Evidence map›Paper›PMID 21949836›Full record

ArticlePloS one2011

Post-streptococcal antibodies are associated with metabolic syndrome in a population-based cohort.

Adi Aran, Ling Lin, Laurel Ann Finn, Karin Weiner, Paul Peppard, Terry Young, Emmanuel Mignot

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  5. 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

7 authors at 2 institutions in 2 countries.

Adi AranPsychiatry and Behavioral Sciences, Stanford University, Stanford, California, United States of America.
Ling Lin
Laurel Ann Finn
Karin Weiner
Paul Peppard
Terry Young
Emmanuel Mignot
Stanford University · USUniversity of Wisconsin–Madison · US

Funding

MOLECULAR &CELLULAR IMMUNOBIOLOGYT32AI007290 · NIAID · STANFORD UNIVERSITY · PI Sean Curtis Bendall, Olivia M Martinez · 1985 to 2026
$27.0M
SPECTRUM OF NARCOLEPSY AND ITS SYMPTOMSP50NS023724 · NINDS · STANFORD UNIVERSITY · PI MIGNOT, EMMANUEL J · 1986 to 2016
$18.9M
Role of Hypocretin in Metabolic Effects of Sleep LossR01MH073435 · NIMH · STANFORD UNIVERSITY · PI MIGNOT, EMMANUEL J · 2004 to 2008
$1.5M
CENTER FOR NARCOLEPSY AND RELATED DISORDERSP01NS023724 · NINDS · STANFORD UNIVERSITY · PI DEMENT, WILLIAM C · 1987 to 1988
–
NIAID NIH HHS T32 AI007290NIMH NIH HHS MH73073435NIMH NIH HHS R01 MH073435NINDS NIH HHS NS23724NINDS NIH HHS P50 NS023724
6 · The paper itself

Abstract

backgroundStreptococcal infections are known to trigger autoimmune disorders, affecting millions worldwide. Recently, we found an association between post-streptococcal autoantibodies against Protein Disulphide Isomerase (PDI), an enzyme involved in insulin degradation and insulin resistance. This led us to evaluate associations between post-streptococcal antibodies and metabolic syndrome, as defined by the updated National Cholesterol Education Program definition, 2005. METHODS AND

findingsMetabolic data (HDL, triglycerides, fasting glucose, blood pressure, waist circumference, BMI, smoking), post-streptococcal antibodies (anti-Streptolysin O (ASO) and anti-PDI), and C-reactive protein (CRP, as a general inflammatory marker), were assessed in 1156 participants of the Wisconsin Sleep Cohort Study. Anti-PDI antibodies were found in 308 participants (26.6%), ASO≥100 in 258 (22.3%), and 482 (41.7%) met diagnostic criteria for metabolic syndrome. Anti-PDI antibodies but not ASO were significantly associated with metabolic syndrome [n = 1156, OR 1.463 (95% CI 1.114, 1.920), p = 0.0062; adjusted for age, gender, education, smoking]. Importantly, the anti-PDI-metabolic syndrome association remained significant after adjusting for CRP and fasting insulin.

conclusionsPost-streptococcal anti-PDI antibodies are associated with metabolic syndrome regardless of fasting insulin and CRP levels. Whereas these data are in line with a growing body of evidence linking infections, immunity and metabolism, additional studies are necessary to establish the post-streptococcal-metabolic syndrome association.

Indexed as

AdultAntibodies, BacterialAutoantibodiesBiomarkersBody Mass IndexCohort StudiesC-Reactive ProteinFemaleHumansInsulinInsulin ResistanceMaleMetabolic SyndromeMiddle AgedObesityStreptococcal InfectionsAntibodies, BacterialAutoantibodiesBiomarkersC-Reactive ProteinInsulinTriglycerides

Identifiers

PMID21949836
PMCPMC3176794
OpenAlexW1988922536

What OpenQuestion holds

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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.