Evidence map›Paper›PMID 23733198›Full record

ArticleDiabetes2013

ADAMTS13 predicts renal and cardiovascular events in type 2 diabetic patients and response to therapy.

Erica Rurali, Marina Noris, Antonietta Chianca, Roberta Donadelli, Federica Banterla, Miriam Galbusera, Giulia Gherardi, Sara Gastoldi, Aneliya Parvanova, Ilian Iliev and 6 more

Open access · hybridAbstract read
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. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

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  8. A Single Synonymous Variant (c.354G>A [p.P118P]) inInternational journal of molecular sciences · 2019
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  16. Genetics of diabetes complications.Mammalian genome : official journal of the International Mammalian Genome Society · 2014
    Review
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  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Erica RuraliIRCCS-Istituto di Ricerche Farmacologiche "Mario Negri," Bergamo, Italy.
Marina Noris
Antonietta Chianca
Roberta Donadelli
Federica Banterla
Miriam Galbusera
Giulia Gherardi
Sara Gastoldi
Aneliya Parvanova
Ilian Iliev
Antonio Bossi
Carolina Haefliger
Roberto Trevisan
Giuseppe Remuzzi
Piero Ruggenenti
BENEDICT Study Group
Mario Negri Institute for Pharmacological Research · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITAzienda Ospedaliera Treviglio · ITOspedale Papa Giovanni XXIII · ITRoche (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients with diabetes, impaired ADAMTS13 (a disintegrin and metalloprotease with thrombospondin type 1 repeats, member 13) proteolysis of highly thrombogenic von Willebrand factor (VWF) multimers may accelerate renal and cardiovascular complications. Restoring physiological VWF handling might contribute to ACE inhibitors' (ACEi) reno- and cardioprotective effects. To assess how Pro618Ala ADAMTS13 variants and related proteolytic activity interact with ACEi therapy in predicting renal and cardiovascular complications, we genotyped 1,163 normoalbuminuric type 2 diabetic patients from BErgamo NEphrologic DIabetes Complications Trial (BENEDICT). Interaction between Pro618Ala and ACEi was significant in predicting both renal and combined renal and cardiovascular events. The risk for renal or combined events versus reference Ala carriers on ACEi progressively increased from Pro/Pro homozygotes on ACEi (hazard ratio 2.80 [95% CI 0.849-9.216] and 1.58 [0.737-3.379], respectively) to Pro/Pro homozygotes on non-ACEi (4.77 [1.484-15.357] and 1.99 [0.944-4.187]) to Ala carriers on non-ACEi (8.50 [2.416-29.962] and 4.00 [1.739-9.207]). In a substudy, serum ADAMTS13 activity was significantly lower in Ala carriers than in Pro/Pro homozygotes and in case subjects with renal, cardiovascular, or combined events than in diabetic control subjects without events. ADAMTS13 activity significantly and negatively correlated with all outcomes. In patients with diabetes, ADAMTS13 618Ala variant associated with less proteolytic activity, higher risk of chronic complications, and better response to ACEi therapy. Screening for Pro618Ala polymorphism may help identify patients with diabetes at highest risk who may benefit the most from early reno- and cardioprotective therapy.

Indexed as

Polymorphism, Single NucleotideADAM ProteinsADAMTS13 ProteinAgedAlanineAngiotensin-Converting Enzyme InhibitorsBiomarkersCardiovascular DiseasesDiabetes Mellitus, Type 2Diabetic AngiopathiesDiabetic NephropathiesDisease ProgressionFemaleGenotypeHumansKidney Failure, ChronicADAM ProteinsADAMTS13 ProteinADAMTS13 protein, humanAlanineAngiotensin-Converting Enzyme InhibitorsBiomarkersProlinevon Willebrand Factor

Identifiers

PMID23733198
PMCPMC3781447
OpenAlexW2141341066

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LicenceCC BY-NC-ND
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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.