Evidence map›Paper›PMID 23674605›Full record

Trial reportDiabetes2013

The CTRB1/2 locus affects diabetes susceptibility and treatment via the incretin pathway.

Leen M 't Hart, Andreas Fritsche, Giel Nijpels, Nienke van Leeuwen, Louise A Donnelly, Jacqueline M Dekker, Marjan Alssema, Joao Fadista, Françoise Carlotti, Anette P Gjesing and 24 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. medRxiv : the preprint server for health sciences · 2026
    Article
  8. Med14 phosphorylation shapes genomic response to GLP-1 agonists.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  9. Review
  10. PARN Maintains RNA Stability to Regulate Insulin Maturation and GSIS in Pancreatic β Cells.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  11. Article
  12. Article
  13. Precision Medicine in Type 2 Diabetes Mellitus: Utility and Limitations.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Pharmacogenetics of new classes of antidiabetic drugs.Bosnian journal of basic medical sciences · 2021
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 14 institutions in 5 countries.

Leen M 't HartDepartment of Molecular Cell Biology, Leiden University Medical Center, Leiden, the Netherlands. l.m.t_hart@lumc.nl
Andreas Fritsche
Giel Nijpels
Nienke van Leeuwen
Louise A Donnelly
Jacqueline M Dekker
Marjan Alssema
Joao Fadista
Françoise Carlotti
Anette P Gjesing
Colin N A Palmer
Timon W van Haeften
Silke A Herzberg-Schäfer
Annemarie M C Simonis-Bik
Jeanine J Houwing-Duistermaat
Quinta Helmer
Joris Deelen
Bruno Guigas
Torben Hansen
Fausto Machicao
Gonneke Willemsen
Robert J Heine
Mark H H Kramer
Jens J Holst
Eelco J P de Koning
Hans-Ulrich Häring
Oluf Pedersen
Leif Groop
Eco J C de Geus
P Eline Slagboom
Dorret I Boomsma
Elisabeth M W Eekhoff
Ewan R Pearson
Michaela Diamant
Leiden University Medical Center · NLAmsterdam Public Health · NLAmsterdam UMC Location Vrije Universiteit Amsterdam · NLNovo Nordisk Foundation · DKSkåne University Hospital · SEAarhus University · DKDeutsches Diabetes-Zentrum e.V. · DEEli Lilly (United States) · USGerman Center for Diabetes Research · DEHeinrich Heine University Düsseldorf · DENetherlands Consortium for Healthy Ageing · NLUniversity Medical Center Utrecht · NLUniversity of Copenhagen · DKUniversity of Tübingen · DE

Funding

Chief Scientist OfficeMedical Research Council G0601261Wellcome TrustWellcome Trust 099177/Z/12/Z
6 · The paper itself

Abstract

The incretin hormone glucagon-like peptide 1 (GLP-1) promotes glucose homeostasis and enhances β-cell function. GLP-1 receptor agonists (GLP-1 RAs) and dipeptidyl peptidase-4 (DPP-4) inhibitors, which inhibit the physiological inactivation of endogenous GLP-1, are used for the treatment of type 2 diabetes. Using the Metabochip, we identified three novel genetic loci with large effects (30-40%) on GLP-1-stimulated insulin secretion during hyperglycemic clamps in nondiabetic Caucasian individuals (TMEM114; CHST3 and CTRB1/2; n = 232; all P ≤ 8.8 × 10(-7)). rs7202877 near CTRB1/2, a known diabetes risk locus, also associated with an absolute 0.51 ± 0.16% (5.6 ± 1.7 mmol/mol) lower A1C response to DPP-4 inhibitor treatment in G-allele carriers, but there was no effect on GLP-1 RA treatment in type 2 diabetic patients (n = 527). Furthermore, in pancreatic tissue, we show that rs7202877 acts as expression quantitative trait locus for CTRB1 and CTRB2, encoding chymotrypsinogen, and increases fecal chymotrypsin activity in healthy carriers. Chymotrypsin is one of the most abundant digestive enzymes in the gut where it cleaves food proteins into smaller peptide fragments. Our data identify chymotrypsin in the regulation of the incretin pathway, development of diabetes, and response to DPP-4 inhibitor treatment.

Indexed as

AdultAgedChymotrypsinDiabetes MellitusDiabetes Mellitus, Type 2Dipeptidyl-Peptidase IV InhibitorsFemaleGenotypeGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHumansHypoglycemic AgentsIncretinsInsulinMaleMiddle AgedChymotrypsinchymotrypsin BDipeptidyl-Peptidase IV InhibitorsGLP1R protein, humanGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHypoglycemic AgentsIncretinsInsulinReceptors, Glucagon

Identifiers

PMID23674605
PMCPMC3749354
OpenAlexW2154438179

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.