Evidence map›Paper›PMID 26623440›Full record

ArticleMolecular therapy. Methods & clinical development2015

Membrane-stabilizing copolymers confer marked protection to dystrophic skeletal muscle in vivo.

Evelyne M Houang, Karen J Haman, Antonio Filareto, Rita C Perlingeiro, Frank S Bates, Dawn A Lowe, Joseph M Metzger

Registry-linked trialAbstract read
In one paragraph

Article in Molecular therapy. Methods & clinical development, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03558958 (An Exploratory, Open-label Study to Assess the Effect of P-188 NF), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
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.

NCT03558958 phase2terminatednot on this mapstarted 2018, after this paper: background citation

An Exploratory, Open-label Study to Assess the Effect of P-188 NF (Carmeseal-MD) on Safety, on Respiratory and Cardiac Dysfunction and on Upper Limb Strength in Non-ambulatory Patients With Duchenne Muscular Dystrophy (DMD)

TypeinterventionalSponsorPhrixus Pharmaceuticals, Inc.Ran2018 to 2021Enrolled2ConditionsDuchenne Muscular DystrophyArmsP-188 NF
3 · Its place in the literature

Who cites it

37 citing papers in PubMed.

  1. Review
  2. The two faces of mitochondrial CaJournal of physiology and biochemistry · 2026
    Review
  3. Synthetic bottlebrush block copolymer prevents disease onset in Duchenne muscular dystrophy.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  4. Review
  5. Muscular Dystrophies.Advances in experimental medicine and biology · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Consequences of poly(ethylene oxide) and poloxamer P188 on transcription in healthy and stressed myoblasts.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Exosome-mediated improvement in membrane integrity and muscle function in dystrophic mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2021
    Article
  18. Review
  19. Article
  20. Article
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

7 authors.

Evelyne M HouangDepartment of Integrative Biology and Physiology, University of Minnesota , Minneapolis, Minnesota, USA.
Karen J HamanDepartment of Chemical Engineering and Material Science, University of Minnesota , Minneapolis, Minnesota, USA.
Antonio FilaretoDepartment of Medicine, Lillehei Heart Institute, University of Minnesota , Minneapolis, Minnesota, USA.
Rita C PerlingeiroDepartment of Medicine, Lillehei Heart Institute, University of Minnesota , Minneapolis, Minnesota, USA.
Frank S BatesDepartment of Chemical Engineering and Material Science, University of Minnesota , Minneapolis, Minnesota, USA.
Dawn A LoweRehabilitation Science and Program in Physical Therapy, University of Minnesota , Minneapolis, Minnesota, USA.
Joseph M MetzgerDepartment of Integrative Biology and Physiology, University of Minnesota , Minneapolis, Minnesota, USA.

Funding

Targeted membrane integrity in cardiac ischemia and reperfusionR01HL122323 · NHLBI · UNIVERSITY OF MINNESOTA · PI METZGER, JOSEPH MARK · 2015 to 2022
$5.1M
Use of specific transcription factors to promote limb regeneration capacityP30AR057220 · NIAMS · UNIVERSITY OF MINNESOTA · PI DARABI, RADBOD · 2009 to 2013
$3.0M
NHLBI NIH HHS R01 HL122323NIAMS NIH HHS P30 AR057220
6 · The paper itself

Abstract

Duchenne muscular dystrophy (DMD) is a fatal disease of striated muscle deterioration. A unique therapeutic approach for DMD is the use of synthetic membrane stabilizers to protect the fragile dystrophic sarcolemma against contraction-induced mechanical stress. Block copolymer-based membrane stabilizer poloxamer 188 (P188) has been shown to protect the dystrophic myocardium. In comparison, the ability of synthetic membrane stabilizers to protect fragile DMD skeletal muscles has been less clear. Because cardiac and skeletal muscles have distinct structural and functional features, including differences in the mechanism of activation, variance in sarcolemma phospholipid composition, and differences in the magnitude and types of forces generated, we speculated that optimized membrane stabilization could be inherently different. Our objective here is to use principles of pharmacodynamics to evaluate membrane stabilization therapy for DMD skeletal muscles. Results show a dramatic differential effect of membrane stabilization by optimization of pharmacodynamic-guided route of poloxamer delivery. Data show that subcutaneous P188 delivery, but not intravascular or intraperitoneal routes, conferred significant protection to dystrophic limb skeletal muscles undergoing mechanical stress in vivo. In addition, structure-function examination of synthetic membrane stabilizers further underscores the importance of copolymer composition, molecular weight, and dosage in optimization of poloxamer pharmacodynamics in vivo.

Identifiers

PMID26623440
PMCPMC4641511

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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.