Evidence map›Paper›PMID 40888116›Full record

ArticleMuscle & nerve2025

The Effect of Anti-3-Hydroxy-3-Methylglutaryl-CoA Reductase (HMGCR) Human Autoantibodies on Muscle Regeneration in Mice.

Sarah Julien, Honorine Tomasevic, Thara Jaworski, Rachid Zoubairi, Jeremie Martinet, Laurent Drouot, Olivier Boyer

Abstract read
In one paragraph

Article in Muscle & nerve, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Sarah JulienUniv Rouen Normandie, INSERM, U1234, F-76000, Rouen, France.
Honorine TomasevicUniv Rouen Normandie, INSERM, U1234, F-76000, Rouen, France.
Thara JaworskiUniv Rouen Normandie, INSERM, U1234, F-76000, Rouen, France.
Rachid ZoubairiUniv Rouen Normandie, INSERM, U1234, F-76000, Rouen, France.
Jeremie MartinetUniv Rouen Normandie, INSERM, U1234, F-76000, Rouen, France.
Laurent DrouotUniv Rouen Normandie, INSERM, U1234, F-76000, Rouen, France.
Olivier BoyerUniv Rouen Normandie, INSERM, U1234, F-76000, Rouen, France.ORCID https://orcid.org/0000-0002-7591-307X

Funding

Grifols Spin Award
6 · The paper itself

Abstract

INTRODUCTION/

aimsAnti-3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR) autoantibodies (aAbs) are pathogenic in immune-mediated necrotizing myopathy (IMNM), partly through complement activation. C5 inhibition did not restore muscle strength in mice or patients with overt IMNM, suggesting additional pathogenic mechanisms. In vitro studies have suggested that anti-HMGCR aAbs might impair myoblast fusion and myotube differentiation, but this has not been investigated in vivo. This study aimed at assessing the impact of anti-HMGCR aAbs on muscle regeneration in a mouse model of muscle necrosis.

methodsMuscle necrosis was induced by cardiotoxin (CTX) injection into the gastrocnemius of C57BL/6 or C5-deficient C57BL/10 mice. Mice received intraperitoneal injections of IgG purified from an anti-HMGCR

resultsIn C5-deficient mice, anti-HMGCR

conclusionThese findings establish the cytotoxicity of anti-HMGCR aAbs on regenerating muscle cells through a primarily complement-mediated mechanism, without directly impairing cellular regeneration per se. Given the still unmet medical needs of IMNM, C5 or upstream complement-targeted therapies early in the disease course, as well as aAb reduction, B/plasma cell depletion via CAR-T cells or bispecific antibodies deserves further clinical investigation.

Indexed as

AutoantibodiesHydroxymethylglutaryl CoA ReductasesMuscle, SkeletalMuscular DiseasesRegenerationAnimalsComplement C5Disease Models, AnimalHumansMaleMiceMice, Inbred C57BLMice, KnockoutMuscle StrengthNecrosisAutoantibodiesComplement C5HMGCR protein, humanHydroxymethylglutaryl CoA Reductasesanti‐HMGCR+ IgGautoantibodiesimmune mediated necrotizing myopathymouse modelmuscle regeneration

Identifiers

PMID40888116
PMCPMC12599599

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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.