X-linked adrenoleukodystrophy: Clinical, metabolic, genetic and pathophysiological aspects
Open accessAbstract
X-linked adrenoleukodystrophy (X-ALD) is the most frequent peroxisomal disease. The two main clinical phenotypes of X-ALD are adrenomyeloneuropathy (AMN) and inflammatory cerebral ALD that manifests either in children or more rarely in adults. About 65% of heterozygote females develop symptoms by the age of 60years. Mutations in the ABCD1 gene affect the function of the encoded protein ALDP, an ATP-binding-cassette (ABC) transporter located in the peroxisomal membrane protein. ALDP deficiency impairs the peroxisomal beta-oxidation of very long-chain fatty acids (VLCFA) and facilitates their further chain elongation by ELOVL1 resulting in accumulation of VLCFA in plasma and tissues. While all patients have mutations in the ABCD1 gene, there is no general genotype-phenotype correlation. Environmental factors and a multitude of modifying genes appear to determine the clinical manifestation in this monogenetic but multifactorial disease. This review focuses on the clinical, biochemical, genetic and pathophysiological aspects of X-ALD.
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- Findingcitation
A SNP has been identified in the promoter region of the ELOVL1 gene.
“Interestingly, a SNP has been identified in the promoter region of the ELOVL1 (Kemp and Aubourg, unpublished observations).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Kemp and Aubourg, unpublished observations
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- Premisecitation
The real incidence of AMN in heterozygous women is likely to be close to 65% by the age of 60 years.
“the real incidence of AMN in heterozygous women is likely to be close to 65% by the age of 60 years (Engelen et al., manuscript in preparation).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Engelen et al., manuscript in preparation
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- Premisenone given
About 10% of boys with cerebral ALD may not enter into the active inflammatory and devastating stage of the disease.
“About 10% of boys with cerebral ALD may not enter into the active inflammatory and devastating stage of the disease.”
Quote in the paperNot a substantial claim - Premisecitation
VLCFA (in particular C26:0) are elevated in readily accessible materials like blood cells and plasma of X-ALD patients.
“The discovery by Moser and coworkers that VLCFA (in particular C26:0) are also elevated in readily accessible materials like blood cells and plasma of X-ALD patients has been of crucial importance for the diagnosis of X-ALD [24].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] 24. H.W. Moser, A.B. Moser, K.K. Frayer, W. Chen, J.D. Schulman, B.P. O'Neill, Y. Kishimoto, Adrenoleukodystrophy: increased plasma content of saturated very long chain fatty acids, Neurology 31 (1981) 1241-1249. source
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- Premisenone given
A newborn male with an ABCD1 gene mutation has a 35-40% risk to develop cerebral ALD between the ages of 5 and 12 years.
“A newborn male with an ABCD1 gene mutation has a 35-40% risk to develop cerebral ALD between the ages of 5 and 12 years.”
Quote in the paperNot a substantial claim
- Premisecitation
VLCFA accumulate in morphological normal brain indicating that the biochemical abnormality precedes histopathological changes.
“Reinecke and coworkers combined histopathological and biochemical analyses of the brain and demonstrated that VLCFA accumulate in morphological normal brain indicating that the biochemical abnormality precedes histopathological changes [33].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [33] 33. C.J. Reinecke, D.P. Knoll, P.J. Pretorius, H.S. Steyn, R.H. Simpson, The correlation between biochemical and histopathological findings in adrenoleukodystrophy, J. Neurol. Sci. 70 (1985) 21-38.
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- Premisenone given
The AMN phenotype is fully penetrant in adults after the age of 55 years.
“the AMN phenotype is fully penetrant in adults after the age of 55 years.”
Quote in the paperNot a substantial claim - Premisenone given
Approximately 65% of children or adults with cerebral ALD have adrenocortical insufficiency that can precede the onset of neurologic symptoms for years or decades.
“Approximately 65% of children or adults with cerebral ALD have adrenocortical insufficiency that can precede the onset of neurologic symptoms for years or decades.”
Quote in the paperNot a substantial claim - Premisecitation
Brain VLCFA levels in normal appearing white matter correlate with the clinical phenotype.
“In 2005, Asheuer and coworkers demonstrated that brain VLCFA levels in normal appearing white matter correlate with the clinical phenotype [34].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [34] 34. M. Asheuer, I. Bieche, I. Laurendeau, A. Moser, B. Hainque, M. Vidaud, P. Aubourg, Decreased expression of ABCD4 and BG1 genes early in the pathogenesis of X-linked adrenoleukodystrophy, Hum. Mol. Genet. 14 (2005) 1293-1303. source
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- Premisenone given
There is no correlation between X-ALD phenotype and mutations in the ABCD1 gene.
“there is no correlation between X-ALD phenotype and mutations in the ABCD1 gene”
Quote in the paperSubstantial claim - Premisecitation
AMN is the most frequent phenotype of X-ALD.
“AMN is the most frequent phenotype of X-ALD [1,2].”
- Also stated in: § 4.1. AMN AMN, the most frequent phenotype of X-ALD, is nearly completely penetrant in adult males and affects 65% of heterozygous women by the age of 60 years (Engelen et al., manuscript in preparation).The Abcd1 knockout mouse develops a phenotype that resembles AMN at 18-20 months of age, but no cerebral demyelination [40].The neuropathological hallmark of AMN is an axonopathy with microgliosis but without significant myelin changes [83].In the CNS, ALDP is mostly expressed in oligodendrocytes, microglia, astrocytes and endothelial cells [84], but not in most neurons with the exception of hypothalamus, basal nucleus of Meynert, periaqueductal gray matter and in the locus coeruleus [85].A direct role for oligodendrocytes to sustain axonal function is supported by the observation that mice lacking 2′,3′-cyclic nucleotide phosphodiesterase (CNPase) or proteolipid protein (PLP) display axonal dysfunction without demyelination in the spinal cord and brain [86,87].It is therefore possible that the primary consequence of the loss of ALDP function in oligodendrocytes triggers progressive axonal damage without significant demyelination.Confirmation that this hypothesis is correct would require the targeted inactivation of the Abcd1 gene specifically in mouse oligodendrocytes and follow up to evaluate whether these mice indeed develop the AMN-like phenotype.In X-ALD patients, this degenerative process, however, is very slow and takes decades to finally result in clinical symptoms of AMN.Interestingly, Abcd1 knockout mice display oxidative damage to proteins in the spinal cord already at the age of 3 months [39], long before the first neuropathological lesions in the spinal cord at around 16 months of age and clinical signs at 20 months of age [40].Loss of function of ALDP and possibly the accumulation of VLCFA result in oxidative stress in oligodendrocytes.This oxidative stress and/or antioxidant defense impairment in oligodendrocytes could be the major factor that initiates axonal damage in X-ALD.This notion is supported by the observation that antioxidants reduce markers for oxidative stress and axonal degeneration in the spinal cord of Abcd1 knockout mice [88].Yet, recent transcriptomic analysis highlighted other pathways that are dysregulated in Abcd1 knockout mice, including oxidative phosphorylation, adipocytokine and insulin signaling pathways, protein synthesis and turnover, NFkappa B mediated pro-inflammatory response, inflammatory response related to TGF beta, and the Toll-like receptor pathway [89].Consistent with the microgliosis observed at the neuropathological level, these data suggest that a pro-inflammatory status is also present in AMN. · plain
“AMN, the most frequent phenotype of X-ALD, is nearly completely penetrant in adult males and affects 65% of heterozygous women by the age of 60 years (Engelen et al., manuscript in preparation).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [1] 1. P. Aubourg, X-linked adrenoleukodystrophy, in: P.J. Vinken, C.W. Bruyn, H.W. Moser (Eds.), Handbook of Clinical Neurology, vol. 66, Elsevier, Amsterdam, 1996, pp. 447-483.
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- cites [2] 2. H.W. Moser, A. Mahmood, G.V. Raymond, X-linked adrenoleukodystrophy, Nat. Clin. Pract. Neurol. 3 (2007) 140-151. source
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- cites Engelen et al., manuscript in preparation
Not checked in the free run.
