Evidence map›Paper›PMID 19937601›Full record

ArticleHuman mutation2009

Mutational spectrum of DMD mutations in dystrophinopathy patients: application of modern diagnostic techniques to a large cohort.

Kevin M Flanigan, Diane M Dunn, Andrew von Niederhausern, Payam Soltanzadeh, Eduard Gappmaier, Michael T Howard, Jacinda B Sampson, Jerry R Mendell, Cheryl Wall, Wendy M King and 18 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Human mutation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03333590 (Phase I/IIa Gene Transfer Clinical Trial for Duchenne Muscular Dystrophy Using rAAVrh74.MCK.GALGT2), which is not on this map. Cited by 185 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
185citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03333590 phase1 / phase2completednot on this mapstarted 2017, after this paper: background citation

Phase I/IIa Gene Transfer Clinical Trial for Duchenne Muscular Dystrophy Using rAAVrh74.MCK.GALGT2

TypeinterventionalSponsorKevin FlaniganRan2017 to 2023Enrolled2ConditionsDuchenne Muscular DystrophyArmsrAAVrh74.MCK.GALGT2
3 · Its place in the literature

Who cites it

185 citing papers in PubMed, 2 syntheses or guidelines pooled it, 311 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. A phase 1/2a follistatin gene therapy trial for becker muscular dystrophy.Molecular therapy : the journal of the American Society of Gene Therapy · 2015
    Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Total RNA-seq as a Tool to Study DMD Splicing and Transcriptional Dynamics.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  11. Article
  12. Review
  13. Molecular genetics of dystrophinopathy.Journal of human genetics · 2025
    Review
  14. Clinical applications of exon-skipping antisense oligonucleotides in neuromuscular diseases.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  15. The road toward AAV-mediated gene therapy of Duchenne muscular dystrophy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

125 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors at 9 institutions in 1 country.

Kevin M FlaniganDepartments of Human Genetics, University of Utah School of Medicine, Salt Lake City, Utah 84112, USA. kevin.flanigan@genetics.utah.edu
Diane M Dunn
Andrew von Niederhausern
Payam Soltanzadeh
Eduard Gappmaier
Michael T Howard
Jacinda B Sampson
Jerry R Mendell
Cheryl Wall
Wendy M King
Alan Pestronk
Julaine M Florence
Anne M Connolly
Katherine D Mathews
Carrie M Stephan
Karla S Laubenthal
Brenda L Wong
Paula J Morehart
Amy Meyer
Richard S Finkel
Carsten G Bonnemann
Livija Medne
John W Day
Joline C Dalton
Marcia K Margolis
Veronica J Hinton
United Dystrophinopathy Project Consortium
Robert B Weiss
University of Utah · USCincinnati Children's Hospital Medical Center · USNationwide Children's Hospital · USUniversity of Minnesota · USWashington University in St. Louis · USChildren's Hospital of Philadelphia · USUniversity of Iowa · USNewYork–Presbyterian Hospital · USUniversity of Pennsylvania · US

Funding

VIRAL DAMAGE TO BRAIN AND NEUROMUSCULAR SYSTEMM01RR000064 · NCRR · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 1985 to 2008
$21.7M
Translational Research in the DystrophinopathiesR01NS043264 · NINDS · UNIVERSITY OF UTAH · PI FLANIGAN, KEVIN M · 2002 to 2010
$8.4M
NCRR NIH HHS M01 RR000064NCRR NIH HHS M01-RR00064NINDS NIH HHS R01 NS043264
6 · The paper itself

Abstract

Mutations in the DMD gene, encoding the dystrophin protein, are responsible for the dystrophinopathies Duchenne Muscular Dystrophy (DMD), Becker Muscular Dystrophy (BMD), and X-linked Dilated Cardiomyopathy (XLDC). Mutation analysis has traditionally been challenging, due to the large gene size (79 exons over 2.2 Mb of genomic DNA). We report a very large aggregate data set comprised of DMD mutations detected in samples from patients enrolled in the United Dystrophinopathy Project, a multicenter research consortium, and in referral samples submitted for mutation analysis with a diagnosis of dystrophinopathy. We report 1,111 mutations in the DMD gene, including 891 mutations with associated phenotypes. These results encompass 506 point mutations (including 294 nonsense mutations) and significantly expand the number of mutations associated with the dystrophinopathies, highlighting the utility of modern diagnostic techniques. Our data supports the uniform hypermutability of CGA>TGA mutations, establishes the frequency of polymorphic muscle (Dp427m) protein isoforms and reveals unique genomic haplotypes associated with "private" mutations. We note that 60% of these patients would be predicted to benefit from skipping of a single DMD exon using antisense oligonucleotide therapy, and 62% would be predicted to benefit from an inclusive multiexonskipping approach directed toward exons 45 through 55.

Indexed as

Diagnostic Techniques and ProceduresAmino Acid SequenceAmino Acid SubstitutionCohort StudiesDystrophinExonsHaplotypesHumansMolecular Sequence DataMuscular Dystrophy, DuchenneMutationPhenotypePolymorphism, Single NucleotideDystrophin

Identifiers

PMID19937601
PMCPMC3404892
OpenAlexW2024998665

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.