Evidence map›Paper›PMID 30254196›Full record

ArticleNature communications2018

Analysis of extracellular mRNA in human urine reveals splice variant biomarkers of muscular dystrophies.

Layal Antoury, Ningyan Hu, Leonora Balaj, Sudeshna Das, Sofia Georghiou, Basil Darras, Tim Clark, Xandra O Breakefield, Thurman M Wheeler

3 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.0field-weighted citation impact, top 8% 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.

NCT05016908 recruitingnot on this mapstarted 2019, after this paper: background citation

Extracellular RNA Biomarkers of Duchenne Muscular Dystrophy

TypeobservationalSponsorMassachusetts General HospitalRan2019 to 2027Enrolled100ConditionsDuchenne Muscular Dystrophy
NCT05019625 recruitingnot on this map

Biomarker Development for Muscular Dystrophies

TypeobservationalSponsorMassachusetts General HospitalRan2015 to 2028Enrolled465ConditionsMyotonic Dystrophy, Duchenne Muscular Dystrophy, Becker Muscular Dystrophy, Facioscapulohumeral Muscular Dystrophy
NCT05020002 recruitingnot on this mapstarted 2020, after this paper: background citation

Extracellular RNA Biomarkers of Myotonic Dystrophy

TypeobservationalSponsorMassachusetts General HospitalRan2020 to 2027Enrolled215ConditionsMyotonic Dystrophy
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 60 citations in OpenAlex.

  1. Review
  2. Article
  3. Splice Modulation Studies Using Urine-Derived Cells.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  4. Development of an AAV-delivered microRNA gene therapy for myotonic dystrophy type 1.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
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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

9 authors at 2 institutions in 1 country.

Layal AntouryDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Ningyan HuDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Leonora BalajDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Sudeshna DasDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-9486-6811
Sofia GeorghiouHarvard Medical School, Boston, MA, USA.
Basil DarrasHarvard Medical School, Boston, MA, USA.
Tim ClarkDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-4060-7360
Xandra O BreakefieldDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Thurman M WheelerDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA. twheeler1@mgh.harvard.edu.
Harvard University · USBoston Children's Hospital · US

Funding

Harvard Clinical and Translational Science Center (UL1)UL1TR000170 · NCATS · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2012 to 2013
$31.4M
The role of microvesicles in giloma virotherapyP01CA069246 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CHAREST, ALAIN · 1996 to 2021
$30.9M
The power of extracellular vesicles in glioblastomaR35CA232103 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BREAKEFIELD, XANDRA OWENS · 2018 to 2024
$6.9M
NCATS NIH HHS UL1 TR000170NCI NIH HHS P01 CA069246NCI NIH HHS R35 CA232103
6 · The paper itself

Abstract

Urine contains extracellular RNA (exRNA) markers of urogenital cancers. However, the capacity of genetic material in urine to identify systemic diseases is unknown. Here we describe exRNA splice products in human urine as a source of biomarkers for the two most common forms of muscular dystrophies, myotonic dystrophy (DM) and Duchenne muscular dystrophy (DMD). Using a training set, RT-PCR, droplet digital PCR, and principal component regression, we identify ten transcripts that are spliced differently in urine exRNA from patients with DM type 1 (DM1) as compared to unaffected or disease controls, form a composite biomarker, and develop a predictive model that is 100% accurate in our independent validation set. Urine also contains mutation-specific DMD mRNAs that confirm exon-skipping activity of the antisense oligonucleotide drug eteplirsen. Our results establish that urine mRNA splice variants can be used to monitor systemic diseases with minimal or no clinical effect on the urinary tract.

Indexed as

Alternative SplicingAnimalsBiomarkersGene ExpressionHumansMice, KnockoutMice, TransgenicMuscular DystrophiesMuscular Dystrophy, DuchenneMutationMyotonic DystrophyPrognosisRNA IsoformsRNA, MessengerSensitivity and SpecificityBiomarkersRNA IsoformsRNA, Messenger

Identifiers

PMID30254196
PMCPMC6156576
OpenAlexW2889644405

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.