- Also stated in: § 4.1. AMN AMN, the most frequent phenotype of X-ALD, is nearly completely penetrant in adult males and affects 65% of heterozygous women by the age of 60 years (Engelen et al., manuscript in preparation).The Abcd1 knockout mouse develops a phenotype that resembles AMN at 18-20 months of age, but no cerebral demyelination [40].The neuropathological hallmark of AMN is an axonopathy with microgliosis but without significant myelin changes [83].In the CNS, ALDP is mostly expressed in oligodendrocytes, microglia, astrocytes and endothelial cells [84], but not in most neurons with the exception of hypothalamus, basal nucleus of Meynert, periaqueductal gray matter and in the locus coeruleus [85].A direct role for oligodendrocytes to sustain axonal function is supported by the observation that mice lacking 2′,3′-cyclic nucleotide phosphodiesterase (CNPase) or proteolipid protein (PLP) display axonal dysfunction without demyelination in the spinal cord and brain [86,87].It is therefore possible that the primary consequence of the loss of ALDP function in oligodendrocytes triggers progressive axonal damage without significant demyelination.Confirmation that this hypothesis is correct would require the targeted inactivation of the Abcd1 gene specifically in mouse oligodendrocytes and follow up to evaluate whether these mice indeed develop the AMN-like phenotype.In X-ALD patients, this degenerative process, however, is very slow and takes decades to finally result in clinical symptoms of AMN.Interestingly, Abcd1 knockout mice display oxidative damage to proteins in the spinal cord already at the age of 3 months [39], long before the first neuropathological lesions in the spinal cord at around 16 months of age and clinical signs at 20 months of age [40].Loss of function of ALDP and possibly the accumulation of VLCFA result in oxidative stress in oligodendrocytes.This oxidative stress and/or antioxidant defense impairment in oligodendrocytes could be the major factor that initiates axonal damage in X-ALD.This notion is supported by the observation that antioxidants reduce markers for oxidative stress and axonal degeneration in the spinal cord of Abcd1 knockout mice [88].Yet, recent transcriptomic analysis highlighted other pathways that are dysregulated in Abcd1 knockout mice, including oxidative phosphorylation, adipocytokine and insulin signaling pathways, protein synthesis and turnover, NFkappa B mediated pro-inflammatory response, inflammatory response related to TGF beta, and the Toll-like receptor pathway [89].Consistent with the microgliosis observed at the neuropathological level, these data suggest that a pro-inflammatory status is also present in AMN. · plain
- Premisecitation
Twenty percent of AMN males develop, usually between 20 and 35 years of age, a cerebral demyelinating form of the disease.
“Twenty percent of AMN males develop, usually between 20 and 35 years of age, a cerebral demyelinating form of the disease [3].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [3] 3. B.M. van Geel, L. Bezman, D.J. Loes, H.W. Moser, G.V. Raymond, Evolution of phe- notypes in adult male patients with X-linked adrenoleukodystrophy, Ann. Neu- rol. 49 (2001) 186-194.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Premisereasoning
Overall, for male X-ALD patients the lifetime risk to develop cerebral ALD, either in childhood or in adulthood, is around 60%.
“Overall, for male X-ALD patients the lifetime risk to develop cerebral ALD, either in childhood or in adulthood, is around 60%.”
Quote in the paperNot a substantial claim - Premisenone given
Cerebral ALD is the most severe phenotype of X-ALD.
“Cerebral ALD is the most severe phenotype of X-ALD.”
Quote in the paperNot a substantial claim - Premisecitation
Studies in obligate heterozygotes have shown false negative results in approximately 20% of cases.
“studies in obligate heterozygotes have shown false negative results in approximately 20% of cases [14].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [14] 14. H.W. Moser, K.D. Smith, P.A. Watkins, J. Powers, A.B. Moser, X-linked adrenoleu- kodystrophy, in: C.R. Scriver, A.L. Beaudet, W.S. Sly, D. Valle (Eds.), The Metabol- ic and Molecular Bases of Inherited Disease, McGraw Hill, New York, 2001, pp. 3257-3301.
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- Interpretationcitation
Mutation analysis is the most reliable method for the identification of heterozygotes, provided that the mutation in the family has been defined in an affected male or obligate heterozygote relative.
“Therefore, mutation analysis is the most reliable method for the identification of heterozygotes, provided that the mutation in the family has been defined in an affected male or obligate heterozygote relative [25].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [25] 25. C.D. Boehm, G.R. Cutting, M.B. Lachtermacher, H.W. Moser, S.S. Chong, Accurate DNA-based diagnostic and carrier testing for X-linked adrenoleukodystrophy, Mol. Genet. Metab. 66 (1999) 128-136.
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- Premisereasoning
A newborn male with X-ALD, as identified by a mutation in the ABCD1 gene, is likely to develop AMN in adulthood.
“A newborn male with X-ALD, as identified by a mutation in the ABCD1 gene, is likely to develop AMN in adulthood.”
Quote in the paperNot a substantial claim - Premisecitation
X-ALD is clinically characterized by two main phenotypes: adrenomyeloneuropathy (AMN) and the cerebral demyelinating form of X-ALD (cerebral ALD).
“X-linked adrenoleukodystrophy (X-ALD) is clinically characterized by two main phenotypes: adrenomyeloneuropathy (AMN) and the cerebral demyelinating form of X-ALD (cerebral ALD) [1,2].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [1] 1. P. Aubourg, X-linked adrenoleukodystrophy, in: P.J. Vinken, C.W. Bruyn, H.W. Moser (Eds.), Handbook of Clinical Neurology, vol. 66, Elsevier, Amsterdam, 1996, pp. 447-483.
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- cites [2] 2. H.W. Moser, A. Mahmood, G.V. Raymond, X-linked adrenoleukodystrophy, Nat. Clin. Pract. Neurol. 3 (2007) 140-151. source
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- Premisenone given
The disorder is inherited in an X-linked manner.
“The disorder is inherited in an X-linked manner.”
Quote in the paperSubstantial claim - Interpretationreasoning
This mutation may thus represent such a rare variant of a genotype-phenotype relation.
“This mutation may thus represent such a rare variant of a genotype-phenotype relation.”
Quote in the paperNot a substantial claim - Premisecitation
Segregation analysis suggests that in addition to disease-causing ABCD1 mutations and environmental factors, other autosomal inherited genetic factors are involved in the clinical manifestation of X-ALD.
“Segregation analysis suggests that in addition to the disease causing ABCD1 mutations and environmental factors, other genetic autosomal inherited factors are involved in the clinical manifestation of X-ALD [70,70,71].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [70] 70. K.D. Smith, G. Sack, T.H. Beaty, A. Bergin, S. Naidu, A. Moser, H.W. Moser, A ge- netic basis for the multiple phenotypes of X-linked adrenoleukodystrophy, Am. J. Hum. Genet. 49 (1991) 165.
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- cites [71] 71. N.E. Maestri, T.H. Beaty, Predictions of a 2-locus model for disease heterogene- ity: application to adrenoleukodystrophy, Am. J. Med. Genet. 44 (1992) 576-582.
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- Premisecitation
Investigations of other candidate genes such as the HLA haplotype have shown conflicting results.
“Investigations of other candidate genes such as the HLA haplotype have shown conflicting results [75,76], but these analyses may have been performed in underpowered sample collectives making a final conclusion uncertain.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [75] 75. J. Berger, H. Bernheimer, I. Fae, A. Braun, A. Roscher, B. Molzer, G. Fischer, Asso- ciation of X-linked adrenoleukodystrophy with HLA DRB1 alleles, Biochem. Bio- phys. Res. Commun. 216 (1995) 447-451.
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- cites [76] 76. M.C. McGuinness, J.M. Powers, W.B. Bias, B.J. Schmeckpeper, A.H. Segal, V.C. Gowda, S.L. Wesselingh, J. Berger, D.E. Griffin, K.D. Smith, Human leukocyte an- tigens and cytokine expression in cerebral inflammatory demyelinative lesions of X-linked adrenoleukodystrophy and multiple sclerosis, J. Neuroimmunol. 75 (1997) 174-182.
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- Premisecitation
The VLCFA that accumulate in X-ALD are only partly absorbed from the diet.
“The VLCFA that accumulate in X-ALD are only partly absorbed from the diet [52].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [52] 52. Y. Kishimoto, H.W. Moser, N. Kawamura, M. Platt, S.L. Pallante, C. Fenselau, Ad- renoleukodystrophy: evidence that abnormal very long chain fatty acids of brain cholesterol esters are of exogenous origin, Biochem. Biophys. Res. Commun. 96 (1980) 69-76. source
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- Interpretationreasoning
The HLA haplotype analyses may have been performed in underpowered sample collectives, making a final conclusion uncertain.
“Investigations of other candidate genes such as the HLA haplotype have shown conflicting results [75,76], but these analyses may have been performed in underpowered sample collectives making a final conclusion uncertain.”
Quote in the paperNot a substantial claim - Interpretationreasoning
The total lack of a functional ALDP transporter alone does not necessarily lead to the severe form of X-ALD.
“These observations clearly demonstrate that the total lack of a functional ALDP transporter alone does not necessarily lead to the severe form of X-ALD.”
Quote in the paperSubstantial claim - Premisecitation
FATP4 encoded by the SLC27A4 gene is the fatty acyl-CoA synthetase that preferentially activates VLCFA to their CoA derivatives.
