Evidence map›Paper›PMID 39666084›Full record

ArticleJournal of neurology2024

Neuropsychological profile of French adults with early-treated phenylketonuria: a multicenter study.

Maxime Brachet, Sybil Charrière, Claire Douillard, François Feillet, Alain Fouilhoux, Leonardo Astudillo, Christian Lavigne, Jean-Baptiste Arnoux, Sylvie Odent, Claire Gay and 8 more

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01619722 (Study of a National Cohort of Adult Patients With Phenylketonuria), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT01619722 completednot on this map

Study of a National Cohort of Adult Patients With Phenylketonuria

TypeobservationalSponsorUniversity Hospital, ToursRan2012 to 2020Enrolled220ConditionsPKU, Hyperphenylalaninemia
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

18 authors.

Maxime BrachetCentre Mémoire de Ressources Et de Recherche, CHRU de Tours, Tours, France.
Sybil CharrièreFédération d'Endocrinologie, Maladies Métaboliques, Diabète Et Nutrition, Hôpital Louis Pradel, Hospices Civils de Lyon, 69677, Bron Cedex, France.
Claire DouillardService d'Endocrinologie Et Des Maladies Métaboliques, Centre de Référence Des Maladies Héréditaires du Métabolisme, CHU de Lille, 59037, Lille, France.
François FeilletCentre de Référence Des Maladies Métaboliques, Service de Pédiatrie, CHRU de Nancy, INSERM 1256 NGERE, 54000, Nancy, France.
Alain FouilhouxHospices Civils de Lyon, Centre de Référence Des Maladies Héréditaires du Métabolisme de Lyon, Groupement Hospitalier Est, 69677, Bron Cedex, France.
Leonardo AstudilloService de Médecine Interne, Service de Médecine Interne Clinique Saint-Exupery, CHU de Toulouse, Toulouse, France.
Christian LavigneService de Médecine Interne Et d'Immunologie Clinique, CHU d'Angers, 49100, Angers, France.
Jean-Baptiste ArnouxCentre de Référence Des Maladies Métaboliques, Hôpital Necker-Enfants Malades, AP-HP, 75015, Paris, France.
Sylvie OdentService de Génétique Clinique, Centre de Référence CLAD-Ouest, Univ Rennes, IGDR Institut de Génétique Et Développement de Rennes, CNRS INSERM UMR 6290 URL 1305, Rennes, France.
Claire GayService de Pédiatrie, Centre de Compétence Des Maladies Héréditaires du Métabolisme, CHU de Saint-Étienne, Hôpital Nord, 40255, Saint-Étienne Cedex 2, France.
Manuel SchiffReference Center for Inborn Errors of Metabolism, Necker University Hospital, APHP and University of Paris Cité, Filière G2M, INSERM UMRS_1163, Institut Imagine Paris, MetabERN, Paris, France.
Karin MazodierCentre de Référence Des Maladies Métaboliques, Service de Médecine Interne Et Immunologie Clinique, Hôpital de La Conception, AP-HM, 13005, Marseille, France.
Alice KusterService de Pédiatrie, CHU de Nantes, 44093, Nantes, France.
Vincent RigalleauService d'Endocrinologie, Diabétologie, Nutrition, Hôpital Haut-Lévêque, CHU de Bordeaux, 33600, Pessac, France.
Christel Thauvin-RobinetCentre de Référence Déficiences Intellectuelles de Causes Rares, Centre de Génétique, Hôpital d'Enfants, Inserm-Université de Bourgogne, U1231 GAD, Génétique Des Anomalies du Développement, CHU Dijon Bourgogne, 21079, Dijon, France.
Vanessa Leguy-SeguinService de Médecine Interne Et d'Immunologie Clinique, CHU de Dijon, 21079, Dijon, France.
Valérie GissotCentre d'investigation Clinique CIC 1415, INSERM, CHRU de Tours, Tours, France.
François MaillotService de Médecine Interne, Centre de Référence Des Maladies Héréditaires du Métabolisme, UMR INSERM 1253 « iBraiN », Université de Tours, CHU de Tours, Tours, France. francois.maillot@univ-tours.fr.ORCID http://orcid.org/0000-0002-1979-5769

Funding

PHRC PHRN10-FM/ECOPHEN
6 · The paper itself

Abstract

BACKGROUND AND

objectiveAdult patients with early-treated phenylketonuria (AwET-PKU) may present some subtle neurocognitive deficits. The aim of the study was to investigate 1) neurocognitive functions in a large group of AwET-PKU 2) the influence of plasma phenylalanine (Phe).

methodsParticipants: 187 AwET-PKU (classic PKU [cPKU] 81%, mild PKU [mPKU] 14%, and mild persistent hyperphenylalaninemia [MPH] 5%). Cognitive assessments: tests included the Wechsler Adult Intelligence Scale-IV, California Verbal Learning Test-II, Trail Making Test, and verbal fluency tests. Biochemical data: plasma Phe was measured concurrently with cognitive assessments.

resultsEpisodic memory: cPKU patients had lower performance in immediate recall compared to mPKU patients. There was a negative correlation between Phe levels and immediate recall indices, but no correlation with delayed memory. Processing speed: cPKU patients performed worse than mPKU patients in processing speed tests. Negative correlations were observed between Phe levels and processing speed measures, with more pronounced effects in cPKU patients. Executive functioning: No differences were found between cPKU and mPKU patients on executive functioning tests. No correlation was found between executive function and Phe levels. Working memory: cPKU patients had poorer working memory performance compared to mPKU patients, though no correlation was found between working memory performance and Phe levels.

conclusionsThe study reveals neurocognitive deficits in adults with PKU, particularly in episodic memory and processing speed. Higher plasma Phe levels are associated with poorer performance in these areas, especially in cPKU patients. Working memory and executive functioning did not show significant correlations with Phe levels.

Indexed as

Neuropsychological TestsPhenylketonuriasAdolescentAdultExecutive FunctionFemaleFranceHumansMaleMemory, EpisodicMiddle AgedPhenylalanineYoung AdultPhenylalanineAdultsEpisodic memoryExecutive functioningPhenylketonuriaSpeed processingWorking memory

Identifiers

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Registered trials

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.