Evidence map›Paper›PMID 38974614›Full record

ArticleJIMD reports2024

Hereditary tyrosinaemia type 1 in the absence of succinylacetone: 4-oxo 6-hydroxyhepanoate (4OHHA), a putative diagnostic biomarker.

Preeya Rehsi, Karolina Witek, Erin Emmett, Rachel Carling, Charles Turner, Neil Dalton, Tim Hutchin, Nedim Hadzic, Anil Dhawan, Roshni Vara

Abstract readCase Reports
In one paragraph

Article in JIMD reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Evaluation of Neonatal Screening Programs for Tyrosinemia Type 1 Worldwide.International journal of neonatal screening · 2024
    Article
  4. 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

10 authors.

Preeya RehsiDepartment of Paediatric Inherited Metabolic Disease Evelina Children's Hospital London UK.ORCID https://orcid.org/0009-0007-1650-9230
Karolina WitekBiochemical Sciences, Synnovis, Guys & St Thomas' NHS Foundation Trust London UK.
Erin EmmettBiochemical Sciences, Synnovis, Guys & St Thomas' NHS Foundation Trust London UK.
Rachel CarlingBiochemical Sciences, Synnovis, Guys & St Thomas' NHS Foundation Trust London UK.
Charles TurnerWell Child Laboratory Evelina London Children's Hospital, Guy's and St Thomas' National Health Service Foundation Trust London UK.
Neil DaltonWell Child Laboratory Evelina London Children's Hospital, Guy's and St Thomas' National Health Service Foundation Trust London UK.
Tim HutchinNewborn Screening and Biochemical Genetics Birmingham Children's Hospital Birmingham UK.
Nedim HadzicPaediatric Liver, GI and Nutrition Centre and Mowat Labs King's College Hospital London UK.
Anil DhawanPaediatric Liver, GI and Nutrition Centre and Mowat Labs King's College Hospital London UK.
Roshni VaraDepartment of Paediatric Inherited Metabolic Disease Evelina Children's Hospital London UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hereditary tyrosinemia type 1 (HT1) is a rare metabolic disease resulting in acute liver failure in early infancy, hypophosphataemic rickets, neurological crises, liver cirrhosis and risk of hepatocellular carcinoma later on in life. It is caused by the deficiency of the enzyme fumarylacetoacetate hydrolase which is involved in the terminal step of the catabolic pathway of tyrosine. Diagnosis is made through clinical suspicion supported by biochemical abnormalities that result from accumulation of upstream metabolites. Detection of succinylacetone (SA) in dried blood spot or urine remains pathognomonic, however it is not always detectable. Here we describe three cases of HT1 presenting with atypical biochemistry, where SA was not always detectable, highlighting the importance of an additional disease biomarker, 4-oxo-6-hydroxyheptanoate.

Indexed as

4‐oxo 6‐hydroxyhepanoateemerging diagnostic biomarkerfumarylacetoacetate hydrolasesuccinylacetonetyrosinaemia type 1

Identifiers

PMID38974614
PMCPMC11224492

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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.