Evidence map›Paper›PMID 20828387›Full record

ArticleCardiovascular diabetology2010

Synergism in hyperhomocysteinemia and diabetes: role of PPAR gamma and tempol.

Paras K Mishra, Neetu Tyagi, Utpal Sen, Irving G Joshua, Suresh C Tyagi

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

38 citing papers in PubMed, 67 citations in OpenAlex.

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  16. Targeting miRNA for Therapy of Juvenile and Adult Diabetic Cardiomyopathy.Advances in experimental medicine and biology · 2018
    Article
  17. Review
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  19. Novel Anti-fibrotic Therapies.Frontiers in pharmacology · 2017
    Review
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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

5 authors at 1 institution in 1 country.

Paras K MishraDepartment of Physiology & Biophysics, School of Medicine, University of Louisville, Louisville, Kentucky 40202, USA.
Neetu Tyagi
Utpal Sen
Irving G Joshua
Suresh C Tyagi
University of Louisville · US

Funding

Reversing diabetic muscle myopathy by exercise and exosomesR01HL074185 · NHLBI · UNIVERSITY OF LOUISVILLE · PI TYAGI, SURESH C. · 2003 to 2018
$5.7M
Mechanism of Vascular Remodeling in HyperhomocysteinemiaR01HL071010 · NHLBI · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI TYAGI, SURESH C. · 2002 to 2010
$2.7M
Implications of Endothelial-Myocyte Uncoupling in Cardiac ArrhythmiaR01HL088012 · NHLBI · UNIVERSITY OF LOUISVILLE · PI TYAGI, SURESH C. · 2007 to 2010
$1.5M
NHLBI NIH HHS HL-71010NHLBI NIH HHS HL-74185NHLBI NIH HHS HL-88012
6 · The paper itself

Abstract

backgroundHyperhomocysteinemia (HHcy) and hyperglycemia cause diabetic cardiomyopathy by inducing oxidative stress and attenuating peroxisome proliferator- activated receptor (PPAR) gamma. However, their synergistic contribution is not clear.

methodsDiabetic Akita (Ins2+/-) and hyperhomocysteinemic cystathionine beta synthase mutant (CBS+/-) were used for M-mode echocardiography at the age of four and twenty four weeks. The cardiac rings from WT, Akita and hybrid (Ins2+/-/CBS+/-) of Akita and CBS+/- were treated with different doses of acetylcholine (an endothelial dependent vasodilator). High performance liquid chromatography (HPLC) was performed for determining plasma homocysteine (Hcy) level in the above groups. Akita was treated with ciglitazone (CZ) - a PPAR gamma agonist and tempol-an anti-oxidant, separately and their effects on cardiac remodeling were assessed.

resultsAt twenty four week, Akita mice were hyperglycemic and HHcy. They have increased end diastolic diameter (EDD). In their heart PPAR gamma, tissue inhibitor of metalloproteinase-4 (TIMP-4) and anti-oxidant thioredoxin were attenuated whereas matrix metalloproteinase (MMP)-9, TIMP-3 and NADPH oxidase 4 (NOX4) were induced. Interestingly, they showed synergism between HHcy and hyperglycemia for endothelial-myocyte (E-M) uncoupling. Additionally, treatment with CZ alleviated MMP-9 activity and fibrosis, and improved EDD. On the other hand, treatment with tempol reversed cardiac remodeling in part by restoring the expressions of TIMP-3,-4, thioredoxin and MMP-9.

conclusionsEndogenous homocysteine exacerbates diabetic cardiomyopathy by attenuating PPAR gamma and inducing E-M uncoupling leading to diastolic dysfunction. PPAR gamma agonist and tempol mitigates oxidative stress and ameliorates diastolic dysfunction in diabetes.

Indexed as

CardiomyopathiesDiabetes Mellitus, Type 1HyperhomocysteinemiaAnimalsAntioxidantsCyclic N-OxidesDiabetes ComplicationsDrug SynergismHyperglycemiaHypoglycemic AgentsMaleMatrix Metalloproteinase 2Matrix Metalloproteinase 9MiceMice, Inbred C57BLNADPH Oxidase 4AntioxidantsciglitazoneCyclic N-OxidesHypoglycemic AgentsMatrix Metalloproteinase 2Matrix Metalloproteinase 9NADPH Oxidase 4NADPH OxidasesNox4 protein, mousePPAR gammaSpin LabelstempolThiazolidinedionesTissue Inhibitor of Metalloproteinase-3Tissue Inhibitor of Metalloproteinase-4Tissue Inhibitor of Metalloproteinases

Identifiers

PMID20828387
PMCPMC2944245
OpenAlexW2170965355

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.