Evidence map›Paper›PMID 21779873›Full record

Trial reportDiabetologia2011

Association of the SLC30A8 missense polymorphism R325W with proinsulin levels at baseline and after lifestyle, metformin or troglitazone intervention in the Diabetes Prevention Program.

A R Majithia, K A Jablonski, J B McAteer, K J Mather, R B Goldberg, S E Kahn, J C Florez, DPP Research Group

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetologia, 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
2.0field-weighted citation impact, top 14% 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, 25 citations in OpenAlex.

  1. Trial
  2. Review
  3. Absence ofAmerican journal of physiology. Endocrinology and metabolism · 2024
    Article
  4. Loss of Znt8 function in diabetes mellitus: risk or benefit?Molecular and cellular biochemistry · 2021
    Review
  5. Review
  6. Article
  7. Review
  8. Genetic, Functional, and Immunological Study of ZnT8 in Diabetes.International journal of endocrinology · 2019
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
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

8 authors at 6 institutions in 1 country.

A R MajithiaCenter for Human Genetic Research and Diabetes Research Center (Diabetes Unit), Massachusetts General Hospital, Boston, MA, USA.
K A Jablonski
J B McAteer
K J Mather
R B Goldberg
S E Kahn
J C Florez
DPP Research Group
Broad Institute · USGeorge Washington University · USIndiana University – Purdue University Indianapolis · USMassachusetts General Hospital · USUniversity of Miami · USUniversity of Washington · US

Funding

PRIMARY PREVENTION TRIAL--DATA COORDINATING CENTERU01DK048489 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI JABLONSKI, KATHLEEN ANN, TEMPROSA, MARINELLA · 1994 to 2021
$84.8M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
Post DPP Followup StudyU01DK048406 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI DE GROOT, MARY K. · 1994 to 2021
$9.1M
Fine-mapping and Characterization of Metabolic Loci in the DPP Outcomes StudyR01DK072041 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI FLOREZ, JOSE CARLOS · 2005 to 2017
$7.6M
Intramural NIH HHSNIDDK NIH HHS P30 DK017047NIDDK NIH HHS R01 DK072041NIDDK NIH HHS U01 DK048406NIDDK NIH HHS U01 DK048489
6 · The paper itself

Abstract

aims/hypothesisIndividuals with impaired glucose tolerance have increased proinsulin levels, despite normal glucose or C-peptide levels. In the Diabetes Prevention Program (DPP), increased proinsulin levels predicted type 2 diabetes and proinsulin levels were significantly reduced following treatment with metformin, lifestyle modification or troglitazone compared with placebo. Genetic and physiological studies suggest a role for the zinc transporter gene SLC30A8 in diabetes risk, possibly through effects on insulin-processing in beta cells. We hypothesised that the risk allele at the type 2 diabetes-associated missense polymorphism rs13266634 (R325W) in SLC30A8 would predict proinsulin levels in individuals at risk of type 2 diabetes and may modulate response to preventive interventions.

methodsWe genotyped rs13266634 in 3,007 DPP participants and examined its association with fasting proinsulin and fasting insulin at baseline and at 1 year post-intervention.

resultsWe found that increasing dosage of the C risk allele at SLC30A8 rs13266634 was significantly associated with higher proinsulin levels at baseline (p = 0.002) after adjustment for baseline insulin. This supports the hypothesis that risk alleles at SLC30A8 mark individuals with insulin-processing defects. At the 1 year analysis, proinsulin levels decreased significantly in all groups receiving active intervention and were no longer associated with SLC30A8 genotype (p = 0.86) after adjustment for insulin at baseline and 1 year. We found no genotype × treatment interactions at 1 year. CONCLUSIONS/

interpretationIn prediabetic individuals, genotype at SLC30A8 predicts baseline proinsulin levels independently of insulin levels, but does not predict proinsulin levels after amelioration of insulin sensitivity at 1 year.

Indexed as

AdultCation Transport ProteinsChromansC-PeptideDiabetes MellitusDiabetes Mellitus, Type 2FemaleHumansInsulinMaleMetforminMiddle AgedPolymorphism, GeneticProinsulinThiazolidinedionesTroglitazoneCation Transport ProteinsChromansC-PeptideInsulinMetforminProinsulinSLC30A8 protein, humanThiazolidinedionesTroglitazoneZinc Transporter 8

Identifiers

PMID21779873
PMCPMC3444290
OpenAlexW2126433764

What OpenQuestion holds

Texttitle and abstract
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.