Evidence map›Paper›PMID 23835339›Full record

ArticleDiabetes2013

Molecular mechanism of sulphonylurea block of K(ATP) channels carrying mutations that impair ATP inhibition and cause neonatal diabetes.

Peter Proks, Heidi de Wet, Frances M Ashcroft

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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
  2. Review
  3. Light-stimulated insulin secretion from pancreatic islet-like organoids derived from human pluripotent stem cells.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Article
  4. Metabolic Messengers: glucagon.Nature metabolism · 2023
    Review
  5. Personalized Therapeutics for KAnnual review of pharmacology and toxicology · 2023
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. New insights into KNature reviews. Endocrinology · 2020
    Review
  12. Article
  13. Ion Transporters, Channelopathies, and Glucose Disorders.International journal of molecular sciences · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. KInternal medicine (Tokyo, Japan) · 2017
    Review
  20. Neonatal Diabetes and the KTrends in endocrinology and metabolism: TEM · 2017
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Peter ProksHenry Wellcome Centre for Gene Function, Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, U.K.
Heidi de Wet
Frances M Ashcroft
Centre for Human Genetics · GB

Funding

Wellcome Trust 084655Wellcome Trust 089795/Z/09/Z
6 · The paper itself

Abstract

Sulphonylurea drugs are the therapy of choice for treating neonatal diabetes (ND) caused by mutations in the ATP-sensitive K(+) channel (KATP channel). We investigated the interactions between MgATP, MgADP, and the sulphonylurea gliclazide with KATP channels expressed in Xenopus oocytes. In the absence of MgATP, gliclazide block was similar for wild-type channels and those carrying the Kir6.2 ND mutations R210C, G334D, I296L, and V59M. Gliclazide abolished the stimulatory effect of MgATP on all channels. Conversely, high MgATP concentrations reduced the gliclazide concentration, producing a half-maximal block of G334D and R201C channels and suggesting a mutual antagonism between nucleotide and gliclazide binding. The maximal extent of high-affinity gliclazide block of wild-type channels was increased by MgATP, but this effect was smaller for ND channels; channels that were least sensitive to ATP inhibition showed the smallest increase in sulphonylurea block. Consequently, G334D and I296L channels were not fully blocked, even at physiological MgATP concentrations (1 mmol/L). Glibenclamide block was also reduced in β-cells expressing Kir6.2-V59M channels. These data help to explain why patients with some mutations (e.g., G334D, I296L) are insensitive to sulphonylurea therapy, why higher drug concentrations are needed to treat ND than type 2 diabetes, and why patients with severe ND mutations are less prone to drug-induced hypoglycemia.

Indexed as

Adenosine DiphosphateAdenosine TriphosphateAnimalsDiabetes Mellitus, Type 1GliclazideHumansHypoglycemic AgentsInhibitory Concentration 50KATP ChannelsKcnj11 ChannelMiceOocytesPatch-Clamp TechniquesPotassium Channels, Inwardly RectifyingRatsSulfonylurea ReceptorsAbcc8 protein, ratAdenosine DiphosphateAdenosine TriphosphateGliclazideHypoglycemic AgentsKATP ChannelsKcnj11 ChannelPotassium Channels, Inwardly RectifyingSulfonylurea Receptors

Identifiers

PMID23835339
PMCPMC3806600
OpenAlexW2105801650

What OpenQuestion holds

Textmetadata
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.