Evidence map›Paper›PMID 18776135›Full record

ArticleDiabetes2008

Amplified hormonal counterregulatory responses to hypoglycemia in rats after systemic delivery of a SUR-1-selective K(+) channel opener?

Xiaoning Fan, Yuyan Ding, Haiying Cheng, Dorte X Gram, Robert S Sherwin, Rory J McCrimmon

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Remembrance of things past: The consequences of recurrent hypoglycaemia in diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2022
    Review
  2. Review
  3. Potential approaches to prevent hypoglycemia-associated autonomic failure.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2018
    Review
  4. Review
  5. Influence of VMH fuel sensing on hypoglycemic responses.Trends in endocrinology and metabolism: TEM · 2013
    Review
  6. Article
  7. 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

6 authors at 2 institutions in 2 countries.

Xiaoning FanDepartment of Internal Medicine and Endocrinology, Yale University School of Medicine, New Haven, CT, USA.
Yuyan Ding
Haiying Cheng
Dorte X Gram
Robert S Sherwin
Rory J McCrimmon
Yale University · USNovo Nordisk (Denmark) · DK

Funding

GLUCOREGULATORY HORMONE INTERACTIONS IN DIABETESR37DK020495 · NIDDK · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 1995 to 2012
$7.3M
GLUCOREGULATORY HORMONE INTERACTIONS IN DIABETESR01DK020495 · NIDDK · YALE UNIVERSITY · PI ROTHMAN, DOUGLAS LYLE · 1986 to 2022
$6.6M
Role of AMPK in hypoglycemia-sensing in the VMHR01DK069831 · NIDDK · YALE UNIVERSITY · PI MCCRIMMON, RORY J · 2004 to 2008
$1.4M
NIDDK NIH HHS DK-069831NIDDK NIH HHS DK-20495NIDDK NIH HHS R01 DK020495NIDDK NIH HHS R01 DK069831NIDDK NIH HHS R37 DK020495
6 · The paper itself

Abstract

objectiveIn glucose-sensing neurons, ATP-sensitive K(+) channels (K(ATP) channels) are thought to translate metabolic signals into an alteration in neuronal firing rates. Because these neurons express the Kir6.2/SUR-1 isoform of the K(ATP) channel, we sought to examine the therapeutic potential of the SUR-1-selective potassium channel opener (KCO), NN414, to amplify counterregulatory response to hypoglycemia. RESEARCH DESIGN AND

methodsIn vivo dose-response studies with NN414 delivered intravenously to normal Sprague-Dawley rats before the induction of controlled hypoglycemia were performed. Based on these studies, the potential for NN414 to restore counterregulatory responses in chronically cannulated nondiabetic and diabetic BB rats was explored using the in vivo hyperinsulinemic-hypoglycemic clamp technique.

resultsNN414 delivered systemically amplified epinephrine responses during acute hypoglycemia and showed a persisting effect to amplify the epinephrine response when given 24 h before the hypoglycemic study. Local delivery of a potassium-channel blocker to the ventromedial hypothalamus reversed the effects of systemic NN414. In addition, NN414 amplified the epinephrine response to hypoglycemia in both nondiabetic and diabetic BB rats with defective hormonal counterregulation.

conclusionsThese studies demonstrate in a variety of rodent models that systemic delivery of Kir6.2/SUR-1-selective KCOs enhance the glucose counterregulatory response to insulin-induced hypoglycemia. Future studies in human subjects are now required to determine their potential as a therapy for hypoglycemia-associated autonomic failure in type 1 diabetes.

Indexed as

AnimalsATP-Binding Cassette TransportersBlood GlucoseBridged Bicyclo Compounds, HeterocyclicCyclic S-OxidesDiabetes Mellitus, Type 1EpinephrineHomeostasisHypoglycemiaKcnj11 ChannelPotassium Channels, Inwardly RectifyingRatsRats, Sprague-DawleyReceptors, DrugSulfonylurea ReceptorsABCC8 protein, humanAbcc8 protein, ratATP-Binding Cassette TransportersBlood GlucoseBridged Bicyclo Compounds, HeterocyclicCyclic S-OxidesEpinephrineKcnj11 ChannelNN 414Potassium Channels, Inwardly RectifyingReceptors, DrugSulfonylurea Receptors

Identifiers

PMID18776135
PMCPMC2584140
OpenAlexW2152227757

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.