Evidence map›Paper›PMID 23861364›Full record

ArticleCirculation. Cardiovascular genetics2013

Do genetic modifiers of high-density lipoprotein cholesterol and triglyceride levels also modify their response to a lifestyle intervention in the setting of obesity and type-2 diabetes mellitus?: The Action for Health in Diabetes (Look AHEAD) study.

Gordon S Huggins, George D Papandonatos, Bahar Erar, L Maria Belalcazar, Ariel Brautbar, Christie Ballantyne, Abbas E Kitabchi, Lynne E Wagenknecht, William C Knowler, Henry J Pownall and 4 more

Abstract read
In one paragraph

Article in Circulation. Cardiovascular genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Gordon S HugginsMolecular Cardiology Research Institute, Tufts Medical Center, Boston, MA 02111, USA. ghuggins@tuftsmedicalcenter.org
George D Papandonatos
Bahar Erar
L Maria Belalcazar
Ariel Brautbar
Christie Ballantyne
Abbas E Kitabchi
Lynne E Wagenknecht
William C Knowler
Henry J Pownall
Rena R Wing
Inga Peter
Jeanne M McCaffery
Genetics Subgroup of the Action for Health in Diabetes (Look AHEAD) Study

Funding

Look AHEAD: Action for Health in DiabetesU01DK057136 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ESPELAND, MARK ANDREW, WAGENKNECHT, LYNNE E · 1999 to 2020
$54.9M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW)U01DK057131 · NIDDK · UNIVERSITY OF WASHINGTON · PI KAHN, STEVEN EMANUEL · 1999 to 2020
$16.0M
Weight loss in the treatment of type 2 diabetesZIADK075077 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KNOWLER, WILLIAM C · 2012 to 2021
$2.5M
Genetic and behavioral effects on high-density lipoprotein: The Look AHEAD StudyR01DK090043 · NIDDK · MIRIAM HOSPITAL · PI MCCAFFERY, JEANNE M · 2011 to 2013
$532k
NIDDK NIH HHS P30 DK017047NIDDK NIH HHS R01 DK090043NIDDK NIH HHS U01 DK057131NIDDK NIH HHS U01 DK057136
6 · The paper itself

Abstract

backgroundHigh-density lipoprotein cholesterol (HDL-C) and triglycerides are cardiovascular risk factors susceptible to lifestyle behavior modification and genetics. We hypothesized that genetic variants identified by genome-wide association studies as associated with HDL-C or triglyceride levels modify 1-year treatment response to an intensive lifestyle intervention, relative to a usual care of diabetes mellitus support and education. METHODS AND

resultsWe evaluated 82 single-nucleotide polymorphisms, which represent 31 loci demonstrated by genome-wide association studies to be associated with HDL-C and triglycerides, in 3561 participants who consented for genetic studies and met eligibility criteria. Variants associated with higher baseline HDL-C levels, cholesterol ester transfer protein (CETP) rs3764261 and hepatic lipase (LIPC) rs8034802, were found to be associated with HDL-C increases with intensive lifestyle intervention (P=0.0038 and 0.013, respectively) and had nominally significant treatment interactions (P=0.047 and 0.046, respectively). The fatty acid desaturase-2 rs1535 variant, associated with low baseline HDL-C (P=0.017), was associated with HDL-C increases with intensive lifestyle intervention (0.0037) and had a nominal treatment interaction (P=0.035). Apolipoprotein B (rs693) and LIPC (rs8034802) single-nucleotide polymorphisms showed nominally significant associations with HDL-C and triglyceride changes with intensive lifestyle intervention and a treatment interaction (P<0.05). Phosphatidylglycerophosphate synthase-1 single-nucleotide polymorphisms (rs4082919) showed the most significant triglyceride treatment interaction in the full cohort (P=0.0009).

conclusionsThis is the first study to identify genetic variants modifying lipid responses to a randomized lifestyle behavior intervention in overweight or obese individuals with diabetes mellitus. The effects of genetic factors on lipid changes may differ from the effects on baseline lipids and are modifiable by behavioral intervention.

Indexed as

AgedApolipoproteins BBehavior TherapyCholesterol Ester Transfer ProteinsCholesterol, HDLCohort StudiesDiabetes Mellitus, Type 2Fatty Acid DesaturasesFemaleGenetic LociGenome-Wide Association StudyHumansLipaseMaleMiddle AgedObesityApolipoproteins BCDP-diacylglycerol-glycerol-3-phosphate 3-phosphatidyltransferaseCETP protein, humanCholesterol Ester Transfer ProteinsCholesterol, HDLFADS2 protein, humanFatty Acid DesaturasesLipaseLIPC protein, humanTransferases (Other Substituted Phosphate Groups)Triglyceridesbehavior therapycholesterylester transfergenomicslipoproteinsphysiological protein geneticstriglycerides

Identifiers

PMID23861364
PMCPMC4077278

What OpenQuestion holds

Textmetadata
LicenceTDM
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.