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Adeline Vanderver

Adeline Vanderver

· Professor of Neurology

University of Pennsylvania · Rehabilitation Medicine

Active 1993–2024

h-index70
Citations20.0k
Papers516210 last 5y
Funding$22.9M1 active
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About

Adeline Vanderver, M.D., is a Professor of Neurology in the Department of Neurology at the Perelman School of Medicine at the University of Pennsylvania. She serves as the Program Director of the Leukodystrophy Center of Excellence at the Children’s Hospital of Philadelphia and holds the Jacob A. Kamens Endowed Chair in Neurological Disorders and Translational NeuroTherapeutics. Her research focuses on leukodystrophies and neurogenetic disorders, with an emphasis on clinical characterization, genotype-phenotype correlations, and the development of diagnostic and therapeutic strategies. Dr. Vanderver has contributed to the understanding of Aicardi-Goutières syndrome, POLR3-related disorders, and mitochondrial deletion syndromes, among other neurogenetic conditions.

Research signals

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Research topics

  • Medicine
  • Biology
  • Internal medicine
  • Pediatrics
  • Genetics
  • Bioinformatics
  • Pathology
  • Endocrinology
  • Radiology
  • Psychiatry
  • Biochemistry
  • Computational biology
  • Immunology

Selected publications

  • Genetic and phenotypic spectrum associated with IFIH1 gain‐of‐function

    Human Mutation · 2020 · 111 citations

    • Biology
    • Genetics

    IFIH1 gain-of-function has been reported as a cause of a type I interferonopathy encompassing a spectrum of autoinflammatory phenotypes including Aicardi-Goutières syndrome and Singleton Merten syndrome. Ascertaining patients through a European and North American collaboration, we set out to describe the molecular, clinical and interferon status of a cohort of individuals with pathogenic heterozygous mutations in IFIH1. We identified 74 individuals from 51 families segregating a total of 27 likely pathogenic mutations in IFIH1. Ten adult individuals, 13.5% of all mutation carriers, were clinically asymptomatic (with seven of these aged over 50 years). All mutations were associated with enhanced type I interferon signaling, including six variants (22%) which were predicted as benign according to multiple in silico pathogenicity programs. The identified mutations cluster close to the ATP binding region of the protein. These data confirm variable expression and nonpenetrance as important characteristics of the IFIH1 genotype, a consistent association with enhanced type I interferon signaling, and a common mutational mechanism involving increased RNA binding affinity or decreased efficiency of ATP hydrolysis and filament disassembly rate.

  • <scp>MRI</scp> surveillance of boys with X‐linked adrenoleukodystrophy identified by newborn screening: Meta‐analysis and consensus guidelines

    Journal of Inherited Metabolic Disease · 2020 · 80 citations

    • Medicine
    • Pediatrics
    • Radiology

    BACKGROUND: Among boys with X-Linked adrenoleukodystrophy, a subset will develop childhood cerebral adrenoleukodystrophy (CCALD). CCALD is typically lethal without hematopoietic stem cell transplant before or soon after symptom onset. We sought to establish evidence-based guidelines detailing the neuroimaging surveillance of boys with neurologically asymptomatic adrenoleukodystrophy. METHODS: To establish the most frequent age and diagnostic neuroimaging modality for CCALD, we completed a meta-analysis of relevant studies published between January 1, 1970 and September 10, 2019. We used the consensus development conference method to incorporate the resulting data into guidelines to inform the timing and techniques for neuroimaging surveillance. Final guideline agreement was defined as >80% consensus. RESULTS: One hundred twenty-three studies met inclusion criteria yielding 1285 patients. The overall mean age of CCALD diagnosis is 7.91 years old. The median age of CCALD diagnosis calculated from individual patient data is 7.0 years old (IQR: 6.0-9.5, n = 349). Ninety percent of patients were diagnosed between 3 and 12. Conventional MRI was most frequently reported, comprised most often of T2-weighted and contrast-enhanced T1-weighted MRI. The expert panel achieved 95.7% consensus on the following surveillance parameters: (a) Obtain an MRI between 12 and 18 months old. (b) Obtain a second MRI 1 year after baseline. (c) Between 3 and 12 years old, obtain a contrast-enhanced MRI every 6 months. (d) After 12 years, obtain an annual MRI. CONCLUSION: Boys with adrenoleukodystrophy identified early in life should be monitored with serial brain MRIs during the period of highest risk for conversion to CCALD.

  • Clinical sites of the Undiagnosed Diseases Network: unique contributions to genomic medicine and science

    Genetics in Medicine · 2020 · 42 citations

    • Medicine
    • Computational biology
    • Genetics
  • Associations of paediatric demyelinating and encephalitic syndromes with myelin oligodendrocyte glycoprotein antibodies: a multicentre observational study

    The Lancet Neurology · 2020 · 319 citations

    • Medicine
    • Pediatrics
    • Immunology
  • An autosomal dominant neurological disorder caused by de novo variants in FAR1 resulting in uncontrolled synthesis of ether lipids

    Genetics in Medicine · 2020 · 49 citations

    • Medicine
    • Biology
    • Internal medicine

Recent grants

Frequent coauthors

  • Marjo S. van der Knaap

    Emma Kinderziekenhuis

    421 shared
  • Nicole I. Wolf

    Emma Kinderziekenhuis

    369 shared
  • Geneviève Bernard

    McGill University

    233 shared
  • Guy Helman

    Royal Children's Hospital

    197 shared
  • Truus E. M. Abbink

    Amsterdam Neuroscience

    194 shared
  • Raphael Schiffmann

    Texas Christian University

    173 shared
  • Enrico Bertini

    Bambino Gesù Children's Hospital

    157 shared
  • Yanick J. Crow

    University of Edinburgh

    145 shared

Education

  • M.D.

    Universite Catholique de Louvain Brussels

    1998
  • Other

    Facultés Universitaires Notre Dame de la Paix Namur

    1994

Awards & honors

  • Jacob A. Kamens Endowed Chair in Neurological Disorders and…
  • Program Director of the Leukodystrophy Center of Excellence

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