Evidence map›Paper›PMID 33566311›Full record

ReviewEndocrine2021

Alström syndrome: an ultra-rare monogenic disorder as a model for insulin resistance, type 2 diabetes mellitus and obesity.

Francesca Dassie, Francesca Favaretto, Silvia Bettini, Matteo Parolin, Marina Valenti, Felix Reschke, Thomas Danne, Roberto Vettor, Gabriella Milan, Pietro Maffei

Abstract readReview
PubMed Publisher
In one paragraph

Review in Endocrine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.5field-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

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
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  9. Effect ofWorld journal of diabetes · 2025
    Article
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  12. Review
  13. Ciliopathies in pediatric endocrinology.Annals of pediatric endocrinology & metabolism · 2023
    Article
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  15. 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

10 authors at 3 institutions in 2 countries.

Francesca DassieDepartment of Medicine (DIMED), Clinica Medica 3, Padua University Hospital, Padua, Italy.
Francesca FavarettoDepartment of Medicine (DIMED), Clinica Medica 3, Padua University Hospital, Padua, Italy.
Silvia BettiniDepartment of Medicine (DIMED), Clinica Medica 3, Padua University Hospital, Padua, Italy.
Matteo ParolinDepartment of Medicine (DIMED), Clinica Medica 3, Padua University Hospital, Padua, Italy.
Marina ValentiItalian Association of Alström Syndrome Patients-ASS.A.I., Endo-ERN ePAG, Padua, Italy.
Felix ReschkeDepartment of General Pediatrics, Endocrinology/Diabetology and Clinical Research, Children's Hospital Auf der Bult, Hannover, Germany.
Thomas DanneDepartment of General Pediatrics, Endocrinology/Diabetology and Clinical Research, Children's Hospital Auf der Bult, Hannover, Germany.ORCID http://orcid.org/0000-0002-8424-3944
Roberto VettorDepartment of Medicine (DIMED), Clinica Medica 3, Padua University Hospital, Padua, Italy.
Gabriella MilanDepartment of Medicine (DIMED), Clinica Medica 3, Padua University Hospital, Padua, Italy.
Pietro MaffeiDepartment of Medicine (DIMED), Clinica Medica 3, Padua University Hospital, Padua, Italy. pietro.maffei@aopd.veneto.it.
University of Padua · ITKinderkrankenhaus auf der Bult · DEItalian Association for Cancer Research · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlström syndrome (ALMS) is a monogenic ultra-rare disorder with a prevalence of one per million inhabitants caused by pathogenic variants of ALMS1 gene. ALMS1 is located on chromosome 2p13, spans 23 exons and encodes a predicted 461.2-kDa protein of 4169 amino acids. The infantile cone-rod dystrophy with nystagmus and severe visual impairment is the earliest and most consistent clinical manifestation of ALMS. In addition, infantile transient cardiomyopathy, early childhood obesity with hyperphagia, deafness, insulin resistance (IR), type 2 diabetes mellitus (T2DM), systemic fibrosis and progressive renal or liver dysfunction are common findings. ALMS1 encodes a large ubiquitously expressed protein that is associated with the centrosome and the basal body of primary cilium. CURRENT RESEARCH: The localisation of ALMS1 to the ciliary basal body suggests its contribution to ciliogenesis and/or normal ciliary function, or centriolar stability. ALMS1 regulate glucose transport through the actin cytoskeleton, which plays an important role in insulin-stimulated GLUT4 transport. Both extreme IR and β-cell failure are the two determinant factors responsible for the development of glucose metabolism alterations in ALMS. TREATMENT: Currently, there is no known cure for ALMS other than managing the underlying systemic diseases. When possible, individuals with ALMS and families should be referred to a centre of expertise and followed by a multidisciplinary team. Lifestyle modification, aerobic exercise and dietary induced weight loss are highly recommended as primary treatment for ALMS patients with T2DM and obesity.

conclusionManaging a rare disease requires not only medical care but also a support network including patient associations.

Indexed as

Alstrom SyndromeDiabetes Mellitus, Type 2Insulin ResistanceCell Cycle ProteinsChild, PreschoolHumansObesityRare DiseasesCell Cycle ProteinsAlström syndromeENDO-ERNMonogenetic diabetesPBI-4050Rare disease networkSetmelanotide

Identifiers

PMID33566311
OpenAlexW3126930114

What Socratic holds

Textmetadata
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.