Evidence map›Paper›PMID 35165973›Full record

ArticleHuman mutation2022

Intron mutations and early transcription termination in Duchenne and Becker muscular dystrophy.

Megan A Waldrop, Steven A Moore, Katherine D Mathews, Benjamin W Darbro, Livja Medne, Richard Finkel, Anne M Connolly, Thomas O Crawford, Daniel Drachman, Nicolas Wein and 13 more

Open access · greenAbstract read
In one paragraph

Article in Human mutation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 47 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Total RNA-seq as a Tool to Study DMD Splicing and Transcriptional Dynamics.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
  5. Article
  6. Translating Muscle RNAseq Into the Clinic for the Diagnosis of Muscle Diseases.Annals of clinical and translational neurology · 2025
    Article
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  8. Review
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  10. Article
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  18. Review
  19. When SizeBiomedicines · 2023
    Article
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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

23 authors at 14 institutions in 2 countries.

Megan A WaldropThe Center for Gene Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0001-9621-8319
Steven A MooreDepartment of Pathology, The University of Iowa, Iowa City, Iowa, USA.
Katherine D MathewsDepatment of Pediatrics, The University of Iowa, Iowa City, Iowa, USA.
Benjamin W DarbroDepatment of Pediatrics, The University of Iowa, Iowa City, Iowa, USA.
Livja MedneDepartment of Neurology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Richard FinkelDepartment of Neurology, Nemours Children's Hospital, Orlando, Florida, USA.
Anne M ConnollyDepartment of Neurology, Washington University, Saint Louis, Missouri, USA.
Thomas O CrawfordDepartment of Neurology, Johns Hopkins University, Baltimore, Maryland, USA.
Daniel DrachmanDepartment of Neurology, Johns Hopkins University, Baltimore, Maryland, USA.
Nicolas WeinThe Center for Gene Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.
Ali A HabibDepartment of Neurology, Columbia University, New York, New York, USA.
Monika A Krzesniak-SwinarskaDepartment of Neurology, University of New Mexico Health Sciences Center, Albuquerque, New Mexico, USA.
Craig M ZaidmanDepartment of Neurology, Washington University, Saint Louis, Missouri, USA.
James J CollinsDepartment of Pediatric Neurology, Mercy Hospitals, Springfield, Missouri, USA.
Manu JokelaNeuromuscular Research Center, Tampere University Hospital and University of Tampere, Tampere, Finland.
Bjarne UddNeuromuscular Research Center, Tampere University Hospital and University of Tampere, Tampere, Finland.
John W DayDepartment of Neurology, University of Minnesota Medical Center, Minneapolis, Minnesota, USA.
Gloria Ortiz-GuerreroDepartment of Neurology, University of Kansas, Kansas City, Kansas, USA.
Jeff StatlandDepartment of Neurology, University of Kansas, Kansas City, Kansas, USA.
Russell J ButterfieldDepartment of Pediatrics, The University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID 0000-0002-8452-7189
Diane M DunnDepartment of Human Genetics, The University of Utah School of Medicine, Salt Lake City, Utah, USA.
Robert B WeissDepartment of Pediatrics, The University of Utah School of Medicine, Salt Lake City, Utah, USA.
Kevin M FlaniganThe Center for Gene Therapy, Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0001-6440-3376
Nationwide Children's Hospital · USUniversity of Iowa · USUniversity of Utah · USJohns Hopkins University · USUniversity of Kansas · USWashington University in St. Louis · USChildren's Hospital of Philadelphia · USColumbia University · USMercy Hospital Springfield · USNemours Children's Clinic · USTampere University Hospital · FIUniversity of Minnesota Medical Center · USUniversity of New Mexico · USUniversity of Turku · FI

Funding

Therapeutic Potential of ESC-Derived Myogenic PrecursorsU54NS053672 · NINDS · UNIVERSITY OF IOWA · PI CAMPBELL, KEVIN P. · 2005 to 2019
$22.0M
Muscular Dystrophy Specialized Research Center: Project 2P50NS053672 · NINDS · UNIVERSITY OF IOWA · PI KEVIN P. CAMPBELL · 2020 to 2026
$11.9M
Genetic modifiers of Duchenne Muscular DystrophyR01NS085238 · NINDS · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI KEVIN M FLANIGAN, VERONICA J. VIELAND · 2014 to 2026
$8.6M
Translational Research in the DystrophinopathiesR01NS043264 · NINDS · UNIVERSITY OF UTAH · PI FLANIGAN, KEVIN M · 2002 to 2010
$8.4M
NINDS NIH HHS P50 NS053672NINDS NIH HHS R01 NS043264NINDS NIH HHS R01 NS085238NINDS NIH HHS U54 NS053672
6 · The paper itself

Abstract

DMD pathogenic variants for Duchenne and Becker muscular dystrophy are detectable with high sensitivity by standard clinical exome analyses of genomic DNA. However, up to 7% of DMD mutations are deep intronic and analysis of muscle-derived RNA is an important diagnostic step for patients who have negative genomic testing but abnormal dystrophin expression in muscle. In this study, muscle biopsies were evaluated from 19 patients with clinical features of a dystrophinopathy, but negative clinical DMD mutation analysis. Reverse transcription-polymerase chain reaction or high-throughput RNA sequencing methods identified 19 mutations with one of three pathogenic pseudoexon types: deep intronic point mutations, deletions or insertions, and translocations. In association with point mutations creating intronic splice acceptor sites, we observed the first examples of DMD pseudo 3'-terminal exon mutations causing high efficiency transcription termination within introns. This connection between splicing and premature transcription termination is reminiscent of U1 snRNP-mediating telescripting in sustaining RNA polymerase II elongation across large genes, such as DMD. We propose a novel classification of three distinct types of mutations identifiable by muscle RNA analysis, each of which differ in potential treatment approaches. Recognition and appropriate characterization may lead to therapies directed toward full-length dystrophin expression for some patients.

Indexed as

DystrophinMuscular Dystrophy, DuchenneHumansIntronsMutationRNA Splice SitesDystrophinRNA Splice SitesBecker muscular dystrophydeep intronicDuchenne muscular dystrophypseudoexontelescriptingtranscription termination

Identifiers

PMID35165973
PMCPMC9901284
OpenAlexW4212837427

What OpenQuestion holds

Textmetadata
LicenceTDM
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.