Evidence map›Paper›PMID 30424786›Full record

Trial reportSkeletal muscle2018

HIF prolyl hydroxylase inhibition protects skeletal muscle from eccentric contraction-induced injury.

Andrew N Billin, Samuel E Honeycutt, Alan V McDougal, Jaclyn P Kerr, Zhe Chen, Johannes M Freudenberg, Deepak K Rajpal, Guizhen Luo, Henning Fritz Kramer, Robert S Geske and 9 more

Erratum issuedOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Skeletal muscle, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Macrophage immunometabolism: emerging targets for regrowth in aging muscle.American journal of physiology. Endocrinology and metabolism · 2025
    Review
  3. Article
  4. Article
  5. Hypoxia-inducible factors and diabetes.The Journal of clinical investigation · 2020
    Review
  6. HIF-hypoxia signaling in skeletal muscle physiology and fibrosis.Journal of cell communication and signaling · 2020
    Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 3 countries.

Andrew N BillinMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Samuel E HoneycuttMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Alan V McDougalMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Jaclyn P KerrMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Zhe ChenMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Johannes M FreudenbergTarget Sciences, GlaxoSmithKline, King of Prussia, PA, USA.
Deepak K RajpalTarget Sciences, GlaxoSmithKline, King of Prussia, PA, USA.
Guizhen LuoMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Henning Fritz KramerMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Robert S GeskeTarget Sciences, GlaxoSmithKline, King of Prussia, PA, USA.
Frank FangClinical Statistics, GlaxoSmithKline, King of Prussia, PA, USA.
Bert YaoMetabolic Pathways and Cardiovascular Therapy Area, GlaxoSmithKline, King of Prussia, PA, USA.
Richard V ClarkMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
John LeporeMetabolic Pathways and Cardiovascular Therapy Area, GlaxoSmithKline, King of Prussia, PA, USA.
Alex CobitzMetabolic Pathways and Cardiovascular Therapy Area, GlaxoSmithKline, King of Prussia, PA, USA.
Ram MillerMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Kazunori NosakaSchool of Medical and Health Sciences, Edith Cowan University, Joondalup, WA, Australia.
Aaron C HinkenMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA.
Alan J RussellMuscle Metabolism Discovery Performance Unit, GlaxoSmithKline, King of Prussia, PA, USA. arussell@edgewisetx.com.ORCID 0000-0001-7545-5008
GlaxoSmithKline (United States) · USPathways Behavioral Services · USTarget (United States) · USEdith Cowan University · AUGlaxoSmithKline (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn muscular dystrophy and old age, skeletal muscle repair is compromised leading to fibrosis and fatty tissue accumulation. Therefore, therapies that protect skeletal muscle or enhance repair would be valuable medical treatments. Hypoxia-inducible factors (HIFs) regulate gene transcription under conditions of low oxygen, and HIF target genes EPO and VEGF have been associated with muscle protection and repair. We tested the importance of HIF activation following skeletal muscle injury, in both a murine model and human volunteers, using prolyl hydroxylase inhibitors that stabilize and activate HIF.

methodsUsing a mouse eccentric limb injury model, we characterized the protective effects of prolyl hydroxylase inhibitor, GSK1120360A. We then extended these studies to examine the impact of EPO modulation and infiltrating immune cell populations on muscle protection. Finally, we extended this study with an experimental medicine approach using eccentric arm exercise in untrained volunteers to measure the muscle-protective effects of a clinical prolyl hydroxylase inhibitor, daprodustat.

resultsGSK1120360A dramatically prevented functional deficits and histological damage, while accelerating recovery after eccentric limb injury in mice. Surprisingly, this effect was independent of EPO, but required myeloid HIF1α-mediated iNOS activity. Treatment of healthy human volunteers with high-dose daprodustat reduced accumulation of circulating damage markers following eccentric arm exercise, although we did not observe any diminution of functional deficits with compound treatment.

conclusionThe results of these experiments highlight a novel skeletal muscle protective effect of prolyl hydroxylase inhibition via HIF-mediated expression of iNOS in macrophages. Partial recapitulation of these findings in healthy volunteers suggests elements of consistent pharmacology compared to responses in mice although there are clear differences between these two systems.

Indexed as

Muscle ContractionAdolescentAdultAnimalsCells, CulturedEnzyme InhibitorsGlycineHumansHypoxia-Inducible Factor-Proline DioxygenasesMaleMiceMice, Inbred C57BLMuscle, SkeletalMyalgiaQuinolonesEnzyme InhibitorsGlycineHypoxia-Inducible Factor-Proline DioxygenasesN-((1-(cyclopropylethyl)-6-fluoro-4-hydroxy-2-oxo-1,2-dihydro-3-quinolinyl)carbonyl)glycineQuinolonesEccentric injuryHIF activationProlyl hydroxylaseProtectionSkeletal muscle

Identifiers

PMID30424786
PMCPMC6234580
OpenAlexW2900967231

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.