Evidence map›Paper›PMID 22895668›Full record

ReviewArteriosclerosis, thrombosis, and vascular biology2012

Insulin resistance: metabolic mechanisms and consequences in the heart.

E Dale Abel, Karen M O'Shea, Ravichandran Ramasamy

Open access · bronzeAbstract readReview
In one paragraph

Review in Arteriosclerosis, thrombosis, and vascular biology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 122 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
122citing papers in PubMed, 3 pooled it
8.7field-weighted citation impact, top 2% 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

122 citing papers in PubMed, 3 syntheses or guidelines pooled it, 238 citations in OpenAlex.

  1. Pooled it
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  14. Berberine: A Negentropic Modulator for Multi-System Coordination.International journal of molecular sciences · 2026
    Review
  15. Cellular basis of HFpEF: contributions of abnormal lipids.Frontiers in cardiovascular medicine · 2026
    Review
  16. Article
  17. Review
  18. Article
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  20. Review

62 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

3 authors at 1 institution in 1 country.

E Dale AbelDivision of Endocrinology, Metabolism, and Diabetes and Program in Molecular Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Karen M O'Shea
Ravichandran Ramasamy
University of Utah · US

Funding

VASCULAR AND MONOCYTE DYSFUNCTION IN WOUND REPAIRP01HL060901 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SCHMIDT, ANN MARIE · 1999 to 2017
$20.2M
RAGE, Diabetes and Myocardial InfarctionR01HL102022 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI RAMASAMY, RAVICHANDRAN · 2010 to 2014
$2.2M
Insulin resistance and cardiac dysfunction in obesityR01HL073167 · NHLBI · UNIVERSITY OF UTAH · PI ABEL, EVAN DALE · 2003 to 2007
$2.0M
ALDOSE REDUCTASE AND CARDIAC ISCHEMIC INJURYR01HL061783 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI RAMASAMY, RAVICHANDRAN · 1999 to 2006
$1.9M
Insulin Signaling and the Heart in DiabetesR01HL070070 · NHLBI · UNIVERSITY OF UTAH · PI ABEL, EVAN DALE · 2004 to 2007
$1.5M
POLYOL PATHWAY AND ISCHEMIC INJURY IN DIABETIC HEARTSR01HL068954 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI RAMASAMY, RAVICHANDRAN · 2002 to 2005
$981k
Insulin Signaling and the Heart in DiabetesR01DK092065 · NIDDK · UNIVERSITY OF UTAH · PI ABEL, E DALE · 2010 to 2011
$649k
NHLBI NIH HHS P01 HL060901NHLBI NIH HHS R01 HL061783NHLBI NIH HHS R01 HL068954NHLBI NIH HHS R01 HL070070NHLBI NIH HHS R01 HL073167NHLBI NIH HHS R01 HL102022NIDDK NIH HHS R01 DK092065
6 · The paper itself

Abstract

Insulin resistance is a characteristic feature of obesity and type 2 diabetes mellitus and impacts the heart in various ways. Impaired insulin-mediated glucose uptake is a uniformly observed characteristic of the heart in these states, although changes in upstream kinase signaling are variable and dependent on the severity and duration of the associated obesity or diabetes mellitus. The understanding of the physiological and pathophysiological role of insulin resistance in the heart is evolving. To maintain its high energy demands, the heart is capable of using many metabolic substrates. Although insulin signaling may directly regulate cardiac metabolism, its main role is likely the regulation of substrate delivery from the periphery to the heart. In addition to promoting glucose uptake, insulin regulates long-chain fatty acid uptake, protein synthesis, and vascular function in the normal cardiovascular system. Recent advances in understanding the role of metabolic, signaling, and inflammatory pathways in obesity have provided opportunities to better understand the pathophysiology of insulin resistance in the heart. This review will summarize our current understanding of metabolic mechanisms for and consequences of insulin resistance in the heart and will discuss potential new areas for investigating novel mechanisms that contribute to insulin resistance in the heart.

Indexed as

Energy MetabolismInsulin ResistanceAnimalsBlood GlucoseDiabetes ComplicationsDiabetes Mellitus, Type 2Fatty AcidsHeart DiseasesHumansInsulinMyocardiumObesitySignal TransductionBlood GlucoseFatty AcidsInsulin

Identifiers

PMID22895668
PMCPMC3646067
OpenAlexW2150140397

What OpenQuestion holds

Textmetadata
LicenceTDM
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.