Evidence map›Paper›PMID 20980456›Full record

Trial reportDiabetes2011

Levels of oxidized LDL and advanced glycation end products-modified LDL in circulating immune complexes are strongly associated with increased levels of carotid intima-media thickness and its progression in type 1 diabetes.

Maria F Lopes-Virella, Kelly J Hunt, Nathaniel L Baker, John Lachin, David M Nathan, G Virella, Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

43 citing papers in PubMed, 103 citations in OpenAlex.

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  17. Relationship between choroidal structure and duration of diabetes.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2019
    Observational
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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

7 authors at 3 institutions in 1 country.

Maria F Lopes-VirellaDepartment of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA. virellam@musc.edu
Kelly J Hunt
Nathaniel L Baker
John Lachin
David M Nathan
G Virella
Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research Group
Medical University of South Carolina · USGeorge Washington University · USHarvard University · US

Funding

SECRETED ADIPOCYTE PROTEINS, INSULIN RESISTANCE VASCULARP01HL055782 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GARVEY, W TIMOTHY · 1996 to 2005
$8.9M
Biomarkers of Vascular Disease Progression in Type 1 Diabetes MellitusR01DK081352 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LOPES-VIRELLA, MARIA F · 2008 to 2011
$2.2M
Longitudinal Assessment of LDL Immune Complexes and Type 1 Diabetes ComplicationsR01DK088778 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HUNT, KELLY J · 2010 to 2011
$336k
NHLBI NIH HHS P01 HL055782NHLBI NIH HHS P01-HL55782NIDDK NIH HHS R01 DK081352NIDDK NIH HHS R01-DK081352NIDDK NIH HHS R01 DK088778NIDDK NIH HHS R01-DK088778
6 · The paper itself

Abstract

objectiveHigh cholesterol levels in circulating immune complexes (IC), surrogate markers of modified LDL, are associated with increased carotid intima-media thickness (IMT) and cardiovascular events in type 1 diabetes. Different modifications of LDL are involved in IC formation, but which of these are predictive of vascular events is not known. Therefore, we measured oxidized LDL (oxLDL), advanced glycation end products-modified LDL (AGE-LDL), and malondialdehyde-modified LDL (MDA-LDL) in IC and determined their relationship with increased carotid IMT and compared the strength of the association with that observed with conventional risk factors. RESEARCH DESIGN AND

methodsLevels of oxLDL, AGE-LDL, and MDA-LDL were measured in circulating IC isolated from sera of 479 patients of the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) cohort, collected at baseline. Internal and common carotid IMT were measured 8 and 14 years later by DCCT/EDIC.

resultsOxLDL, AGE-LDL, and MDA-LDL levels in circulating IC were significantly correlated with diabetes duration, BMI, and lipid and blood pressure, but not with age. Multivariate logistic regression models indicated that individuals in the highest versus lowest quartile of oxLDL and AGE-LDL in IC had a 6.11-fold [confidence interval (CI) 2.51-14.8] and a 6.4-fold (CI 2.53-16.2) increase in the odds of having high carotid IMT, respectively, after adjusting for conventional risk factors. Parallel analyses resulted in odds ratios of 2.62 (CI 1.24, 5.55) for LDL-C, 1.45 (CI 0.69, 3.03) for diastolic blood pressure, and 2.33 (CI 1.09, 4.99) for A1C.

conclusionsOxLDL and AGE-LDL in circulating IC were significantly associated with progression and increased levels of carotid IMT in type 1 diabetes.

Indexed as

AdultAntigen-Antibody ComplexCarotid ArteriesDiabetes Mellitus, Type 1Disease ProgressionFemaleGlycation End Products, AdvancedHumansLipoproteins, LDLLogistic ModelsMaleMalondialdehydeRisk FactorsTunica IntimaTunica MediaUltrasonographyAntigen-Antibody ComplexGlycation End Products, AdvancedLipoproteins, LDLMalondialdehydeoxidized low density lipoprotein

Identifiers

PMID20980456
PMCPMC3028359
OpenAlexW2158409421

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.