Evidence map›Paper›PMID 30429376›Full record

ArticleJCI insight2018

AAV-mediated follistatin gene therapy improves functional outcomes in the TIC-DUX4 mouse model of FSHD.

Carlee R Giesige, Lindsay M Wallace, Kristin N Heller, Jocelyn O Eidahl, Nizar Y Saad, Allison M Fowler, Nettie K Pyne, Mustafa Al-Kharsan, Afrooz Rashnonejad, Gholamhossein Amini Chermahini and 8 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07443826 (CALM-AF-AI), which is not on this map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
3.3field-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.

NCT07443826 phase1 / phase2recruitingnot on this mapstarted 2026, after this paper: background citation

CALM-AF-AI: Counteracting Age-related Loss of Muscle With AAV-Follistatin Combined With Angiogenesis-Inducing VEGF Plasmid Gene Therapy

TypeinterventionalSponsorUnlimited Biotechnology LLCRan2026 to 2028Enrolled12ConditionsAge-related Muscle DeclineArmsAAV9-Follistatin gene therapy, VEGF Plasmid
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  18. Sarcopenia in chronic kidney disease: from bench to bedside.The Korean journal of internal medicine · 2023
    Review
  19. Article
  20. Current Strategies of Muscular Dystrophy Therapeutics: An Overview.Methods in molecular biology (Clifton, N.J.) · 2023
    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

18 authors at 1 institution in 1 country.

Carlee R GiesigeBiomedical Sciences Graduate Program, The Ohio State University, Columbus, Ohio, USA.
Lindsay M WallaceCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Kristin N HellerCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Jocelyn O EidahlCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Nizar Y SaadCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Allison M FowlerCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Nettie K PyneCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Mustafa Al-KharsanCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Afrooz RashnonejadCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Gholamhossein Amini ChermahiniCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Jacqueline S DomireCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Diana MukweyiCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Sara E Garwick-CoppensCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Susan M GuckesCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
K John McLaughlinCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Kathrin MeyerCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Louise R Rodino-KlapacCenter for Gene Therapy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Scott Q HarperBiomedical Sciences Graduate Program, The Ohio State University, Columbus, Ohio, USA.
Nationwide Children's Hospital · US

Funding

Myogenesis Studies for FSHD BiomarkersU54HD060848 · NICHD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI EMERSON, CHARLES P. · 2008 to 2017
$16.1M
Project 3: Use of an IRES-driven N-truncated dystrophin isoform as a clinical therapy for 5 mutations in the dystrophinopathiesP50AR070604 · NIAMS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI MCBRIDE, KIM LEWIS · 2016 to 2020
$7.3M
Training and Education CoreU54HD066409 · NICHD · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI MARTIN, PAUL TAYLOR · 2010 to 2014
$6.7M
Ohio State University DISCOVERY PREP for Biomedical ResearchR25GM089571 · NIGMS · OHIO STATE UNIVERSITY · PI ASKWITH, CANDICE C, GLASPER, ERICA R · 2010 to 2024
$3.5M
DUX4 and the P53 pathway in FSHD pathogenesisR01AR062123 · NIAMS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI HARPER, SCOTT Q · 2012 to 2016
$1.6M
The Ohio State University Center for Clinical and Translational ScienceTL1TR001069 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$763k
In vivo efficacy studies to support the development of DUX4-targeted RNAi therapy for FSHDR21NS101166 · NINDS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI HARPER, SCOTT Q · 2017 to 2017
$389k
NCATS NIH HHS TL1 TR001069NIAMS NIH HHS P50 AR070604NIAMS NIH HHS R01 AR062123NICHD NIH HHS U54 HD060848NICHD NIH HHS U54 HD066409NIGMS NIH HHS R25 GM089571NINDS NIH HHS R21 NS101166
6 · The paper itself

Abstract

Facioscapulohumeral muscular dystrophy (FSHD) is an autosomal dominant or digenic disorder linked to derepression of the toxic DUX4 gene in muscle. There is currently no pharmacological treatment. The emergence of DUX4 enabled development of cell and animal models that could be used for basic and translational research. Since DUX4 is toxic, animal model development has been challenging, but progress has been made, revealing that tight regulation of DUX4 expression is critical for creating viable animals that develop myopathy. Here, we report such a model - the tamoxifen-inducible FSHD mouse model called TIC-DUX4. Uninduced animals are viable, born in Mendelian ratios, and overtly indistinguishable from WT animals. Induced animals display significant DUX4-dependent myopathic phenotypes at the molecular, histological, and functional levels. To demonstrate the utility of TIC-DUX4 mice for therapeutic development, we tested a gene therapy approach aimed at improving muscle strength in DUX4-expressing muscles using adeno-associated virus serotype 1.Follistatin (AAV1.Follistatin), a natural myostatin antagonist. This strategy was not designed to modulate DUX4 but could offer a mechanism to improve muscle weakness caused by DUX4-induced damage. AAV1.Follistatin significantly increased TIC-DUX4 muscle mass and strength even in the presence of DUX4 expression, suggesting that myostatin inhibition may be a promising approach to treat FSHD-associated weakness. We conclude that TIC-DUX4 mice are a relevant model to study DUX4 toxicity and, importantly, are useful in therapeutic development studies for FSHD.

Indexed as

Disease Models, AnimalGenetic TherapyAnimalsFemaleFollistatinHomeodomain ProteinsMaleMice, TransgenicMuscular Dystrophy, FacioscapulohumeralMyostatinPhenotypeTamoxifenDux4 protein, mouseFollistatinHomeodomain ProteinsMyostatinTamoxifenGene therapyMouse modelsMuscle BiologyNeuromuscular diseaseTherapeutics

Identifiers

PMID30429376
PMCPMC6302942
OpenAlexW2900822987

What OpenQuestion holds

Textmetadata
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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.