Evidence map›Paper›PMID 18464933›Full record

ArticleThe Journal of clinical investigation2008

Development of type 2 diabetes following intrauterine growth retardation in rats is associated with progressive epigenetic silencing of Pdx1.

Jun H Park, Doris A Stoffers, Robert D Nicholls, Rebecca A Simmons

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 289 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
289citing papers in PubMed, 1 pooled it
45.7field-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.

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

289 citing papers in PubMed, 1 synthesis or guideline pooled it, 633 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Epigenetic regulation in a high-sugar environment (Review).International journal of molecular medicine · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Evolving Characteristics of Type 2 Diabetes Mellitus in East Asia.Endocrinology and metabolism (Seoul, Korea) · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Metabolic memory: mechanisms and diseases.Signal transduction and targeted therapy · 2024
    Review
  20. Review

229 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

4 authors at 2 institutions in 2 countries.

Jun H ParkDepartment of Pediatrics, Children's Hospital of Philadelphia, Department of Medicine, and Institute for Diabetes, Obesity, and Metabolism, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.
Doris A Stoffers
Robert D Nicholls
Rebecca A Simmons
University of Pennsylvania · USUniversity of Pittsburgh · US

Funding

MECHANISMS BY WHICH IUGR LEADS TO DIABETESR01DK055704 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI SIMMONS, REBECCA A · 2000 to 2014
$3.6M
Prevention of diabetes due to growth retardationR01DK062965 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI STOFFERS, DORIS A · 2004 to 2008
$1.8M
NIDDK NIH HHS DK062965NIDDK NIH HHS DK55704NIDDK NIH HHS R01 DK055704NIDDK NIH HHS R01 DK062965
6 · The paper itself

Abstract

Intrauterine growth retardation (IUGR) has been linked to the onset of diseases in adulthood, including type 2 diabetes, and has been proposed to result from altered gene regulation patterns due to epigenetic modifications of developmental genes. To determine whether epigenetic modifications may play a role in the development of adult diabetes following IUGR, we used a rodent model of IUGR that expresses lower levels of Pdx1, a pancreatic and duodenal homeobox 1 transcription factor critical for beta cell function and development, which develops diabetes in adulthood. We found that expression of Pdx1 was permanently reduced in IUGR beta cells and underwent epigenetic modifications throughout development. The fetal IUGR state was characterized by loss of USF-1 binding at the proximal promoter of Pdx1, recruitment of the histone deacetylase 1 (HDAC1) and the corepressor Sin3A, and deacetylation of histones H3 and H4. Following birth, histone 3 lysine 4 (H3K4) was demethylated and histone 3 lysine 9 (H3K9) was methylated. During the neonatal period, these epigenetic changes and the reduction in Pdx1 expression could be reversed by HDAC inhibition. After the onset of diabetes in adulthood, the CpG island in the proximal promoter was methylated, resulting in permanent silencing of the Pdx1 locus. These results provide insight into the development of type 2 diabetes following IUGR and we believe they are the first to describe the ontogeny of chromatin remodeling in vivo from the fetus to the onset of disease in adulthood.

Indexed as

Epigenesis, GeneticAnimalsChromatinCpG IslandsDiabetes Mellitus, Type 2DNA MethylationFetal Growth RetardationHistonesHomeodomain ProteinsPromoter Regions, GeneticRatsRats, Sprague-DawleyRNA, MessengerTrans-ActivatorsTranscription FactorsChromatinHistonesHomeodomain Proteinspancreatic and duodenal homeobox 1 proteinRNA, MessengerTrans-ActivatorsTranscription Factors

Identifiers

PMID18464933
PMCPMC2373422
OpenAlexW2047014433

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.