Evidence map›Paper›PMID 15939816›Full record

ArticleCirculation2005

Cholesterol feeding increases C-reactive protein and serum amyloid A levels in lean insulin-sensitive subjects.

Lisa R Tannock, Kevin D O'Brien, Robert H Knopp, Barbara Retzlaff, Brian Fish, Mark H Wener, Steven E Kahn, Alan Chait

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Circulation, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01524705 (FLAT-SUGAR), which is not on this map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
5.0field-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.

NCT01524705 phase4completedstarted 2012, after this paper: background citation

FLAT-SUGAR: FLuctuATion Reduction With inSULin and Glp-1 Added togetheR

Ran2012Enrolled102Registered outcomes4Posted comparisons3ConditionsType 2 DiabetesArmsexenatide, Insulin glargine, Metformin, Prandial insulin
Open the trial in the graph
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 5 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Association between serum amyloid A and obesity: a meta-analysis and systematic review.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2010
    Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. PCSK9 in critical illness - It's not all about lipids.Annals of clinical biochemistry · 2026
    Review
  9. Review
  10. Article
  11. Role of C-Reactive Protein, An Inflammatory Biomarker in The Development of Atherosclerosis and Its Treatment.The International journal of angiology : official publication of the International College of Angiology, Inc · 2024
    Review
  12. Article
  13. Article
  14. Mechanism of Hypercholesterolemia-Induced Atherosclerosis.Reviews in cardiovascular medicine · 2022
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

8 authors at 1 institution in 1 country.

Lisa R TannockDepartment of Medicine, University of Washington, 1959 NE Pacific St, Seattle, WA 98195-6426, USA.
Kevin D O'Brien
Robert H Knopp
Barbara Retzlaff
Brian Fish
Mark H Wener
Steven E Kahn
Alan Chait
VA Puget Sound Health Care System · US

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 1986 to 2026
$30.4M
Serum Amyloid and Inflammation in AtherogenesisP01HL030086 · NHLBI · UNIVERSITY OF WASHINGTON · PI JARVIK, GAIL PAIRITZ · 1985 to 2009
$14.7M
REVERSE CHOLESTEROL TRANSPORT IN DIABETESP01DK002456 · NIDDK · UNIVERSITY OF WASHINGTON · PI CHAIT, ALAN · 1986 to 2007
$10.2M
NCRR NIH HHS RR00037NHLBI NIH HHS HL30086NIDDK NIH HHS DK02456NIDDK NIH HHS DK17047NIDDK NIH HHS DK35816NIDDK NIH HHS P01 DK002456NIDDK NIH HHS P30 DK017047
6 · The paper itself

Abstract

backgroundInflammatory markers associated with elevated cardiovascular risk are increased by cholesterol feeding in animal models. However, whether dietary cholesterol increases inflammatory marker levels in humans is not known. METHODS AND

resultsC-reactive protein (CRP), serum amyloid A (SAA), and lipoprotein levels were compared in 201 healthy subjects on an American Heart Association-National Cholesterol Education Program step 1 diet at baseline and after addition of 4 eggs per day for 4 weeks. Subjects were classified a priori into 3 groups based on their body mass index (BMI) and insulin sensitivity index (SI): lean insulin sensitive (LIS), mean+/-SEM BMI, 23.2+/-0.3 kg/m2, and SI, 6.7+/-0.3x10(-4)min(-1)/(microU/mL), n=66; lean insulin resistant (LIR), BMI, 24.5+/-0.2 kg/m2 and SI, 2.9+/-0.1x10(-4)min(-1)/(microU/mL), n=76; or obese insulin resistant (OIR), BMI, 31.4+/-0.5 kg/m2 and SI, 2.1+/-0.1x10(-4)min(-1)/(microU/mL), n=59. Insulin resistance and obesity each were associated with increased baseline levels of both CRP (P for trend, <0.001) and SAA (P for trend=0.015). Egg feeding was associated with significant increases in both CRP and SAA in the LIS group (both P<0.01) but not in the LIR or OIR groups. Egg feeding also was associated with a significant increase in non-HDL cholesterol (P<0.001) in LIS subjects; however, there was no correlation between the change in non-HDL cholesterol or changes in either CRP or SAA in this group.

conclusionsA high-cholesterol diet leads to significant increases in both inflammatory markers and non-HDL cholesterol levels in insulin-sensitive individuals but not in lean or obese insulin-resistant subjects.

Indexed as

Body WeightInsulin ResistanceAcute-Phase ProteinsCholesterol, DietaryC-Reactive ProteinFemaleHumansInflammationMaleMiddle AgedObesitySerum Amyloid A ProteinThinnessUp-RegulationAcute-Phase ProteinsCholesterol, DietaryC-Reactive ProteinSerum Amyloid A Protein

Identifiers

PMID15939816
OpenAlexW2029127599

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.