Evidence map›Paper›PMID 27822449›Full record

ArticleJournal of neuromuscular diseases2016

Similar efficacy from specific and non-specific mineralocorticoid receptor antagonist treatment of muscular dystrophy mice.

Jeovanna Lowe, Kyle T Floyd, Neha Rastogi, Eric J Schultz, Jessica A Chadwick, Sarah A Swager, Jonathan G Zins, Feni K Kadakia, Suzanne Smart, Elise P Gomez-Sanchez and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of neuromuscular diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03777319 (A Randomized Open Label Trial of Spironolactone Versus Prednisolone in Corticosteroid-naïve Boys With DMD), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.0field-weighted citation impact, top 21% 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.

NCT03777319 phase1terminatednot on this mapstarted 2018, after this paper: background citation

A Randomized Open Label Trial of Spironolactone Versus Prednisolone in Corticosteroid-naïve Boys With DMD

TypeinterventionalSponsorKevin FlaniganRan2018 to 2021Enrolled2ConditionsMuscular Dystrophy, DuchenneArmsSpironolactone, Prednisolone
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 20 citations in OpenAlex.

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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

14 authors at 3 institutions in 1 country.

Jeovanna LoweDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Kyle T FloydDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Neha RastogiDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Eric J SchultzDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Jessica A ChadwickDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Sarah A SwagerDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Jonathan G ZinsDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Feni K KadakiaDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Suzanne SmartDavis Heart and Lung Research Institute, College of Medicine, The Ohio State University, Columbus, OH, USA.
Elise P Gomez-SanchezDept. of Pharmacology & Toxicology, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Celso E Gomez-SanchezDept. of Internal Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USA.
Subha V RamanDavis Heart and Lung Research Institute, College of Medicine, The Ohio State University, Columbus, OH, USA.
Paul M L JanssenDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
Jill A Rafael-FortneyDepartment of Physiology & Cell Biology, College of Medicine, The Ohio State University, Columbus, OH, USA.
The Ohio State University · USUniversity of Mississippi Medical Center · USLung Institute · US

Funding

Ohio State Neuroscience Centr CoreP30NS045758 · NINDS · OHIO STATE UNIVERSITY · PI MCTIGUE, DANA M · 2004 to 2015
$7.7M
ROLE OF MINERALOCORTICOIDS IN LOW-RENIN HYPERTENSIONR01HL027255 · NHLBI · UNIVERSITY OF SOUTH FLORIDA · PI GOMEZ-SANCHEZ, CELSO ENRIQUE · 1985 to 2017
$3.9M
Therapeutic Potential for Aldosterone Inhibition in Duchenne Muscular DystrophyR01HL116533 · NHLBI · OHIO STATE UNIVERSITY · PI RAFAEL-FORTNEY, JILL A, RAMAN, SUBHA V · 2013 to 2017
$2.7M
Mechanisms and synergies of therapeutic drug treatments in muscular dystrophyR01NS082868 · NINDS · OHIO STATE UNIVERSITY · PI JANSSEN, PAULUS ML, RAFAEL-FORTNEY, JILL A · 2013 to 2017
$1.7M
Training in neuromuscular diseasesT32NS077984 · NINDS · OHIO STATE UNIVERSITY · PI GUTTRIDGE, DENIS C, MENDELL, JERRY ROY · 2012 to 2016
$946k
NHLBI NIH HHS R01 HL027255NHLBI NIH HHS R01 HL116533NINDS NIH HHS P30 NS045758NINDS NIH HHS R01 NS082868NINDS NIH HHS T32 NS077984
6 · The paper itself

Abstract

backgroundCombined treatment with an angiotensin-converting enzyme inhibitor and a mineralocorticoid receptor (MR) antagonist improved cardiac and skeletal muscle function and pathology in a mouse model of Duchenne muscular dystrophy. MR is present in limb and respiratory skeletal muscles and functions as a steroid hormone receptor.

objectiveThe goals of the current study were to compare the efficacy of the specific MR antagonist eplerenone with the non-specific MR antagonist spironolactone, both in combination with the angiotensin-converting enzyme inhibitor lisinopril.

methodsThree groups of n=18 dystrophin-deficient, utrophin-haploinsufficient male mice were given chow containing: lisinopril plus spironolactone, lisinopril plus eplerenone, or no drug, from four to 20 weeks-of-age. Eighteen C57BL/10 male mice were used as wild-type controls.

resultsTreatment with specific and non-specific MR antagonists did not result in any adverse effects to dystrophic skeletal muscles or heart. Both treatments resulted in similar functional and pathological improvements across a wide array of parameters. MR protein levels were not reduced by treatment.

conclusionsThese data suggest that spironolactone and eplerenone show similar effects in dystrophic mice and support the clinical development of MR antagonists for treating skeletal muscles in Duchenne muscular dystrophy.

Indexed as

Angiotensin-Converting Enzyme InhibitorsAnimalsDisease Models, AnimalEplerenoneGene Knockdown TechniquesHeartLisinoprilMaleMiceMice, Inbred mdxMineralocorticoid Receptor AntagonistsMuscle, SkeletalMuscular Dystrophy, AnimalMyocardiumSpironolactoneTreatment OutcomeAngiotensin-Converting Enzyme InhibitorsEplerenoneLisinoprilMineralocorticoid Receptor AntagonistsSpironolactoneUtrn protein, mouseUtrophinDuchenne muscular dystrophyeplerenonelisinoprilmineralocorticoid receptorsspironolactone

Identifiers

PMID27822449
PMCPMC5096836
OpenAlexW2511896732

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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.