Evidence map›Paper›PMID 22960655›Full record

ArticleGastroenterology2012

Adrenomedullin is up-regulated in patients with pancreatic cancer and causes insulin resistance in β cells and mice.

Gaurav Aggarwal, Vijaya Ramachandran, Naureen Javeed, Thiruvengadam Arumugam, Shamit Dutta, George G Klee, Eric W Klee, Thomas C Smyrk, William Bamlet, Jing Jing Han and 7 more

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02456051 (Role of Adrenomedullin in Early Diagnosis of Pancreatic Cancer in New Onset Diabetes Patients), which is not on this map. Cited by 89 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 6% 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.

NCT02456051 terminatednot on this mapstarted 2015, after this paper: background citation

Role of Adrenomedullin in Early Diagnosis of Pancreatic Cancer in New Onset Diabetes Patients

TypeobservationalSponsorUniversity of Roma La SapienzaRan2015 to 2017Enrolled21ConditionsDiabetes Mellitus, Adult-Onset, Diabetes Complications, Carcinoma, Pancreatic Ductal, Pancreatic Neoplasm
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 2 syntheses or guidelines pooled it, 165 citations in OpenAlex.

  1. Pooled it
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  17. Insulin Resistance: The Increased Risk of Cancers.Current oncology (Toronto, Ont.) · 2024
    Review
  18. Article
  19. Diabetes and Cancer: A Twisted Bond.Oncology reviews · 2024
    Review
  20. Article

29 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

17 authors at 4 institutions in 2 countries.

Gaurav AggarwalDivision of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Vijaya Ramachandran
Naureen Javeed
Thiruvengadam Arumugam
Shamit Dutta
George G Klee
Eric W Klee
Thomas C Smyrk
William Bamlet
Jing Jing Han
Natalia B Rumie Vittar
Mariza de Andrade
Debabrata Mukhopadhyay
Gloria M Petersen
Martin E Fernandez-Zapico
Craig D Logsdon
Suresh T Chari
Mayo Clinic · USNovel (United States) · USThe University of Texas MD Anderson Cancer Center · USDepartment of Medical Sciences · BY

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Tissue CoreP50CA102701 · NCI · MAYO CLINIC ROCHESTER · PI PETERSEN, GLORIA M. · 2004 to 2018
$32.7M
PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI GREGORY J. GORES · 2009 to 2026
$22.2M
Texas Center for Cancer NanomedicineU54CA151668 · NCI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FERRARI, MAURO · 2010 to 2014
$12.4M
Targeting Pancreatic Cancer Using Peptide Chemistry: From Bench to BedsideR01CA150190 · NCI · MAYO CLINIC ROCHESTER · PI MIERKE, DALE F, MUKHOPADHYAY, DEBABRATA · 2010 to 2021
$5.7M
Does Hyperglycemia Predict Pancreatic Cancer Diagnosis?R01CA100685 · NCI · MAYO CLINIC ROCHESTER · PI CHARI, SURESH T. · 2003 to 2006
$965k
NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA 102701NCI NIH HHS P50 CA102701NCI NIH HHS R01 CA 100685NCI NIH HHS R01 CA100685NCI NIH HHS R01 CA150190NCI NIH HHS U54 CA151668NIDDK NIH HHS P30 DK084567
6 · The paper itself

Abstract

BACKGROUND &

aimsNew-onset diabetes in patients with pancreatic cancer is likely to be a paraneoplastic phenomenon caused by tumor-secreted products. We aimed to identify the diabetogenic secretory product(s) of pancreatic cancer.

methodsUsing microarray analysis, we identified adrenomedullin as a potential mediator of diabetes in patients with pancreatic cancer. Adrenomedullin was up-regulated in pancreatic cancer cell lines, in which supernatants reduced insulin signaling in beta cell lines. We performed quantitative reverse-transcriptase polymerase chain reaction and immunohistochemistry on human pancreatic cancer and healthy pancreatic tissues (controls) to determine expression of adrenomedullin messenger RNA and protein, respectively. We studied the effects of adrenomedullin on insulin secretion by beta cell lines and whole islets from mice and on glucose tolerance in pancreatic xenografts in mice. We measured plasma levels of adrenomedullin in patients with pancreatic cancer, patients with type 2 diabetes mellitus, and individuals with normal fasting glucose levels (controls).

resultsLevels of adrenomedullin messenger RNA and protein were increased in human pancreatic cancer samples compared with controls. Adrenomedullin and conditioned media from pancreatic cell lines inhibited glucose-stimulated insulin secretion from beta cell lines and islets isolated from mice; the effects of conditioned media from pancreatic cancer cells were reduced by small hairpin RNA-mediated knockdown of adrenomedullin. Conversely, overexpression of adrenomedullin in mice with pancreatic cancer led to glucose intolerance. Mean plasma levels of adrenomedullin (femtomoles per liter) were higher in patients with pancreatic cancer compared with patients with diabetes or controls. Levels of adrenomedullin were higher in patients with pancreatic cancer who developed diabetes compared those who did not.

conclusionsAdrenomedullin is up-regulated in patients with pancreatic cancer and causes insulin resistance in β cells and mice.

Indexed as

Up-RegulationAdenocarcinomaAdrenomedullinAgedAnimalsCell Line, TumorCells, CulturedDiabetes Mellitus, Type 2FemaleGlucoseHumansInsulinInsulin ResistanceInsulin-Secreting CellsIn Vitro TechniquesMaleAdrenomedullinGlucoseInsulinRNA, Small Interfering

Identifiers

PMID22960655
PMCPMC3787599
OpenAlexW2161955349

What OpenQuestion holds

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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.