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January 12, 2021; 96 (2) Article

Association of Age at Onset and First Symptoms With Disease Progression in Patients With Metachromatic Leukodystrophy

View ORCID ProfileChristiane Kehrer, Saskia Elgün, Christa Raabe, Judith Böhringer, Stefanie Beck-Wödl, Andrea Bevot, Nadja Kaiser, Ludger Schöls, Ingeborg Krägeloh-Mann, Samuel Groeschel
First published October 12, 2020, DOI: https://doi.org/10.1212/WNL.0000000000011047
Christiane Kehrer
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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  • ORCID record for Christiane Kehrer
Saskia Elgün
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Christa Raabe
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Judith Böhringer
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Stefanie Beck-Wödl
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Andrea Bevot
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Nadja Kaiser
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Ludger Schöls
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Ingeborg Krägeloh-Mann
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Samuel Groeschel
From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
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Association of Age at Onset and First Symptoms With Disease Progression in Patients With Metachromatic Leukodystrophy
Christiane Kehrer, Saskia Elgün, Christa Raabe, Judith Böhringer, Stefanie Beck-Wödl, Andrea Bevot, Nadja Kaiser, Ludger Schöls, Ingeborg Krägeloh-Mann, Samuel Groeschel
Neurology Jan 2021, 96 (2) e255-e266; DOI: 10.1212/WNL.0000000000011047

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Article Information

vol. 96 no. 2 e255-e266
DOI: 
https://doi.org/10.1212/WNL.0000000000011047
PubMed: 
33046606

Published By: 
Wolters Kluwer Health, Inc. on behalf of the American Academy of Neurology
Print ISSN: 
0028-3878
Online ISSN: 
1526-632X
History: 
  • Received February 5, 2020
  • Accepted in final form August 27, 2020
  • First Published October 12, 2020.

Article Versions

  • Previous version (October 12, 2020 - 12:45).
  • You are viewing the most recent version of this article.
Copyright & Usage: 
© 2020 American Academy of Neurology

Author Disclosures

    1. Christiane Kehrer, MD*,
    2. Saskia Elgün*,
    3. Christa Raabe,
    4. Judith Böhringer, PhD,
    5. Stefanie Beck-Wödl, PhD,
    6. Andrea Bevot, MD,
    7. Nadja Kaiser, MD,
    8. Ludger Schöls, MD, PhD,
    9. Ingeborg Krägeloh-Mann, MD, PhD and
    10. Samuel Groeschel, MD, PhD
  1. Christiane Kehrer, MD*,
  2. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  3. Saskia Elgün*,
  4. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. (1) Samuel Groeschel received institutional research support from Shire plc, outside of the submitted work

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  5. Christa Raabe,
  6. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  7. Judith Böhringer, PhD,
  8. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. since Jan 2020: Eurofins Institut Jäger GmbH, laboratory manager, 0,5 y (has nothing to do with publication)

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  9. Stefanie Beck-Wödl, PhD,
  10. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  11. Andrea Bevot, MD,
  12. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  13. Nadja Kaiser, MD,
  14. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. NONE

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. NONE

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  15. Ludger Schöls, MD, PhD,
  16. Scientific Advisory Boards:
    1. None

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. None

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. Grant SCHO754/5-2 of the German Research Foundation (DFG) for the trilateral project

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. Grants of the Innovationsfonds des Gemeinsamen Bundesausschusses zu den Projekten TNAMSE (01NVF16024) and ZSE-DUO (01NVF17031).

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  17. Ingeborg Krägeloh-Mann, MD, PhD and
  18. Scientific Advisory Boards:
    1. intrathecal enzyme replacement in metachromaticleukodystrophy - phase I/II study startingShire 2012

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. Funding for travel by Shire 2018

    Editorial Boards:
    1. Developmental medicine and child neurology since 2006Neuropediatrics since 2000European Journal of Paediatric Neurology since 2009

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other Activities:
    1. NONE

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. NONE

    Research Support, Government Entities:
    1. German Research CouncilDFGTR-SFB 654Plasticity and Sleep 2013 -2017Surveillance of CerebralPalsy in Europescpenetwork.eu/

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. None

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  19. Samuel Groeschel, MD, PhD
  20. Scientific Advisory Boards:
    1. NONE

    Gifts:
    1. NONE

    Funding for Travel or Speaker Honoraria:
    1. NONE

    Editorial Boards:
    1. NONE

    Patents:
    1. NONE

    Publishing Royalties:
    1. NONE

    Employment, Commercial Entity:
    1. NONE

    Consultancies:
    1. NONE

    Speakers' Bureaus:
    1. NONE

    Other activities:
    1. advisor for trials in Metachromatic Leukosystrophy (Shire, Orchard, Bioclinica, Homology Medicine), but no personal payment related to this role

    Clinical Procedures or Imaging Studies:
    1. NONE

    Research Support, Commercial Entities:
    1. (1) institutional research support from Shire plc.

    Research Support, Government Entities:
    1. (1) institutional research support from the German Federal Ministry of Education and Research (Leukonet, 01 GM 0835). (2) institutional research support from the European Union (Leukotreat, FP7).

    Research Support, Academic Entities:
    1. NONE

    Research Support, Foundations and Societies:
    1. (1) Brains for Brain Foundation (MLDP1-2010)

    Stock/Stock Options/Board of Directors Compensation:
    1. NONE

    License Fee Payments, Technology or Inventions:
    1. NONE

    Royalty Payments, Technology or Inventions:
    1. NONE

    Stock/Stock Options, Research Sponsor:
    1. NONE

    Stock/Stock Options, Medical Equipment & Materials:
    1. NONE

    Legal Proceedings:
    1. NONE

  1. From Department of Paediatric Neurology and Developmental Medicine (C.K., S.E., C.R., J.B., A.B., N.K., I.K.-M., S.G.), University Children's Hospital; Department of Medical Genetics (S.B.-W.), University Hospital Tübingen; Clinical Neurogenetics Section (L.S.), Department of Neurology and Hertie Institute for Clinical Brain Research, University of Tübingen; and German Center for Neurodegenerative Diseases (DZNE) Tübingen (L.S.), Germany Crona Kliniken.
  1. Correspondence
    Dr. Groeschel samuel.groeschel{at}med.uni-tuebingen.de
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