Evidence map›Paper›PMID 22357188›Full record

ArticleDiabetes care2012

Increased toll-like receptor activity in patients with metabolic syndrome.

Ishwarlal Jialal, Beverley A Huet, Harmeet Kaur, Alexander Chien, Sridevi Devaraj

Open access · hybridAbstract read
In one paragraph

Article in Diabetes care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
12.4field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 170 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Decoding the power of the microbiome in human health.Frontiers in cellular and infection microbiology · 2026
    Review
  7. Article
  8. Article
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  10. Article
  11. Article
  12. Article
  13. Article
  14. Correlates of Insulin Resistance in Nascent Metabolic Syndrome.Clinical medicine insights. Endocrinology and diabetes · 2023
    Article
  15. Association of the Toll-like receptor 4 and NOX4 gene and protein levels in asthmatic patients with metabolic syndrome: A case-control study.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Article
  16. Article
  17. Metabolic Syndrome: Updates on Pathophysiology and Management in 2021.International journal of molecular sciences · 2022
    Review
  18. Observational
  19. Article
  20. Review

7 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

5 authors at 3 institutions in 1 country.

Ishwarlal JialalLaboratory of Atherosclerosis and Metabolic Research, University of California Davis Medical Center, Sacramento, California, USA. ijialal@ucdavis.edu
Beverley A Huet
Harmeet Kaur
Alexander Chien
Sridevi Devaraj
University of California Davis Medical Center · USBaylor College of Medicine · USThe University of Texas Southwestern Medical Center · US

Funding

CLINICAL STUDIES IN NUTRITION AND METABOLISMK24AT000596 · NCCIH · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI JIALAL, ISHWARLAL · 2000 to 2009
$1.3M
NCCIH NIH HHS K24 AT000596NCCIH NIH HHS K24AT 00596
6 · The paper itself

Abstract

objectiveThe metabolic syndrome (MetS) is highly prevalent and confers an increased risk for diabetes and cardiovascular disease (CVD). While MetS is a proinflammatory state, there is a paucity of data on cellular inflammation in MetS. Toll-like receptors (TLRs) are classical pattern recognition receptors of the innate immune response. RESEARCH DESIGN AND

methodsThe aim of this study was to examine monocyte TLR2 and TLR4 in MetS patients without diabetes or CVD and control subjects since both of the receptors have been implicated in atherosclerosis and insulin resistance. Fasting blood was obtained for TLR expression and activity.

resultsCirculating levels of high-sensitivity C-reactive protein, interleukin (IL)-1β, IL-6, IL-8, and soluble tumor necrosis factor receptor 1 (sTNFR1) were significantly increased in MetS versus control subjects following adjustment for waist circumference. There was a significant increase in both TLR2 and TLR4 surface expression and mRNA on monocytes after adjustment for waist circumference. In addition to increased nuclear factor-κB nuclear binding, there was significantly increased release of IL-1β, IL-6, and IL-8 in MetS versus control subjects following priming of the monocytes with lipopolysaccharides. While both plasma free fatty acids and endotoxin were increased in MetS, they correlated significantly with TLR4 only.

conclusionsIn conclusion, we make the novel observation that both TLR2 and TLR4 expression and activity are increased in the monocytes of patients with MetS and could contribute to increased risk for diabetes and CVD.

Indexed as

AdultAgedCase-Control StudiesHumansInsulin ResistanceLipidsMetabolic SyndromeMiddle AgedMonocytesToll-Like Receptor 2Toll-Like Receptor 4Toll-Like ReceptorsUp-RegulationWaist CircumferenceYoung AdultLipidsToll-Like Receptor 2Toll-Like Receptor 4Toll-Like Receptors

Identifiers

PMID22357188
PMCPMC3308307
OpenAlexW2114055603

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.