Evidence map›Paper›PMID 23440719›Full record

ArticleAnnals of neurology2013

LTBP4 genotype predicts age of ambulatory loss in Duchenne muscular dystrophy.

Kevin M Flanigan, Ermelinda Ceco, Kay-Marie Lamar, Yuuki Kaminoh, Diane M Dunn, Jerry R Mendell, Wendy M King, Alan Pestronk, Julaine M Florence, Katherine D Mathews and 9 more

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Annals of neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 156 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 2% 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.

NCT00138931 recruitingnot on this map

Genetic Studies of Patients and Their Families With Inherited Cardiovascular and Neuromuscular Diseases.

TypeobservationalSponsorUniversity of ChicagoRan1996 to 2030Enrolled2,000ConditionsCardiomyopathy, Arrhythmia, Muscular DystrophyArmsBlood draw (genetic testing)
NCT03319030 completednot on this mapstarted 2017, after this paper: background citation

Evaluating the Impact of Aerobic Exercise in Boys With Duchenne Muscular Dystrophy (DMD)

TypeobservationalSponsorAnn & Robert H Lurie Children's Hospital of ChicagoRan2017 to 2018Enrolled43ConditionsDuchenne Muscular Dystrophy
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 1 synthesis or guideline pooled it, 238 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
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  8. The D2.B10-DmdThe American journal of pathology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Muscle-specific increased expression ofProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Molecular genetics of dystrophinopathy.Journal of human genetics · 2025
    Review
  17. Article
  18. A genetic variant inScience advances · 2025
    Article
  19. Observational
  20. Article

96 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

19 authors at 9 institutions in 1 country.

Kevin M FlaniganCenter for Gene Therapy, Nationwide Children' Hospital, Columbus, OH; Department of Pediatrics, Ohio State University, Columbus, OH; Department of Neurology, Ohio State University, Columbus, OH.
Ermelinda Ceco
Kay-Marie Lamar
Yuuki Kaminoh
Diane M Dunn
Jerry R Mendell
Wendy M King
Alan Pestronk
Julaine M Florence
Katherine D Mathews
Richard S Finkel
Kathryn J Swoboda
Eduard Gappmaier
Michael T Howard
John W Day
Craig McDonald
Elizabeth M McNally
Robert B Weiss
United Dystrophinopathy Project
University of Utah · USNationwide Children's Hospital · USUniversity of Chicago · USWashington University in St. Louis · USChildren's Hospital of Philadelphia · USThe Ohio State University · USUniversity of California, Davis · USUniversity of Iowa · USUniversity of Minnesota · US

Funding

Training and education CoreU54AR052646 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MCNALLY, ELIZABETH M, SWEENEY, H LEE · 2005 to 2020
$24.1M
PREDOCTORAL TRAINING IN GENETICS AND REGULATIONT32GM007197 · NIGMS · UNIVERSITY OF CHICAGO · PI ROTHMAN-DENES, LUCIA B. B · 1985 to 2020
$17.0M
MULTIDISCIPLINARY CARDIAC SCIENCEST32HL007381 · NHLBI · UNIVERSITY OF CHICAGO · PI JEANNE M DECARA, Yoav Gilad · 1985 to 2026
$12.5M
Translational Research in the DystrophinopathiesR01NS043264 · NINDS · UNIVERSITY OF UTAH · PI FLANIGAN, KEVIN M · 2002 to 2010
$8.4M
SARCOGLYCAN IN MYOPATHY AND MUSCLE MEMBRANE STABILITYR01HL061322 · NHLBI · UNIVERSITY OF CHICAGO · PI MCNALLY, ELIZABETH M · 1999 to 2022
$7.5M
Understanding and Improving Therapies for the Muscular Dystrophies through Noninvasive BiomarkersP50AR052646 · NIAMS · UNIVERSITY OF FLORIDA · PI WALTER, GLENN · 2021 to 2024
$6.2M
Regulation of TGF - (beta) pathways in muscular dystrophy fibrosisP01NS072027 · NINDS · UNIVERSITY OF CHICAGO · PI HEYDEMANN, AHLKE · 2011 to 2015
$6.2M
Mechanism of LTBP4 in muscular dystrophyF31NS071848 · NINDS · UNIVERSITY OF CHICAGO · PI CECO, ERMELINDA · 2010 to 2012
$94k
NHLBI NIH HHS R01 HL061322NHLBI NIH HHS T32 HL007381NIAMS NIH HHS P50 AR052646NIAMS NIH HHS U54 AR052646NIGMS NIH HHS T32 GM007197NINDS NIH HHS F31 NS071848NINDS NIH HHS P01 NS072027NINDS NIH HHS R01 NS043264
6 · The paper itself

Abstract

objectiveDuchenne muscular dystrophy (DMD) displays a clinical range that is not fully explained by the primary DMD mutations. Ltbp4, encoding latent transforming growth factor-β binding protein 4, was previously discovered in a genome-wide scan as a modifier of murine muscular dystrophy. We sought to determine whether LTBP4 genotype influenced DMD severity in a large patient cohort.

methodsWe analyzed nonsynonymous single nucleotide polymorphisms (SNPs) from human LTBP4 in 254 nonambulatory subjects with known DMD mutations. These SNPs, V194I, T787A, T820A, and T1140M, form the VTTT and IAAM LTBP4 haplotypes.

resultsIndividuals homozygous for the IAAM LTBP4 haplotype remained ambulatory significantly longer than those heterozygous or homozygous for the VTTT haplotype. Glucocorticoid-treated patients who were IAAM homozygotes lost ambulation at 12.5 ± 3.3 years compared to 10.7 ± 2.1 years for treated VTTT heterozygotes or homozygotes. IAAM fibroblasts exposed to transforming growth factor (TGF) β displayed reduced phospho-SMAD signaling compared to VTTT fibroblasts, consistent with LTBP4' role as a regulator of TGFβ.

interpretationLTBP4 haplotype influences age at loss of ambulation, and should be considered in the management of DMD patients.

Indexed as

Mobility LimitationExtracellular Matrix ProteinsFemaleFibroblastsGenetic Predisposition to DiseaseGenetic TestingGenotypeGlucocorticoidsHumansLatent TGF-beta Binding ProteinsMaleMuscular Dystrophy, DuchennePolymorphism, Single NucleotideSmad ProteinsExtracellular Matrix ProteinsGlucocorticoidsLatent TGF-beta Binding ProteinsLTBP4 protein, humanSmad Proteins

Identifiers

PMID23440719
PMCPMC4106425
OpenAlexW1705533001

What OpenQuestion holds

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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.