electronic address: Katharina.hohenfellner@ro-med.de.
Christina NießlInstitute for Medical Information Processing, Biometry and Epidemiology (IBE), Working group "Biometry in Molecular Medicine", Ludwig-Maximilians-University of Munich, Marchoninistr.15, 81377 Munich, Germany. Electronic address: cniessl@ibe.med.uni-muenchen.de.
Dieter HaffnerDepartment of Pediatrics, Department of Pediatric Kidney, Liver and Metabolic Diseases, Medical School, Carl-Neuberg-str.1, 30625 Hannover, Germany. Electronic address: haffner.dieter@mh-hannover.de.
Jun OhDepartment of Pediatrics, Pediatric Nephrology, University Center Hamburg/Eppendorf, Martinistr. 52, 20251 Hamburg, Germany. Electronic address: j.oh@uke.de.
Christine OkornDepartment of Pediatrics II, University Hospital of Essen, University of Duisburg-Essen, Hufelandstr. 55, 45147 Essen, Germany. Electronic address: Christine.okorn@uk-essen.de.
Katja PalmDepartment of Pediatrics, University Hospital Magdeburg, Leipzigerstr. 44, 39120 Magdeburg, Germany. Electronic address: katja.palm@med.ovgu.de.
Karl-Peter SchlingmannDepartment of General Pediatrics, Pediatric Nephrology, University Children's Hospital Münster, Waldeyerstr.22, 48149 Münster, Germany. Electronic address: karlpeter.schlingmann@ukmuenster.de.
Simone WygodaKFH Pediatric Kidney Center Leipzig, Delitzscherstr. 14, 04129 Leipzig, Germany. Electronic address: simone.wygoda@kfh.de.
William Allen GahlNational Genome Research Institute (NHGRI), National Institutes of Health, Medical Genetics Branch, 9000 Rockville Pike, Bethesda, MD 20892, USA. Electronic address: gahlw@mail.nih.gov.
Ludwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DENational Institutes of Health · USRoMed Kliniken · DEUniversity Hospital Magdeburg · DEUniversity Hospital Münster · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Duisburg-Essen · DE

Funding

Human Biochemical GeneticsZIAHG000215 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM · 2009 to 2025
$72.6M
Human Biochemical GeneticsZ01HG000215 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM ALLEN · 2003 to 2008
$10.2M
Intramural NIH HHS Z01 HG000215
6 · The paper itself

Abstract

Nephropathic cystinosis is a rare lysosomal storage disease whose basic defect, impaired transport of cystine out of lysosomes, results in intracellular cystine storage. Affected individuals exhibit renal Fanconi Syndrome in infancy, end-stage kidney disease at approximately 10 years of age, and many other systemic complications. Oral cysteamine therapy mitigates the detrimental effects on glomerular function and prevents most of the late complications of the disease but has not shown benefit with respect to the early tubular damage of cystinosis. This is because cystinosis is generally diagnosed in the second year of life, after the damage to kidney tubular function has already occurred. We longitudinally evaluated 6 infants diagnosed and treated with cysteamine from before 2 months of age. The 4 infants with good compliance with cysteamine and consistently low leucocyte cystine levels maintained normal eGFR values, exhibited only minor degrees of renal Fanconi Syndrome, and maintained normal serum levels of potassium, bicarbonate, phosphate, and calcium without electrolyte or mineral supplementation through 2, 4, 10 and 16 years of age. Thus, renal Fanconi syndrome can be attenuated by early administration of cysteamine and renew the call for molecular-based newborn screening for cystinosis.

Indexed as

CystinosisFanconi SyndromeCysteamineCystineHumansInfantInfant, NewbornKidneyCysteamineCystineCysteamineCystinosisFanconi syndromeGlomerular functionTubular function

Identifiers

PMID35843134
PMCPMC9413354
OpenAlexW4283769686

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Registered trials

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.