Evidence map›Paper›PMID 22963984›Full record

Trial reportAtherosclerosis2012

The levels of MDA-LDL in circulating immune complexes predict myocardial infarction in the VADT study.

Maria F Lopes-Virella, Kelly J Hunt, Nathaniel L Baker, Gabriel Virella, Thomas Moritz, VADT Investigators

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

Trial report in Atherosclerosis, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00256646 (CSP #465D - Markers And Mechanisms of Vascular Disease in Type II Diabetes), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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.

NCT00256646 completednot on this map

CSP #465D - Markers And Mechanisms of Vascular Disease in Type II Diabetes

TypeobservationalSponsorUS Department of Veterans AffairsRan2007 to 2008Enrolled298ConditionsType 2 Diabetes MellitusArmsRosiglitazone
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Glucose targets for preventing diabetic kidney disease and its progression.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Sialic acid as the potential link between lipid metabolism and inflammation in the pathogenesis of atherosclerosis.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2023
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Analysis of advanced glycation end products in the DHS Mind Study.Journal of diabetes and its complications · 2016
    Article
  16. Article
  17. Article
  18. Review
  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

6 authors at 2 institutions in 1 country.

Maria F Lopes-VirellaDepartment of Medicine, Medical University of South Carolina, Charleston, SC, United States. virellam@musc.edu
Kelly J Hunt
Nathaniel L Baker
Gabriel Virella
Thomas Moritz
VADT Investigators
Medical University of South Carolina · USEdward Hines, Jr. VA Hospital · US

Funding

ZINC AND COPPER METABOLISM IN COLLAGEN DISORDERSM01RR001070 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI REVES, JOSEPH G · 1985 to 2009
$16.3M
SECRETED ADIPOCYTE PROTEINS, INSULIN RESISTANCE VASCULARP01HL055782 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GARVEY, W TIMOTHY · 1996 to 2005
$8.9M
Biomarkers of Vascular Disease Progression in Type 1 Diabetes MellitusR01DK081352 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LOPES-VIRELLA, MARIA F · 2008 to 2011
$2.2M
Longitudinal Assessment of LDL Immune Complexes and Type 1 Diabetes ComplicationsR01DK088778 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HUNT, KELLY J · 2010 to 2011
$336k
NCRR NIH HHS M01 RR001070NHLBI NIH HHS P01 HL055782NHLBI NIH HHS P01-HL55782NIDDK NIH HHS R01 DK081352NIDDK NIH HHS R01-DK081352NIDDK NIH HHS R01 DK088778NIDDK NIH HHS R01-DK088778
6 · The paper itself

Abstract

objectiveCirculating immune complexes (IC) containing modified forms of LDL (mLDL) are strongly pro-inflammatory and strong predictors of cardiovascular disease (CVD) progression in type 1 diabetes. The present study was undertaken to determine whether the levels of oxidized LDL (oxLDL), malondialdehyde-LDL (MDA-LDL) and advanced glycation end products-LDL (AGE-LDL) in IC predict incident CVD events in type 2 diabetes (VADT cohort). METHODS AND

resultsLevels of mLDL in IC were measured in 907 patients of the VADT cohort, a median of two years after entry into the study. Participants were followed for an average of 3.7 years for vascular outcomes. Hazard ratios (HRs) for CV endpoints in relation to mLDL-IC quartiles were calculated by Cox proportional hazard models. The primary composite CVD endpoint included documented myocardial infarction (MI); stroke; death from CVD; congestive heart failure; cardiac, cerebrovascular, or peripheral VD surgical intervention; inoperable CVD; and amputation for ischemic gangrene. During follow-up, 4.7% and 16.8% of participants had an MI or a composite endpoint, respectively. After adjustments by conventional risk factors, individuals in the highest quartile of MDA-LDL-IC were at higher risk of MI [HR = 2.44 (95% CI: 1.03, 5.77)] and composite endpoint [HR = 1.71 (95% CI: 1.04, 2.80)], relative to individuals in the lowest quartile. Similar comparisons for oxLDL and AGE-LDL levels yielded HR values of 1.08 and 1.31 for MI and 0.91 and 1.34 for composite endpoint.

conclusionsOur study indicates that high levels of MDA-LDL in isolated IC predict future MI and acute CV events in patients with type 2 diabetes.

Indexed as

Antigen-Antibody ComplexAutoantibodiesBiomarkersDiabetes Mellitus, Type 2Glycation End Products, AdvancedHumansIncidenceLipoproteins, LDLMaleMalondialdehydeMiddle AgedMyocardial InfarctionPrognosisProportional Hazards ModelsRisk AssessmentRisk FactorsAntigen-Antibody ComplexAutoantibodiesBiomarkersGlycation End Products, AdvancedLipoproteins, LDLMalondialdehydemalondialdehyde-low density lipoprotein, human

Identifiers

PMID22963984
PMCPMC4240617
OpenAlexW1982919919

What OpenQuestion holds

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LicenceTDM
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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.