Evidence map›Paper›PMID 29706347›Full record

SynthesisAmerican journal of human genetics2018

The Effect of ACTN3 Gene Doping on Skeletal Muscle Performance.

Fleur C Garton, Peter J Houweling, Damjan Vukcevic, Lyra R Meehan, Fiona X Z Lee, Monkol Lek, Kelly N Roeszler, Marshall W Hogarth, Chrystal F Tiong, Diana Zannino and 6 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in American journal of human genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Science advances · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Ubiquitin Ligases in Longevity and Aging Skeletal Muscle.International journal of molecular sciences · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Science advances · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. 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

16 authors at 8 institutions in 2 countries.

Fleur C GartonMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; Institute for Molecular Bioscience, University of Queensland, Brisbane, QLD 4072, Australia.
Peter J HouwelingMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Damjan VukcevicMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; School of Mathematics and Statistics, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia; School of BioSciences, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia; Centre for Systems Genomics, University of Melbourne, Parkville, VIC 3052, Australia.
Lyra R MeehanMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Fiona X Z LeeInstitute for Neuroscience and Muscle Research, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia; Discipline of Paediatrics and Child Health, Faculty of Medicine, University of Sydney, Sydney, NSW 2145, Australia.
Monkol LekInstitute for Neuroscience and Muscle Research, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia; Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA 02114, USA.
Kelly N RoeszlerMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Marshall W HogarthInstitute for Neuroscience and Muscle Research, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia.
Chrystal F TiongMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Diana ZanninoMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Nan YangInstitute for Neuroscience and Muscle Research, The Children's Hospital at Westmead, Sydney, NSW 2145, Australia.
Stephen LeslieMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; School of Mathematics and Statistics, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia; School of BioSciences, Faculty of Science, University of Melbourne, Parkville, VIC 3052, Australia; Centre for Systems Genomics, University of Melbourne, Parkville, VIC 3052, Australia.
Paul GregorevicBaker Heart and Diabetes Institute, Melbourne, VIC 3004, Australia.
Stewart I HeadSchool of Medical Sciences, University of New South Wales, Sydney, NSW 2031, Australia; School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia.
Jane T SetoMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Kathryn N NorthMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne, VIC 3052, Australia; Department of Paediatrics, University of Melbourne, The Royal Children's Hospital, Melbourne, VIC 3052, Australia. Electronic address: kathryn.north@mcri.edu.au.
Murdoch Children's Research Institute · AUChildren's Hospital at Westmead · AURoyal Children's Hospital · AUUniversity of Melbourne · AUBaker Heart and Diabetes Institute · AUMassachusetts General Hospital · USUniversity of Queensland · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Loss of expression of ACTN3, due to homozygosity of the common null polymorphism (p.Arg577X), is underrepresented in elite sprint/power athletes and has been associated with reduced muscle mass and strength in humans and mice. To investigate ACTN3 gene dosage in performance and whether expression could enhance muscle force, we performed meta-analysis and expression studies. Our general meta-analysis using a Bayesian random effects model in elite sprint/power athlete cohorts demonstrated a consistent homozygous-group effect across studies (per allele OR = 1.4, 95% CI 1.3-1.6) but substantial heterogeneity in heterozygotes. In mouse muscle, rAAV-mediated gene transfer overexpressed and rescued α-actinin-3 expression. Contrary to expectation, in vivo "doping" of ACTN3 at low to moderate doses demonstrated an absence of any change in function. At high doses, ACTN3 is toxic and detrimental to force generation, to demonstrate gene doping with supposedly performance-enhancing isoforms of sarcomeric proteins can be detrimental for muscle function. Restoration of α-actinin-3 did not enhance muscle mass but highlighted the primary role of α-actinin-3 in modulating muscle metabolism with altered fatiguability. This is the first study to express a Z-disk protein in healthy skeletal muscle and measure the in vivo effect. The sensitive balance of the sarcomeric proteins and muscle function has relevant implications in areas of gene doping in performance and therapy for neuromuscular disease.

Indexed as

ActininAnaerobiosisAnimalsAnimals, NewbornAthletesCalcineurinDependovirusDown-RegulationGenome-Wide Association StudyHeterozygoteHomozygoteHumansMice, Inbred C57BLMuscle FatigueMuscle Fibers, SkeletalMuscle, SkeletalActininACTN3 protein, humanActn3 protein, mouseCalcineurinactinin-3ACTN3alpha actinin 3fast fibersgene dopingmusclerAAVskeletal muscleZ-diskZ-line

Identifiers

PMID29706347
PMCPMC5986729
OpenAlexW2802957102

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.