Evidence map›Paper›PMID 32558393›Full record

ArticleAnnals of clinical and translational neurology2020

Whole-blood dysregulation of actin-cytoskeleton pathway in adult spinal muscular atrophy patients.

Jennifer J Siranosian, Flavia C Nery, Christiano R R Alves, Benjamin A Siranosian, Nicholas J Lyons, Eric J Eichelberger, Reid Garner, Salomé Da Silva Duarte Lepez, Alec J Johnstone, Aravind Subramanian and 1 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Increased systemic HSP70B levels in spinal muscular atrophy infants.Annals of clinical and translational neurology · 2021
    Article
  5. Article
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

11 authors at 2 institutions in 1 country.

Jennifer J SiranosianDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Flavia C NeryDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Christiano R R AlvesDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-2646-9689
Benjamin A SiranosianBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Nicholas J LyonsBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Eric J EichelbergerDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Reid GarnerDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Salomé Da Silva Duarte LepezDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Alec J JohnstoneDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.
Aravind SubramanianBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Kathryn J SwobodaDepartment of Neurology, Center for Genomic Medicine, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-4593-6342
Massachusetts General Hospital · USBroad Institute · US

Funding

Newborn screening for identification & prospective followup of infants with SMAR01HD069045 · NICHD · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 2011 to 2015
$4.3M
Neural and non-neural contributions to phenotype in human SMA type 1R21NS108015 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SWOBODA, KATHRYN J. · 2018 to 2019
$463k
NICHD NIH HHS R01 HD069045NINDS NIH HHS R21 NS108015
6 · The paper itself

Abstract

objectiveRecent advances in therapeutics have improved prognosis for severely affected spinal muscular atrophy (SMA) type 1 and 2 patients, while the best method of treatment for SMA type 3 patients with later onset of disease is unknown. To better characterize the SMA type 3 population and provide potential therapeutic targets, we aimed to understand gene expression differences in whole blood of SMA type 3 patients (n = 31) and age- and gender-matched controls (n = 34).

methodsWe performed the first large-scale whole blood transcriptomic screen with L1000, a rapid, high-throughput gene expression profiling technology that uses 978 landmark genes to capture a representation of the transcriptome and predict expression of 9196 additional genes.

resultsThe primary downregulated KEGG pathway in adult SMA type 3 patients was "Regulation of Actin Cytoskeleton," and downregulated expression of key genes in this pathway, including ROCK1, RHOA, and ACTB, was confirmed in the same whole blood samples using RT-qPCR. SMA type 3 patient-derived fibroblasts had lower expression of these genes compared to control fibroblasts from unaffected first-degree relatives. Overexpression of SMN levels using an AAV vector in fibroblasts did not normalize ROCK1, RHOA, and ACTB mRNA expression, indicating the involvement of additional genes in cytoskeleton dynamic regulation.

interpretationOur findings from whole blood and patient-derived fibroblasts suggest SMA type 3 patients have decreased expression of actin cytoskeleton regulators. These observations provide new insights and potential therapeutic targets for SMA patients with longstanding denervation and secondary musculoskeletal pathophysiology.

Indexed as

Gene Expression ProfilingGene Expression RegulationActin CytoskeletonAdultFamilyFemaleFibroblastsHumansMaleMiddle AgedSpinal Muscular Atrophies of Childhood

Identifiers

PMID32558393
PMCPMC7359125
OpenAlexW3036254927

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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.