Evidence map›Paper›PMID 21446026›Full record

ArticleAnnals of neurology2011

DUX4, a candidate gene for facioscapulohumeral muscular dystrophy, causes p53-dependent myopathy in vivo.

Lindsay M Wallace, Sara E Garwick, Wenyan Mei, Alexandra Belayew, Frederique Coppee, Katherine J Ladner, Denis Guttridge, Jing Yang, Scott Q Harper

Open access · bronzeAbstract read
In one paragraph

Article in Annals of neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 168 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

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

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

2 · The registry

The trial behind it

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

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

168 citing papers in PubMed, 3 syntheses or guidelines pooled it, 242 citations in OpenAlex.

  1. Pooled it
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  15. Deciphering Facioscapulohumeral Dystrophy in the clinical trials era: where are we now?Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2025
    Review
  16. Review
  17. Article
  18. The emerging roles of necroptosis in skeletal muscle health and disease.Pflugers Archiv : European journal of physiology · 2024
    Review
  19. Article
  20. Article

108 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

9 authors at 4 institutions in 2 countries.

Lindsay M WallaceMolecular, Cellular, and Developmental Biology Graduate Program, Ohio State University, Columbus, USA.
Sara E Garwick
Wenyan Mei
Alexandra Belayew
Frederique Coppee
Katherine J Ladner
Denis Guttridge
Jing Yang
Scott Q Harper
Nationwide Children's Hospital · USThe Ohio State University · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Mons · BE

Funding

University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
The Ohio State University Center for Clinical and Translational Science (KL2)KL2RR025754 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$3.5M
Regulation of Hedgehog signaling at the level of GliR01GM093217 · NIGMS · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI YANG, JING · 2010 to 2013
$1.2M
DUX4 inhibition as a therapeutic strategy for FSHDR21NS078327 · NINDS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI HARPER, SCOTT Q · 2012 to 2013
$392k
NCRR NIH HHS KL2 RR025754NCRR NIH HHS UL1 RR025755NIGMS NIH HHS R01 GM093217NINDS NIH HHS R21 NS078327
6 · The paper itself

Abstract

objectiveFacioscapulohumeral muscular dystrophy (FSHD) is associated with D4Z4 repeat contraction on human chromosome 4q35. This genetic lesion does not result in complete loss or mutation of any gene. Consequently, the pathogenic mechanisms underlying FSHD have been difficult to discern. In leading FSHD pathogenesis models, D4Z4 contractions are proposed to cause epigenetic changes, which ultimately increase expression of genes with myopathic potential. Although no gene has been conclusively linked to FSHD development, recent evidence supports a role for the D4Z4-encoded DUX4 gene in FSHD. In this study, our objective was to test the in vivo myopathic potential of DUX4.

methodsWe delivered DUX4 to zebrafish and mouse muscle by transposon-mediated transgenesis and adeno-associated viral vectors, respectively.

resultsOverexpression of DUX4, which encodes a transcription factor, caused abnormalities associated with muscular dystrophy in zebrafish and mice. This toxicity required DNA binding, because a DUX4 DNA binding domain mutant produced no abnormalities. Importantly, we found the myopathic effects of DUX4 were p53 dependent, as p53 inhibition mitigated DUX4 toxicity in vitro, and muscles from p53 null mice were resistant to DUX4-induced damage.

interpretationOur work demonstrates the myopathic potential of DUX4 in animal muscle. Considering previous studies showed DUX4 was elevated in FSHD patient muscles, our data support the hypothesis that DUX4 overexpression contributes to FSHD development. Moreover, we provide a p53-dependent mechanism for DUX4 toxicity that is consistent with previous studies showing p53 pathway activation in FSHD muscles. Our work justifies further investigation of DUX4 and the p53 pathway in FSHD pathogenesis.

Indexed as

AnimalsFemaleGene Transfer TechniquesHand StrengthHomeodomain ProteinsImmunohistochemistryMaleMiceMice, KnockoutMuscle, SkeletalMuscle StrengthMuscular DiseasesReverse Transcriptase Polymerase Chain ReactionTumor Suppressor Protein p53ZebrafishDUX4L1 protein, humanHomeodomain ProteinsTumor Suppressor Protein p53

Identifiers

PMID21446026
PMCPMC4098764
OpenAlexW2028687559

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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