Evidence map›Paper›PMID 22859208›Full record

ArticleNature2012

Targeting nuclear RNA for in vivo correction of myotonic dystrophy.

Thurman M Wheeler, Andrew J Leger, Sanjay K Pandey, A Robert MacLeod, Masayuki Nakamori, Seng H Cheng, Bruce M Wentworth, C Frank Bennett, Charles A Thornton

Open access · greenAbstract read
In one paragraph

Article in Nature, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 302 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
302citing papers in PubMed, 1 pooled it
19.4field-weighted citation impact, top 1% 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

302 citing papers in PubMed, 1 synthesis or guideline pooled it, 488 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Antisense RNA therapies for muscular dystrophies.Journal of neuromuscular diseases · 2026
    Review
  7. A pothole-filling strategy for selective targeting of rCUG-repeats associated with myotonic dystrophy type 1.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Long non-coding RNAMolecular therapy. Nucleic acids · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Thurman M WheelerDepartment of Neurology, University of Rochester, 601 Elmwood Avenue, Rochester, New York 14642, USA.
Andrew J Leger
Sanjay K Pandey
A Robert MacLeod
Masayuki Nakamori
Seng H Cheng
Bruce M Wentworth
C Frank Bennett
Charles A Thornton
Ionis Pharmaceuticals (United States) · USUniversity of Rochester · US

Funding

Training and Educational CoreU54NS048843 · NINDS · UNIVERSITY OF ROCHESTER · PI MOXLEY, RICHARD T · 2003 to 2017
$21.9M
Antisense oligonucleotide treatment for myotonic dystrophyU01NS072323 · NINDS · UNIVERSITY OF ROCHESTER · PI THORNTON, CHARLES A · 2011 to 2014
$4.0M
RNA-mediated Mechanisms in the Myotonic DystrophiesR01AR049077 · NIAMS · UNIVERSITY OF ROCHESTER · PI THORNTON, CHARLES A · 2002 to 2011
$3.0M
Integrative Pathophysiology of Myotonic DystrophyK24AR048143 · NIAMS · UNIVERSITY OF ROCHESTER · PI THORNTON, CHARLES A · 2002 to 2012
$1.1M
EXPERIMENTAL THERAPEUTICS IN MOUSE MODELS OF MYOTONIC DYSTROPHYK08NS064293 · NINDS · UNIVERSITY OF ROCHESTER · PI WHEELER, THURMAN M · 2008 to 2012
$818k
NIAMS NIH HHS AR049077NIAMS NIH HHS AR/NS48143NIAMS NIH HHS R01 AR049077NINDS NIH HHS K08 NS064293NINDS NIH HHS K08NS064293NINDS NIH HHS U01 NS072323NINDS NIH HHS U01NS072323NINDS NIH HHS U54 NS048843NINDS NIH HHS U54NS48843
6 · The paper itself

Abstract

Antisense oligonucleotides (ASOs) hold promise for gene-specific knockdown in diseases that involve RNA or protein gain-of-function effects. In the hereditary degenerative disease myotonic dystrophy type 1 (DM1), transcripts from the mutant allele contain an expanded CUG repeat and are retained in the nucleus. The mutant RNA exerts a toxic gain-of-function effect, making it an appropriate target for therapeutic ASOs. However, despite improvements in ASO chemistry and design, systemic use of ASOs is limited because uptake in many tissues, including skeletal and cardiac muscle, is not sufficient to silence target messenger RNAs. Here we show that nuclear-retained transcripts containing expanded CUG (CUG(exp)) repeats are unusually sensitive to antisense silencing. In a transgenic mouse model of DM1, systemic administration of ASOs caused a rapid knockdown of CUG(exp) RNA in skeletal muscle, correcting the physiological, histopathologic and transcriptomic features of the disease. The effect was sustained for up to 1 year after treatment was discontinued. Systemically administered ASOs were also effective for muscle knockdown of Malat1, a long non-coding RNA (lncRNA) that is retained in the nucleus. These results provide a general strategy to correct RNA gain-of-function effects and to modulate the expression of expanded repeats, lncRNAs and other transcripts with prolonged nuclear residence.

Indexed as

Gene SilencingAllelesAnimalsBase SequenceCell NucleusDisease Models, AnimalGene Knockdown TechniquesHumansMiceMice, Inbred BALB CMice, Inbred C57BLMice, Inbred mdxMice, TransgenicMuscle, SkeletalMyotonic DystrophyMyotonin-Protein KinaseDMPK protein, humanDMPK protein, mouseMalat1 long non-coding RNA, mouseMyotonin-Protein KinaseOligonucleotides, AntisenseProtein Serine-Threonine KinasesRibonuclease HRNARNA, Long NoncodingRNA, MessengerRNA, Untranslated

Identifiers

PMID22859208
PMCPMC4221572
OpenAlexW2131447660

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.