Evidence map›Paper›PMID 41618578›Full record

ArticleMuscle & nerve2026

Skeletal Muscle Microbiopsies in Children and Adults-Tolerability, Sample Yield, and Analyzability.

Emil Rydell Högelin, Sebastian Edman, Paulo R Jannig, Axel Löfgren, Kajsa Thulin, Piotr Michno, Jessica Norrbom, Björn A Alkner, Ferdinand von Walden, Lotta Fornander

Abstract read
In one paragraph

Article in Muscle & nerve, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

10 authors.

Emil Rydell HögelinDepartment of Medicine and Geriatrics, Region Jönköping County, Eksjö, Sweden.ORCID https://orcid.org/0000-0002-0155-6655
Sebastian EdmanDivision of Pediatric Neurology, Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Paulo R JannigDivision of Pediatric Neurology, Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
Axel LöfgrenDepartment of Orthopaedic Surgery, Region Östergötland, Norrköping, Sweden.
Kajsa ThulinDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Piotr MichnoDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Jessica NorrbomMolecular Exercise Physiology Group, Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
Björn A AlknerDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Ferdinand von WaldenDivision of Pediatric Neurology, Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-1134-2252
Lotta FornanderDepartment of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.ORCID https://orcid.org/0000-0003-2077-8445

Funding

Centrum för idrottsforskning P2024-0119Futurum - Akademin för Hälsa och Vård, Region Jönköpings läns FUTURUM-964488H.K.H. Kronprinsessan Lovisas Förening för BarnasjukvårdKI Research Foundation Grants #2024-02598Linnéa och Josef Carlssons StiftelseNeuroförbundet SB2025-0005Stiftelsen Promobilia S24502Stiftelsen Sunnerdahls HandikappfondSvenska Sällskapet för Medicinsk Forskning PG-24-0429Svenska Sällskapet för Medicinsk Forskning SG-25-0199-B-H-01Vetenskapsrådet 2022-01392
6 · The paper itself

Abstract

INTRODUCTION/

aimsTraditional methods of sampling skeletal muscle tissue are invasive. This study aimed to evaluate a sub-millimeter core-biopsy (microbiopsy) as a potentially more tolerable method, with further regard to tissue yield and analyzability of RNA expression.

methodsChildren (9-13 years, n = 11) and adults (18-50 years, n = 16) were recruited. Microbiopsy and venipuncture were performed, with prior application of local anesthesia cream. Additionally, adults underwent a Bergström muscle biopsy, with infiltrative local anesthesia. Pain was rated using the visual analog scale (VAS), reported as medians (95% CI). Microbiopsy samples were freeze-dried and weighed. To evaluate RNA sequencing performance at low tissue sample weights, a six-step incremental tissue ladder (10-500 μg) was analyzed.

resultsChildren rated venipunctures and microbiopsies low, at VAS = 0.1 (0.0-0.6) and 1.6 (0.9-3.9), respectively. Microbiopsy pain ratings were slightly higher than venipuncture, p < 0.001. Pain ratings in adults were 0.0 (0.0-0.5), 1.8 (1.3-2.4), 2.9 (2.4-3.8), and 2.7 (2.2-3.8) for venipuncture, microbiopsy, Bergström biopsy, and infiltrative local anesthesia, respectively. Microbiopsy was rated less painful than Bergström biopsy and local anesthesia (p < 0.05). Children did not rate microbiopsy more painful than adults (p = 0.82). Microbiopsies yielded on average 303 (SD 121.8) μg. RNA sequencing detected similar transcriptomic signatures across the tissue ladder. DISCUSSION: The generally low pain ratings for the microbiopsy procedure support its use as a tolerable method of acquiring skeletal muscle samples in both children and adults. It represents a less painful alternative to Bergström biopsies while still rendering adequate material for RNA sequencing.

Indexed as

Muscle, SkeletalAdolescentAdultBiopsyChildFemaleHumansMaleMiddle AgedPainPain MeasurementYoung Adultmicrobiopsiesmuscle biopsiespainRNA sequencingvisual analog scale

Identifiers

PMID41618578
PMCPMC13047933

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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.