Evidence map›Paper›PMID 35878504›Full record

ArticleMolecular genetics and metabolism

Psychometric outcome measures in beta-propeller protein-associated neurodegeneration (BPAN).

Francesco Gavazzi, Samuel R Pierce, Joseph Vithayathil, Kristin Cunningham, Kim Anderson, Jacob McCann, Ashley Moll, Kayla Muirhead, Omar Sherbini, Erin Prange and 7 more

Open access · greenAbstract read
In one paragraph

Article in Molecular genetics and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Rigorous genetic diagnosis review in natural history studies.Orphanet journal of rare diseases · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Mutation inFrontiers in neuroscience · 2025
    Article
  11. 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

17 authors at 4 institutions in 2 countries.

Francesco GavazziDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Molecular and Translational Medicine, University of Brescia, Italy.
Samuel R PierceDepartmen of Physical Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Joseph VithayathilDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kristin CunninghamDepartment of Occupational Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kim AndersonDepartment of Occupational Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jacob McCannDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Ashley MollDepartment of Occupational Therapy, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kayla MuirheadDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Omar SherbiniDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Erin PrangeDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Holly DubbsDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Laura TochenChildren's National Medical Center, Department of Neurology, 111 Michigan Ave NW, Washington, DC 20010, USA.
Jamie FraserRare Disease Institute, Division of Genetics and Metabolism, Children's National Hospital, Washington, DC, USA.
Ingo HelbigDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Naomi LewinDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Nivedita ThakurDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Laura A AdangDivision of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, USA; Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Electronic address: adangl@chop.edu.
Children's Hospital of Philadelphia · USChildren's National · USUniversity of Pennsylvania · USUniversity of Brescia · IT

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Validation of the GMFC-MLDU54NS115052 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Laura Ann Adang, FLORIAN S EICHLER · 2019 to 2026
$14.3M
Project 3 - Development and investigation of murine models of channelopathy-associated epilepsyU54NS108874 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GEORGE, ALFRED L. · 2018 to 2022
$12.1M
The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI SCHULTZ, ROBERT THOMAS · 2016 to 2020
$6.3M
Remapping neurology through translation and innovationT32NS091008 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI AGUIRRE, GEOFFREY KARL, JENSEN, FRANCES E · 2015 to 2024
$3.0M
ClinGen Expert Curation Panel for the EpilepsiesU24NS120854 · NINDS · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI Ingo Helbig, HEATHER C. MEFFORD · 2021 to 2026
$2.0M
Joint analysis of genomic and electronic medical record data to assess outcomes and drug response in pediatric epilepsiesK02NS112600 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI HELBIG, INGO · 2020 to 2024
$963k
Clinical measures in Aicardi Goutieres SyndromeK23NS114113 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI ADANG, LAURA ANN · 2019 to 2023
$947k
NCATS NIH HHS UL1 TR001878NICHD NIH HHS U54 HD086984NINDS NIH HHS K02 NS112600NINDS NIH HHS K23 NS114113NINDS NIH HHS T32 NS091008NINDS NIH HHS U24 NS120854NINDS NIH HHS U54 NS108874NINDS NIH HHS U54 NS115052
6 · The paper itself

Abstract

backgroundBeta-propeller protein-associated neurodegeneration (BPAN) is a rare neurodegenerative disorder characterized by iron accumulation in the brain with spectrum of neurodevelopmental and movement phenotypes. In anticipation of future clinical trials and to inform clinical care, there is an unmet need to capture the phenotypic diversity of this rare disorder and better define disease subtypes.

methodsA total of 27 individuals with BPAN were included in our natural history study, from which traditional outcome measures were obtained in 18 subjects. Demographic and diagnostic information, along with acquisition of basic developmental skills and overall neurologic severity were extracted from the medical records. Functional outcome measures were administered at the time of the evaluation or applied retrospectively at the last clinical encounter for patients who were not able to travel for in person. Based on age and functional level, the following assessments were administered: Leiter-3, Gross Motor Function Measure (GMFM)-66 Item Sets, Vineland-3, and Peabody-2.

resultsOverall, cognitive function was more impaired compared to gross motor function. Onset of symptoms of BPAN within the first 6 months of life was associated with decreased gain of ambulation and gain of spoken language (ambulation: log-rank test p = 0.0015; gain of first word: p = 0.0015). There was no difference in age at seizure onset by age at initial symptom onset (p = 0.8823). Collection of prospective outcome measures was limited by attention and behavior in our patient population, reinforcing the complexity of phenotype assessment and inadequacy of available standardized tests. Overall, gross motor and adaptive behavior assessments were better able to capture the dynamic range of function across the BPAN population than the fine motor and non-verbal cognitive tests. Floor effects were noted across outcome measures in a subset of individuals for cognitive and adaptive behavior tests.

conclusionOur data suggest the distinct phenotypes of BPAN: a severe, early onset form and an attenuated form with higher cognitive capabilities. Early age at onset was a key factor in predicting future neurologic impairment.

Indexed as

Iron Metabolism DisordersCarrier ProteinsHumansIronOutcome Assessment, Health CareProspective StudiesPsychometricsRetrospective StudiesCarrier ProteinsIronBPANClinical assessment toolsNBIAWDR45

Identifiers

PMID35878504
PMCPMC9613602
OpenAlexW4286252647

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.