Evidence map›Paper›PMID 38341604›Full record

ArticleOrphanet journal of rare diseases2024

Clinical symptoms, biochemistry, and liver histology during the native liver period of progressive familial intrahepatic cholestasis type 2.

Hiroki Kondou, Satoshi Nakano, Tadahaya Mizuno, Kazuhiko Bessho, Yasuhiro Hasegawa, Atsuko Nakazawa, Ken Tanikawa, Yoshihiro Azuma, Tatsuya Okamoto, Ayano Inui and 5 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

15 authors at 12 institutions in 2 countries.

Hiroki KondouDepartment of Pediatrics, Kindai University Nara Hospital, Nara, Japan.
Satoshi NakanoDepartment of Pediatrics, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Tadahaya MizunoLaboratory of Molecular Pharmacokinetics, Graduate School of Pharmaceutical Science, The University of Tokyo, Tokyo, Japan.
Kazuhiko BesshoDepartment of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasuhiro HasegawaDepartment of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan.
Atsuko NakazawaDepartment of Clinical Research, Saitama Children's Medical Center, Saitama, Japan.
Ken TanikawaDepartment of Diagnostic Pathology, Kurume University Hospital, Fukuoka, Japan.
Yoshihiro AzumaDepartment of Pediatrics, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
Tatsuya OkamotoDepartment of Pediatric Surgery, Kyoto University Hospital, Kyoto, Japan.
Ayano InuiDepartment of Pediatric Hepatology and Gastroenterology, Saiseikai Yokohama City Eastern Hospital, Kanagawa, Japan.
Kazuo ImagawaDepartment of Pediatrics, University of Tsukuba Hospital, Ibaraki, Japan.
Mureo KasaharaOrgan Transplantation Center, National Center for Child Health and Development, Tokyo, Japan.
Yoh ZenInstitute of Liver Studies, King's College Hospital and King's College London, London, UK.
Mitsuyoshi SuzukiDepartment of Pediatrics, Juntendo University Graduate School of Medicine, Tokyo, Japan.
Hisamitsu HayashiLaboratory of Molecular Pharmacokinetics, Graduate School of Pharmaceutical Science, The University of Tokyo, Tokyo, Japan. hayapi@mol.f.u-tokyo.ac.jp.ORCID 0000-0002-5247-895X
Juntendo University · JPThe University of Osaka · JPThe University of Tokyo · JPKing's College London · GBKurume University Hospital · JPKyoto University Hospital · JPNara Medical University Hospital · JPNational Center For Child Health and Development · JPSaiseikai Yokohama Eastern Hospital · JPSaitama Children's Medical Center · JPUniversity of Tsukuba Hospital · JPYamaguchi University · JP

Funding

Japan Agency for Medical Research and Development JP17ak0101036Japan Agency for Medical Research and Development JP19ek0109298
6 · The paper itself

Abstract

backgroundProgressive familial intrahepatic cholestasis type 2 (PFIC2) is an ultra-rare disease caused by mutations in the ABCB11 gene. This study aimed to understand the course of PFIC2 during the native liver period.

methodsFrom November 2014 to October 2015, a survey to identify PFIC2 patients was conducted in 207 hospitals registered with the Japanese Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Investigators retrospectively collected clinical data at each facility in November 2018 using pre-specified forms.

resultsBased on the biallelic pathogenic variants in ABCB11 and/or no hepatic immunohistochemical detection of BSEP, 14 Japanese PFIC2 patients were enrolled at seven facilities. The median follow-up was 63.2 [47.7-123.3] months. The median age of disease onset was 2.5 [1-4] months. Twelve patients underwent living donor liver transplantation (LDLT), with a median age at LDLT of 9 [4-57] months. Two other patients received sodium 4-phenylbutyrate (NaPB) therapy and survived over 60 months with the native liver. No patients received biliary diversion. The cases that resulted in LDLT had gradually deteriorated growth retardation, biochemical tests, and liver histology since the initial visit. In the other two patients, jaundice, growth retardation, and most of the biochemical tests improved after NaPB therapy was started, but pruritus and liver fibrosis did not.

conclusionsJapanese PFIC2 patients had gradually worsening clinical findings since the initial visit, resulting in LDLT during infancy. NaPB therapy improved jaundice and growth retardation but was insufficient to treat pruritus and liver fibrosis.

Indexed as

Cholestasis, IntrahepaticJaundiceLiver TransplantationATP-Binding Cassette TransportersChildGrowth DisordersHumansInfantLiver CirrhosisLiving DonorsPruritusRetrospective StudiesATP-Binding Cassette TransportersBSEPLiver transplantationNaPBPediatric liver diseaseUltra-rare diseases

Identifiers

PMID38341604
PMCPMC10858576
OpenAlexW4391719434

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.