Evidence map›Paper›PMID 40082840›Full record

SynthesisBMC medical genomics2025

Spectrum of genetic variants associated with maple syrup urine disease in the Middle East, North Africa, and Türkiye (MENAT): a systematic review.

Salma Younes, Razan Elkahlout, Houda Kilani, Sarah Okashah, Hussain Al Sharshani, Zoulikha Rezoug, Hatem Zayed, Nader Al-Dewik

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical genomics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
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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

8 authors.

Salma YounesDepartment of Biomedical Science, College of Health Sciences, Qatar University, Doha, Qatar.ORCID 0000-0002-2453-5953
Razan ElkahloutDepartment of Research, Women Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar.ORCID 0009-0001-4371-0710
Houda KilaniDepartment of Biomedical Science, College of Health Sciences, Qatar University, Doha, Qatar.ORCID 0009-0001-9179-1738
Sarah OkashahDepartment of Biomedical Science, College of Health Sciences, Qatar University, Doha, Qatar.ORCID 0009-0001-6642-8849
Hussain Al SharshaniDepartment of Biomedical Science, College of Health Sciences, Qatar University, Doha, Qatar.ORCID 0009-0001-1811-7800
Zoulikha RezougDepartment of Biomedical Science, College of Health Sciences, Qatar University, Doha, Qatar.ORCID 0009-0000-2490-7967
Hatem ZayedDepartment of Biomedical Science, College of Health Sciences, Qatar University, Doha, Qatar. hatem.zayed@qu.edu.qa.ORCID 0000-0001-8838-6638
Nader Al-DewikDepartment of Research, Women Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar. nader.al-dewik@hamad.qa.ORCID 0000-0001-5739-1135

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaple syrup urine disease (MSUD) is a hereditary metabolic disorder caused by a deficiency in the branched-chain α-keto acid dehydrogenase (BCKD) enzymatic complex. The Middle East and North Africa, and Türkiye (MENAT) region has witnessed a significant rise in the prevalence of MSUD due to high rates of consanguinity. Despite numerous genetic association studies, the complex relationships between genotype and phenotype in MSUD remain elusive.

aimThis study aimed to systematically review the variants significantly associated with MSUD in the MENAT region.

methodsWe systematically searched four literature databases (PubMed, Scopus, Web of Science, and Science Direct) from inception until December 2023 to gather all reported genetic data pertaining to MSUD in the MENAT region. Quality assessment and data extraction were diligently performed by a team of six investigators.

resultsA total of 16 studies, involving patients, were included in this systematic review. Among them, 211 patients presented with 105 variants located within genes known to be associated with MSUD. The majority of the identified MSUD variants were found in BCKDHA (38%), followed by BCKDHB (38%), DBT (23%), and PPM1K (1%). Notably, 77% of the captured variants were unique to the MENAT region.

conclusionOur systematic review reveals a distinctive genetic and clinical susceptibility profile of MSUD among individuals from the MENAT region. These findings highlight the importance of understanding the specific genetic landscape of MSUD in this population. Further research is warranted to elucidate the complex genotype-phenotype relationships in MSUD in the MENAT region.

Indexed as

Genetic VariationMaple Syrup Urine DiseaseAfrica, NorthernHumansMiddle EastGenetic variantsGenotype-phenotype correlationsMaple syrup urine disease (MSUD)MENA

Identifiers

PMID40082840
PMCPMC11905697

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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.