Evidence map›Paper›PMID 41879269›Full record

ArticleJournal of inherited metabolic disease2026

Clinical and Genetic Characteristics of Free Sialic Acid Storage Disorder.

Zoe Wolfenson, Gabriella Grois, Ruth F Hailemeskel, Marla Sabaii, Laryssa A Huryn, Wadih M Zein, Tanya Lehky, Audrey Thurm, Lisa Joseph, Eva H Baker and 9 more

Abstract read
In one paragraph

Article in Journal of inherited metabolic disease, 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

19 authors.

Zoe WolfensonNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0009-0008-2207-5755
Gabriella GroisNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.
Ruth F HailemeskelNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.
Marla SabaiiNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.
Laryssa A HurynNational Eye Institute, NIH, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-0309-9419
Wadih M ZeinNational Eye Institute, NIH, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-3771-6120
Tanya LehkyEMG Section, National Institute of Neurological Diseases and Stroke, NIH, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0001-6421-505X
Audrey ThurmNational Institute of Mental Health, NIH, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-0489-9485
Lisa JosephNational Institute of Mental Health, NIH, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0001-6862-3616
Eva H BakerDepartment of Radiology and Imaging Sciences, Clinical Center, NIH, Bethesda, Maryland, USA.
Gilbert VezinaDepartment of Radiology, Children's National Hospital, Washington DC, USA.
Keith HylandLabcorp, Burlington, North Carolina, USA.
Laura PollardGreenwood Genetic Center, Greenwood, South Carolina, USA.
Ellen MacnamaraNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0002-9418-3287
Andrea GropmanCenter for Experimental Neurotherapeutics, St Jude Children's Research Hospital, Memphis, Tennessee, USA.
May C MalicdanNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.
William A GahlNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.
David R AdamsNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.
Lynne WolfeNIH Undiagnosed Diseases Program, National Institutes of Health, Bethesda, Maryland, USA.ORCID https://orcid.org/0000-0001-7628-5741

Funding

Human Biochemical GeneticsZ01HG000215 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM ALLEN · 2003 to 2008
$10.2M
EXPANDING AND ENHANCING THE GENE EXPRESSION DATABASEF32HG000215 · NHGRI · JACKSON LABORATORY · PI CORRADI, JOHN P · 2000 to 2000
$10k
Intramural NIH HHS Z01 HG000215NHGRI NIH HHS F32 HG000215NHGRI NIH HHS HG000215-20
6 · The paper itself

Abstract

Free sialic acid storage disorder (FSASD) is a lysosomal storage disorder that results from biallelic pathogenic variants in the SLC17A5 gene. This gene codes for sialin, a 12-transmembrane domain protein that exports the charged sugar N-acetylneuraminic acid (Neu5Ac; sialic acid) out of the lysosome. Dysfunctional sialin causes accumulation of free sialic acid within lysosomes and a range of clinical manifestations, such as intellectual disability, facial dysmorphisms, and increased urinary excretion of free sialic acid. These findings, along with characteristic brain abnormalities on MRI, make the diagnosis of FSASD. Despite recognition of the clinical and imaging phenotype, the natural history of FSASD has not been extensively elucidated. Therefore, we prospectively characterized the clinical, molecular, laboratory, and imaging findings of eight children with FSASD in order to pursue biomarker discovery with collaborators in a consortium of FSASD investigators. Our cohort displayed a high prevalence of ophthalmologic and auditory abnormalities, including myopia, exotropia, and abnormal ABR. Prominent features include impaired CNS myelination, a very thin corpus callosum, documentation of varying levels of intellectual disability, elevated urine, plasma, and CSF free sialic acid levels, and essentially normal endocrine, hematologic, and immunologic parameters. The consistent finding of delayed but progressive myelination suggests that quantitative assessment of myelination by MRI and

Indexed as

N-Acetylneuraminic AcidOrganic Anion TransportersSialic Acid Storage DiseaseSymportersAdolescentBrainChildChild, PreschoolFemaleHumansInfantMagnetic Resonance ImagingMalePhenotypeProspective StudiesN-Acetylneuraminic AcidOrganic Anion Transporterssialic acid transport proteinsSymportersfree sialic acid storage disorderlysosomal storage diseaserare diseasesialic acidwhite matter

Identifiers

PMID41879269
PMCPMC13015179

What OpenQuestion holds

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Registered trials

None linked

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.