Evidence map›Paper›PMID 34516828›Full record

ArticleScience translational medicine2021

Anti-latent TGFβ binding protein 4 antibody improves muscle function and reduces muscle fibrosis in muscular dystrophy.

Alexis R Demonbreun, Katherine S Fallon, Claire C Oosterbaan, Lauren A Vaught, Nina L Reiser, Elena Bogdanovic, Matthew P Velez, Isabella M Salamone, Patrick G T Page, Michele Hadhazy and 6 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  5. Muscle-specific increased expression ofProceedings of the National Academy of Sciences of the United States of America · 2025
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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

16 authors at 2 institutions in 1 country.

Alexis R DemonbreunCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-6823-125X
Katherine S FallonCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0003-1536-5179
Claire C OosterbaanCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0003-2494-4471
Lauren A VaughtCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-8634-9139
Nina L ReiserCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-4331-163X
Elena BogdanovicCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.
Matthew P VelezCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-4733-5073
Isabella M SalamoneCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-0016-3091
Patrick G T PageCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.
Michele HadhazyCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-7446-7824
Mattia QuattrocelliCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.
David Y BarefieldCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-6166-640X
Lauren D WoodSolid Biosciences, Cambridge, MA 02139, USA.ORCID 0000-0002-0024-5687
J Patrick GonzalezSolid Biosciences, Cambridge, MA 02139, USA.
Carl MorrisSolid Biosciences, Cambridge, MA 02139, USA.ORCID 0000-0002-0973-4268
Elizabeth M McNallyCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-1221-719X
Northwestern University · USSolidus Biosciences (United States) · US

Funding

Training and education CoreU54AR052646 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MCNALLY, ELIZABETH M, SWEENEY, H LEE · 2005 to 2020
$24.1M
Understanding and Improving Therapies for the Muscular Dystrophies through Noninvasive BiomarkersP50AR052646 · NIAMS · UNIVERSITY OF FLORIDA · PI WALTER, GLENN · 2021 to 2024
$6.2M
Regulating fibrosis and growth through latent TGFbeta binding proteinsR01HL140938 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCNALLY, ELIZABETH M · 2018 to 2021
$1.6M
Myofilament proteins in cardiomyopathy and arrhythmiasR00HL141698 · NHLBI · LOYOLA UNIVERSITY CHICAGO · PI BAREFIELD, DAVID Y · 2020 to 2022
$747k
Glucocorticoid and circadian clock coregulation of insulin sensitivity and metabolismK01DK121875 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI QUATTROCELLI, MATTIA · 2019 to 2021
$444k
CHRONO-MECHANISMS of CARDIOMETABOLIC PHARMACOLOGYR56HL158531 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI QUATTROCELLI, MATTIA · 2021 to 2021
$398k
Myofilament proteins in cardiomyopathy and arrhythmiasK99HL141698 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BAREFIELD, DAVID Y · 2019 to 2020
$196k
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 K99 HL141698NHLBI NIH HHS R00 HL141698NHLBI NIH HHS R01 HL140938NIAMS NIH HHS F31 AR073655NIAMS NIH HHS P50 AR052646NIAMS NIH HHS U54 AR052646NIDDK NIH HHS K01 DK121875
6 · The paper itself

Abstract

Duchenne muscular dystrophy, like other muscular dystrophies, is a progressive disorder hallmarked by muscle degeneration, inflammation, and fibrosis. Latent transforming growth factor β (TGFβ) binding protein 4 (LTBP4) is an extracellular matrix protein found in muscle. LTBP4 sequesters and inhibits a precursor form of TGFβ. LTBP4 was originally identified from a genome-wide search for genetic modifiers of muscular dystrophy in mice, where there are two different alleles. The protective form of LTBP4, which contains an insertion of 12 amino acids in the protein’s hinge region, was linked to increased sequestration of latent TGFβ, enhanced muscle membrane stability, and reduced muscle fibrosis. The deleterious form of LTBP4 protein, lacking 12 amino acids, was more susceptible to proteolysis and promoted release of latent TGF-β, and together, these data underscored the functional role of LTBP4’s hinge. Here, we generated a monoclonal human anti-LTBP4 antibody directed toward LTBP4’s hinge region. In vitro, anti-LTBP4 bound LTBP4 protein and reduced LTBP4 proteolytic cleavage. In isolated myofibers, the LTBP4 antibody stabilized the sarcolemma from injury. In vivo, anti-LTBP4 treatment of dystrophic mice protected muscle against force loss induced by eccentric contraction. Anti-LTBP4 treatment also reduced muscle fibrosis and enhanced muscle force production, including in the diaphragm muscle, where respiratory function was improved. Moreover, the anti-LTBP4 in combination with prednisone, a standard of care for Duchenne muscular dystrophy, further enhanced muscle function and protected against injury in

Indexed as

Muscular DystrophiesMuscular Dystrophy, DuchenneCarrier ProteinsFibrosisHumansLatent TGF-beta Binding ProteinsMusclesMuscle, SkeletalTransforming Growth Factor betaCarrier ProteinsLatent TGF-beta Binding ProteinsTransforming Growth Factor beta

Identifiers

PMID34516828
PMCPMC9559620
OpenAlexW3196531443

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.