Evidence map›Paper›PMID 24004910›Full record

ArticleDiabetology & metabolic syndrome2013

Anti-diabetic treatment regulates pro-fibrotic TGF-β serum levels in type 2 diabetics.

Stefan Pscherer, Thomas Freude, Thomas Forst, Andreas K Nussler, Karl F Braun, Sabrina Ehnert

Open access · goldAbstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Ileal interposition surgery targets the hepatic TGF-β pathway, influencing gluconeogenesis and mitochondrial bioenergetics in the UCD-T2DM rat model of diabetes.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
    Article
  7. Article
  8. TGF-βJournal of molecular medicine (Berlin, Germany) · 2017
    Article
  9. Article
  10. TGF-β signaling regulates fibrotic expression and activity in carpal tunnel syndrome.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2014
    Article
  11. Article
  12. 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

6 authors at 2 institutions in 1 country.

Stefan Pscherer *Klinikum Traunstein, Diabetes Department, Cuno-Niggl-Straße 3, Traunstein 83278, Germany.
Thomas Freude *BG Trauma Center Tübingen, Schnarrenbergstraße 95, Tübingen 72076, Germany.
Thomas ForstDepartment of Endocrinology, ikfe Mainz/University Mainz, Parcusstraße 8, Mainz 55116, Germany.
Andreas K NusslerBG Trauma Center Tübingen, Schnarrenbergstraße 95, Tübingen 72076, Germany.
Karl F BraunDepartment of Trauma Surgery, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, Munich 81675, Germany.
Sabrina EhnertBG Trauma Center Tübingen, Schnarrenbergstraße 95, Tübingen 72076, Germany.
Bernstein Center for Computational Neuroscience Tübingen · DEJohannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe single-center, open-label, four-arm, exploratory study investigates the relation of different anti-diabetics to serum levels of active TGF-β, a known pro-fibrotic stimulus, before and after a defined test meal.

findingsWe investigated sera of patients with type 2 diabetes mellitus (T2DM) treated with metformin and sulfonylurea, insulin glargine or a DPP-4 inhibitor (DPP4i). Patients' sera were analyzed before and 5 h after a defined test meal at intervals of 30 min.The sulfonylurea/metformin group exhibited the highest basal levels of active TGF-β (31.50 ± 3.58 ng/ml). The glargine/metformin group had active TGF-β levels (24.98 ± 1.90 ng/ml) that were comparable to those of the healthy participants (22.12 ± 2.34 ng/ml). The lowest basal levels of active TGF-β were detected in the DPP-4i/metformin group (12.28 ± 0.84 ng/ml). Following the intake of a standardized meal, active TGF-β levels decreased (approx. 30%) in healthy subjects as well as in the sulfonylurea/metformin group and in the glargine/metformin group. After 5 h, the active TGF-β levels were normalized to basal levels. Active TGF-β levels in the DPP-4i/metformin group did not change significantly after the test meal. Overall plasma levels of insulin and proinsulin were comparable between healthy participants, and T2DM patients in the glargin/metformin group and in the DPP4i/metformin group. However, no correlation between active TGF-β levels, glucose, insulin or pro-insulin levels was detected.

conclusionsT2DM patients often exhibit elevated levels of pro-fibrotic active TGF-β. Our results suggest that glargine/metformin and DPP4i/metformin treatment may more effectively reduce active TGF-β serum levels than the sulfonylurea/metformin treatment.

Identifiers

PMID24004910
PMCPMC3847073
OpenAlexW2145962008

What OpenQuestion holds

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LicenceCC BY
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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.