“It has now been demonstrated that the fatty acid transport protein 4 (FATP4) encoded by the SLC27A4 gene is the fatty acyl-CoA synthetase that preferentially activates VLCFA to their CoA derivatives [44].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [44] 44. Z. Jia, C.L. Moulson, Z. Pei, J.H. Miner, P.A. Watkins, Fatty acid transport protein 4 is the principal very long chain fatty acyl-CoA synthetase in skin fibroblasts, J. Biol. Chem. 282 (2007) 20573-20583.
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- Premisecitation
The majority of VLCFA results from endogenous synthesis through elongation of long-chain fatty acids.
“Tsuji et al. demonstrated that the majority results from endogenous synthesis through elongation of long-chain fatty acids [53].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [53] 53. S. Tsuji, T. Sano, T. Ariga, T. Miyatake, Increased synthesis of hexacosanoic acid (C26:0) by cultured skin fibroblasts from patients with adrenoleukodystrophy (ALD) and adrenomyeloneuropathy (AMN), J. Biochem. 90 (1981) 1233-1236 (Tokyo). source
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- Premisecitation
Sequence and segregation analyses of the ABCD2 gene in a large X-ALD family with different phenotypes, as well as two independent association studies of polymorphisms and clinical phenotypes, excluded ABCD2 as a major modifier locus in X-ALD.
“However, sequence and segregation analyses of the ABCD2 gene in a large X-ALD family with different phenotypes, as well as two independent association studies of polymorphisms and clinical phenotypes excluded ABCD2 as a major modifier locus in X-ALD [73,74].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [73] 73. E.M. Maier, P.U. Mayerhofer, M. Asheuer, W. Kohler, M. Rothe, A.C. Muntau, A.A. Roscher, A. Holzinger, P. Aubourg, J. Berger, X-linked adrenoleukodystrophy phenotype is independent of ABCD2 genotype, Biochem. Biophys. Res. Commun. 377 (2008) 176-180. source
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- cites [74] 74. T. Matsukawa, M. Asheuer, Y. Takahashi, J. Goto, Y. Suzuki, N. Shimozawa, H. Takano, O. Onodera, M. Nishizawa, P. Aubourg, S. Tsuji, Identification of novel SNPs of ABCD1, ABCD2, ABCD3 and ABCD4 genes in patients with X-linked adre- noleukodystrophy (ALD) based on comprehensive resequencing and association studies with ALD phenotypes, Neurogenetics 12 (2011) 41-50.
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- Premisecitation
Based on mutational analysis of the ABCD1 gene in X-ALD patients, 587 different mutations have been described up to now.
“Based on mutational analysis of the ABCD1 gene in X-ALD patients, 587 different mutations have been described up to now [64] (http:// www.x-ald.nl).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [64] 64. S. Kemp, A. Pujol, H.R. Waterham, B.M. van Geel, C.D. Boehm, G.V. Raymond, G.R. Cutting, R.J. Wanders, H.W. Moser, ABCD1 mutations and the X-linked adreno- leukodystrophy mutation database: role in diagnosis and clinical correlations, Hum. Mutat. 18 (2001) 499-515. source
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- Premisecitation
The minor allele of rs973742 was significantly more frequent in pure-AMN patients (χ2 = 7.6; P = 0.006).
“The minor allele was significantly more frequent in pure-AMN patients (χ 2 = 7.6; P = 0.006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [80] 80. M. Barbier, A. Sabbagh, E. Kasper, M. Asheuer, O. Ahouansou, I. Pribill, S. Forss-Petter, M. Vidaud, J. Berger, P. Aubourg, CD1 gene polymorphisms and phe- notypic variability in X-linked adrenoleukodystrophy, PLoS One 7 (2012) e29872.
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- Premisecitation
77% of all non-recurrent ABCD1 mutations result in the absence of ALDP.
“It is described that 77% of all non-recurrent ABCD1 mutations result in the absence of ALDP (http://www.x-ald.nl).”
Quote in the paperNot a substantial claim - Premisecitation
The desorption of C26:0 from a phospholipid bilayer model membrane is 10,000 times slower than that of C16:0 and C18:0 fatty acids.
“The desorption of C26:0 from a phospholipid bilayer model membrane is 10,000 times slower than that of C16:0 and C18:0 fatty acids [35].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [35] 35. J.K. Ho, H. Moser, Y. Kishimoto, J.A. Hamilton, Interactions of a very long chain fatty acid with model membranes and serum albumin. Implications for the path- ogenesis of adrenoleukodystrophy, J. Clin. Invest. 96 (1995) 1455-1463. source
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- Premisecitation
Positive association studies with variants in genes involved in methionine metabolism, SOD2, or altered gene expression of Bubblegum and ABCD4 might indicate their involvement in the pathology of X-ALD.
“However, positive association studies with variants in genes involved in methionine metabolism [77,78], and SOD2 [79], or altered gene expression of Bubblegum (a member of the VLCFacyl-CoA synthetase family) [34], and ABCD4 (PMP69/P70R, another half ABC-transporter with high homology to ALDP) [34], might indicate their involvement in the pathology of X-ALD.”
Quote in the paperNot a substantial claim0 of 4 sources checked- cites [77] 77. M. Linnebank, S. Kemp, R.J.A. Wanders, W.J. Kleijer, M.L.T. van der Sterre, J. Gartner, K. Fliessbach, A. Semmler, P. Sokolowski, W. Kohler, U. Schlegel, S. Schmidt, T. Klockgether, U. Wullner, Methionine metabolism and phenotypic variability in X-linked adrenoleukodystrophy, Neurology 66 (2006) 442-443.
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- cites [78] 78. A. Semmler, X. Bao, G. Cao, W. Kohler, M. Weller, P. Aubourg, M. Linnebank, Ge- netic variants of methionine metabolism and X-ALD phenotype generation: re- sults of a new study sample, J. Neurol. 256 (2009) 1277-1280.
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- cites [79] 79. R.D. Brose, D. Avramopoulos, K.D. Smith, SOD2 as a potential modifier of X-linked adrenoleukodystrophy clinical phenotypes, J. Neurol. (2012), doi:10. 1007/s00415-011-6371-6378.
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- cites [34] 34. M. Asheuer, I. Bieche, I. Laurendeau, A. Moser, B. Hainque, M. Vidaud, P. Aubourg, Decreased expression of ABCD4 and BG1 genes early in the pathogenesis of X-linked adrenoleukodystrophy, Hum. Mol. Genet. 14 (2005) 1293-1303. source
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- Premisecitation
The synthesis of C24:0 and C26:0 is carried out by the concerted action of ELOVL6 (C18:0-C22:0) and ELOVL1 (C24:0-C26:0).
“It was recently demonstrated that the synthesis of C24:0 and C26:0 is carried out by the concerted action of ELOVL6 (C18:0-C22:0) and ELOVL1 (C24:0-C26:0) [50] (Fig. 2).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [50] 50. R. Ofman, I.M. Dijkstra, C.W. van Roermund, N. Burger, M. Turkenburg, A. van Cruchten, C.E. van Engen, R.J. Wanders, S. Kemp, The role of ELOVL1 in very long-chain fatty acid homeostasis and X-linked adrenoleukodystrophy, EMBO Mol. Med. 2 (2010) 90-97. source
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- Premisecitation
ALDP-related protein (ALDRP, ABCD2), the closest homolog of ALDP, has an overlapping function with ALDP.
“The demonstration that ALDP-related protein (ALDRP, ABCD2), the closest homolog of ALDP, has an overlapping function with ALDP [72] suggested the ABCD2 gene as a putative X-ALD modifier gene.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [72] 72. A. Netik, S. Forss-Petter, A. Holzinger, B. Molzer, G. Unterrainer, J. Berger, Adre- noleukodystrophy-related protein can compensate functionally for adrenoleu- kodystrophy protein deficiency (X-ALD): implications for therapy, Hum. Mol. Genet. 8 (1999) 907-913. source
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- Interpretationcitation
The ABCD2 gene was suggested as a putative X-ALD modifier gene.
“The demonstration that ALDP-related protein (ALDRP, ABCD2), the closest homolog of ALDP, has an overlapping function with ALDP [72] suggested the ABCD2 gene as a putative X-ALD modifier gene.”
Quote in the paperNot a substantial claim - Premisereasoning
There is no simple and general genotype-phenotype relation in X-ALD.
“There is no simple and general genotype-phenotype relation in X-ALD.”
Quote in the paperSubstantial claim - Interpretationreasoning
Additional factors are required to initiate the inflammatory process.
“Thus, additional factors are required to initiate the inflammatory process.”
Quote in the paperSubstantial claim - Premisecitation
The ABCD1 gene was identified by the use of positional cloning strategies.
