Evidence map›Paper›PMID 16046295›Full record

Trial reportDiabetes2005

Expression of CD68 and macrophage chemoattractant protein-1 genes in human adipose and muscle tissues: association with cytokine expression, insulin resistance, and reduction by pioglitazone.

Gina B Di Gregorio, Aiwei Yao-Borengasser, Neda Rasouli, Vijayalakshmi Varma, Tong Lu, Leslie M Miles, Gouri Ranganathan, Charlotte A Peterson, Robert E McGehee, Philip A Kern

Registry-linked trialOpen access · bronzeAbstract readClinical TrialRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Diabetes, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00108615. Cited by 175 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 2 pooled it
19.5field-weighted citation impact, top 1% 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.

NCT00108615 phase4completed

Effects of Insulin Sensitizers in Subjects With Impaired Glucose Tolerance

Ran2004Enrolled48Registered outcomes2Posted comparisons0ConditionsDiabetes, Glucose Metabolism DisordersArmsCT scans, Metformin, Oral glucose tolerance test, Pioglitazone
Open the trial in the graph
3 · Its place in the literature

Who cites it

175 citing papers in PubMed, 2 syntheses or guidelines pooled it, 358 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Pioglitazone after Ischemic Stroke or Transient Ischemic Attack.The New England journal of medicine · 2016 · on this map
    Trial
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  6. Trial
  7. Trial
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  10. Trial
  11. Article
  12. Insulin Resistance and Inflammation.International journal of molecular sciences · 2026
    Review
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  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

115 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Gina B Di GregorioResearch, Central Arkansas Veterans Healthcare System, 598/151 LR, 4300 West 7th St., Little Rock, AR 72205, USA. kernphilipa@uams.edu
Aiwei Yao-Borengasser
Neda Rasouli
Vijayalakshmi Varma
Tong Lu
Leslie M Miles
Gouri Ranganathan
Charlotte A Peterson
Robert E McGehee
Philip A Kern
University of Arkansas for Medical Sciences · USCentral Arkansas Veterans Healthcare System · US

Funding

THE APOE-APP AXIS IN ALZHEIMER PATHOGENESISP01AG012411 · NIA · UNIV OF ARKANSAS FOR MED SCIS · PI GRIFFIN, SUE TILTON · 1995 to 2020
$25.0M
Verruca Vulgaris--Skin Test &Candida /Mumps AntigenM01RR014288 · NCRR · UNIV OF ARKANSAS FOR MED SCIS · PI PONNAPPAN, USHA · 1999 to 2006
$11.1M
Regulation of lipoprotein lipase in adipocytesR37DK039176 · NIDDK · UNIV OF ARKANSAS FOR MED SCIS · PI KERN, PHILIP A · 2006 to 2011
$1.8M
REGULATION OF LIPOPROTEIN LIPASE IN HUMAN ADIPOCYTESR01DK039176 · NIDDK · UNIVERSITY OF ARKANSAS MED SCIS LTL ROCK · PI KERN, PHILIP A · 1993 to 2005
$1.6M
Mechanisms underlying metabolic syndrome in obesityR01DK071277 · NIDDK · UNIV OF ARKANSAS FOR MED SCIS · PI KERN, PHILIP A · 2005 to 2008
$848k
Mechanisms Underlying Metabolic Syndrome in ObesityR01DK071346 · NIDDK · UNIV OF ARKANSAS FOR MED SCIS · PI MCGEHEE, ROBERT E · 2005 to 2008
$547k
REGULATION OF LIPOPROTEIN LIPASE IN HUMAN ADIPOCYTESR29DK039176 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI KERN, PHILIP A · 1988 to 1990
–
NCRR NIH HHS M01RR14288NIA NIH HHS AG12411NIDDK NIH HHS DK071277NIDDK NIH HHS DK071346NIDDK NIH HHS DK39176
6 · The paper itself

Abstract

To examine the role of adipose-resident macrophages in insulin resistance, we examined the gene expression of CD68, a macrophage marker, along with macrophage chemoattractant protein-1 (MCP-1) in human subcutaneous adipose tissue using real-time RT-PCR. Both CD68 and MCP-1 mRNAs were expressed in human adipose tissue, primarily in the stromal vascular fraction. When measured in the adipose tissue from subjects with normal glucose tolerance, covering a wide range of BMI (21-51 kg/m2) and insulin sensitivity (S(I)) (0.6-8.0 x 10(-4)min(-1).microU(-1).ml(-1)), CD68 mRNA abundance, which correlated with the number of CD68-positive cells by immunohistochemistry, tended to increase with BMI but was not statistically significant. However, there was a significant inverse relation between CD68 mRNA and S(I) (r=-0.55, P=0.02). In addition, there was a strong positive relationship among adipose tissue CD68 mRNA, tumor necrosis factor-alpha (TNF-alpha) secretion in vitro (r=0.79, P<0.005), and plasma interleukin-6 (r=0.67, P < 0.005). To determine whether improving S(I) in subjects with impaired glucose tolerance (IGT) was associated with decreased CD68 expression, IGT subjects were treated for 10 weeks with pioglitazone or metformin. Pioglitazone increased S(I) by 60% and in the same subjects reduced both CD68 and MCP-1 mRNAs by >50%. Furthermore, pioglitazone resulted in a reduction in the number of CD68-positive cells in adipose tissue and reduced plasma TNF-alpha. Metformin had no effect on any of these measures. Thus, treatment with pioglitazone reduces expression of CD68 and MCP-1 in adipose tissue, apparently by reducing macrophage numbers, resulting in reduced inflammatory cytokine production and improvement in S(I).

Indexed as

Insulin ResistanceAdipose TissueAdultAntigens, CDAntigens, Differentiation, MyelomonocyticCD68 MoleculeCell CountChemokine CCL2CytokinesGene ExpressionHumansHypoglycemic AgentsMacrophagesMetforminMiddle AgedMusclesAntigens, CDAntigens, Differentiation, MyelomonocyticCCL2 protein, humanCD68 antigen, humanCD68 MoleculeChemokine CCL2CytokinesHypoglycemic AgentsMetforminPioglitazoneRNA, MessengerThiazolidinediones

Identifiers

PMID16046295
OpenAlexW2473495692

What OpenQuestion holds

Texttitle and abstract
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.