Evidence map›Paper›PMID 21030723›Full record

ReviewCirculation research2010

Oxidative stress and diabetic complications.

Ferdinando Giacco, Michael Brownlee

7 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Circulation research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 2,390 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,390citing papers in PubMed, 6 pooled it
98.3field-weighted citation impact, top 1% 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.

NCT03848533 phase2unknown statusstarted 2019, after this paper: background citation

Effect of the Administration of Melatonin and Metformin on Glycemic Control, Genotoxicity and Cytotoxicity Markers in Patients With Prediabetes: Pilot Study

Ran2019Enrolled42Registered outcomes19Posted comparisons0ConditionsPrediabetesArmsMelatonin, Metformin, Placebo
Open the trial in the graph
NCT02662010 completednot on this mapstarted 2016, after this paper: background citation

The Relationship of Advanced Glycation Endproducts in the Anterior Lens Capsule to Glycemic Status and Diabetic Retinopathy: A Cross Sectional Study of Patients With and Without Type 2 Diabetes Mellitus Undergoing Cataract Surgery

TypeobservationalSponsorUniversity of Colorado, DenverRan2016 to 2020Enrolled157ConditionsDiabetic Retinopathy, Type 2 Diabetes Mellitus
NCT03328845 phase4completednot on this mapstarted 2017, after this paper: background citation

Impact on the Oxidative Stress of the Different Analogues of Insulin in People With Type 1 Diabetes. Clinical Trial of Low Level of Intervention. (Ineox Study)

TypeinterventionalSponsorFundación Pública Andaluza para la Investigación de Málaga en Biomedicina y SaludRan2017 to 2021Enrolled300ConditionsType 1 Diabetes MellitusArmsToujeo SoloStar, Tresiba, Humalog Kwikpen, NovoRapid, Apidra
NCT03341117 phase3completednot on this mapstarted 2014, after this paper: background citation

Acetylsalicylic Acid Administered in Patients With Type 2 Diabetes Mellitus and Its Effect on the Antioxidant Enzyme System

TypeinterventionalSponsorCentro Universitario de Ciencias de la Salud, MexicoRan2014 to 2016Enrolled21ConditionsDiabetes Mellitus, Type 2, Antioxidant Enzyme SystemArmsAcetylsalicylic acid, Calcined magnesia
NCT03520569 early_phase1completednot on this mapstarted 2019, after this paper: background citation

Effect of Hyperglycemia on Microvascular Perfusion in Healthy Adults

TypeinterventionalSponsorUniversity of VirginiaRan2019 to 2021Enrolled15ConditionsVascular Stiffness, Insulin SensitivityArmsOctreotide, Insulin, Dextrose 20% solution
NCT04177420 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Investigation for Health Efficacy of Infrared-C Radiation on Diabetes Patients in Senior's Activity Center

TypeinterventionalSponsorNanhua UniversityRan2018 to 2020Enrolled64ConditionsDiabetes Mellitus, Type 2ArmsFIR-C mattress, FIR-C abdominal pad, fake FIR-C mattress, fake FIR-C abdominal pad
NCT05908513 phase1withdrawnnot on this mapstarted 2021, after this paper: background citation

Randomized Study on N-acetylcysteine Treatment and Outcomes in Patients With Advanced Atherosclerotic Heart Diseases and Diabetes Mellitus (RENEWAL)

TypeinterventionalSponsorUniversity of Missouri-ColumbiaRan2021 to 2021Enrolled0ConditionsAtherosclerosis of Artery, Peripheral Artery Disease, Diabetes Mellitus, InflammationArmsN-acetylcysteine, Placebo
3 · Its place in the literature

Who cites it

2,390 citing papers in PubMed, 6 syntheses or guidelines pooled it, 5,316 citations in OpenAlex.

  1. Pooled it
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  7. Review
  8. Article
  9. Review
  10. Review
  11. Systemic Diseases and the Eye: A Translational Perspective on Diabetes.Chronic diseases and translational medicine · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Phytochemical Profiling andFoods (Basel, Switzerland) · 2026
    Article
  19. Review
  20. Article

2,330 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Ferdinando GiaccoDiabetes Research Center, Departments of Medicine/Endocrinology, Albert Einstein College of Medicine, 1300 Morris Park Ave., Bronx, New York 10461-1602, USA.
Michael Brownlee
Albert Einstein College of Medicine · US

Funding

Stable Isotope and Metabolomics CoreP60DK020541 · NIDDK · YESHIVA UNIVERSITY · PI PESSIN, JEFFREY E. · 1986 to 2014
$29.8M
Progenitor Cell Dysfunction and Impaired Vasculogenesis*R01DK074153 · NIDDK · ALBERT EINSTEIN COL OF MED YESHIVA UNIV · PI BROWNLEE, MICHAEL A · 2005 to 2008
$607k
NIDDK NIH HHS 2P60-DK020541NIDDK NIH HHS P60 DK020541NIDDK NIH HHS R01 DK074153NIDDK NIH HHS R01-DK07453
6 · The paper itself

Abstract

Oxidative stress plays a pivotal role in the development of diabetes complications, both microvascular and cardiovascular. The metabolic abnormalities of diabetes cause mitochondrial superoxide overproduction in endothelial cells of both large and small vessels, as well as in the myocardium. This increased superoxide production causes the activation of 5 major pathways involved in the pathogenesis of complications: polyol pathway flux, increased formation of AGEs (advanced glycation end products), increased expression of the receptor for AGEs and its activating ligands, activation of protein kinase C isoforms, and overactivity of the hexosamine pathway. It also directly inactivates 2 critical antiatherosclerotic enzymes, endothelial nitric oxide synthase and prostacyclin synthase. Through these pathways, increased intracellular reactive oxygen species (ROS) cause defective angiogenesis in response to ischemia, activate a number of proinflammatory pathways, and cause long-lasting epigenetic changes that drive persistent expression of proinflammatory genes after glycemia is normalized ("hyperglycemic memory"). Atherosclerosis and cardiomyopathy in type 2 diabetes are caused in part by pathway-selective insulin resistance, which increases mitochondrial ROS production from free fatty acids and by inactivation of antiatherosclerosis enzymes by ROS. Overexpression of superoxide dismutase in transgenic diabetic mice prevents diabetic retinopathy, nephropathy, and cardiomyopathy. The aim of this review is to highlight advances in understanding the role of metabolite-generated ROS in the development of diabetic complications.

Indexed as

AnimalsAtherosclerosisCardiomyopathiesDiabetes ComplicationsHumansHyperglycemiaMicrovesselsOxidative StressReactive Oxygen SpeciesSignal TransductionReactive Oxygen Species

Identifiers

PMID21030723
PMCPMC2996922
OpenAlexW2105731956

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 1 more above

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.