“The ABCD1 gene (GenBank accession number: NM_000033) was identified by the use of positional cloning strategies [43].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [43] 43. J. Mosser, A.M. Douar, C.O. Sarde, P. Kioschis, R. Feil, H. Moser, A.M. Poustka, J.L. Mandel, P. Aubourg, Putative X-linked adrenoleukodystrophy gene shares unex- pected homology with ABC transporters, Nature 361 (1993) 726-730. source
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- Premisecitation
When the ABCD1 gene was identified, its product (ALDP) was not a VLCFacyl-CoA synthetase, but a peroxisomal membrane protein belonging to the ATP-binding cassette (ABC) superfamily of transporters.
“It therefore came as a surprise that when the ABCD1 gene was identified, its product (ALDP) was not a VLCFacyl-CoA synthetase, but a peroxisomal membrane protein belonging to the ATP-binding cassette (ABC) superfamily of transporters [43].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [43] 43. J. Mosser, A.M. Douar, C.O. Sarde, P. Kioschis, R. Feil, H. Moser, A.M. Poustka, J.L. Mandel, P. Aubourg, Putative X-linked adrenoleukodystrophy gene shares unex- pected homology with ABC transporters, Nature 361 (1993) 726-730. source
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- Premisecitation
Inclusion of C26:0 in a model membrane disrupts membrane structure.
“Microcalorimetric studies have shown that inclusion of C26:0 in a model membrane disrupts membrane structure [35].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [35] 35. J.K. Ho, H. Moser, Y. Kishimoto, J.A. Hamilton, Interactions of a very long chain fatty acid with model membranes and serum albumin. Implications for the path- ogenesis of adrenoleukodystrophy, J. Clin. Invest. 96 (1995) 1455-1463. source
Not checked in the free run.
- Interpretationcitation
ALDP transports VLCFacyl-CoA into peroxisomes.
“These data establish that ALDP transports VLCFacyl-CoA into peroxisomes”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [50] 50. R. Ofman, I.M. Dijkstra, C.W. van Roermund, N. Burger, M. Turkenburg, A. van Cruchten, C.E. van Engen, R.J. Wanders, S. Kemp, The role of ELOVL1 in very long-chain fatty acid homeostasis and X-linked adrenoleukodystrophy, EMBO Mol. Med. 2 (2010) 90-97. source
Not checked in the free run.
- Premisecitation
AMN affects 65% of heterozygous women by the age of 60 years.
“AMN, the most frequent phenotype of X-ALD, is nearly completely penetrant in adult males and affects 65% of heterozygous women by the age of 60 years (Engelen et al., manuscript in preparation).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Engelen et al., manuscript in preparation
Not checked in the free run.
- Premisecitation
VLCFA levels are higher in the normal appearing white matter of patients with cerebral ALD than in the normal white matter of AMN patients.
“Indeed, VLCFA levels are higher in the normal appearing white matter of patients with cerebral ALD than in the normal white matter of AMN patients [34].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [34] 34. M. Asheuer, I. Bieche, I. Laurendeau, A. Moser, B. Hainque, M. Vidaud, P. Aubourg, Decreased expression of ABCD4 and BG1 genes early in the pathogenesis of X-linked adrenoleukodystrophy, Hum. Mol. Genet. 14 (2005) 1293-1303. source
Not checked in the free run.
- Interpretationreasoning
The data currently available point to the existence of many rare genetic variant interactions that affect the clinical manifestations in X-ALD patients.
“The data currently available point to the existence of many rare genetic variant interactions that affect the clinical manifestations in X-ALD patients.”
Quote in the paperSubstantial claim - Interpretationcitation
Oligodendrocytes have a direct role in sustaining axonal function.
“A direct role for oligodendrocytes to sustain axonal function is supported by the observation that mice lacking 2′,3′-cyclic nucleotide phosphodiesterase (CNPase) or proteolipid protein (PLP) display axonal dysfunction without demyelination in the spinal cord and brain [86,87].”
Quote in the paperSubstantial claim - Premisecitation
The neuropathological hallmark of AMN is an axonopathy with microgliosis but without significant myelin changes.
“The neuropathological hallmark of AMN is an axonopathy with microgliosis but without significant myelin changes [83].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [83] 83. J.M. Powers, D.P. DeCiero, M. Ito, A.B. Moser, H.W. Moser, Adrenomyeloneuropa- thy: a neuropathologic review featuring its noninflammatory myelopathy, J. Neuropathol. Exp. Neurol. 59 (2000) 89-102.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
- Interpretationcitation
Oxidative stress and/or antioxidant defense impairment in oligodendrocytes could be the major factor that initiates axonal damage in X-ALD.
“This oxidative stress and/or antioxidant defense impairment in oligodendrocytes could be the major factor that initiates axonal damage in X-ALD.”
Quote in the paperSubstantial claim - Premisecitation
Recent transcriptomic analysis highlighted other pathways that are dysregulated in Abcd1 knockout mice, including oxidative phosphorylation, adipocytokine and insulin signaling pathways, protein synthesis and turnover, NFkappa B mediated pro-inflammatory response, inflammatory response related to TGF beta, and the Toll-like receptor pathway.
“Yet, recent transcriptomic analysis highlighted other pathways that are dysregulated in Abcd1 knockout mice, including oxidative phosphorylation, adipocytokine and insulin signaling pathways, protein synthesis and turnover, NFkappa B mediated pro-inflammatory response, inflammatory response related to TGF beta, and the Toll-like receptor pathway [89].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [89] 89. A. Schluter, L. Espinosa, S. Fourcade, J. Galino, E. Lopez, E. Ilieva, L. Morato, M. Asheuer, T. Cook, A. McLaren, J. Reid, F. Kelly, S. Bates, P. Aubourg, E. Galea, A. Pujol, Functional genomic analysis unravels a metabolic-inflammatory interplay in adrenoleukodystrophy, Hum. Mol. Genet. 21 (2012) 1062-1077.
Not checked in the free run.
- Interpretationreasoning
A pro-inflammatory status is present in AMN.
“Consistent with the microgliosis observed at the neuropathological level, these data suggest that a pro-inflammatory status is also present in AMN.”
Quote in the paperNot a substantial claim - Premisecitation
Monozygotic twins can develop different clinical phenotypes.
“This is supported by the development of different clinical phenotypes in monozygotic twins [90,91] and the observation that moderate head trauma can initiate cerebral demyelination in AMN patients [69].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [90] 90. M. Di Rocco, L. Doria-Lamba, U. Caruso, Monozygotic twins with X-linked adre- noleukodystrophy and different phenotypes, Ann. Neurol. 50 (2001) 424.
Not checked in the free run.
- cites [91] 91. G.C. Korenke, S. Fuchs, E. Krasemann, H.G. Doerr, E. Wilichowski, D.H. Hunneman, F. Hanefeld, Cerebral adrenoleukodystrophy (ALD) in only one of monozygotic twins with an identical ALD genotype, Ann. Neurol. 40 (1996) 254-257.
Not checked in the free run.
- Premisecitation
Antioxidants reduce markers for oxidative stress and axonal degeneration in the spinal cord of Abcd1 knockout mice.
“This notion is supported by the observation that antioxidants reduce markers for oxidative stress and axonal degeneration in the spinal cord of Abcd1 knockout mice [88].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [88] 88. J. Lopez-Erauskin, S. Fourcade, J. Galino, M. Ruiz, A. Schluter, A. Naudi, M. Jove, M. Portero-Otin, R. Pamplona, I. Ferrer, A. Pujol, Antioxidants halt axonal degeneration in a mouse model of X-adrenoleukodystrophy, Ann. Neurol. 70 (2011) 84-92.
Not checked in the free run.
- Premisecitation
AMN is nearly completely penetrant in adult males.
“AMN, the most frequent phenotype of X-ALD, is nearly completely penetrant in adult males and affects 65% of heterozygous women by the age of 60 years (Engelen et al., manuscript in preparation).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Engelen et al., manuscript in preparation
Not checked in the free run.
- Premisecitation
Mice lacking CNPase or PLP display axonal dysfunction without demyelination in the spinal cord and brain.
“A direct role for oligodendrocytes to sustain axonal function is supported by the observation that mice lacking 2′,3′-cyclic nucleotide phosphodiesterase (CNPase) or proteolipid protein (PLP) display axonal dysfunction without demyelination in the spinal cord and brain [86,87].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [86] 86. I. Griffiths, M. Klugmann, T. Anderson, D. Yool, C. Thomson, M.H. Schwab, A. Schneider, F. Zimmermann, M. McCulloch, N. Nadon, K.A. Nave, Axonal swellings and degeneration in mice lacking the major proteolipid of myelin, Science 280 (1998) 1610-1613. source
Not checked in the free run.
- cites [87] 87. C. Lappe-Siefke, S. Goebbels, M. Gravel, E. Nicksch, J. Lee, P.E. Braun, I.R. Griffiths, K.A. Nave, Disruption of Cnp1 uncouples oligodendroglial functions in axonal support and myelination, Nat. Genet. 33 (2003) 366-374. source
Not checked in the free run.
