Evidence map›Paper›PMID 40084496›Full record

ArticleDevelopmental medicine and child neurology2025

Dystrophin isoform deficiency and upper-limb and respiratory function in Duchenne muscular dystrophy.

Mary Chesshyre, Deborah Ridout, Georgia Stimpson, Valeria Ricotti, Silvana De Lucia, Erik H Niks, Volker Straub, Laurent Servais, Jean-Yves Hogrel, Giovanni Baranello and 4 more

Abstract read
In one paragraph

Article in Developmental medicine and child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. 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

14 authors.

Mary ChesshyreDubowitz Neuromuscular Centre, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital, London, UK.ORCID https://orcid.org/0000-0001-6061-2218
Deborah RidoutPopulation, Policy and Practice Research and Teaching Department, UCL GOS Institute of Child Health, London, UK.
Georgia StimpsonDubowitz Neuromuscular Centre, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital, London, UK.
Valeria RicottiDubowitz Neuromuscular Centre, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital, London, UK.
Silvana De LuciaAP-HP, Sorbonne University, Institute of Myology, AFM-Telethon, I-Motion Pediatric Clinical Trials Platform, Armand Trousseau Hospital, Paris, France.
Erik H NiksDepartment of Neurology, Leiden University Medical Center, Leiden, the Netherlands.
Volker StraubThe John Walton Muscular Dystrophy Research Centre, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Laurent ServaisCentre de Référence Des Maladies Neuromusculaires, CHU de Liège, University of Liège, Liège, Belgium.ORCID https://orcid.org/0000-0001-9270-4061
Jean-Yves HogrelInstitute of Myology, Paris, France.ORCID https://orcid.org/0000-0003-0045-7505
Giovanni BaranelloDubowitz Neuromuscular Centre, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital, London, UK.ORCID https://orcid.org/0000-0003-4871-6692
Adnan ManzurDubowitz Neuromuscular Centre, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital, London, UK.
UK NorthStar Clinical Network
Francesco MuntoniDubowitz Neuromuscular Centre, UCL Great Ormond Street Institute of Child Health and Great Ormond Street Hospital, London, UK.
iMDEX Network

Funding

ADNA (Advanced Diagnostics for New Therapeutic Approaches), a program dedicated to personalized medicine and supported by research and innovation aid from the French public agency, OSEOL'Association Française contre les MyopathiesMuscular Dystrophy UK 22GRO-PG24-0598
6 · The paper itself

Abstract

aimTo investigate the associations between mutations expected to differentially affect Dp140 expression and long-term trajectories of respiratory and upper-limb motor outcomes in Duchenne muscular dystrophy (DMD).

methodIn a retrospective analysis of population-based longitudinal data from three real-world and natural history data sources, individuals with DMD aged 5 years to 18 years were subdivided according to the predicted effects of the participants' DMD mutation on dystrophin isoform expression (group 1, Dp427 absent, Dp140/Dp71 present; group 2, Dp427/Dp140 absent, Dp71 present).

resultsA total of 459 participants were studied, with upper-limb outcomes assessed in 71 (27 in group 1 and 44 in group 2) and forced vital capacity percentage predicted (%pred) assessed in 434 (224 in group 1 and 210 in group 2). Mean grip strength %pred was on average 7.1 percentage points lower in group 2 than in group 1 (p = 0.03). Mean pinch strength %pred was on average 9.2 percentage points lower in group 2 than in group 1 (p = 0.04). Mean forced vital capacity %pred was on average 4.3 percentage points lower in group 2 than in group 1 (p = 0.01).

interpretationIn individuals with DMD, DMD mutations predicted to affect Dp140 expression were associated with more severe trajectories of respiratory and upper-limb motor outcomes.

Indexed as

DystrophinMuscular Dystrophy, DuchenneUpper ExtremityAdolescentChildChild, PreschoolHumansLongitudinal StudiesMaleMutationProtein IsoformsRetrospective StudiesVital CapacityDystrophinProtein Isoforms

Identifiers

PMID40084496
PMCPMC12426305

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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.