Evidence map›Paper›PMID 21856760›Full record

Trial reportNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2012

High levels of oxidized LDL in circulating immune complexes are associated with increased odds of developing abnormal albuminuria in Type 1 diabetes.

Maria F Lopes-Virella, Rickey E Carter, Nathaniel L Baker, John Lachin, Gabriel Virella, DCCT/EDIC Research Group

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Glucose targets for preventing diabetic kidney disease and its progression.The Cochrane database of systematic reviews · 2017
    Pooled it
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  12. Weighted gene co-expression network analysis identifiesAnnals of translational medicine · 2020
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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

6 authors at 4 institutions in 1 country.

Maria F Lopes-VirellaDepartment of Medicine and Laboratory Services, Medical University of South Carolina and Ralph H. Johnson VA Medical Center, Charleston, SC, USA. virellam@musc.edu
Rickey E Carter
Nathaniel L Baker
John Lachin
Gabriel Virella
DCCT/EDIC Research Group
Medical University of South Carolina · USGeorge Washington University · USMayo Clinic · USRalph H. Johnson VA Medical Center · US

Funding

SECRETED ADIPOCYTE PROTEINS, INSULIN RESISTANCE VASCULARP01HL055782 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LOPES-VIRELLA, MARIA F · 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
NHLBI NIH HHS P01 HL055782NHLBI NIH HHS P01 HL 55782NIDDK NIH HHS R01 DK081352
6 · The paper itself

Abstract

backgroundModified low-density lipoprotein (LDL) immune complexes (IC) have proinflammatory properties and play a role in albuminuria development.

methodsWe measured oxidized LDL (oxLDL) and advanced glycation end-product (AGE)-LDL in IC isolated from sera of Type 1 diabetic subjects followed for 14-20 years and studied their association with abnormal albuminuria. Patients with albumin excretion rates (AER)<40 mg/24 h at baseline and follow-up (n=302) were deemed resistant to developing abnormal albuminuria. Patients with AER<40 mg/24 h at baseline whose AER levels progressed to >40 mg/24 h were considered prone to abnormal albuminuria (n=185), those who progress to AER>299 mg/24 h were considered as having macroalbuminuria (n=57). The odds of developing abnormal albuminuria were estimated by logistic regression based on natural log-transformed levels of oxLDL and AGE-LDL in IC and stratified by baseline AER decile.

resultsOxLDL and AGE-LDL were significantly higher in IC isolated from patients progressing to abnormal albuminuria. In unadjusted conditional logistic analysis, an increase of 1 SD in oxLDL and AGE-LDL levels in IC significantly increased the odds ratio (OR) for development of macroalbuminuria, respectively, by a factor of 2.5 and 1.8 (P<0.001, P=0.008). The increased odds of developing macroalbuminuria remained significant when adjusted for treatment group, diabetes duration, retinopathy, baseline hemoglobin A1c and LDL (OR=2.5 and 1.8, respectively, P<0.01).

conclusionHigher levels of oxLDL and AGE-LDL in circulating IC were associated with increased odds to develop abnormal albuminuria.

Indexed as

AdolescentAdultAlbuminuriaAntigen-Antibody ComplexDiabetes ComplicationsDiabetes Mellitus, Type 1Diabetic NephropathiesDisease ProgressionFemaleFollow-Up StudiesGlycation End Products, AdvancedHumansLipoproteins, LDLMaleMalondialdehydePrognosisAntigen-Antibody ComplexGlycation End Products, AdvancedLipoproteins, LDLMalondialdehydeoxidized low density lipoprotein

Identifiers

PMID21856760
PMCPMC3471550
OpenAlexW2152984883

What OpenQuestion holds

Textmetadata
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.