Evidence map›Paper›PMID 23107043›Full record

ArticleAtherosclerosis2013

Joint effect of insulin signaling genes on cardiovascular events and on whole body and endothelial insulin resistance.

Simonetta Bacci, Sabrina Prudente, Massimiliano Copetti, Belinda Spoto, Stefano Rizza, Roberto Baratta, Natalia Di Pietro, Eleonora Morini, Rosa Di Paola, Alessandra Testa and 15 more

Open access · greenAbstract read
In one paragraph

Article in Atherosclerosis, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  17. The IRS1 G972R polymorphism and glomerular filtration rate in patients with type 2 diabetes of European ancestry.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2013
    Article
  18. Joint effect of insulin signaling genes on insulin secretion and glucose homeostasis.The Journal of clinical endocrinology and metabolism · 2013
    Article
  19. 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

25 authors at 8 institutions in 2 countries.

Simonetta BacciClinical Unit of Endocrinology, IRCCS Casa Sollievo della Sofferenza San Giovanni Rotondo, Italy.
Sabrina Prudente
Massimiliano Copetti
Belinda Spoto
Stefano Rizza
Roberto Baratta
Natalia Di Pietro
Eleonora Morini
Rosa Di Paola
Alessandra Testa
Francesca Mallamaci
Giovanni Tripepi
Yuan-Yuan Zhang
Luana Mercuri
Sara Di Silvestre
Renato Lauro
Lorenzo Malatino
Agostino Consoli
Fabio Pellegrini
Assunta Pandolfi
Lucia Frittitta
Carmine Zoccali
Massimo Federici
Alessandro Doria
Vincenzo Trischitta
Istituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Chieti-Pescara · ITUniversity of Rome Tor Vergata · ITCasa Sollievo della Sofferenza · ITJoslin Diabetes Center · USOspedale Garibaldi · ITSapienza University of Rome · ITUniversity of Catania · IT

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Variability in Adipokine Genes and AtherosclerosisR01HL073168 · NHLBI · JOSLIN DIABETES CENTER · PI DORIA, ALESSANDRO · 2003 to 2012
$5.8M
NHLBI NIH HHS R01 HL073168NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveInsulin resistance (IR) and cardiovascular disease (CVD) share a common soil. We investigated the combined role of single nucleotide polymorphisms (SNPs) affecting insulin signaling (ENPP1 K121Q, rs1044498; IRS1 G972R, rs1801278; TRIB3 Q84R, rs2295490) on CVD, age at myocardial infarction (MI), in vivo insulin sensitivity and in vitro insulin-stimulated nitric oxide synthase (NOS) activity. DESIGN AND

setting1. We first studied, incident cardiovascular events (a composite endpoint comprising myocardial infarction-MI, stroke and cardiovascular death) in 733 patients (2186 person-years, 175 events). 2. In a replication attempt, age at MI was tested in 331 individuals. 3. OGTT-derived insulin sensitivity index (ISI) was assessed in 829 individuals with fasting glucose <126 mg/dl. 4. NOS activity was measured in 40 strains of human vein endothelial cells (HUVECs).

results1. Risk variants jointly predicted cardiovascular events (HR = 1.181; p = 0.0009) and, when added to clinical risk factors, significantly improved survival C-statistics; they also allowed a significantly correct reclassification (by net reclassification index) in the whole sample (135/733 individuals) and, even more, in obese patients (116/204 individuals). 2. Risk variants were jointly associated with age at MI (p = 0.006). 3. A significant association was also observed with ISI (p = 0.02). 4. Finally, risk variants were jointly associated with insulin-stimulated NOS activity in HUVECs (p = 0.009).

conclusionsInsulin signaling genes variants jointly affect cardiovascular disease, very likely by promoting whole body and endothelium-specific insulin resistance. Further studies are needed to address whether their genotyping help identify very high-risk patients who need specific and/or more aggressive preventive strategies.

Indexed as

Cardiovascular DiseasesCells, CulturedCross-Sectional StudiesEndothelial CellsEndothelium, VascularFemaleHumansInsulinInsulin ResistanceMaleProspective StudiesSignal TransductionInsulin

Identifiers

PMID23107043
PMCPMC3529747
OpenAlexW2022249051

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.