Evidence map›Paper›PMID 22112816›Full record

ArticleThe Journal of clinical endocrinology and metabolism2012

Low plasma level of atrial natriuretic peptide predicts development of diabetes: the prospective Malmo Diet and Cancer study.

Martin Magnusson, Amra Jujic, Bo Hedblad, Gunnar Engström, Margaretha Persson, Joachim Struck, Nils G Morgenthaler, Peter Nilsson, Christopher Newton-Cheh, Thomas J Wang and 1 more

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 150 citations in OpenAlex.

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  11. Sex-based differences in metabolic protection by the ANP genetic variant rs5068 in the general population.American journal of physiology. Heart and circulatory physiology · 2023
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10 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

11 authors at 6 institutions in 3 countries.

Martin MagnussonDepartments of Clinical Sciences, Lund University, Skåne University Hospital, Ent 35, Floor 2, SE-205 02 Malmö, Sweden. martin.magnusson@med.lu.se
Amra Jujic
Bo Hedblad
Gunnar Engström
Margaretha Persson
Joachim Struck
Nils G Morgenthaler
Peter Nilsson
Christopher Newton-Cheh
Thomas J Wang
Olle Melander
Lund University · SESkåne University Hospital · SEThermo Fisher Scientific (Germany) · DEHarvard University · USMalmö University · SEMassachusetts General Hospital · US

Funding

Metabolomic predictors of insulin resistance and diabetesR01DK081572 · NIDDK · VANDERBILT UNIVERSITY · PI CLISH, CLARY B, GERSZTEN, ROBERT E · 2008 to 2025
$9.3M
Physiologic effects of natriuretic peptide genetic variationR01HL098283 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEWTON-CHEH, CHRISTOPHER HOLMES, WANG, THOMAS J. · 2010 to 2013
$2.9M
Endothelial Progenitor Cells: Clinical PrognosisR01HL083197 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI WANG, THOMAS J. · 2006 to 2009
$1.9M
Nutriuretic Peptides, the Renin-Angiotensin System, and Metabolic Risk in ObesityR01HL086875 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI WANG, THOMAS J. · 2007 to 2010
$1.7M
Genetic determinants of cardiac repolarizationK23HL080025 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NEWTON-CHEH, CHRISTOPHER HOLMES · 2005 to 2009
$797k
NHLBI NIH HHS HL080025NHLBI NIH HHS HL098283NHLBI NIH HHS K23 HL080025NHLBI NIH HHS R01 HL083197NHLBI NIH HHS R01-HL-083197NHLBI NIH HHS R01 HL086875NHLBI NIH HHS R01-HL-086875NHLBI NIH HHS R01 HL098283NIDDK NIH HHS R01 DK081572NIDDK NIH HHS R01-DK-081572
6 · The paper itself

Abstract

contextThe cardiac natriuretic peptides are involved in blood pressure regulation, and large cross-sectional studies have shown lower plasma levels of N-terminal pro-natriuretic peptide levels [N-terminal atrial natriuretic peptide (N-ANP) and N-terminal brain natriuretic peptide (N-BNP)] in patients with insulin resistance, obesity, and diabetes.

objectiveIn this study, we prospectively tested whether plasma levels of mid-regional ANP (MR-ANP) and N-BNP predict new-onset diabetes and long-term glucose progression. DESIGN, SETTING, AND PATIENTS: MR-ANP and N-BNP were measured in 1828 nondiabetic individuals of the Malmö Diet and Cancer cohort (mean age 60 yr; 61% women) who subsequently underwent a follow-up exam including an oral glucose tolerance test after a median follow-up time of 16 yr. Logistic regression was used to adjust for covariates.

resultsDuring follow-up, 301 subjects developed new-onset diabetes. After full multivariate adjustment, MR-ANP was significantly inversely associated with incident diabetes (OR = 0.85; 95% CI = 0.73-0.99; P = 0.034) but not N-BNP (OR = 0.92; 95% CI = 0.80-1.06; P = 0.262). In fully adjusted linear regression models, the progression of fasting glucose during follow-up was significantly inversely related to baseline levels of MR-ANP (P = 0.004) but not N-BNP (P = 0.129). Quartile analyses revealed that the overall association was mainly accounted for by excess risk of incident diabetes in subjects belonging to the lowest quartile of MR-ANP. After full adjustment, the odds ratio for incident diabetes in the bottom compared with the top quartile of MR-ANP was 1.65 (OR = 1.08-2.51, P = 0.019) and 1.43 (OR = 1.04-1.96, P = 0.027) compared with all other subjects.

conclusionLow plasma levels of MR-ANP predict development of future diabetes and glucose progression over time, suggesting a causal role of ANP deficiency in diabetes development.

Indexed as

Atrial Natriuretic FactorCohort StudiesCross-Sectional StudiesDiabetes MellitusDiagnostic Techniques, EndocrineDietDown-RegulationFemaleHumansIncidenceMaleMiddle AgedNeoplasmsPrognosisAtrial Natriuretic Factor

Identifiers

PMID22112816
PMCPMC3275360
OpenAlexW2024849017

What OpenQuestion holds

Textmetadata
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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.