Evidence map›Paper›PMID 24408990›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2014

Diaphragm remodeling and compensatory respiratory mechanics in a canine model of Duchenne muscular dystrophy.

A F Mead, M Petrov, A S Malik, M A Mitchell, M K Childers, J R Bogan, G Seidner, J N Kornegay, H H Stedman

Abstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. A systematic review of the frequency of sleep evaluations, sleep disorders, and treatments among individuals with muscular dystrophy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
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  11. Exosome-mediated improvement in membrane integrity and muscle function in dystrophic mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
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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 3 institutions in 1 country.

A F MeadDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania;
M Petrov
A S Malik
M A Mitchell
M K Childers
J R Bogan
G Seidner
J N Kornegay
H H Stedman
University of Pennsylvania · USUniversity of North Carolina at Chapel Hill · USWake Forest University · US

Funding

Training in Muscle Biology and Muscle DiseaseT32AR053461 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI OSTAP, E. MICHAEL · 2006 to 2025
$4.9M
Systemic molecular therapy for muscular dystrophyR01NS042874 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI STEDMAN, HANSELL H · 2002 to 2013
$4.8M
Translational program for molecular therapeutics in DMDU01NS052476 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI STEDMAN, HANSELL H · 2007 to 2011
$2.0M
Shared Resource for Disease Model Surgical Critical Care and Data MangementS10RR028027 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI STEDMAN, HANSELL H · 2010 to 2010
$481k
NCRR NIH HHS RR-028027NIAMS NIH HHS T32 AR-053461NINDS NIH HHS NS-042874NINDS NIH HHS NS-052476
6 · The paper itself

Abstract

Ventilatory insufficiency remains the leading cause of death and late stage morbidity in Duchenne muscular dystrophy (DMD). To address critical gaps in our knowledge of the pathobiology of respiratory functional decline, we used an integrative approach to study respiratory mechanics in a translational model of DMD. In studies of individual dogs with the Golden Retriever muscular dystrophy (GRMD) mutation, we found evidence of rapidly progressive loss of ventilatory capacity in association with dramatic morphometric remodeling of the diaphragm. Within the first year of life, the mechanics of breathing at rest, and especially during pharmacological stimulation of respiratory control pathways in the carotid bodies, shift such that the primary role of the diaphragm becomes the passive elastic storage of energy transferred from abdominal wall muscles, thereby permitting the expiratory musculature to share in the generation of inspiratory pressure and flow. In the diaphragm, this physiological shift is associated with the loss of sarcomeres in series (∼ 60%) and an increase in muscle stiffness (∼ 900%) compared with those of the nondystrophic diaphragm, as studied during perfusion ex vivo. In addition to providing much needed endpoint measures for assessing the efficacy of therapeutics, we expect these findings to be a starting point for a more precise understanding of respiratory failure in DMD.

Indexed as

Respiratory MechanicsAdaptation, PhysiologicalAge FactorsAnimalsCarotid BodyCollagenDiaphragmDisease Models, AnimalDogsElasticityFibrosisLungMuscular Dystrophy, DuchenneCollagenanimal modelsdiaphragmdystrophinmuscular dystrophyrespiratory mechanics

Identifiers

PMID24408990
PMCPMC3972751
OpenAlexW2166606679

What OpenQuestion holds

Textmetadata
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.