- Premisecitation
The association of rs973742 with pure-AMN was no longer statistically significant after Bonferroni correction for multiple testing.
“However, this association was no longer statistically significant after Bonferroni correction for multiple testing [80].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [80] 80. M. Barbier, A. Sabbagh, E. Kasper, M. Asheuer, O. Ahouansou, I. Pribill, S. Forss-Petter, M. Vidaud, J. Berger, P. Aubourg, CD1 gene polymorphisms and phe- notypic variability in X-linked adrenoleukodystrophy, PLoS One 7 (2012) e29872.
Not checked in the free run.
- Premisecitation
Moderate head trauma can initiate cerebral demyelination in AMN patients.
“This is supported by the development of different clinical phenotypes in monozygotic twins [90,91] and the observation that moderate head trauma can initiate cerebral demyelination in AMN patients [69].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [69] 69. G.V. Raymond, R. Seidman, T.S. Monteith, E. Kolodny, S. Sathe, A. Mahmood, J.M. Powers, Head trauma can initiate the onset of adreno-leukodystrophy, J. Neurol. Sci. 290 (2010) 70-74.
Not checked in the free run.
- Interpretationreasoning
Loss of function of ALDP and possibly the accumulation of VLCFA result in oxidative stress in oligodendrocytes.
“Loss of function of ALDP and possibly the accumulation of VLCFA result in oxidative stress in oligodendrocytes.”
Quote in the paperSubstantial claim - Interpretationreasoning
The rs973742 association likely provides evidence for a possible involvement in the molecular mechanism of X-ALD.
“This is a general problem associated with rare diseases in which the sample size is relatively small, but nevertheless it likely provides evidence for a possible involvement in the molecular mechanism of X-ALD.”
Quote in the paperSubstantial claim - Premisecitation
ELOVL1 is a candidate modifier gene based on its important function in VLCFA synthesis.
“ELOVL1 is another candidate modifier gene based on its important function in VLCFA synthesis [50].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [50] 50. R. Ofman, I.M. Dijkstra, C.W. van Roermund, N. Burger, M. Turkenburg, A. van Cruchten, C.E. van Engen, R.J. Wanders, S. Kemp, The role of ELOVL1 in very long-chain fatty acid homeostasis and X-linked adrenoleukodystrophy, EMBO Mol. Med. 2 (2010) 90-97. source
Not checked in the free run.
- Premisecitation
In the CNS, ALDP is mostly expressed in oligodendrocytes, microglia, astrocytes and endothelial cells, but not in most neurons with the exception of hypothalamus, basal nucleus of Meynert, periaqueductal gray matter and locus coeruleus.
“In the CNS, ALDP is mostly expressed in oligodendrocytes, microglia, astrocytes and endothelial cells [84], but not in most neurons with the exception of hypothalamus, basal nucleus of Meynert, periaqueductal gray matter and in the locus coeruleus [85].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [84] 84. F. Fouquet, J.M. Zhou, E. Ralston, K. Murray, F. Troalen, E. Magal, O. Robain, M. Dubois-Dalcq, P. Aubourg, Expression of the adrenoleukodystrophy protein in the human and mouse central nervous system, Neurobiol. Dis. 3 (1997) 271-285. source
Not checked in the free run.
- cites [85] 85. R. Hoftberger, M. Kunze, I. Weinhofer, F. boul-Enein, T. Voigtlander, I. Oezen, G. Amann, H. Bernheimer, H. Budka, J. Berger, Distribution and cellular localization of adrenoleukodystrophy protein in human tissues: implications for X-linked adrenoleukodystrophy, Neurobiol. Dis. 28 (2007) 165-174. source
Not checked in the free run.
- Interpretationnone given
In X-ALD patients, the degenerative process is very slow and takes decades to finally result in clinical symptoms of AMN.
“In X-ALD patients, this degenerative process, however, is very slow and takes decades to finally result in clinical symptoms of AMN.”
Quote in the paperNot a substantial claim - Interpretationreasoning
It is unlikely that there is a single modifier locus that allows the prediction of the future phenotypic outcome for a presymptomatic X-ALD patient.
“In summary, it seems unlikely that there is a single modifier locus that allows the prediction of the future phenotypic outcome for a presymptomatic X-ALD patient.”
Quote in the paperSubstantial claim - Premisecitation
VLCFA are highly elevated in myelin-specific lipid species.
“Even though there is no correlation between the levels of VLCFA in plasma or fibroblasts and the X-ALD phenotype, VLCFA are highly elevated in myelinspecific lipid species [18,[26][27][28][29].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [18,[26][27][28][29]
Not checked in the free run.
- Interpretationreasoning
A combination of genetic, epigenetic and environmental factors likely play an essential role as triggers for the development of cerebral ALD.
“Because of the absence of general genotype-phenotype correlation in X-ALD, it is likely that a combination of genetic, epigenetic and environmental factors play an essential role as triggers for the development of cerebral ALD.”
Quote in the paperSubstantial claim- Rests on an assumption: Not all X-ALD males develop cerebral demyelination with severe neuroinflammation.
- Rests on an assumption: There is an absence of general genotype-phenotype correlation in X-ALD.
- Interpretationreasoning
VLCFA-enriched complex lipids could be a key factor that contributes to the initiation of myelin instability and then cerebral demyelination.
“These VLCFA-enriched complex lipids could be a key factor that contributes to the initiation of myelin instability and then cerebral demyelination.”
Quote in the paperSubstantial claim - Interpretationcitation
The accumulation of T and B lymphocytes beyond the actively demyelinating lesions in the brain is strongly suggestive of an immune attack.
“The accumulation of T and B lymphocytes beyond the actively demyelinating lesions in the brain are strongly suggestive of an immune attack [100].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [100] 100. J.M. Powers, Y. Liu, A.B. Moser, H.W. Moser, The inflammatory myelinopathy of adreno-leukodystrophy: cells, effector molecules, and pathogenetic implica- tions, J. Neuropathol. Exp. Neurol. 51 (1992) 630-643.
Not checked in the free run.
- Interpretationreasoning
The absence of a relevant X-ALD mouse model that develops cerebral demyelination with neuroinflammation is a major limitation in deciphering the mechanism underlying the onset of cerebral inflammatory demyelination in X-ALD.
“In this respect, the absence of a relevant X-ALD mouse model that develops cerebral demyelination with neuroinflammation is a major limitation in deciphering the mechanism underlying the onset of cerebral inflammatory demyelination in X-ALD.”
Quote in the paperSubstantial claim - Premisecitation
The synthesis of VLCFA (C26:0) is enhanced in X-ALD.
“The synthesis of VLCFA (C26:0) is enhanced in X-ALD [56] and it requires the elongases ELOVL6 and ELOVL1 [50,51].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [56] 56. S. Kemp, F. Valianpour, S. Denis, R. Ofman, R.J. Sanders, P. Mooyer, P.G. Barth, R.J.A. Wanders, Elongation of very long-chain fatty acids is enhanced in X-linked adrenoleukodystrophy, Mol. Genet. Metab. 84 (2005) 144-151. source
Not checked in the free run.
- Interpretationnone given
The presence of these lipid antigens does not exclude the participation of protein antigens as the cause of the immune attack in X-ALD.
“The presence of these lipid antigens, does not exclude the participation of protein antigens as the cause of the immune attack in X-ALD.”
Quote in the paperNot a substantial claim - Premisecitation
VLCFA synthesis involves the elongases ELOVL6 (C18:0-C22:0) and ELOVL1 (C24:0-C26:0).
“VLCFA synthesis involves the elongases ELOVL6 (C18:0-C22:0) and ELOVL1 (C24:0-C26:0).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [51] 51. S. Kemp, R. Wanders, Biochemical aspects of X-linked adrenoleukodystrophy, Brain Pathol. 20 (2010) 831-837. source
Not checked in the free run.
- Premisecitation
Both allogeneic hematopoietic stem cell transplantation and autologous HSC gene therapy are very effective in arresting and even reversing neuroinflammatory cerebral ALD, provided that the procedure is performed at an early stage.
“This is strongly supported by the fact that both allogeneic hematopoietic stem cell (HSC) transplantation and autologous HSC gene therapy are very effective in arresting and even reversing neuroinflammatory cerebral ALD, provided that the procedure is performed at an early stage [101,102].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [101] 101. W.P. Miller, S.M. Rothman, D. Nascene, T. Kivisto, T.E. DeFor, R.S. Ziegler, J. Eisengart, K. Leiser, G. Raymond, T.C. Lund, J. Tolar, P.J. Orchard, Outcomes after allogeneic hematopoietic cell transplantation for childhood cerebral adre- noleukodystrophy: the largest single-institution cohort report, Blood 118 (2011) 1971-1978.
Not checked in the free run.
