Evidence map›Paper›PMID 23152054›Full record

ArticleCell death & disease2012

Autophagy as a new therapeutic target in Duchenne muscular dystrophy.

C De Palma, F Morisi, S Cheli, S Pambianco, V Cappello, M Vezzoli, P Rovere-Querini, M Moggio, M Ripolone, M Francolini and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04630132 (Renal Ageing-sarcopenia Network), which is not on this map. Cited by 163 papers.

0numbers the graph read from it
0cells of the map it votes in
163citing papers in PubMed
11.7field-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.

NCT04630132 unknown statusnot on this mapstarted 2017, after this paper: background citation

Renal Ageing-sarcopenia Network: a Combined Genetic, Immunological and Psychological Approach to Dissect Frailty

TypeobservationalSponsorIRCCS San RaffaeleRan2017 to 2021Enrolled1,500ConditionsAging, Frailty, Hypertension, CKD
3 · Its place in the literature

Who cites it

163 citing papers in PubMed, 261 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

C De PalmaDepartment of Biomedical and Clinical Sciences, University Hospital L. Sacco, Università di Milano, Milan, Italy.
F Morisi
S Cheli
S Pambianco
V Cappello
M Vezzoli
P Rovere-Querini
M Moggio
M Ripolone
M Francolini
M Sandri
E Clementi
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Eugenio Medea · ITItalian Institute of Technology · ITUniversity of Milan · ITVeneto Institute of Molecular Medicine · IT

Funding

Telethon GTB07001
6 · The paper itself

Abstract

A resolutive therapy for Duchene muscular dystrophy, a severe degenerative disease of the skeletal muscle, is still lacking. Because autophagy has been shown to be crucial in clearing dysfunctional organelles and in preventing tissue damage, we investigated its pathogenic role and its suitability as a target for new therapeutic interventions in Duchenne muscular dystrophy (DMD). Here we demonstrate that autophagy is severely impaired in muscles from patients affected by DMD and mdx mice, a model of the disease, with accumulation of damaged organelles. The defect in autophagy was accompanied by persistent activation via phosphorylation of Akt, mammalian target of rapamycin (mTOR) and of the autophagy-inhibiting pathways dependent on them, including the translation-initiation factor 4E-binding protein 1 and the ribosomal protein S6, and downregulation of the autophagy-inducing genes LC3, Atg12, Gabarapl1 and Bnip3. The defective autophagy was rescued in mdx mice by long-term exposure to a low-protein diet. The treatment led to normalisation of Akt and mTOR signalling; it also reduced significantly muscle inflammation, fibrosis and myofibre damage, leading to recovery of muscle function. This study highlights novel pathogenic aspects of DMD and suggests autophagy as a new effective therapeutic target. The treatment we propose can be safely applied and immediately tested for efficacy in humans.

Indexed as

AutophagyAnimalsDisease Models, AnimalHumansMaleMiceMice, Inbred mdxMuscular Dystrophy, DuchenneOncogene Protein v-aktSignal TransductionTOR Serine-Threonine KinasesMTOR protein, humanOncogene Protein v-aktTOR Serine-Threonine Kinases

Identifiers

PMID23152054
PMCPMC3542595
OpenAlexW2078993601

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.