Evidence map›Paper›PMID 32511765›Full record

ArticleMuscle & nerve2020

Whole blood survival motor neuron protein levels correlate with severity of denervation in spinal muscular atrophy.

Christiano R R Alves, Ren Zhang, Alec J Johnstone, Reid Garner, Eric J Eichelberger, Salomé Da Silva Duarte Lepez, Vivian Yi, Victoria Stevens, Rebekah Poxson, Rachel Schwartz and 2 more

Abstract read
In one paragraph

Article in Muscle & nerve, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. The impact of threeFrontiers in neurology · 2024
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Evaluation of the Telomere Length in Patients with Spinal Muscular Atrophy.International journal of molecular sciences · 2025
    Article
  6. Review
  7. Application of Biomarkers in Spinal Muscular Atrophy.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Orphanet journal of rare diseases · 2021
    Article
  15. Increased systemic HSP70B levels in spinal muscular atrophy infants.Annals of clinical and translational neurology · 2021
    Article
  16. Observational
  17. Review
  18. Article
  19. [Clinical analysis of nusinersen for spinal muscular atrophy types 2 and 3 in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Christiano R R AlvesDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-2646-9689
Ren ZhangDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Alec J JohnstoneDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Reid GarnerDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Eric J EichelbergerDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0003-3418-6141
Salomé Da Silva Duarte LepezDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0001-9283-6777
Vivian YiDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Victoria StevensDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Rebekah PoxsonPharmOptima, Portage, Michigan.
Rachel SchwartzPharmOptima, Portage, Michigan.
Phillip ZaworskiPharmOptima, Portage, Michigan.
Kathryn J SwobodaDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, Massachusetts.ORCID 0000-0002-4593-6342

Funding

Therapeutic Opportunities in Spinal Muscular AtrophyR01HD054599 · NICHD · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 2007 to 2011
$1.5M
NICHD NIH HHS R01 HD054599
6 · The paper itself

Abstract

introductionWe sought to determine whether survival motor neuron (SMN) protein blood levels correlate with denervation and SMN2 copies in spinal muscular atrophy (SMA).

methodsUsing a mixed-effect model, we tested associations between SMN levels, compound muscle action potential (CMAP), and SMN2 copies in a cohort of 74 patients with SMA. We analyzed a subset of 19 of these patients plus four additional patients who had been treated with received gene therapy to examine SMN trajectories early in life.

resultsPatients with SMA who had lower CMAP values had lower circulating SMN levels (P = .04). Survival motor neuron protein levels were different between patients with two and three SMN2 copies (P < .0001) and between symptomatic and presymptomatic patients (P < .0001), with the highest levels after birth and progressive decline over the first 3 years. Neither nusinersen nor gene therapy clearly altered SMN levels. DISCUSSION: These data provide evidence that whole blood SMN levels correlate with SMN2 copy number and severity of denervation.

Indexed as

Action PotentialsChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMuscle, SkeletalMuscular Atrophy, SpinalSeverity of Illness IndexSurvival of Motor Neuron 1 ProteinSurvival of Motor Neuron 1 Proteincompound muscle action potentialdenervationSMN protein levelsspinal muscular atrophysurvival motor neuron

Identifiers

PMID32511765
PMCPMC7496476

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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.