Evidence map›Paper›PMID 23312704›Full record

Trial reportJournal of the American College of Cardiology2013

Haptoglobin genotype is a consistent marker of coronary heart disease risk among individuals with elevated glycosylated hemoglobin.

Leah E Cahill, Andrew P Levy, Stephanie E Chiuve, Majken K Jensen, Hong Wang, Nawar M Shara, Shany Blum, Barbara V Howard, Jennifer K Pai, Kenneth J Mukamal and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American College of Cardiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.

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  14. Relationship between time-varying achieved HbABMJ open diabetes research & care · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Leah E CahillDepartment of Nutrition, Harvard School of Public Health, Boston, Massachusetts. lcahill@hsph.harvard.edu
Andrew P Levy
Stephanie E Chiuve
Majken K Jensen
Hong Wang
Nawar M Shara
Shany Blum
Barbara V Howard
Jennifer K Pai
Kenneth J Mukamal
Kathryn M Rexrode
Eric B Rimm
Brigham and Women's Hospital · USGeorgetown-Howard Universities Center for Clinical and Translational Science · USTechnion – Israel Institute of Technology · ILBeth Israel Deaconess Medical Center · USHarvard University · US

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI TWOROGER, SHELLEY S · 2000 to 2019
$77.8M
Georgetown-Howard Universities Center for Clinical and Translational Science (GHUUL1TR000101 · NCATS · GEORGETOWN UNIVERSITY · PI MELLMAN, THOMAS A, VERBALIS, JOSEPH G · 2012 to 2015
$19.3M
RISK FACTORS FOR CVD IN WOMENR01HL034594 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI JoAnn Elisabeth Manson, Lu Qi · 1985 to 2026
$13.8M
BIOCHEMICAL MARKERS IN THE NURSES'HEALTH STUDY COHORTR01CA049449 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI HANKINSON, SUSAN E · 1989 to 2008
$11.3M
BIOCHEMICAL MARKERS IN THE NURSES HEALTH STUDY COHORTU01CA049449 · NCI · UNIVERSITY OF MASSACHUSETTS AMHERST · PI HANKINSON, SUSAN E · 1995 to 2013
$5.4M
The Oxidation Hypothesis Revisited:Haptoglobin Genotype and Diabetic AtheroscleroR01DK085226 · NIDDK · TECHNION-ISRAEL INSTITUTE OF TECHNOLOGY · PI LEVY, ANDREW PETER · 2009 to 2013
$664k
CIHRNCATS NIH HHS UL1 TR000101NCI NIH HHS CA49449NCI NIH HHS CA87969NCI NIH HHS P01 CA087969NCI NIH HHS R01 CA049449NCI NIH HHS U01 CA049449NHLBI NIH HHS HL34594NHLBI NIH HHS R01 HL034594NIDDK NIH HHS DK085226NIDDK NIH HHS R01 DK085226
6 · The paper itself

Abstract

objectivesThis study sought to investigate into the biologically plausible interaction between the common haptoglobin (Hp) polymorphism rs#72294371 and glycosylated hemoglobin (HbA(1c)) on risk of coronary heart disease (CHD).

backgroundStudies of the association between the Hp polymorphism and CHD report inconsistent results. Individuals with the Hp2-2 genotype produce Hp proteins with an impaired ability to prevent oxidative injury caused by elevated HbA(1c).

methodsHbA(1c) concentration and Hp genotype were determined for 407 CHD cases matched 1:1 to controls (from the NHS [Nurses' Health Study]) and in a replication cohort of 2,070 individuals who served as the nontreatment group in the ICARE (Prevention of Cardiovascular Complications in Diabetic Patients With Vitamin E Treatment) study, with 29 CHD events during follow-up. Multivariate models were adjusted for lifestyle and CHD risk factors as appropriate. A pooled analysis was conducted of NHS, ICARE, and the 1 previously published analysis (a cardiovascular disease case-control sample from the Strong Heart Study).

resultsIn the NHS, Hp2-2 genotype (39% frequency) was strongly related to CHD risk only among individuals with elevated HbA(1c) (≥ 6.5%), an association that was similar in the ICARE trial and the Strong Heart Study. In a pooled analysis, participants with both the Hp2-2 genotype and elevated HbA(1c) had a relative risk of 7.90 (95% confidence interval: 4.43 to 14.10) for CHD compared with participants with both an Hp1 allele and HbA(1c) <6.5% (p for interaction = 0.004), whereas the Hp2-2 genotype with HbA(1c) <6.5% was not associated with risk (relative risk: 1.34 [95% confidence interval: 0.73 to 2.46]).

conclusionsHp genotype was a significant predictor of CHD among individuals with elevated HbA(1c).

Indexed as

GenotypeAdultAgedAged, 80 and overBiomarkersCase-Control StudiesCohort StudiesCoronary DiseaseFemaleGlycated HemoglobinGlycosylationHaptoglobinsHumansMaleMiddle AgedProspective StudiesBiomarkersGlycated HemoglobinHaptoglobinshemoglobin A1c protein, humanHP protein, human

Identifiers

PMID23312704
PMCPMC3678553
OpenAlexW1986341710

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Registered trials

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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.