Evidence map›Paper›PMID 39044243›Full record

ArticleOrphanet journal of rare diseases2024

Clinical and genetic characteristics of Chinese pediatric and adult patients with hereditary spherocytosis.

Chongjun Wu, Yixin Yan, Ting Xiong, Wen Jiang, Jing Xu, Yanfei Rao, Jianyun Ao, Chun Xu, Xuehong Li, Longwang Qi and 5 more

Abstract 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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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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

9 citing papers in PubMed.

  1. Pharmacological readthrough and base editing forMolecular therapy. Nucleic acids · 2026
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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.

Chongjun Wu *Department of Hematology, Jiangxi Provincial Children's Hospital, Nanchang, 330000, China.
Yixin Yan *Department of Hematology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330000, China.
Ting XiongDepartment of Endocrine Genetics and Metabolism, Jiangxi Provincial Children's Hospital, Nanchang, 330000, China.
Wen JiangWuhan Third Hospital, Wuhan, 430000, China.
Jing XuDepartment of Hematology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330000, China.
Yanfei RaoDepartment of Clinical Laboratory, The Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Jianyun AoDepartment of Clinical Laboratory, The Second Affiliated Hospital of Nanchang University, Nanchang, 330000, China.
Chun XuPingxiang People's Hospital, Pingxiang, 337000, China.
Xuehong LiPingxiang People's Hospital, Pingxiang, 337000, China.
Longwang QiThe Third People's Hospital of Jingdezhen, Jingdezhen, 333000, China.
Wenhong ZhengThe Third People's Hospital of Jingdezhen, Jingdezhen, 333000, China.
Wenjin LiPingxiang People's Hospital, Pingxiang, 337000, China.
Zhongjin XuDepartment of Hematology, Jiangxi Provincial Children's Hospital, Nanchang, 330000, China.
Yu YangDepartment of Endocrine Genetics and Metabolism, Jiangxi Provincial Children's Hospital, Nanchang, 330000, China. yangyu5168@126.com.
Zhenjiang LiDepartment of Hematology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, 330000, China. lzjdgh@163.com.ORCID 0000-0001-7559-637X

Funding

National Natural Science Foundation of China 82260037Science and Technology Project of Jiangxi Provincial Health Commission 202211164Science and Technology Research Project of Jiangxi Provincial Education Department GJJ2203510
6 · The paper itself

Abstract

objectiveThis study aimed to investigate the clinical features, pathogenic gene variants, and potential genotype-phenotype correlations in Chinese patients with hereditary spherocytosis (HS).

methodsRetrospective analysis of clinical data and molecular genetic characteristics was conducted on patients diagnosed with HS at Jiangxi Provincial Children's Hospital, the Second Affiliated Hospital of Nanchang University, Pingxiang People's Hospital and The Third People's Hospital of Jingdezhen between November 2017 and June 2023. Statistical analyses were performed to compare and analyze the red blood cell (RBC), hemoglobin (HB), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) data between and within groups based on different mutations and age groups (< 14 and ≥ 14 years).

resultsA total of 34 HS patients were included in this study, comprising 22 children (64.70%) and 12 adults (35.30%). The probands who underwent genetic testing were derived from 34 unrelated families. Thirty-two variants were tested and 9 of them are novel. Eighteen cases had ANK1 variants, 15 had SPTB variants, and 1 had SLC4A1 variant. 25 patients performed core family members underwent genetic testing, 17 (68.0%, 17/25) were de novo, 5 (20.0%, 5/25) were maternally inherited, and 3 (12.0%, 3/25) were paternally inherited. ANK1-HS patients exhibited more severe anemia compared to cases with SPTB-HS, showing lower levels of RBC and HB (P < 0.05). Anemia was more severe in patients diagnosed in childhood than in those diagnosed in adulthood. Within the ANK1-HS group, MCH levels in adult patients was significantly higher than those in children (P < 0.05), while there were no significant differences in RBC, HB, MCV, and MCHC levels between two groups. Adult patients with SPTB-HS had significantly higher levels of RBC, HB, and MCH than pediatric patients (P < 0.05), while MCV and MCHC levels showed no significant statistical differences.

conclusionThis study conducted a comparative analysis of phenotypic characteristics and molecular genetics in adult and pediatric patients diagnosed with HS, confirming that pediatric ANK1-HS patients exhibit a more severe anemic phenotype compared to SPTB-HS patients, while the severity of HS in adults does not significantly differ between different causative genes.

Indexed as

AnkyrinsSpherocytosis, HereditaryAdolescentAdultAnion Exchange Protein 1, ErythrocyteChildEast Asian PeopleErythrocyte IndicesFemaleHumansMaleMutationRetrospective StudiesSpectrinYoung AdultAnion Exchange Protein 1, ErythrocyteANK1 protein, humanAnkyrinsSLC4A1 protein, humanSpectrinSPTB protein, humanANK1Hereditary spherocytosisPediatric and adultSPTB

Identifiers

PMID39044243
PMCPMC11267807

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