Evidence map›Paper›PMID 24030943›Full record

ArticleThe Journal of clinical endocrinology and metabolism2013

Reduced insulin sensitivity in adults with pseudohypoparathyroidism type 1a.

Ranganath Muniyappa, Mary A Warren, Xiongce Zhao, Sara C Aney, Amber B Courville, Kong Y Chen, Robert J Brychta, Emily L Germain-Lee, Lee S Weinstein, Monica C Skarulis

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00209235 (Natural History Study of Albright Hereditary Osteodystrophy), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

NCT00209235 naactive not recruitingnot on this map

Natural History Study of Albright Hereditary Osteodystrophy: Includes Substudies on Effects of Growth Hormone in Patients With Pseudohypoparathyroidism Type 1A and Cognitive & Behavioral Studies in Albright Hereditary Osteodystrophy

TypeinterventionalSponsorConnecticut Children's Medical CenterRan2003 to 2030Enrolled600ConditionsPseudohypoparathyroidism Type 1A, Albright Hereditary Osteodystrophy, PseudopseudohypoparathyroidismArmsNeurocognitive and psychosocial testing
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Parathyroid diseases and metabolic syndrome.Journal of endocrinological investigation · 2023
    Review
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Management of pseudohypoparathyroidism.Current opinion in pediatrics · 2019
    Review
  14. GMolecular metabolism · 2019
    Article
  15. Pseudohypoparathyroidism.Endocrinology and metabolism clinics of North America · 2018
    Review
  16. Glucose Homeostasis and Energy Balance in Children With Pseudohypoparathyroidism.The Journal of clinical endocrinology and metabolism · 2018
    Article
  17. Review
  18. The stimulatory G protein GThe Journal of biological chemistry · 2018
    Article
  19. Article
  20. 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

10 authors at 3 institutions in 2 countries.

Ranganath MuniyappaMD, Chief, Clinical Endocrine Section, Diabetes, Endocrinology, and Obesity Branch, National Institutes of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, 10 Center Drive MSC 1613, Building 10, CRC, Room 6-3940, Bethesda, Maryland 20892-1613. monicas@intra.niddk.nih.gov.
Mary A Warren
Xiongce Zhao
Sara C Aney
Amber B Courville
Kong Y Chen
Robert J Brychta
Emily L Germain-Lee
Lee S Weinstein
Monica C Skarulis
Diabetes Australia · AUNational Institutes of Health · USJohns Hopkins University · US

Funding

Metabolic Research Core: energy balance and obesity studiesZICDK071013 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CHEN, KONG · 2009 to 2025
$12.3M
Growth Hormone Use in Pseudohypoparathyroidism Type 1AR01FD002568 · FDA · JOHNS HOPKINS UNIVERSITY · PI GERMAIN-LEE, EMILY L · 2004 to 2008
$255k
FDA HHS R01 FD002568FDA HHS R01 FD-R-002568
6 · The paper itself

Abstract

contextDisruption of the Gsα maternal allele leads to severe obesity and insulin resistance in mice and early-onset obesity in patients with pseudohypoparathyroidism (PHP) type 1a. However, insulin resistance and glucose metabolism have not been systematically characterized in patients with PHP1a. OBJECTIVE, DESIGN, AND

settingIn a cross-sectional, case-control study, we examined insulin sensitivity, β-cell function, energy expenditure (EE), and sympathetic nervous system activity in adults with PHP1a. STUDY

participantsPHP1a patients (n = 8) and healthy control subjects (n = 24) matched for age (41 ± 7 vs 41 ± 7 years [mean ± SD]), gender, and percent body fat.

methodsInsulin sensitivity (SI), acute insulin response to glucose, and disposition index were assessed during a frequently sampled iv glucose tolerance test. Oral glucose insulin sensitivity (OGIS) was measured during a mixed meal. EE was measured using whole-room indirect calorimetry. Body composition was assessed via dual-energy x-ray absorptiometry and sympathetic nervous system activity by measuring 24-hour urinary catecholamine concentrations.

resultsPHP1a patients were less insulin-sensitive than their matched controls based upon SI and OGIS. Nondiabetic PHP1a patients tended to have a lower SI (P = .09) and reduced OGIS (P = .03). Disposition index, a composite measure of β-cell function, also tended to be lower in patients (P = .07). Total caloric intake, resting EE, total EE, meal-induced thermogenesis, and 24-hour urinary catecholamine concentrations were not significantly different between the groups.

conclusionsAdults with PHP-1a have reduced insulin sensitivity compared with their matched controls that may contribute to the pathogenesis of glucose intolerance and diabetes in these patients.

Indexed as

Adipose TissueAdultBlood GlucoseCalorimetry, IndirectCase-Control StudiesCross-Sectional StudiesEnergy MetabolismFemaleGlucose Tolerance TestHumansIncretinsInsulinInsulin ResistanceInsulin-Secreting CellsInsulin SecretionMaleBlood GlucoseIncretinsInsulin

Identifiers

PMID24030943
PMCPMC3816268
OpenAlexW2080366626

What OpenQuestion holds

Textmetadata
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Registered trials

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.