Evidence map›Paper›PMID 18682704›Full record

ArticleMolecular systems biology2008

Metabolic profiling of the human response to a glucose challenge reveals distinct axes of insulin sensitivity.

Oded Shaham, Ru Wei, Thomas J Wang, Catherine Ricciardi, Gregory D Lewis, Ramachandran S Vasan, Steven A Carr, Ravi Thadhani, Robert E Gerszten, Vamsi K Mootha

Open access · goldAbstract read
In one paragraph

Article in Molecular systems biology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 198 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
198citing papers in PubMed, 3 pooled it
14.3field-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

198 citing papers in PubMed, 3 syntheses or guidelines pooled it, 393 citations in OpenAlex.

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138 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 6 institutions in 1 country.

Oded ShahamBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Ru Wei
Thomas J Wang
Catherine Ricciardi
Gregory D Lewis
Ramachandran S Vasan
Steven A Carr
Ravi Thadhani
Robert E Gerszten
Vamsi K Mootha
Broad Institute · USHarvard University · USMassachusetts Institute of Technology · USFramingham Heart Study · USMassachusetts General Hospital · USNational Heart Lung and Blood Institute · US

Funding

ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
Individual Propensity to Venous ThrombosisR01HL083141 · NHLBI · MAYO CLINIC ROCHESTER · PI HEIT, JOHN A. · 2006 to 2009
$3.0M
Endothelial Progenitor Cells: Clinical PrognosisR01HL083197 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI WANG, THOMAS J. · 2006 to 2009
$1.9M
Nutriuretic Peptides, the Renin-Angiotensin System, and Metabolic Risk in ObesityR01HL086875 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI WANG, THOMAS J. · 2007 to 2010
$1.7M
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
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NCRR NIH HHS M01 RR001066NCRR NIH HHS MO1-RR01066NHLBI NIH HHS N01 HC025195NHLBI NIH HHS N01-HC-25195NHLBI NIH HHS R01 HL083141NHLBI NIH HHS R01 HL083197NHLBI NIH HHS R01-HL-083197NHLBI NIH HHS R01 HL086875NHLBI NIH HHS R01-HL-086875NHLBI NIH HHS U01HL083141
6 · The paper itself

Abstract

Glucose ingestion after an overnight fast triggers an insulin-dependent, homeostatic program that is altered in diabetes. The full spectrum of biochemical changes associated with this transition is currently unknown. We have developed a mass spectrometry-based strategy to simultaneously measure 191 metabolites following glucose ingestion. In two groups of healthy individuals (n=22 and 25), 18 plasma metabolites changed reproducibly, including bile acids, urea cycle intermediates, and purine degradation products, none of which were previously linked to glucose homeostasis. The metabolite dynamics also revealed insulin's known actions along four key axes--proteolysis, lipolysis, ketogenesis, and glycolysis--reflecting a switch from catabolism to anabolism. In pre-diabetics (n=25), we observed a blunted response in all four axes that correlated with insulin resistance. Multivariate analysis revealed that declines in glycerol and leucine/isoleucine (markers of lipolysis and proteolysis, respectively) jointly provide the strongest predictor of insulin sensitivity. This observation indicates that some humans are selectively resistant to insulin's suppression of proteolysis, whereas others, to insulin's suppression of lipolysis. Our findings lay the groundwork for using metabolic profiling to define an individual's 'insulin response profile', which could have value in predicting diabetes, its complications, and in guiding therapy.

Indexed as

Glucose Tolerance TestInsulin ResistanceAdultBiomarkersBlood GlucoseChromatography, LiquidFastingFemaleGlucose IntoleranceGlycolysisHomeostasisHumansInsulinKetonesKineticsLipolysisBiomarkersBlood GlucoseInsulinKetonesPeptide Hydrolases

Identifiers

PMID18682704
PMCPMC2538910
OpenAlexW2113253151

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.