- cites [102] 102. N. Cartier, S. Hacein-Bey-Abina, C.C. Bartholomae, G. Veres, M. Schmidt, I. Kutschera, M. Vidaud, U. Abel, L. Dal-Cortivo, L. Caccavelli, N. Mahlaoui, V. Kiermer, D. Mittelstaedt, C. Bellesme, N. Lahlou, F. Lefrere, S. Blanche, M. Audit, E. Payen, P. Leboulch, B. l'Homme, P. Bougneres, K.C. Von, A. Fischer, M. Cavazzana-Calvo, P. Aubourg, Hematopoietic stem cell gene therapy with a lenti- viral vector in X-linked adrenoleukodystrophy, Science 326 (2009) 818-823. source
Not checked in the free run.
- Premisecitation
For the majority of X-ALD patients, including males and females with AMN, as well as males with too advanced cerebral demyelinating disease for allogeneic HSC transplantation to be effective, treatment options are very limited and mostly symptomatic.
“For the majority of X-ALD patients, including males and females with AMN, as well as males with too advanced cerebral demyelinating disease for allogeneic HSC transplantation to be effective, treatment options are very limited and mostly symptomatic [103].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [103] 103. J. Berger, A. Pujol, P. Aubourg, S. Forss-Petter, Current and future pharmacolog- ical treatment strategies in X-linked adrenoleukodystrophy, Brain Pathol. 20 (2010) 845-856.
Not checked in the free run.
- Premisecitation
Increased oxidation of cholesterol may result in cytotoxic, oxidative and inflammatory activities and increased oxidative stress in glial cells.
“A decrease in plasmalogen levels could alter the transport of cholesterol which is an essential component of the myelin sheath [96], it could increase the oxidation of cholesterol in phospholipid bilayers [97] which in turn may result in cytotoxic, oxidative and inflammatory activities [98] and increased oxidative stress in glial cells [99].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [98] 98. A. Vejux, G. Lizard, Cytotoxic effects of oxysterols associated with human diseases: induction of cell death (apoptosis and/or oncosis), oxidative and inflammatory ac- tivities, and phospholipidosis, Mol. Aspects Med. 30 (2009) 153-170.
Not checked in the free run.
- cites [99] 99. P. Brites, H.R. Waterham, R.J. Wanders, Functions and biosynthesis of plasmalo- gens in health and disease, Biochim. Biophys. Acta 1636 (2004) 219-231.
Not checked in the free run.
- Premisecitation
ALDP transports C24:0/C26:0-CoA across the peroxisomal membrane.
“ALDP transports C24:0/C26:0-CoA across the peroxisomal membrane.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [51] 51. S. Kemp, R. Wanders, Biochemical aspects of X-linked adrenoleukodystrophy, Brain Pathol. 20 (2010) 831-837. source
Not checked in the free run.
- Premisecitation
Oligodendrocytes derived from induced pluripotent stem cells from a patient with cerebral ALD accumulated more VLCFA than those derived from an AMN patient.
“In line with this, oligodendrocytes derived from induced pluripotent stem cells from a patient with cerebral ALD accumulated more VLCFA than those derived from an AMN patient [92].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [92] 92. J. Jang, H.C. Kang, H.S. Kim, J.Y. Kim, Y.J. Huh, D.S. Kim, J.E. Yoo, J.A. Lee, B. Lim, J. Lee, T.M. Yoon, I.H. Park, D.Y. Hwang, G.Q. Daley, D.W. Kim, Induced pluripotent stem cell models from X-linked adrenoleukodystrophy patients, Ann. Neurol. 70 (2011) 402-409.
Not checked in the free run.
- Premisenone given
A pro-inflammatory status is present in Abcd1 knockout mice that do not develop cerebral demyelination.
“As mentioned before, a pro-inflammatory status is present in Abcd1 knockout mice that do not develop cerebral demyelination.”
Quote in the paperNot a substantial claim - Premisecitation
VLCFA synthesis requires the elongases ELOVL6 and ELOVL1.
“The synthesis of VLCFA (C26:0) is enhanced in X-ALD [56] and it requires the elongases ELOVL6 and ELOVL1 [50,51].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [50] 50. R. Ofman, I.M. Dijkstra, C.W. van Roermund, N. Burger, M. Turkenburg, A. van Cruchten, C.E. van Engen, R.J. Wanders, S. Kemp, The role of ELOVL1 in very long-chain fatty acid homeostasis and X-linked adrenoleukodystrophy, EMBO Mol. Med. 2 (2010) 90-97. source
Not checked in the free run.
- cites [51] 51. S. Kemp, R. Wanders, Biochemical aspects of X-linked adrenoleukodystrophy, Brain Pathol. 20 (2010) 831-837. source
Not checked in the free run.
- Premisecitation
Plasmalogens are reduced in the brain lesions of cerebral ALD patients.
“Plasmalogens are reduced in the brain lesions of cerebral ALD patients [95].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [95] 95. M. Khan, J. Singh, I. Singh, Plasmalogen deficiency in cerebral adrenoleukodys- trophy and its modulation by lovastatin, J. Neurochem. 106 (2008) 1766-1779.
Not checked in the free run.
- Premisecitation
Research targeted at understanding the pathophysiology observed in the X-ALD mouse has resulted in novel therapeutic strategies that could potentially halt or slow down the neuroinflammation process and/or axonal degeneration.
“Research targeted at understanding the pathophysiology observed in the X-ALD mouse has resulted in novel therapeutic strategies that could potentially halt or slow down the neuroinflammation process and/or axonal degeneration [104].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [104] 104. J. Galino, M. Ruiz, S. Fourcade, A. Schluter, J. Lopez-Erauskin, C. Guilera, M. Jove, A. Naudi, E. Garcia-Arumi, A.L. Andreu, A.A. Starkov, R. Pamplona, I. Ferrer, M. Portero-Otin, A. Pujol, Oxidative damage compromises energy metabolism in the axonal degeneration mouse model of X-adrenoleukodystrophy, Antioxid. Redox. Signal. 15 (2011) 2095-2107.
Not checked in the free run.
- Premisecitation
Very long-chain fatty acids (VLCFA) are synthesized through elongation of long-chain fatty acids.
“Very long-chain fatty acids (VLCFA) are synthesized through elongation of long-chain fatty acids.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [51] 51. S. Kemp, R. Wanders, Biochemical aspects of X-linked adrenoleukodystrophy, Brain Pathol. 20 (2010) 831-837. source
Not checked in the free run.
- Interpretationreasoning
Candidate antigens include VLCFA-enriched complex lipids that are recognized by the CD1 molecules that play a major role in MHC-unrestricted lipid antigen presentation.
“Candidate antigens include VLCFA-enriched complex lipids that are recognized by the CD1 molecules that play a major role in MHCunrestricted lipid antigen presentation.”
Quote in the paperNot a substantial claim - Interpretationcitation
Microglia with normal ALDP function likely play a significant role in halting the initiation and progression of cerebral demyelination with neuroinflammation.
“It is also likely that microglia with normal ALDP function play a significant role in halting the initiation and progression of cerebral demyelination with neuroinflammation.”
Quote in the paperSubstantial claim - Premisecitation
Mice lacking functional peroxisomes in oligodendrocytes initially show normal myelination, but develop axonal swelling followed by cerebral demyelination and infiltration of inflammatory T cells.
“This hypothesis is based on the observation that mice lacking functional peroxisomes in oligodendrocytes initially show normal myelination, but develop axonal swelling followed by cerebral demyelination and infiltration of inflammatory T cells [94].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [94] 94. C.M. Kassmann, C. Lappe-Siefke, M. Baes, B. Brugger, A. Mildner, H.B. Werner, O. Natt, T. Michaelis, M. Prinz, J. Frahm, K.A. Nave, Axonal loss and neuroinflamma- tion caused by peroxisome-deficient oligodendrocytes, Nat. Genet. 39 (2007) 969-976. source
Not checked in the free run.
- May combine two claims. 14
- Classified as probably not a substantial claim. 10
May combine two claims.
PremisecitationThe first symptoms of AMN usually appear when male patients are between 20 and 30 years but usually before the fifth decade.
“The first symptoms of AMN usually appear when male patients are between 20 and 30 years but usually before the fifth decade [3].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [3] 3. B.M. van Geel, L. Bezman, D.J. Loes, H.W. Moser, G.V. Raymond, Evolution of phe- notypes in adult male patients with X-linked adrenoleukodystrophy, Ann. Neu- rol. 49 (2001) 186-194.
Couldn’t be matched to a paper in Crossref, so it can’t be checked.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone given35% of patients with AMN have a marked progression of their myelopathy within the first 3-5 years of clinical symptom onset.
“However, 35% of patients with AMN have a marked progression of their myelopathy within the first 3-5 years of clinical symptom onset.”
Quote in the paperNot a substantial claimMay combine two claims.
