Evidence map›Paper›PMID 20610601›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2010

Effects of insulin-like growth factor (IGF)-I/IGF-binding protein-3 treatment on glucose metabolism and fat distribution in human immunodeficiency virus-infected patients with abdominal obesity and insulin resistance.

Madhu N Rao, Kathleen Mulligan, Viva Tai, Michael J Wen, Artem Dyachenko, Melissa Weinberg, Xiaojuan Li, Thomas Lang, Carl Grunfeld, Jean-Marc Schwarz and 1 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Subchronic sleep restriction causes tissue-specific insulin resistance.The Journal of clinical endocrinology and metabolism · 2015
    Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Review
  14. Biochemical Manifestation of HIV Lipodystrophy Syndrome.International journal of MCH and AIDS · 2012
    Review
  15. Article
  16. Applications of stable isotopes in clinical pharmacology.British journal of clinical pharmacology · 2011
    Review
  17. Article
  18. Pathogenesis and treatment of HIV lipohypertrophy.Current opinion in infectious diseases · 2011
    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

11 authors at 4 institutions in 1 country.

Madhu N RaoDepartment of Medicine, University of California, San Francisco, San Francisco, California 94143, USA. madhu.rao@ucsf.edu
Kathleen Mulligan
Viva Tai
Michael J Wen
Artem Dyachenko
Melissa Weinberg
Xiaojuan Li
Thomas Lang
Carl Grunfeld
Jean-Marc Schwarz
Morris Schambelan
San Francisco General Hospital · USUniversity of California, San Francisco · USTouro University California · USM4 Engineering (United States) · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
WELFARE REFORM AND THE PERINATAL HEALTH OF IMMIGRANTSM01RR000083 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KESSLER, DAVID A · 1985 to 2006
$21.1M
HIV Antiretroviral Drugs and Glucose MetabolismR01DK066999 · NIDDK · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI GRUNFELD, CARL · 2004 to 2011
$2.9M
METABOLIC EFFECTS OF PROTEASE INHIBITORS IN HIV DISEASER01DK054615 · NIDDK · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI MULLIGAN, KATHLEEN · 1998 to 2002
$1.0M
Can IGF-I/IGFBP-3 Reverse Central Fat Accumulation?R21DK069185 · NIDDK · UNIVERSITY OF CALIFORNIA SAN FRANCISCO · PI SCHAMBELAN, MORRIS · 2004 to 2005
$455k
NCRR NIH HHS M01 RR000083NCRR NIH HHS RR00083NCRR NIH HHS RR24131NCRR NIH HHS UL1 RR024131NIDDK NIH HHS DK54615NIDDK NIH HHS DK66999NIDDK NIH HHS DK69185NIDDK NIH HHS R01 DK054615NIDDK NIH HHS R01 DK066999NIDDK NIH HHS R21 DK069185
6 · The paper itself

Abstract

contextHIV-infected patients on antiretroviral therapy are at increased risk for excess visceral adiposity and insulin resistance. Treatment with GH decreases visceral adiposity but worsens glucose metabolism. IGF-I, which mediates many of the effects of GH, improves insulin sensitivity in HIV-negative individuals.

objectiveOur objective was to determine whether IGF-I, complexed to its major binding protein, IGF-binding protein-3 (IGFBP-3), improves glucose metabolism and alters body fat distribution in HIV-infected patients with abdominal obesity and insulin resistance.

methodsWe conducted a pilot, open-label study in 13 HIV-infected men with excess abdominal adiposity and insulin resistance to assess the effect of 3 months of treatment with IGF-I/IGFBP-3 on glucose metabolism and fat distribution. Glucose metabolism was assessed by oral glucose tolerance test and hyperinsulinemic-euglycemic clamp. Endogenous glucose production (EGP), gluconeogenesis, whole-body lipolysis, and de novo lipogenesis (DNL) were measured with stable isotope infusions. Body composition was assessed by dual-energy x-ray absorptiometry and abdominal computed tomography scan.

resultsGlucose tolerance improved and insulin-mediated glucose uptake increased significantly during treatment. EGP increased under fasting conditions, and suppression of EGP by insulin was blunted. Fasting triglycerides decreased significantly in association with a decrease in hepatic DNL. Lean body mass increased and total body fat decreased, whereas visceral adipose tissue did not change.

conclusionsTreatment with IGF-I/IGFBP-3 improved whole-body glucose uptake and glucose tolerance, while increasing hepatic glucose production. Fasting triglycerides improved, reflecting decreased DNL, and visceral adiposity was unchanged.

Indexed as

Body Fat DistributionInsulin ResistanceAdipose TissueBody CompositionDrug CombinationsGlucoseHIV-1HIV-Associated Lipodystrophy SyndromeHIV InfectionsHumansInsulin-Like Growth Factor Binding Protein 3Insulin-Like Growth Factor ILipid MetabolismMaleMiddle AgedObesity, AbdominalDrug CombinationsGlucoseInsulin-Like Growth Factor Binding Protein 3Insulin-Like Growth Factor I

Identifiers

PMID20610601
PMCPMC2936071
OpenAlexW2150832259

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.