Evidence map›Paper›PMID 23893312›Full record

ArticleMuscle & nerve2014

The motor neuron response to SMN1 deficiency in spinal muscular atrophy.

Peter B Kang, Clifton L Gooch, Michael P McDermott, Basil T Darras, Richard S Finkel, Michele L Yang, Douglas M Sproule, Wendy K Chung, Petra Kaufmann, Darryl C de Vivo and 1 more

Open access · greenAbstract read
In one paragraph

Article in Muscle & nerve, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 43 citations in OpenAlex.

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  19. The Genetics of Spinal Muscular Atrophy: Progress and Challenges.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2015
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 7 institutions in 1 country.

Peter B KangDepartment of Neurology, Boston Children's Hospital and Harvard Medical School, 300 Longwood Avenue, Boston, Massachusetts, 02115, USA.
Clifton L Gooch
Michael P McDermott
Basil T Darras
Richard S Finkel
Michele L Yang
Douglas M Sproule
Wendy K Chung
Petra Kaufmann
Darryl C de Vivo
Muscle Study Group and the Pediatric Neuromuscular Clinical Research Network for Spinal Muscular Atrophy
Columbia University · USHarvard University · USChildren's Hospital of Philadelphia · USNational Institute of Neurological Disorders and Stroke · USUniversity of Colorado Denver · USUniversity of Rochester · USUniversity of South Florida · US

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
University of Iowa Clinical and Translational Science Program (TL1)UL1RR025755 · NCRR · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2008 to 2011
$26.3M
SYNAPTIC MECHANISMS IN HIPPOCAMPAL EPILEPTOGENESISP30HD018655 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI POMEROY, SCOTT LOREN · 1985 to 2015
$26.2M
NCRR NIH HHS UL1 RR024134NCRR NIH HHS UL1-RR-024134NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1 RR025755NCRR NIH HHS UL1 RR025755-01NICHD NIH HHS P30 HD018655
6 · The paper itself

Abstract

introductionThe purpose of this study was to measure and analyze motor unit number estimation (MUNE) values longitudinally in spinal muscular atrophy (SMA).

methodsSixty-two children with SMA types 2 and 3 were observed prospectively for up to 42 months. Longitudinal electrophysiological data were collected, including compound motor action potential (CMAP), single motor unit action potential (SMUP), and MUNE.

resultsSignificant motor neuron loss and compensatory collateral reinnervation were noted at baseline. Over time, there was a significant mean increase in MUNE (4.92 units/year, P = 0.009), a mean decrease in SMUP amplitude (-6.32 μV/year, P = 0.10), and stable CMAP amplitude.

conclusionsThe unexpected longitudinal results differ from findings in amyotrophic lateral sclerosis studies, perhaps indicating that compensatory processes in SMA involve new motor unit development. A better understanding of the mechanisms of motor unit decline and compensation in SMA is important for assessing novel therapeutic strategies and for providing key insights into disease pathophysiology.

Indexed as

Action PotentialsAdaptation, PhysiologicalAdolescentAdultChildChild, PreschoolCohort StudiesDisease ProgressionElectromyographyExonsFemaleGene DeletionHomozygoteHumansInfantLinear ModelsSMN1 protein, humanSurvival of Motor Neuron 1 Proteincompound motor action potentialelectrophysiologymotor neuron diseasemotor unit number estimationspinal muscular atrophy

Identifiers

PMID23893312
PMCPMC4090017
OpenAlexW1893031143

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.