Evidence map›Paper›PMID 29598826›Full record

ArticleSkeletal muscle2018

The complexity of titin splicing pattern in human adult skeletal muscles.

Marco Savarese, Per Harald Jonson, Sanna Huovinen, Lars Paulin, Petri Auvinen, Bjarne Udd, Peter Hackman

Open access · goldAbstract read
In one paragraph

Article in Skeletal muscle, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Phenotype-specific muscle proteomic profiling in titinopathies.Acta neuropathologica communications · 2026
    Article
  3. Article
  4. Review
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  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Analysis ofCirculation. Genomic and precision medicine · 2025
    Article
  13. IntragenicThe application of clinical genetics · 2025
    Article
  14. Congenital Titinopathies Linked to Mutations inInternational journal of molecular sciences · 2024
    Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Differential inclusion ofmedRxiv : the preprint server for health sciences · 2024
    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 at 2 institutions in 2 countries.

Marco SavareseFolkhälsan Research Center, University of Helsinki, Helsinki, Finland. marco.savarese@helsinki.fi.ORCID 0000-0002-2591-244X
Per Harald JonsonFolkhälsan Research Center, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-2423-359X
Sanna HuovinenDepartment of Pathology, Fimlab Laboratories, Tampere University Hospital, Tampere, Finland.
Lars PaulinInstitute of Biotechnology, University of Helsinki, Helsinki, Finland.
Petri AuvinenInstitute of Biotechnology, University of Helsinki, Helsinki, Finland.
Bjarne UddFolkhälsan Research Center, University of Helsinki, Helsinki, Finland.
Peter HackmanFolkhälsan Research Center, University of Helsinki, Helsinki, Finland.
University of Helsinki · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMutations in the titin gene (TTN) cause a large spectrum of diseases affecting skeletal and/or cardiac muscle. TTN includes 363 coding exons, a repeated region with a high degree of complexity, isoform-specific elements, and metatranscript-only exons thought to be expressed only during fetal development. Although three main classes of isoforms have been described so far, alternative splicing events (ASEs) in different tissues or in different developmental and physiological states have been reported.

methodsTo achieve a comprehensive view of titin ASEs in adult human skeletal muscles, we performed a RNA-Sequencing experiment on 42 human biopsies collected from 12 anatomically different skeletal muscles of 11 individuals without any skeletal-muscle disorders.

resultsWe confirmed that the skeletal muscle N2A isoforms are highly prevalent, but we found an elevated number of alternative splicing events, some at a very high level. These include previously unknown exon skipping events and alternative 5' and 3' splice sites. Our data suggests the partial inclusion in the TTN transcript of some metatranscript-only exons and the partial exclusion of canonical N2A exons.

conclusionsThis study provides an extensive picture of the complex TTN splicing pattern in human adult skeletal muscle, which is crucial for a proper clinical interpretation of TTN variants.

Indexed as

Alternative SplicingAdultConnectinExonsHumansMuscle, SkeletalMyocardiumProtein IsoformsRNA, MessengerRNA Splice SitesSequence Analysis, RNAConnectinProtein IsoformsRNA, MessengerRNA Splice SitesTTN protein, humanAlternative splicing eventsExon usageRNA-sequencingSplicing patternTitinTitinopathies

Identifiers

PMID29598826
PMCPMC5874998
OpenAlexW2795556301

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.