Evidence map›Paper›PMID 30736844›Full record

ReviewOrphanet journal of rare diseases2019

Gastrointestinal Dysmotility in MNGIE: from thymidine phosphorylase enzyme deficiency to altered interstitial cells of Cajal.

Rana Yadak, Marjolein Breur, Marianna Bugiani

Open access · goldAbstract readReview
In one paragraph

Review in Orphanet journal of rare diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
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

18 citing papers in PubMed, 42 citations in OpenAlex.

  1. Review
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  13. Experimental and therapeutic medicine · 2021
    Article
  14. Review
  15. Xiangbinfang granules enhance gastric antrum motilityWorld journal of gastroenterology · 2021
    Article
  16. Review
  17. Prophylactic Effect ofEvidence-based complementary and alternative medicine : eCAM · 2020
    Article
  18. Review
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

3 authors at 2 institutions in 1 country.

Rana YadakDepartment of Neurology, Erasmus University Medical Center, Rotterdam, The Netherlands. rana.yadak@gmail.com.ORCID 0000-0001-8383-5561
Marjolein BreurDepartment of Child Neurology, VU University Medical center, Amsterdam, The Netherlands.
Marianna BugianiDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands. m.bugiani@vumc.nl.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMNGIE is a rare and fatal disease in which absence of the enzyme thymidine phosphorylase induces systemic accumulation of thymidine and deoxyuridine and secondary mitochondrial DNA alterations. Gastrointestinal (GI) symptoms are frequently reported in MNGIE patients, however, they are not resolved with the current treatment interventions. Recently, our understanding of the GI pathology has increased, which rationalizes the pursuit of more targeted therapeutic strategies. In particular, interstitial cells of Cajal (ICC) play key roles in GI physiology and are involved in the pathogenesis of the GI dysmotility. However, understanding of the triggers of ICC deficits in MNGIE is lacking. Herein, we review the current knowledge about the pathology of GI dysmotility in MNGIE, discuss potential mechanisms in relation to ICC loss/dysfunction, remark on the limited contribution of the current treatments, and propose intervention strategies to overcome ICC deficits. Finally, we address the advances and new research avenues offered by organoids and tissue engineering technologies, and propose schemes to implement to further our understanding of the GI pathology and utility in regenerative and personalized medicine in MNGIE.

conclusionInterstitial cells of Cajal play key roles in the physiology of the gastrointestinal motility. Evaluation of their status in the GI dysmotility related to MNGIE would be valuable for diagnosis of MNGIE. Understanding the underlying pathological and molecular mechanisms affecting ICC is an asset for the development of targeted prevention and treatment strategies for the GI dysmotility related to MNGIE.

Indexed as

FemaleGastrointestinal DiseasesHumansInterstitial Cells of CajalIntestinal Pseudo-ObstructionMaleMitochondrial DiseasesMuscular Dystrophy, OculopharyngealMutationOphthalmoplegiaThymidine PhosphorylaseThymidine PhosphorylaseChronic intestinal pseudo-obstructionCIPOHSCTICCInterstitial cells of CajalIntestinal organoidsMitochondrial neurogastrointestinal encephalomyopathyMNGIE

Identifiers

PMID30736844
PMCPMC6368792
OpenAlexW2919791781

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.