Evidence map›Paper›PMID 22587616›Full record

Trial reportCardiovascular diabetology2012

Associations between retinol-binding protein 4 and cardiometabolic risk factors and subclinical atherosclerosis in recently postmenopausal women: cross-sectional analyses from the KEEPS study.

Gary Huang, Dan Wang, Unab I Khan, Irfan Zeb, JoAnn E Manson, Virginia Miller, Howard N Hodis, Matthew J Budoff, George R Merriam, Mitchell S Harman and 8 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cardiovascular diabetology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00154180 (Effects of Estrogen Replacement on Atherosclerosis Progression in Recently Menopausal Women), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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.

NCT00154180 phase4unknown statusnot on this map

Effects of Estrogen Replacement on Atherosclerosis Progression in Recently Menopausal Women

TypeinterventionalSponsorKronos Longevity Research InstituteRan2005 to 2012Enrolled728ConditionsMenopause, ArteriosclerosisArmsConjugated equine estrogens 0.45 mg/day, Transdermal estradiol, 50 mcg/day, Micronized progesterone, 200 mg/day x 12 d/month, CEE , progesterone, estradiol patch or placebo for each, CEE, progesterone, transdermal patch or the placebo
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Sex and Age but Not Body Mass Index (BMI) Predict Serum Retinol Binding Protein 4 (RBP4) and Transthyretin (TTR) Concentrations.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Novel adipokine associated with OA: retinol binding protein 4 (RBP4) is produced by cartilage and is correlated with MMPs in osteoarthritis patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2020
    Article
  14. Article
  15. Review
  16. Article
  17. A review of the effect of diet on cardiovascular calcification.International journal of molecular sciences · 2015
    Review
  18. Article
  19. Article
  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

18 authors at 13 institutions in 1 country.

Gary Huang
Dan Wang
Unab I Khan
Irfan Zeb
JoAnn E Manson
Virginia Miller
Howard N Hodis
Matthew J Budoff
George R Merriam
Mitchell S Harman
Eliot A Brinton
Marcelle I Cedars
Yali Su
Rogerio A Lobo
Frederick Naftolin
Nanette Santoro
Hugh S Taylor
Rachel P Wildman
Albert Einstein College of Medicine · USThe Lundquist Institute · USBrigham and Women's Hospital · USColumbia University · USKronos Longevity Research Institute · USMayo Clinic · USNew York University · USUniversity of California, San Francisco · USUniversity of Colorado Denver · USUniversity of Southern California · USUniversity of Utah · USVA Puget Sound Health Care System · USYale University · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
MAYO CLINIC CENTER FOR TRANSLATIONAL SCIENCE ACTIVITIESUL1RR024150 · NCRR · MAYO CLINIC ROCHESTER · PI RIZZA, ROBERT A. · 2006 to 2011
$66.4M
YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Estrogen, Platelets, and ArtherosclerosisR01HL090639 · NHLBI · MAYO CLINIC ROCHESTER · PI BAILEY, KENT R, MILLER, VIRGINIA M · 2008 to 2012
$1.9M
Effect of Weight Loss on Atherogenic Risk in Distinct Obesity Phenotypes in TeensK23HL105790 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KHAN, UNAB INAYAT · 2011 to 2014
$535k
NCRR NIH HHS 1 UL1 RR024150NCRR NIH HHS 1 UL1RR024150NCRR NIH HHS UL1 RR024131NCRR NIH HHS UL1 RR024139NHLBI NIH HHS HL90639NHLBI NIH HHS K23 HL105790
6 · The paper itself

Abstract

backgroundThe published literature regarding the relationships between retinol-binding protein 4 (RBP4) and cardiometabolic risk factors and subclinical atherosclerosis is conflicting, likely due, in part, to limitations of frequently used RBP4 assays. Prior large studies have not utilized the gold-standard western blot analysis of RBP4 levels.

methodsFull-length serum RBP4 levels were measured by western blot in 709 postmenopausal women screened for the Kronos Early Estrogen Prevention Study. Cross-sectional analyses related RBP4 levels to cardiometabolic risk factors, carotid artery intima-media thickness (CIMT), and coronary artery calcification (CAC).

resultsThe mean age of women was 52.9 (± 2.6) years, and the median RBP4 level was 49.0 (interquartile range 36.9-61.5) μg/mL. Higher RBP4 levels were weakly associated with higher triglycerides (age, race, and smoking-adjusted partial Spearman correlation coefficient = 0.10; P = 0.01), but were unrelated to blood pressure, cholesterol, C-reactive protein, glucose, insulin, and CIMT levels (all partial Spearman correlation coefficients ≤0.06, P > 0.05). Results suggested a curvilinear association between RBP4 levels and CAC, with women in the bottom and upper quartiles of RBP4 having higher odds of CAC (odds ratio [95% confidence interval] 2.10 [1.07-4.09], 2.00 [1.02-3.92], 1.64 [0.82-3.27] for the 1st, 3rd, and 4th RBP4 quartiles vs. the 2nd quartile). However, a squared RBP4 term in regression modeling was non-significant (P = 0.10).

conclusionsIn these healthy, recently postmenopausal women, higher RBP4 levels were weakly associated with elevations in triglycerides and with CAC, but not with other risk factors or CIMT. These data using the gold standard of RBP4 methodology only weakly support the possibility that perturbations in RBP4 homeostasis may be an additional risk factor for subclinical coronary atherosclerosis.

trial registrationClinicalTrials.gov number NCT00154180.

Indexed as

AdultAgedAtherosclerosisBiomarkersBlood GlucoseBlood PressureCarotid Intima-Media ThicknessCoronary DiseaseC-Reactive ProteinCross-Sectional StudiesDouble-Blind MethodFemaleHormone Replacement TherapyHumansInsulinLife StyleBiomarkersBlood GlucoseC-Reactive ProteinInsulinLipidsRBP4 protein, humanRetinol-Binding Proteins, Plasma

Identifiers

PMID22587616
PMCPMC3461442
OpenAlexW2166562674

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.