Evidence map›Paper›PMID 40030095›Full record

ArticleNeurology2025

Infantile TK2 Deficiency Causing Mitochondrial Encephalomyopathy With Migrating Focal Seizures.

Luca Bergonzini, Sara Carli, Silvia Pelle, Ilaria Pettenuzzo, Silvia Bonetti, Erika Santi, Caterina Visconti, Monica Maffei, Marta Sheremet, Eleonora Lamantea and 5 more

Abstract readCase Reports
In one paragraph

Article in Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

15 authors.

Luca BergonziniDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.ORCID 0000-0001-8214-1816
Sara CarliDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.
Silvia PelleDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.
Ilaria PettenuzzoDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.ORCID 0000-0002-9386-2050
Silvia BonettiIRCCS Istituto delle Scienze Neurologiche di Bologna, U.O.C. Neuropsichiatria dell'età pediatrica, Italy.
Erika SantiDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.
Caterina ViscontiDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.
Monica MaffeiIRCCS Istituto delle Scienze Neurologiche di Bologna, Programma di neuroradiologia con tecniche ad elevata complessit`a, Bologna, Italy.ORCID 0000-0001-5379-034X
Marta SheremetPediatric Department, Western Ukrainian Specialized Children’s Medical Center, Lviv, Ukraine
Eleonora LamanteaDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.ORCID 0000-0001-5090-6028
Andrea MarsalaUnit of Medical Genetics and Neurogenetics, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
Olena KlubPediatric Department, Western Ukrainian Specialized Children’s Medical Center, Lviv, Ukraine
Valentina GentileIRCCS Istituto delle Scienze Neurologiche di Bologna, U.O.C. Neuropsichiatria dell'età pediatrica, Italy.
Duccio Maria CordelliDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.ORCID 0000-0002-1367-6419
Caterina GaroneDepartment of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Italy.ORCID 0000-0003-4928-1037

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveRecessive variants in the

methodsHere, we report for the first time a patient with infantile TK2d epileptic encephalomyopathy enrolled in an early access program with dC/dT treatment (MT1621).

resultsAt age 3 months, he presented progressive hypotonia, motor regression, failure to thrive, and respiratory failure. At age 8 months, he developed drug-resistant epilepsy with migrating focal seizures. Brain MRI showed progressive atrophy and bilateral subcortical lesions with lactate peak. Exome sequencing revealed 2 novel biallelic heterozygous variants in the DISCUSSION: Our report highlights the importance of deep-phenotyping infantile TK2d before dC/dT supplementation to stratify disease severity further and suggests a limited tissue-specific brain efficacy.

Indexed as

Mitochondrial EncephalomyopathiesSeizuresThymidine KinaseHumansInfantMaleThymidine Kinasethymidine kinase 2

Identifiers

PMID40030095
PMCPMC11879469

What OpenQuestion holds

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Registered trials

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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.