Evidence map›Paper›PMID 20693345›Full record

ArticleDiabetes2010

Liver fat content in type 2 diabetes: relationship with hepatic perfusion and substrate metabolism.

Luuk J Rijzewijk, Rutger W van der Meer, Mark Lubberink, Hildo J Lamb, Johannes A Romijn, Albert de Roos, Jos W Twisk, Robert J Heine, Adriaan A Lammertsma, Johannes W A Smit and 1 more

Abstract read
In one paragraph

Article in Diabetes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. New compartment model for hepatic blood flow quantification in humans from 15O-water PET images.European journal of nuclear medicine and molecular imaging · 2025
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  5. Review
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  13. Metabolic syndrome and the hepatorenal reflex.Surgical neurology international · 2016
    Review
  14. Metabolic syndrome and the hepatorenal reflex.Surgical neurology international · 2016
    Review
  15. Article
  16. Article
  17. Article
  18. Reduction in Tcf7l2 expression decreases diabetic susceptibility in mice.International journal of biological sciences · 2012
    Article
  19. 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

11 authors.

Luuk J RijzewijkDiabetes Center, VU University Medical Center, Amsterdam, the Netherlands. rijzewijk@vumc.nl
Rutger W van der Meer
Mark Lubberink
Hildo J Lamb
Johannes A Romijn
Albert de Roos
Jos W Twisk
Robert J Heine
Adriaan A Lammertsma
Johannes W A Smit
Michaela Diamant

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHepatic steatosis is common in type 2 diabetes. It is causally linked to the features of the metabolic syndrome, liver cirrhosis, and cardiovascular disease. Experimental data have indicated that increased liver fat may impair hepatic perfusion and metabolism. The aim of the current study was to assess hepatic parenchymal perfusion, together with glucose and fatty acid metabolism, in relation to hepatic triglyceride content. RESEARCH DESIGN AND

methodsFifty-nine men with well controlled type 2 diabetes and 18 age-matched healthy normoglycemic men were studied using positron emission tomography to assess hepatic tissue perfusion, insulin-stimulated glucose, and fasting fatty acid metabolism, respectively, in relation to hepatic triglyceride content, quantified by proton magnetic resonance spectroscopy. Patients were divided into two groups with hepatic triglyceride content below (type 2 diabetes-low) or above (type 2 diabetes-high) the median of 8.6%.

resultsType 2 diabetes-high patients had the highest BMI and A1C and lowest whole-body insulin sensitivity (ANOVA, all P < 0.001). Compared with control subjects and type 2 diabetes-low patients, type 2 diabetes-high patients had the lowest hepatic parenchymal perfusion (P = 0.004) and insulin-stimulated hepatic glucose uptake (P = 0.013). The observed decrease in hepatic fatty acid influx rate constant, however, only reached borderline significance (P = 0.088). In type 2 diabetic patients, hepatic parenchymal perfusion (r = -0.360, P = 0.007) and hepatic fatty acid influx rate constant (r = -0.407, P = 0.007) correlated inversely with hepatic triglyceride content. In a pooled analysis, hepatic fat correlated with hepatic glucose uptake (r = -0.329, P = 0.004).

conclusionsIn conclusion, type 2 diabetic patients with increased hepatic triglyceride content showed decreased hepatic parenchymal perfusion and hepatic insulin mediated glucose uptake, suggesting a potential modulating effect of hepatic fat on hepatic physiology.

Indexed as

Age of OnsetBlood VolumeBody Mass IndexBody Surface AreaDiabetes Mellitus, Type 2Dietary FatsFatty AcidsFatty LiverFluorodeoxyglucose F18Hepatic ArteryHumansKineticsLiverMagnetic Resonance ImagingMaleMiddle AgedDietary FatsFatty AcidsFluorodeoxyglucose F18Triglycerides

Identifiers

PMID20693345
PMCPMC2963532

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LicenceCC BY-NC-ND
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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.