Premisenone givenAMN males develop progressive stiffness and weakness of the legs, impaired vibration sense in the lower limbs, sphincter disturbances and impotence.
“AMN males develop progressive stiffness and weakness of the legs, impaired vibration sense in the lower limbs, sphincter disturbances and impotence.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone givenAddison's disease is present in less than 1% of heterozygous women.
“Addison's disease is present in less than 1% of heterozygous women.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationnone givenCerebral ALD presents usually with a rapidly progressive inflammatory demyelination within the brain resulting in severe cognitive and neurologic disability, a vegetative state within two to five years of clinical symptom onset and death thereafter.
“Cerebral ALD presents usually with a rapidly progressive inflammatory demyelination within the brain resulting in severe cognitive and neurologic disability, a vegetative state within two to five years of clinical symptom onset and death thereafter.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Premisenone givenAdrenocortical insufficiency (Addison's disease) is present in approximately two-thirds of males with AMN but is often latent without evident clinical manifestations.
“Adrenocortical insufficiency (Addison's disease) is present in approximately two-thirds of males with AMN but is often latent without evident clinical manifestations, including melanoderma.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Premisenone givenIn two-thirds of AMN patients, the neurologic disability progresses slowly.
“In two-thirds of AMN patients, the neurologic disability progresses slowly.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationA Dutch kindred has been described in which all heterozygous females are asymptomatic and all X-ALD males are either still asymptomatic at old age or show mild phenotypes including gonadal insufficiency and AMN without cerebral involvement.
“For example, a Dutch kindred has been described in which all heterozygous females are asymptomatic and all X-ALD males are either still asymptomatic at old age or show mild phenotypes including gonadal insufficiency and AMN without cerebral involvement [64].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [64] 64. S. Kemp, A. Pujol, H.R. Waterham, B.M. van Geel, C.D. Boehm, G.V. Raymond, G.R. Cutting, R.J. Wanders, H.W. Moser, ABCD1 mutations and the X-linked adreno- leukodystrophy mutation database: role in diagnosis and clinical correlations, Hum. Mutat. 18 (2001) 499-515. source
Not checked in the free run.
May combine two claims.
Premisenone givenAll X-ALD patients have mutations within the ABCD1 gene, which confirmed that this is the genetic cause of X-ALD.
“All X-ALD patients have mutations within the ABCD1 gene, which confirmed that this is the genetic cause of X-ALD.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationVLCFA cause cell death by a combination of a disturbance in calcium homeostasis and mitochondrial dysfunction, but not primarily via ROS-production.
“Based on the results obtained the authors concluded that VLCFA cause cell death by a combination of a disturbance in calcium homeostasis and mitochondrial dysfunction, but not primarily via ROS-production.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationcitationALDP deficiency in X-ALD impairs peroxisomal VLCFA beta-oxidation and raises cytosolic VLCFacyl-CoA levels.
“ALDP deficiency in X-ALD has two major effects: 1) it impairs peroxisomal VLCFA beta-oxidation and 2) it raises cytosolic VLCFacyl-CoA levels [50].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [50] 50. R. Ofman, I.M. Dijkstra, C.W. van Roermund, N. Burger, M. Turkenburg, A. van Cruchten, C.E. van Engen, R.J. Wanders, S. Kemp, The role of ELOVL1 in very long-chain fatty acid homeostasis and X-linked adrenoleukodystrophy, EMBO Mol. Med. 2 (2010) 90-97. source
Not checked in the free run.
May combine two claims.
PremisecitationThe affected members of this kindred carry a missense mutation p.Arg389His that results in stable ALDP correctly localized to peroxisomes.
“The affected members of this kindred carry a missense mutation p.Arg389His that results in stable ALDP correctly localized to peroxisomes.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [64] 64. S. Kemp, A. Pujol, H.R. Waterham, B.M. van Geel, C.D. Boehm, G.V. Raymond, G.R. Cutting, R.J. Wanders, H.W. Moser, ABCD1 mutations and the X-linked adreno- leukodystrophy mutation database: role in diagnosis and clinical correlations, Hum. Mutat. 18 (2001) 499-515. source
Not checked in the free run.
May combine two claims.
PremisecitationELOVL1 knockdown reduces elongation of C22:0 to C26:0 and lowers C26:0 levels in X-ALD fibroblasts.
“Importantly, ELOVL1 knockdown reduces elongation of C22:0 to C26:0 and lowers C26:0 levels in X-ALD fibroblasts [50].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [50] 50. R. Ofman, I.M. Dijkstra, C.W. van Roermund, N. Burger, M. Turkenburg, A. van Cruchten, C.E. van Engen, R.J. Wanders, S. Kemp, The role of ELOVL1 in very long-chain fatty acid homeostasis and X-linked adrenoleukodystrophy, EMBO Mol. Med. 2 (2010) 90-97. source
Not checked in the free run.
May combine two claims.
PremisecitationAmong 489 X-ALD families tested at the Kennedy Krieger Institute, 4.1% of the patients were affected by a de novo mutation in the index case, which indicates that the mutation occurred in the germ line.
“Wang and coworkers reported that among 489 X-ALD families tested at the Kennedy Krieger Institute, 4.1% of the patients were affected by a de novo mutation in the index case, which indicates that the mutation occurred in the germ line [62].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [62] 62. Y. Wang, R. Busin, C. Reeves, L. Bezman, G. Raymond, C.J. Toomer, P.A. Watkins, A. Snowden, A. Moser, S. Naidu, G. Bibat, S. Hewson, K. Tam, J.T. Clarke, L. Charnas, G. Stetten, B. Karczeski, G. Cutting, S. Steinberg, X-linked adrenoleuko- dystrophy: ABCD1 de novo mutations and mosaicism, Mol. Genet. Metab. 104 (2011) 160-166.
Not checked in the free run.
May combine two claims.
PremisecitationAbcd1 knockout mice display oxidative damage to proteins in the spinal cord already at the age of 3 months, long before the first neuropathological lesions in the spinal cord at around 16 months of age and clinical signs at 20 months of age.
“Interestingly, Abcd1 knockout mice display oxidative damage to proteins in the spinal cord already at the age of 3 months [39], long before the first neuropathological lesions in the spinal cord at around 16 months of age and clinical signs at 20 months of age [40].”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [39] 39. S. Fourcade, J. Lopez-Erauskin, J. Galino, C. Duval, A. Naudi, M. Jove, S. Kemp, F. Villarroya, I. Ferrer, R. Pamplona, M. Portero-Otin, A. Pujol, Early oxidative dam- age underlying neurodegeneration in X-adrenoleukodystrophy, Hum. Mol. Genet. 17 (2008) 1762-1773. source
Not checked in the free run.
- cites [40] 40. A. Pujol, C. Hindelang, N. Callizot, U. Bartsch, M. Schachner, J.L. Mandel, Late onset neurological phenotype of the X-ALD gene inactivation in mice: a mouse model for adrenomyeloneuropathy, Hum. Mol. Genet. 11 (2002) 499-505. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningThe small sample size in rare diseases is a general problem.
“This is a general problem associated with rare diseases in which the sample size is relatively small, but nevertheless it likely provides evidence for a possible involvement in the molecular mechanism of X-ALD.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMany multifactorial diseases involve many rare genetic variant interactions.
“This is the experience that is observed in many multifactorial diseases [81].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [81] 81. W. Bodmer, C. Bonilla, Common and rare variants in multifactorial susceptibility to common diseases, Nat. Genet. 40 (2008) 695-701. source
Not checked in the free run.
Classified as probably not a substantial claim.
InterpretationreasoningIt is possible that the primary consequence of the loss of ALDP function in oligodendrocytes triggers progressive axonal damage without significant demyelination.
“It is therefore possible that the primary consequence of the loss of ALDP function in oligodendrocytes triggers progressive axonal damage without significant demyelination.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe Abcd1 knockout mouse develops a phenotype that resembles AMN at 18-20 months of age, but no cerebral demyelination.
“The Abcd1 knockout mouse develops a phenotype that resembles AMN at 18-20 months of age, but no cerebral demyelination [40].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [40] 40. A. Pujol, C. Hindelang, N. Callizot, U. Bartsch, M. Schachner, J.L. Mandel, Late onset neurological phenotype of the X-ALD gene inactivation in mice: a mouse model for adrenomyeloneuropathy, Hum. Mol. Genet. 11 (2002) 499-505. source
Not checked in the free run.
May combine two claims.
PremisecitationA deficiency in ALDP impairs peroxisomal VLCFA beta-oxidation but also raises cytosolic levels of C24:0/C26:0-CoA which are substrate for further elongation by ELOVL1.
