Evidence map›Paper›PMID 23932846›Full record

ReviewMetabolism: clinical and experimental2013

Maladaptive immune and inflammatory pathways lead to cardiovascular insulin resistance.

Annayya R Aroor, Susan McKarns, Vincent G Demarco, Guanghong Jia, James R Sowers

Open access · greenAbstract readReview
In one paragraph

Review in Metabolism: clinical and experimental, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 3 pooled it
14.0field-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.

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

132 citing papers in PubMed, 3 syntheses or guidelines pooled it, 234 citations in OpenAlex.

  1. Pooled it
  2. Impact of DPP-4 Inhibitors on Interleukin Levels in Type 2 Diabetes Mellitus.The Journal of clinical endocrinology and metabolism · 2025
    Pooled it
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72 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Annayya R AroorDivision of Endocrinology, Diabetes and Metabolism, Diabetes Cardiovascular Center, University of Missouri, Columbia, MO, USA; Harry S. Truman Memorial Veterans Hospital, Columbia, MO, USA.
Susan McKarns
Vincent G Demarco
Guanghong Jia
James R Sowers
University of Missouri · USHarry S. Truman Memorial Veterans' Hospital · US

Funding

ANG II OPPOSES INS MEDIATED VASORELAXATION &GLU UTILZAR01HL073101 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI SOWERS, JAMES RUSSELL · 2004 to 2013
$2.7M
Ang II and Overnutrition and Insulin resistance in Cardiovascular TissueR01HL107910 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI SOWERS, JAMES RUSSELL · 2011 to 2015
$1.8M
Interactions of the RAAS and a Western Diet on Insulin Metabolic ActionsI01BX001981 · VA · HARRY S. TRUMAN MEMORIAL VA HOSPITAL · PI LASTRA, GUIDO · 2013 to 2022
–
NHLBI NIH HHS R01 HL073101NHLBI NIH HHS R01 HL107910NHLBI NIH HHS R01 HL107910-01NHLBI NIH HHS R01 HL73101-01A
6 · The paper itself

Abstract

Insulin resistance is a hallmark of obesity, the cardiorenal metabolic syndrome and type 2 diabetes mellitus (T2DM). The progression of insulin resistance increases the risk for cardiovascular disease (CVD). The significance of insulin resistance is underscored by the alarming rise in the prevalence of obesity and its associated comorbidities in the Unites States and worldwide over the last 40-50 years. The incidence of obesity is also on the rise in adolescents. Furthermore, premenopausal women have lower CVD risk compared to men, but this protection is lost in the setting of obesity and insulin resistance. Although systemic and cardiovascular insulin resistance is associated with impaired insulin metabolic signaling and cardiovascular dysfunction, the mechanisms underlying insulin resistance and cardiovascular dysfunction remain poorly understood. Recent studies show that insulin resistance in obesity and diabetes is linked to a metabolic inflammatory response, a state of systemic and tissue specific chronic low grade inflammation. Evidence is also emerging that there is polarization of macrophages and lymphocytes towards a pro-inflammatory phenotype that contributes to progression of insulin resistance in obesity, cardiorenal metabolic syndrome and diabetes. In this review, we provide new insights into factors, such as, the renin-angiotensin-aldosterone system, sympathetic activation and incretin modulators (e.g., DPP-4) and immune responses that mediate this inflammatory state in obesity and other conditions characterized by insulin resistance.

Indexed as

Adaptive ImmunityAnimalsCardio-Renal SyndromeCardiovascular SystemDiabetes MellitusDisease ProgressionHumansHypertension, RenalInflammationInsulinInsulin ResistanceLymphocytesMacrophagesObesityPremenopauseReceptor, InsulinInsulinReceptor, InsulinAktAng IIAng II receptor blockersangiotensin IIangiotensin II type 1 receptorARBsAT1Rcardiovascular diseasechronic kidney diseasecircumventricular organsC-Jun kinaseCKDcoxsackievirus B3CVB3CVDCVOcytokine signaling 3dipetidyl peptidase 4DPP-4endothelial nitric oxide synthaseENOSERK1/2extracellular regulated kinases ½FFAsforkhead/winged helix transcription factor 3FoxP3free fatty acidsGenderGIPGLP-1GLP-1RGLP-1 receptorglucagon like peptide-1glucose-dependent insulinotrophic peptideHFCShigh-fructose corn syrupIFN-γIL-10IL-6Immunityinsulin receptor substrateinterferon gammaInterleukin 10interleukin 6IRSJNKlipopolysaccharideLPSmammalian target of rapamycinMTORnitric oxideNOObesityp70 S6 kinasePETphosphatidylinositol 3 kinasePI3-KPKCpositron emission tomographyprotein kinase Bprotein kinase CRAASreactive oxygen speciesregulatory T cellsrenin angiotensin aldosterone systemROSS6KSNSSOC3-3(SOD)3superoxide dismutasesympathetic nervous systemT2DMTGF-βTLR-4TNF-αToll-like receptor 4transforming growth factor betaTregstumor necrosis factor alphatype 2 diabetes mellitusUric acidWATWDWestern Dietwhite adipose tissue

Identifiers

PMID23932846
PMCPMC3809332
OpenAlexW2079784333

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.