Evidence map›Paper›PMID 22546856›Full record

Trial reportThe Journal of clinical investigation2012

Glutathione deficiency in type 2 diabetes impairs cytokine responses and control of intracellular bacteria.

Kai Soo Tan, Kok Onn Lee, Kee Chung Low, Akshamal Mihiranga Gamage, Yichun Liu, Gek-Yen Gladys Tan, Hui Qi Vanessa Koh, Sylvie Alonso, Yunn-Hwen Gan

Abstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

55 citing papers in PubMed, 107 citations in OpenAlex.

  1. Trial
  2. Article
  3. The Rapid Emergence of HypervirulentTropical medicine and infectious disease · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Liposomal Glutathione Helps to MitigateAntioxidants (Basel, Switzerland) · 2022
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
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

9 authors at 1 institution in 1 country.

Kai Soo TanDepartment of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Kok Onn Lee
Kee Chung Low
Akshamal Mihiranga Gamage
Yichun Liu
Gek-Yen Gladys Tan
Hui Qi Vanessa Koh
Sylvie Alonso
Yunn-Hwen Gan
National University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals with type 2 diabetes are at increased risk of acquiring melioidosis, a disease caused by Burkholderia pseudomallei infection. Although up to half of melioidosis patients have underlying diabetes, the mechanisms involved in this increased susceptibility are unknown. We found that B. pseudomallei-infected PBMCs from diabetic patients were impaired in IL-12p70 production, which resulted in decreased IFN-γ induction and poor bacterial killing. The defect was specific to the IL-12-IFN-γ axis. Defective IL-12 production was also observed during Mycobacterium tuberculosis infection, in which diabetes is likewise known to be a strong risk factor. In contrast, IL-12 production in diabetic cells was not affected upon Salmonella enterica infection or in response to TLR2, -3, -4, and -5 ligands. Poor IL-12 production correlated with a deficiency in intracellular reduced glutathione (GSH) concentrations in diabetic patients. Addition of GSH or N-acetylcysteine to PBMCs selectively restored IL-12 and IFN-γ production and improved bacterial killing. Furthermore, the depletion of GSH in mice led to increased susceptibility to melioidosis, reduced production of IL-12p70, and poorer disease outcome. Our data thus establish a link between GSH deficiency in diabetes and increased susceptibility to melioidosis that may open up new therapeutic avenues to protect diabetic patients against some intracellular bacterial pathogens.

Indexed as

Burkholderia pseudomalleiAdultAgedAnimalsDiabetes ComplicationsDiabetes Mellitus, Type 2Disease SusceptibilityFemaleGlutathioneHumansInterferon-gammaInterleukin-12Leukocytes, MononuclearMaleMelioidosisMiceGlutathioneInterferon-gammaInterleukin-12Toll-Like Receptors

Identifiers

PMID22546856
PMCPMC3366396
OpenAlexW2155849479

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.