“A deficiency in ALDP impairs peroxisomal VLCFA beta-oxidation but also raises cytosolic levels of C24:0/C26:0-CoA which are substrate for further elongation by ELOVL1 (adapted from[51]).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [51] 51. S. Kemp, R. Wanders, Biochemical aspects of X-linked adrenoleukodystrophy, Brain Pathol. 20 (2010) 831-837. source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationA decrease in plasmalogen levels could alter the transport of cholesterol, which is an essential component of the myelin sheath.
“A decrease in plasmalogen levels could alter the transport of cholesterol which is an essential component of the myelin sheath [96], it could increase the oxidation of cholesterol in phospholipid bilayers [97] which in turn may result in cytotoxic, oxidative and inflammatory activities [98] and increased oxidative stress in glial cells [99].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [96] 96. N.J. Munn, E. Arnio, D. Liu, R.A. Zoeller, L. Liscum, Deficiency in ethanolamine plas- malogen leads to altered cholesterol transport, J. Lipid Res. 44 (2003) 182-192.
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationA decrease in plasmalogen levels could increase the oxidation of cholesterol in phospholipid bilayers.
“A decrease in plasmalogen levels could alter the transport of cholesterol which is an essential component of the myelin sheath [96], it could increase the oxidation of cholesterol in phospholipid bilayers [97] which in turn may result in cytotoxic, oxidative and inflammatory activities [98] and increased oxidative stress in glial cells [99].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [97] 97. R. Maeba, N. Ueta, Ethanolamine plasmalogens prevent the oxidation of choles- terol by reducing the oxidizability of cholesterol in phospholipid bilayers, J. Lipid Res. 44 (2003) 164-171.
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningPolymorphisms in genes involved in the different pathways that promote or counteract this pro-inflammatory stage may also play an important role in advancing or preventing the transition from a proinflammatory to a full-blown neuroinflammatory stage.
“Polymorphisms in genes involved in the different pathways that promote or counteract this pro-inflammatory stage may also play an important role in advancing or preventing the transition from a proinflammatory to a full-blown neuroinflammatory stage.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Not all X-ALD males develop cerebral demyelination with severe neuroinflammation.
“Not all X-ALD males develop cerebral demyelination with severe neuroinflammation.”
The paper relies on this without support.
There is an absence of general genotype-phenotype correlation in X-ALD.
“Because of the absence of general genotype-phenotype correlation in X-ALD, it is likely that a combination of genetic, epigenetic and environmental factors play an essential role as triggers for the development of cerebral ALD.”
The paper relies on this without support.
There is no correlation between the levels of VLCFA in plasma or fibroblasts and the X-ALD phenotype.
“Even though there is no correlation between the levels of VLCFA in plasma or fibroblasts and the X-ALD phenotype, VLCFA are highly elevated in myelinspecific lipid species [18,[26][27][28][29].”
The paper relies on this without support.
A significant number of heterozygous women develop AMN in adulthood.
“A significant number of heterozygous women develop AMN in adulthood and prenatal diagnosis of a female fetus to establish whether the fetus has X-ALD may be offered on an individual basis.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
X-ALD is primarily caused by mutations in the ABCD1 gene located on the X chromosome (Xq28), which spans 19.9 kb and 10 exons.
“X-ALD is primarily caused by mutations in the ABCD1 gene located on the X chromosome (Xq28), which spans for 19.9 kb and 10 exons (11).”
From X-linked adrenoleukodystrophy and primary adrenal insufficiency (2023) · cites this paper as [11]
Section 3, “Genetic aspects of X-ALD” (page not available), identifies ABCD1 mutations as the genetic cause of X-ALD, describes X-linked inheritance, and states that the gene covers 19.9 kb and contains 10 exons. Our copy does not specify the Xq28 location, so that part of the claim is not supported by this source. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn approximately 85% of individuals with clinical symptoms, brain MRI shows a characteristic pattern of symmetric confluent hyperintense lesions in T2 and FLAIR images, usually first appearing in the parieto-occipital region of both hemispheres.
“In approximately 85% of the individuals with clinical symptoms, brain magnetic resonance imaging (MRI) shows a characteristic pattern of symmetric confluent hyperintense lesions in T2 and FLAIR images, usually first appearing in the parieto-occipital region of both hemispheres.”
From X-linked adrenoleukodystrophy and primary adrenal insufficiency (2023) · cites this paper as [11]
Section 1.2 (page unavailable) describes cerebral ALD lesions as hyperintense on T2 and FLAIR MRI and says they usually begin in the corpus callosum before extending into parieto-occipital or, alternatively, frontal white matter. It does not give an 85% figure for symptomatic individuals or describe the lesions as necessarily symmetric and confluent; it explicitly says they can be asymmetric. (LLM, conf=0.88)
Experimental — accuracy not yet measuredCerALD is the most severe form of X-ALD, typically affecting young boys between 4 and 8 years of age, and is characterized by progressive inflammatory demyelination in the cerebral white matter.
“This is the most severe form of X-ALD, typically affecting young boys (typically between 4 and 8 years of age). It is characterized by progressive inflammatory demyelination in the cerebral white matter.”
From X-linked adrenoleukodystrophy and primary adrenal insufficiency (2023) · cites this paper as [11]
Section 1.2 calls cerebral ALD the most severe X-ALD phenotype and describes demyelination of cerebral white matter that can become rapidly progressive and inflammatory. It gives ages 5–12 years, not 4–8, and notes that lesions are initially noninflammatory. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAMN is the most common form of adult-onset X-ALD.
“AMN is the most common form of adult-onset X-ALD.”
From X-linked adrenoleukodystrophy and primary adrenal insufficiency (2023) · cites this paper as [11]
AMN primarily affects hemizygous males, although heterozygous females can also be affected to a lesser extent, with similar but later progression usually after the 4th or 5th decade of life.
“It primarily affects hemizygous males, although heterozygous females can also be affected to a lesser extent, with a similar but later progression of symptoms (usually after the 4th-or 5th decade of life).”
From X-linked adrenoleukodystrophy and primary adrenal insufficiency (2023) · cites this paper as [11]
AMN is characterized by spinal cord involvement, leading to progressive motor dysfunction and sensory deficits.
“It is characterized by spinal cord involvement, leading to progressive motor dysfunction and sensory deficits.”
From X-linked adrenoleukodystrophy and primary adrenal insufficiency (2023) · cites this paper as [11]
Progression of these lesions is unpredictable; it can be severe and rapid in the childhood cerebral form and milder and slower in adult-onset forms.
“The progression of these lesions is unpredictable; it can be severe and rapid in the childhood cerebral form; milder and slower in forms with adult onset (11, 22).”
From X-linked adrenoleukodystrophy and primary adrenal insufficiency (2023) · cites this paper as [11]
X-ALD does not involve any developmental defect or delay but is characterized by remarkable clinical heterogeneity, with main phenotypes AMN and CALD.
“Although X-ALD does not involve any developmental defect or delay, it is characterized by remarkable clinical heterogeneity. The main phenotypes are adrenomyeloneuropathy (AMN) and cerebral ALD (CALD), the devastating inflammatory and demyelinating form of X-ALD [120].”
From Peroxisomes in brain development and function (2016) · cites this paper as [120]
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- Authors
- Kemp, S., Berger, J., & Aubourg, P.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Medical University of Vienna (AT)
- Inserm (FR)
- Corresponding author
- Kemp, Stephan
- Venue
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease
- Publisher
- Elsevier BV
- Published
- 2012-09
- Volume
- 1822
- Issue
- 9
- Pages
- 1465-1474
- ISSN
- 0925-4439 (ISSN-L)
- OpenAlex
- W2073937441
- Cited by
- 283
- References
- 108
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 24 · 2023: 16 · 2022: 19 · 2021: 29 · 2020: 15 · 2019: 22 · 2018: 19 · 2017: 23 · 2016: 16 · 2015: 28 · 2014: 30 · 2013: 15 · 2012: 5
- FWCI
- 2.99
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Funders
- Netherlands Organization for Scientific Research (91786328)
- Vienna Science and Technology Fund (LS154)
- INSERM
- European Union Framework Programme 7 (241622)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Clinical Biochemistry › Metabolism and Genetic Disorders
- Health Sciences › Medicine › Physiology › Lysosomal Storage Disorders Research
- Life Sciences › Neuroscience › Neurology › Neurological diseases and metabolism
- Keywords
- X-linked adrenoleukodystrophy, ABCD1 gene, ALDP, peroxisomal disorders, very long chain fatty acids, peroxisomal beta-oxidation, ELOVL1, adrenomyeloneuropathy, genotype-phenotype correlation, peroxisomal membrane proteins, disease pathophysiology
- MeSH terms
- ATP Binding Cassette Transporter, Subfamily D, Member 1, Adrenoleukodystrophy, Animals, Brain, Fatty Acids, Female, Humans, Mutation, Phenotype, Pregnancy, Prenatal Diagnosis, ATP-Binding Cassette Transporters
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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