Evidence map›Paper›PMID 22453232›Full record

SynthesisDiabetologia2012

A gene variant near ATM is significantly associated with metformin treatment response in type 2 diabetes: a replication and meta-analysis of five cohorts.

N van Leeuwen, G Nijpels, M L Becker, H Deshmukh, K Zhou, B H C Stricker, A G Uitterlinden, A Hofman, E van 't Riet, C N A Palmer and 13 more

Registry-linked trialOpen access · hybridFull text readMeta-Analysis
In one paragraph

Synthesis in Diabetologia, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02733679 (Response of Individuals With Ataxia-Telangiectasia to Metformin and Pioglitazone), which is not on this map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
5.4field-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.

NCT02733679 phase4completednot on this mapstarted 2016, after this paper: background citation

Response of Individuals With Ataxia-Telangiectasia to Metformin and Pioglitazone

TypeinterventionalSponsorNHS TaysideRan2016 to 2017Enrolled27ConditionsAtaxia-TelangiectasiaArmsMetformin, Pioglitazone
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. medRxiv : the preprint server for health sciences · 2026
    Article
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  12. Association ofBiomedicines · 2022
    Article
  13. Review
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  15. Article
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  17. Review
  18. A Two-Stage Study Identifies Two Novel Polymorphisms inPharmacogenomics and personalized medicine · 2021
    Article
  19. Pharmacogenetics of Type 2 Diabetes-Progress and Prospects.International journal of molecular sciences · 2020
    Review
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 11 institutions in 3 countries.

N van LeeuwenDepartment of Molecular Cell Biology, Leiden University Medical Center, Leiden, the Netherlands.
G Nijpels
M L Becker
H Deshmukh
K Zhou
B H C Stricker
A G Uitterlinden
A Hofman
E van 't Riet
C N A Palmer
B Guigas
P E Slagboom
P Durrington
R A Calle
A Neil
G Hitman
S J Livingstone
H Colhoun
R R Holman
M I McCarthy
J M Dekker
L M 't Hart
E R Pearson
University of Dundee · GBErasmus MC · NLEMGO Institute for Health and Care Research · NLLeiden University Medical Center · NLCentre for Human Genetics · GBChurchill Hospital · GBNetherlands Consortium for Healthy Ageing · NLPfizer (United States) · USQueen Mary University of London · GBUniversity of Manchester · GBUniversity of Oxford · GB

Funding

Chief Scientist OfficeMedical Research Council G1100203Wellcome Trust 090532
6 · The paper itself

Abstract

aims/hypothesisIn this study we aimed to replicate the previously reported association between the glycaemic response to metformin and the SNP rs11212617 at a locus that includes the ataxia telangiectasia mutated (ATM) gene in multiple additional populations.

methodsIncident users of metformin selected from the Diabetes Care System West-Friesland (DCS, n = 929) and the Rotterdam Study (n = 182) from the Netherlands, and the CARDS Trial (n = 254) from the UK were genotyped for rs11212617 and tested for an association with both HbA(1c) reduction and treatment success, defined as the ability to reach the treatment target of an HbA(1c) ≤ 7 % (53 mmol/mol). Finally, a meta-analysis including data from literature was performed.

resultsIn the DCS cohort, we observed an association between rs11212617 genotype and treatment success on metformin (OR 1.27, 95% CI 1.03, 1.58, p = 0.028); in the smaller Rotterdam Study cohort, a numerically similar but non-significant trend was observed (OR 1.45, 95% CI 0.87, 2.39, p = 0.15); while in the CARDS cohort there was no significant association. In meta-analyses of these three cohorts separately or combined with the previously published cohorts, rs11212617 genotype is associated with metformin treatment success (OR 1.24, 95% CI 1.04, 1.49, p = 0.016 and OR 1.25, 95% CI 1.33, 1.38, p = 7.8 × 10(-6), respectively). CONCLUSIONS/

interpretationA gene variant near ATM is significantly associated with metformin treatment response in type 2 diabetic patients from the Netherlands and the UK. This is the first robustly replicated common susceptibility locus found to be associated with metformin treatment response.

Indexed as

Polymorphism, Single NucleotideAgedCohort StudiesDiabetes Mellitus, Type 2DNA ReplicationDose-Response Relationship, DrugFemaleGenome-Wide Association StudyGlycated HemoglobinHumansHypoglycemic AgentsMaleMetforminMiddle AgedNetherlandsProspective StudiesGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMetformin

Identifiers

PMID22453232
PMCPMC3369131
OpenAlexW2144560233

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Registered trials

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.