Evidence map›Paper›PMID 21156319›Full record

Trial reportAtherosclerosis2011

Oxidized LDL immune complexes and coronary artery calcification in type 1 diabetes.

Maria F Lopes-Virella, Nathaniel L Baker, Kelly J Hunt, John Lachin, David Nathan, G Virella, DCCT/EDIC Research Group

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Atherosclerosis, 2011. 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
2.2field-weighted citation impact, top 12% 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, 45 citations in OpenAlex.

  1. Trial
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  4. Trial
  5. Article
  6. Article
  7. Cut-off value of serum homocysteine in relation to increase of coronary artery calcification.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2021
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Neuropathy and the vascular-bone axis in diabetes: lessons from Charcot osteoarthropathy.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2014
    Review
  14. Article
  15. Modified Lipoproteins in Diabetic Retinopathy: A Local Action in the Retina.Journal of clinical & experimental ophthalmology · 2013
    Article
  16. Article
  17. Article
  18. 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

7 authors at 3 institutions in 1 country.

Maria F Lopes-VirellaDepartment of Medicine, Medical University of South Carolina, Charleston, SC, United States. virellam@musc.edu
Nathaniel L Baker
Kelly J Hunt
John Lachin
David Nathan
G Virella
DCCT/EDIC 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 HL 55782NIDDK NIH HHS R01 DK081352NIDDK NIH HHS R01 DK088778
6 · The paper itself

Abstract

objectiveOxidized LDL (oxLDL) and oxLDL antibodies form immune complexes (IC) that reflect essential components in the development of atherosclerosis: dyslipidemia, oxidative stress and induction of a pro-inflammatory humoral immune response. We measured oxLDL in IC (oxLDL-IC) isolated from patients with type 1 diabetes to assess the relationship between oxLDL-IC and coronary artery calcification (CAC).

methodsOxLDL was measured in IC isolated from baseline samples from a subgroup of 476 patients of the Diabetes Control and Complications Trial (DCCT). CAC was determined by computed tomography (CT) 11-20 years later. Multivariable log-binomial regression models were used to estimate the risk ratios associated with having a high CAC score with an increase of 1 standard deviation (SD) of the natural logarithm of oxLDL-IC.

resultsMultivariable regression models indicate that a 1 SD increase in the levels of oxLDL-IC was associated with a 37% increase in the risk of having high CAC score (RR=1.36; 95% CI: 1.12-1.67) at follow-up after adjustment for DCCT treatment group, retinopathy/AER groups, gender and CT scanning site as well as baseline age, diabetes duration and HbA1C %. Further adjustment for smoking status, blood pressure and LDL resulted in a risk ratio of 1.23 (95% CI: 1.01-1.50) which remained statistically significant indicating that baseline oxLDL-IC is independently associated with the development of CAC. DISCUSSION: Increased levels of oxLDL-IC are associated with the development of coronary calcification. This observation reinforces previously published clinical and experimental data demonstrating that oxLD-IC has pro-inflammatory and proatherogenic properties.

Indexed as

Immunity, HumoralAdolescentAdultAntigen-Antibody ComplexCalcinosisChi-Square DistributionCoronary AngiographyCoronary Artery DiseaseDiabetes Mellitus, Type 1Diabetic AngiopathiesHumansHypoglycemic AgentsInsulinLipoproteins, LDLRegression AnalysisRisk AssessmentAntigen-Antibody ComplexHypoglycemic AgentsInsulinLipoproteins, LDLoxidized low density lipoprotein

Identifiers

PMID21156319
PMCPMC3031663
OpenAlexW2101525235

What OpenQuestion holds

Textmetadata
LicenceTDM
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.