Evidence map›Paper›PMID 29305136›Full record

ArticleNeuromuscular disorders : NMD2018

Low-level dystrophin expression attenuating the dystrophinopathy phenotype.

Megan A Waldrop, Felecia Gumienny, Saleh El Husayni, Diane E Frank, Robert B Weiss, Kevin M Flanigan

Open access · greenAbstract readCase Reports
In one paragraph

Article in Neuromuscular disorders : NMD, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.7field-weighted citation impact, top 15% 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, 28 citations in OpenAlex.

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  15. Causes of clinical variability in Duchenne and Becker muscular dystrophies and implications for exon skipping therapies.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2020
    Article
  16. Article
  17. Review
  18. A Muscle Hybrid Promoter as a Novel Tool for Gene Therapy.Molecular therapy. Methods & clinical development · 2019
    Article
  19. Review
  20. Systemic AAV Micro-dystrophin Gene Therapy for Duchenne Muscular Dystrophy.Molecular therapy : the journal of the American Society of Gene Therapy · 2018
    Review
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

6 authors at 3 institutions in 1 country.

Megan A WaldropThe Center for Gene Therapy, Nationwide Children's Hospital, Columbus, OH 43205, USA; Department of Neurology, The Ohio State University, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University, Columbus, OH 43205, USA.
Felecia GumiennyThe Center for Gene Therapy, Nationwide Children's Hospital, Columbus, OH 43205, USA.
Saleh El HusayniDepartment of Translational Development, Sarepta Therapeutics, Inc., Cambridge, MA 02142, USA.
Diane E FrankDepartment of Translational Development, Sarepta Therapeutics, Inc., Cambridge, MA 02142, USA.
Robert B WeissDepartment of Human Genetics, The University of Utah School of Medicine, Salt Lake City, UT 84112, USA.
Kevin M FlaniganThe Center for Gene Therapy, Nationwide Children's Hospital, Columbus, OH 43205, USA; Department of Neurology, The Ohio State University, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University, Columbus, OH 43205, USA. Electronic address: kevin.flanigan@nationwidechildrens.org.
Nationwide Children's Hospital · USSarepta Therapeutics (United States) · USUniversity of Utah · US

Funding

Genetic modifiers of Duchenne Muscular DystrophyR01NS085238 · NINDS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI KEVIN M FLANIGAN, VERONICA J. VIELAND · 2014 to 2026
$8.6M
Training in neuromuscular diseasesT32NS077984 · NINDS · OHIO STATE UNIVERSITY · PI GUTTRIDGE, DENIS C, MENDELL, JERRY ROY · 2012 to 2016
$946k
NINDS NIH HHS R01 NS085238NINDS NIH HHS T32 NS077984
6 · The paper itself

Abstract

The reading frame rule suggests that Duchenne muscular dystrophy (DMD) results from DMD mutations causing an out-of-frame transcript, whereas the milder Becker muscular dystrophy results from mutations causing an in-frame transcript. However, predicted nonsense mutations may instead result in altered splicing and an in-frame transcript. Here we report a 10-year-old boy with a predicted nonsense mutation in exon 42 who had a 6-minute walk time of 157% of that of age matched DMD controls, characterized as intermediate muscular dystrophy. RNA sequencing analysis from a muscle biopsy revealed only 6.0-9.8% of DMD transcripts were in-frame, excluding exon 42, and immunoblot demonstrated only 3.2% dystrophin protein expression. Another potential genetic modifier noted was homozygosity for the protective IAAM LTBP4 haplotype. This case suggests that very low levels of DMD exon skipping and dystrophin protein expression may result in amelioration of skeletal muscle weakness, a finding relevant to current dystrophin-restoring therapies.

Indexed as

Codon, NonsenseChildDystrophinExonsGene ExpressionHumansMaleMuscle, SkeletalMuscular Dystrophy, DuchennePhenotypeCodon, NonsenseDMD protein, humanDystrophinDystrophinIntermediate muscular dystrophyNonsense mutationRNA sequencing

Identifiers

PMID29305136
PMCPMC9460236
OpenAlexW2770413228

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.