Evidence map›Paper›PMID 30895940›Full record

ArticleJCI insight2019

A recurrent COL6A1 pseudoexon insertion causes muscular dystrophy and is effectively targeted by splice-correction therapies.

Véronique Bolduc, A Reghan Foley, Herimela Solomon-Degefa, Apurva Sarathy, Sandra Donkervoort, Ying Hu, Grace S Chen, Katherine Sizov, Matthew Nalls, Haiyan Zhou and 25 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

42 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
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  7. Clinical applications of exon-skipping antisense oligonucleotides in neuromuscular diseases.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Optimized allele-specific silencing of the dominant-negativeMolecular therapy. Nucleic acids · 2024
    Article
  16. The recurrent deep intronic pseudoexon-inducing variantmedRxiv : the preprint server for health sciences · 2024
    Article
  17. Neonatal X-linked myotubular myopathy with a de novo mutation: A case report and literature review.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  18. Article
  19. A humanized knock-inbioRxiv : the preprint server for biology · 2024
    Article
  20. 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

35 authors at 13 institutions in 8 countries.

Véronique BolducNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
A Reghan FoleyNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
Herimela Solomon-DegefaCenter for Biochemistry, Faculty of Medicine and Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany.
Apurva SarathyNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
Sandra DonkervoortNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
Ying HuNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
Grace S ChenNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
Katherine SizovNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
Matthew NallsNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
Haiyan ZhouDubowitz Neuromuscular Centre, UCL Institute of Child Health & Great Ormond Street Hospital for Children, London, United Kingdom.
Sara AgutiDubowitz Neuromuscular Centre, UCL Institute of Child Health & Great Ormond Street Hospital for Children, London, United Kingdom.
Beryl B CummingsAnalytical and Translation Genetics Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Monkol LekAnalytical and Translation Genetics Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Taru TukiainenAnalytical and Translation Genetics Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Jamie L MarshallMedical and Population Genetics, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Oded RegevCourant Institute of Mathematical Sciences, New York University, New York, USA.
Dina Marek-YagelMetabolic Disease Unit, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer, Israel.
Anna SarkozyDubowitz Neuromuscular Centre, UCL Institute of Child Health & Great Ormond Street Hospital for Children, London, United Kingdom.
Russell J ButterfieldDepartment of Neurology and Pediatrics, University of Utah, Salt Lake City, Utah, USA.
Cristina JouPathology Department and Biobanc de l'Hospital Infantil Sant Joan de Déu per a la Investigació, Hospital Sant Joan de Déu, Barcelona, Spain.
Cecilia Jimenez-MallebreraNeuromuscular Unit, Neuropediatrics Department, Hospital Sant Joan de Déu, Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain.
Yan LiPeptide/Protein Sequencing Facility, National Institute of Neurological Disorder and Stroke, NIH, Bethesda, Maryland, USA.
Corine GartiouxSorbonne Université, Inserm, Association Institut de Myologie, Centre de Recherche en Myologie, UMRS974, Paris, France.
Kamel MamchaouiSorbonne Université, Inserm, Association Institut de Myologie, Centre de Recherche en Myologie, UMRS974, Paris, France.
Valérie AllamandSorbonne Université, Inserm, Association Institut de Myologie, Centre de Recherche en Myologie, UMRS974, Paris, France.
Francesca GualandiMedical Genetics Unit, Department of Medical Science, University of Ferrara, Ferrara, Italy.
Alessandra FerliniDubowitz Neuromuscular Centre, UCL Institute of Child Health & Great Ormond Street Hospital for Children, London, United Kingdom.
Eric HanssenBio21 Advanced Microscopy Facility, The University of Melbourne, Melbourne, Australia.
COL6A1 Intron 11 Study Group
Steve D WiltonCentre for Molecular Medicine and Therapeutics, Murdoch University, Perth, Australia.
Shireen R LamandéMurdoch Children's Research Institute, Parkville, Australia.
Daniel G MacArthurAnalytical and Translation Genetics Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
Raimund WagenerCenter for Biochemistry, Faculty of Medicine and Center for Molecular Medicine Cologne, University of Cologne, Cologne, Germany.
Francesco MuntoniDubowitz Neuromuscular Centre, UCL Institute of Child Health & Great Ormond Street Hospital for Children, London, United Kingdom.
Carsten G BönnemannNeuromuscular and Neurogenetic Disorders of Childhood Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA.
National Institute of Neurological Disorders and Stroke · USBroad Institute · USGreat Ormond Street Hospital · GBInserm · FRHospital Sant Joan de Déu Barcelona · ESThe University of Melbourne · AUUniversity of Cologne · DEUniversity of Ferrara · ITCourant Institute of Mathematical Sciences · USMassachusetts General Hospital · USMurdoch University · AUSheba Medical Center · ILUniversity of Utah · US

Funding

Molecular and Clinical Manifestations of Matrix and Aggregate MyopathiesZIANS003129 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI BÖNNEMANN, CARSTEN · 2011 to 2025
$52.8M
Joint Center for Mendelian GenomicsUM1HG008900 · NHGRI · BROAD INSTITUTE, INC. · PI O'DONNELL-LURIA, ANNE, REHM, HEIDI L · 2016 to 2020
$16.5M
Genetic Control of Phenotypic Variability in Collagen VI Related Muscular DystrophiesK08NS097631 · NINDS · UNIVERSITY OF UTAH · PI BUTTERFIELD, RUSSELL JAMES · 2016 to 2020
$1.0M
Intramural NIH HHS ZIA NS003129NHGRI NIH HHS UM1 HG008900NINDS NIH HHS K08 NS097631
6 · The paper itself

Abstract

The clinical application of advanced next-generation sequencing technologies is increasingly uncovering novel classes of mutations that may serve as potential targets for precision medicine therapeutics. Here, we show that a deep intronic splice defect in the COL6A1 gene, originally discovered by applying muscle RNA sequencing in patients with clinical findings of collagen VI-related dystrophy (COL6-RD), inserts an in-frame pseudoexon into COL6A1 mRNA, encodes a mutant collagen α1(VI) protein that exerts a dominant-negative effect on collagen VI matrix assembly, and provides a unique opportunity for splice-correction approaches aimed at restoring normal gene expression. Using splice-modulating antisense oligomers, we efficiently skipped the pseudoexon in patient-derived fibroblast cultures and restored a wild-type matrix. Similarly, we used CRISPR/Cas9 to precisely delete an intronic sequence containing the pseudoexon and efficiently abolish its inclusion while preserving wild-type splicing. Considering that this splice defect is emerging as one of the single most frequent mutations in COL6-RD, the design of specific and effective splice-correction therapies offers a promising path for clinical translation.

Indexed as

RNA SplicingBase SequenceCollagen Type VICRISPR-Cas SystemsDNA Mutational AnalysisExonsFibroblastsGene ExpressionGenetic Predisposition to DiseaseGenetic TherapyHigh-Throughput Nucleotide SequencingHumansIntronsMuscular DystrophiesMutationRNA, MessengerCol6a1 protein, humanCollagen Type VIRNA, MessengerRNA Splice SitesCollagensExtracellular matrixMuscle BiologyNeuromuscular diseaseTherapeutics

Identifiers

PMID30895940
PMCPMC6483063
OpenAlexW2938679801

What OpenQuestion holds

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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.