Evidence map›Paper›PMID 41377573›Full record

ArticleJIMD reports2026

Liver Transplantation and Other Hepatically Directed Therapies Do Not Change the Biochemical Phenotype nor Halt Progression of Leukodystrophy due to Biallelic

Jeremy Clark, Joel Smith, Yoke Leong, Virginia Cronin, Ingrid Winship, Gayle Ross, Timothy Fazio

Abstract read
In one paragraph

Article in JIMD reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  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

7 authors.

Jeremy ClarkMetabolic Diseases Unit Royal Melbourne Hospital Parkville Victoria Australia.ORCID https://orcid.org/0009-0004-0136-5332
Joel SmithLaboratory Services Royal Children's Hospital Parkville Victoria Australia.
Yoke LeongLaboratory Services Royal Children's Hospital Parkville Victoria Australia.
Virginia CroninLaboratory Services Royal Children's Hospital Parkville Victoria Australia.
Ingrid WinshipGenomic Medicine and Family Cancer Clinic Royal Melbourne Hospital Parkville Victoria Australia.
Gayle RossDepartment of Dermatology Royal Melbourne Hospital Parkville Victoria Australia.ORCID https://orcid.org/0000-0001-5750-1920
Timothy FazioMetabolic Diseases Unit Royal Melbourne Hospital Parkville Victoria Australia.ORCID https://orcid.org/0000-0003-1700-2355

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leukodystrophy due to biallelic HMBS variants is a rare condition distinct from acute intermittent porphyria (AIP). It is characterised by progressive leukoencephalopathy rather than acute attacks of neurovisceral symptoms. We report the ongoing clinical progression of a patient with leukodystrophy due to homozygous variants in HMBS [c.251C>A, p.Ala84Asp] despite liver transplantation. We demonstrate that porphyrin precursor levels are unchanged following liver transplantation in the periphery and that porphyrin precursor levels are constitutively elevated in the cerebrospinal fluid and are not reduced by haem arginate therapy. Liver transplantation and hepatically directed therapies are not likely to be effective for leukodystrophy due to biallelic

Indexed as

acute intermittent porphyriaHeptic porphyriaHMBSHMBS related leukodystrophyleukodystrophyliver transplantation

Identifiers

PMID41377573
PMCPMC12688452

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.