Evidence map›Paper›PMID 36498990›Full record

SynthesisInternational journal of molecular sciences2022

Relevance of Plasma Homocysteine and Methylenetetrahydrofolate Reductase 677TT Genotype in Sickle Cell Disease: A Systematic Review and Meta-Analysis.

Paul R J Ames, Alessia Arcaro, Matilde Caruso, Maria Graf, Vincenzo Marottoli, Fabrizio Gentile

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of molecular sciences, 2022. 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
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. New Trends in Pathology: From Cell Morphology to Molecular Medicine.International journal of molecular sciences · 2023
    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

6 authors at 4 institutions in 3 countries.

Paul R J AmesImmune Response and Vascular Disease Unit, Centro de Estudos de Doenças Crónicas, Universidade Nova de Lisboa, 1150-082 Lisbon, Portugal.
Alessia ArcaroDepartment of Medicine & Health Sciences 'V. Tiberio', Università del Molise, 86100 Campobasso, Italy.
Matilde CarusoTransfusion Medicine Unit, Cardarelli Hospital, 86100 Campobasso, Italy.
Maria GrafImmunohaematology and Transfusion Medicine Unit, Department of Laboratory and Transfusion Medicine, Federico II University Hospital, 80131 Napoli, Italy.
Vincenzo MarottoliMultimedica Srl, 80134 Naples, Italy.
Fabrizio GentileDepartment of Medicine & Health Sciences 'V. Tiberio', Università del Molise, 86100 Campobasso, Italy.ORCID 0000-0002-6704-3115
University of Molise · ITDumfries and Galloway Royal Infirmary · GBFederico II University Hospital · ITMultiMedica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We evaluated the relevance of plasma homocysteine (HC) and the TT genotype of the methylenetetrahydrofolate reductase (MTHFR) C677T polymorphism (rs1801133) in sickle cell disease (SCD) and associated vaso-occlusive crisis (VOC) and ischemic stroke (IS). We identified in Embase and Medline 22 studies on plasma HC and 22 on MTHFR genotypes. Due to age-related HC differences, adult and paediatric SCD were separated: 879 adult SCD and 834 controls (CTR) yielded a neutral effect size; 427 paediatric SCD and 625 CTR favoured SCD (p = 0.001) with wide heterogeneity (I2 = 95.5%) and were sub-grouped by country: six studies (Dutch Antilles n = 1, USA n = 5) yielded a neutral effect size, four (India n = 1, Arab countries n = 3) favoured SCD (p < 0.0001). Moreover, 249 SCD in VOC and 419 out of VOC yielded a neutral effect size. The pooled prevalence of the MTHFR TT genotype in 267 SCD equalled that of 1199 CTR (4.26% vs. 2.86%, p = 0.45), and in 84 SCD with IS equalled that of 86 without IS (5.9% vs. 3.7%, p = 0.47); removal of one paediatric study yielded a significant effect size (p = 0.006). Plasma HC in paediatric SCD from Middle East and India was higher, possibly due to vitamin deficiencies. Despite its low prevalence in SCD, the MTHFR TT genotype relates to adult IS.

Indexed as

Anemia, Sickle CellHomocysteineMethylenetetrahydrofolate Reductase (NADPH2)AdultChildGenotypeHumansPolymorphism, GeneticHomocysteineMethylenetetrahydrofolate Reductase (NADPH2)homocysteineischemic strokemethylenetetrahydrofolate reductaseMTHFR TT genotypesickle cell diseasevaso-occlusive crisis

Identifiers

PMID36498990
PMCPMC9736045
OpenAlexW4309852305

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.