Evidence map›Paper›PMID 33104035›Full record

ReviewJournal of neuromuscular diseases2021

Mechanisms and Clinical Applications of Glucocorticoid Steroids in Muscular Dystrophy.

Mattia Quattrocelli, Aaron S Zelikovich, Isabella M Salamone, Julie A Fischer, Elizabeth M McNally

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of neuromuscular diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  17. Observational
  18. A Hypothesized Therapeutic Role of (Z)-Endoxifen in Duchenne Muscular Dystrophy (DMD).Degenerative neurological and neuromuscular disease · 2025
    Article
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  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

5 authors at 1 institution in 1 country.

Mattia QuattrocelliCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Aaron S ZelikovichCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Isabella M SalamoneCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Julie A FischerCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Elizabeth M McNallyCenter for Genetic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Northwestern University · US

Funding

Training and education CoreU54AR052646 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MCNALLY, ELIZABETH M, SWEENEY, H LEE · 2005 to 2020
$24.1M
SARCOGLYCAN IN MYOPATHY AND MUSCLE MEMBRANE STABILITYR01HL061322 · NHLBI · UNIVERSITY OF CHICAGO · PI MCNALLY, ELIZABETH M · 1999 to 2022
$7.5M
Myoferlin in Muscle Membrane Fusion and RepairR01NS047726 · NINDS · UNIVERSITY OF CHICAGO · PI ALEXIS R. DEMONBREUN, Elizabeth M McNally · 2003 to 2026
$7.2M
Understanding and Improving Therapies for the Muscular Dystrophies through Noninvasive BiomarkersP50AR052646 · NIAMS · UNIVERSITY OF FLORIDA · PI WALTER, GLENN · 2021 to 2024
$6.2M
Glucocorticoid and circadian clock coregulation of insulin sensitivity and metabolismK01DK121875 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI QUATTROCELLI, MATTIA · 2019 to 2021
$444k
Dose-specific responsiveness of glucocorticoid receptor-driven transcription in skeletal muscleF31AR073655 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SALAMONE, ISABELLA MARIE · 2019 to 2021
$118k
NHLBI NIH HHS R01 HL061322NIAMS NIH HHS F31 AR073655NIAMS NIH HHS P50 AR052646NIAMS NIH HHS U54 AR052646NIDDK NIH HHS K01 DK121875NINDS NIH HHS R01 NS047726
6 · The paper itself

Abstract

Glucocorticoid steroids are widely used as immunomodulatory agents in acute and chronic conditions. Glucocorticoid steroids such as prednisone and deflazacort are recommended for treating Duchenne Muscular Dystrophy where their use prolongs ambulation and life expectancy. Despite this benefit, glucocorticoid use in Duchenne Muscular Dystrophy is also associated with significant adverse consequences including adrenal suppression, growth impairment, poor bone health and metabolic syndrome. For other forms of muscular dystrophy like the limb girdle dystrophies, glucocorticoids are not typically used. Here we review the experimental evidence supporting multiple mechanisms of glucocorticoid action in dystrophic muscle including their role in dampening inflammation and myofiber injury. We also discuss alternative dosing strategies as well as novel steroid agents that are in development and testing, with the goal to reduce adverse consequences of prolonged glucocorticoid exposure while maximizing beneficial outcomes.

Indexed as

AnimalsAnti-Inflammatory AgentsGlucocorticoidsHumansImmunologic FactorsMuscle, SkeletalMuscular DystrophiesMuscular Dystrophy, DuchenneAnti-Inflammatory AgentsGlucocorticoidsImmunologic FactorsGlucocorticoid steroidsimmunomodulationmetabolismmolecular signalingmuscle physiologymuscular dystrophyneuromuscular diseases

Identifiers

PMID33104035
PMCPMC7902991
OpenAlexW3094596692

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.