Evidence map›Paper›PMID 37659411›Full record

ArticleCell reports. Medicine2023

High morbidity and mortality in children with untreated congenital deficiency of leptin or its receptor.

Sadia Saeed, Roohia Khanam, Qasim M Janjua, Jaida Manzoor, Lijiao Ning, Sharoon Hanook, Mickaël Canouil, Muhammad Ali, Hina Ayesha, Waqas I Khan and 7 more

Open access · goldAbstract read
In one paragraph

Article in Cell reports. Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Classification of Congenital Leptin Deficiency.The Journal of clinical endocrinology and metabolism · 2024
    Pooled it
  2. Monoallelic pathogenic variants in LEPR do not cause obesity.American journal of human genetics · 2024
    Trial
  3. Review
  4. Hypothalamic obesity.Reviews in endocrine & metabolic disorders · 2026
    Review
  5. Article
  6. Management of Childhood Obesity.International journal of molecular sciences · 2026
    Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
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  15. Article
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  17. Article
  18. Review
  19. Article
  20. Long-term effects of untreated leptin deficiency.Nature reviews. Endocrinology · 2023
    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 6 institutions in 4 countries.

Sadia SaeedDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK; INSERM UMR 1283, CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Institut Pasteur de Lille, Lille, France; University of Lille, Lille University Hospital, Lille, France. Electronic address: s.saaed08@imperial.ac.uk.
Roohia KhanamKAM School of Life Sciences, Forman Christian College, Lahore, Pakistan.
Qasim M JanjuaDepartment of Physiology and Biophysics, College of Medicine and Health Sciences, National University of Science and Technology, Sohar, Oman.
Jaida ManzoorDepartment of Paediatric Endocrinology, Children's Hospital, Lahore, Pakistan.
Lijiao NingINSERM UMR 1283, CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Institut Pasteur de Lille, Lille, France; University of Lille, Lille University Hospital, Lille, France.
Sharoon HanookDepartment of Statistics, Forman Christian College, Lahore, Pakistan.
Mickaël CanouilINSERM UMR 1283, CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Institut Pasteur de Lille, Lille, France; University of Lille, Lille University Hospital, Lille, France.
Muhammad AliPaediatric Endocrinology, Mayo Hospital, Lahore, Pakistan.
Hina AyeshaDepartment of Paediatrics, Punjab Medical College, Faisalabad, Pakistan.
Waqas I KhanThe Children Hospital and the Institute of Child Health, Multan, Pakistan.
I Sadaf FarooqiMedical Research Council Metabolic Diseases Unit, Wellcome-MRC Institute of Metabolic Science - Metabolic Research Laboratories, University of Cambridge, Cambridge, UK.
Giles S H YeoMedical Research Council Metabolic Diseases Unit, Wellcome-MRC Institute of Metabolic Science - Metabolic Research Laboratories, University of Cambridge, Cambridge, UK.
Stephen O'RahillyMedical Research Council Metabolic Diseases Unit, Wellcome-MRC Institute of Metabolic Science - Metabolic Research Laboratories, University of Cambridge, Cambridge, UK.
Amélie BonnefondDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK; INSERM UMR 1283, CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Institut Pasteur de Lille, Lille, France; University of Lille, Lille University Hospital, Lille, France.
Taeed A ButtDepartment of Pediatrics, Fatima Memorial Hospital, Lahore, Pakistan.
Muhammad ArslanKAM School of Life Sciences, Forman Christian College, Lahore, Pakistan. Electronic address: muhammadarslan@fccollege.edu.pk.
Philippe FroguelDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK; INSERM UMR 1283, CNRS UMR 8199, European Genomic Institute for Diabetes (EGID), Institut Pasteur de Lille, Lille, France; University of Lille, Lille University Hospital, Lille, France. Electronic address: p.froguel@imperial.ac.uk.
Centre National de la Recherche Scientifique · FRForman Christian College · PKUniversity of Cambridge · GBMayo Hospital · PKNational University of Science and Technology · ZWPunjab Medical College · PK

Funding

Medical Research Council MC_UU_00014/1Medical Research Council MC_UU_12012/1Medical Research Council MR/S026193/1
6 · The paper itself

Abstract

The long-term clinical outcomes of severe obesity due to leptin signaling deficiency are unknown. We carry out a retrospective cross-sectional investigation of a large cohort of children with leptin (LEP), LEP receptor (LEPR), or melanocortin 4 receptor (MC4R) deficiency (n = 145) to evaluate the progression of the disease. The affected individuals undergo physical, clinical, and metabolic evaluations. We report a very high mortality in children with LEP (26%) or LEPR deficiency (9%), mainly due to severe pulmonary and gastrointestinal infections. In addition, 40% of surviving children with LEP or LEPR deficiency experience life-threatening episodes of lung or gastrointestinal infections. Although precision drugs are currently available for LEP and LEPR deficiencies, as yet, they are not accessible in Pakistan. An appreciation of the severe impact of LEP or LEPR deficiency on morbidity and early mortality, educational attainment, and the attendant stigmatization should spur efforts to deliver the available life-saving drugs to these children as a matter of urgency.

Indexed as

LeptinObesity, MorbidChildCross-Sectional StudiesHumansMorbidityReceptors, LeptinRetrospective StudiesLEP protein, humanLEPR protein, humanLeptinReceptors, Leptinage-related changesbody growthconsanguinityleptin-signaling deficiencymetabolismmonogenic obesitymorbiditymortalityoxidative stress

Identifiers

PMID37659411
PMCPMC10518629
OpenAlexW4386369330

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.