Evidence map›Paper›PMID 23670970›Full record

ArticleDiabetes2013

Genetic modifiers of cystic fibrosis-related diabetes.

Scott M Blackman, Clayton W Commander, Christopher Watson, Kristin M Arcara, Lisa J Strug, Jaclyn R Stonebraker, Fred A Wright, Johanna M Rommens, Lei Sun, Rhonda G Pace and 5 more

5 registry-linked trialsOpen access · bronzeAbstract readTwin Study
In one paragraph

Article in Diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
11.1field-weighted citation impact, top 1% 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.

NCT00037765 active not recruitingnot on this map

Gene Modifiers of Cystic Fibrosis Lung Disease

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2001 to 2027Enrolled600ConditionsCystic Fibrosis, Lung Diseases
NCT00804583 active not recruitingnot on this map

Genetic Modifiers of CF Liver Disease

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2004 to 2027Enrolled154ConditionsCystic Fibrosis, Liver Disease
NCT01113216 enrolling by invitationnot on this map

Genetic Modifiers of Cystic Fibrosis Related Diabetes

TypeobservationalSponsorJohns Hopkins UniversityRan2008 to 2030Enrolled1,500ConditionsCystic Fibrosis Related Diabetes
NCT04379726 unknown statusnot on this mapstarted 2020, after this paper: background citation

Characterization of β-cell Function and Insulin Sensitivity in Pre-transplant Patients With Cystic Fibrosis

TypeobservationalSponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2020 to 2023Enrolled150ConditionsCystic Fibrosis-related DiabetesArmstherapeutic optimization
NCT06837181 recruitingnot on this mapstarted 2025, after this paper: background citation

Studying the Presence of CFRD Complications With Thoughtful Recruitment (SPeCTRuM)

TypeobservationalSponsorJaeb Center for Health ResearchRan2025 to 2028Enrolled200ConditionsCystic Fibrosis (CF), Cystic Fibrosis-related Diabetes, Diabetes, RetinopathyArmsobservational study
3 · Its place in the literature

Who cites it

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 169 citations in OpenAlex.

  1. Pooled it
  2. Impact of Genetics on Endocrine Manifestations of Cystic Fibrosis.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026
    Review
  3. Review
  4. Article
  5. Nucleotide Variant in theJournal of clinical medicine · 2026
    Article
  6. Article
  7. The endocrine complications of cystic fibrosis.Nature reviews. Endocrinology · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. SLC26 Anion Transporters.Handbook of experimental pharmacology · 2024
    Review
  13. Review
  14. Article
  15. Endocrine Complications of Cystic Fibrosis.Clinics in chest medicine · 2022
    Review
  16. Article
  17. Modifier Factors of Cystic Fibrosis Phenotypes: A Focus on Modifier Genes.International journal of molecular sciences · 2022
    Review
  18. Article
  19. Article
  20. Review

26 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 2 countries.

Scott M BlackmanDivision of Pediatric Endocrinology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Clayton W Commander
Christopher Watson
Kristin M Arcara
Lisa J Strug
Jaclyn R Stonebraker
Fred A Wright
Johanna M Rommens
Lei Sun
Rhonda G Pace
Sarah A Norris
Peter R Durie
Mitchell L Drumm
Michael R Knowles
Garry R Cutting
University of North Carolina at Chapel Hill · USUniversity of Toronto · CAJohns Hopkins Medicine · USJohns Hopkins University · USPediatrics and Genetics · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI AHIMA, REXFORD S. · 2013 to 2017
$9.7M
Gene Modifiers in CF Lung DiseaseR01HL068890 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KNOWLES, MICHAEL R · 2001 to 2014
$9.5M
Genetic Modifiers of Cystic Fibrosis: Sibling StudyR01HL068927 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CUTTING, GARRY R · 2001 to 2011
$8.9M
Genetic Modifiers of CF Liver DiseaseR01DK066368 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KNOWLES, MICHAEL R · 2004 to 2008
$3.2M
Molecular Phenotypes for Cystic Fibrosis Lung DiseaseR01HL095396 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KNOWLES, MICHAEL R, WRIGHT, FRED A. · 2008 to 2011
$2.9M
Genetic modifiers of diabetes in cystic fibrosisK23DK083551 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BLACKMAN, SCOTT M · 2009 to 2013
$877k
Development of "Evidential" Methodology for the Analysis of Genetic DataR03HG004314 · NHGRI · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI STRUG, LISA JOANNA · 2008 to 2009
$124k
Modifier genes in CF-related diabetes and meconium ileusF32DK076446 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BLACKMAN, SCOTT M · 2006 to 2007
$117k
NHGRI NIH HHS R03 HG004314NHLBI NIH HHS R01 HL068890NHLBI NIH HHS R01 HL068927NHLBI NIH HHS R01 HL095396NIDDK NIH HHS F32 DK076446NIDDK NIH HHS K23 DK083551NIDDK NIH HHS P30 DK027651NIDDK NIH HHS P30 DK079637NIDDK NIH HHS R01 DK066368NIEHS NIH HHS P30 ES010126Wellcome Trust
6 · The paper itself

Abstract

Diabetes is a common age-dependent complication of cystic fibrosis (CF) that is strongly influenced by modifier genes. We conducted a genome-wide association study in 3,059 individuals with CF (644 with CF-related diabetes [CFRD]) and identified single nucleotide polymorphisms (SNPs) within and 5' to the SLC26A9 gene that associated with CFRD (hazard ratio [HR] 1.38; P = 3.6 × 10(-8)). Replication was demonstrated in 694 individuals (124 with CFRD) (HR, 1.47; P = 0.007), with combined analysis significant at P = 9.8 × 10(-10). SLC26A9 is an epithelial chloride/bicarbonate channel that can interact with the CF transmembrane regulator (CFTR), the protein mutated in CF. We also hypothesized that common SNPs associated with type 2 diabetes also might affect risk for CFRD. A previous association of CFRD with SNPs in TCF7L2 was replicated in this study (P = 0.004; combined analysis P = 3.8 × 10(-6)), and type 2 diabetes SNPs at or near CDKAL1, CDKN2A/B, and IGF2BP2 were associated with CFRD (P < 0.004). These five loci accounted for 8.3% of the phenotypic variance in CFRD onset and had a combined population-attributable risk of 68%. Diabetes is a highly prevalent complication of CF, for which susceptibility is determined in part by variants at SLC26A9 (which mediates processes proximate to the CF disease-causing gene) and at four susceptibility loci for type 2 diabetes in the general population.

Indexed as

Polymorphism, Single NucleotideAdolescentAdultAntiportersCyclin-Dependent Kinase 5Cyclin-Dependent Kinase Inhibitor p16Cystic FibrosisDiabetes Mellitus, Type 2FemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeHumansMaleOdds RatioRNA-Binding ProteinsAntiportersCDKAL1 protein, humanCyclin-Dependent Kinase 5Cyclin-Dependent Kinase Inhibitor p16IGF2BP2 protein, humanRNA-Binding ProteinsSLC26A9 protein, humanSulfate TransporterstRNA Methyltransferases

Identifiers

PMID23670970
PMCPMC3781476
OpenAlexW2145394445

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.