Evidence map›Paper›PMID 24055327›Full record

ArticleJournal of diabetes and its complications

Depletion of circulating progenitor cells precedes overt diabetes: a substudy from the VA enhanced fitness trial.

Thomas J Povsic, Richard Sloane, Jennifer B Green, Jiying Zhou, Carl F Pieper, Megan P Pearson, Eric D Peterson, Harvey J Cohen, Miriam C Morey

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of diabetes and its complications. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00594399 (Enhancing Fitness in Older Overweight Vets With Impaired Fasting Glucose), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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.

NCT00594399 phase2 / phase3completednot on this map

Enhancing Fitness in Older Overweight Vets With Impaired Fasting Glucose

TypeinterventionalSponsorUS Department of Veterans AffairsRan2008 to 2011Enrolled302ConditionsImpaired Glucose Tolerance, Obesity, DiabetesArmsPhysical Activity Counseling
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. CD133 expression in circulating hematopoietic progenitor cells.Cytometry. Part B, Clinical cytometry · 2019
    Article
  5. Article
  6. Review
  7. 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

9 authors at 4 institutions in 1 country.

Thomas J PovsicDuke Clinical Research Institute, Duke University Health Care System, Durham, NC, USA; Department of Medicine, Duke University Health Care System, Durham, NC, USA; Claude D. Pepper OAIC, Duke University Health Care System, Durham, NC, USA. Electronic address: thomas.povsic@duke.edu.
Richard Sloane
Jennifer B Green
Jiying Zhou
Carl F Pieper
Megan P Pearson
Eric D Peterson
Harvey J Cohen
Miriam C Morey
Duke University Health System · USGeriatric Research Education and Clinical Center · USUniversity Health Care System · USClinical Research Institute · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
Assessing Circulating Progenitor Cells in Heart DiseaseK18HL081419 · NHLBI · DUKE UNIVERSITY · PI POVSIC, THOMAS JOSEPH · 2006 to 2007
$306k
NHLBI NIH HHS K18 HL081419NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

backgroundOne theory of aging and disease development is that chronic injury (pathology) results in activation of regenerative processes and initial repair, with overt disease arising only after exhaustion of reparative capability leads to inadequate repair. While depletion of circulating progenitor cells (CPCs) has been noted in diabetes, the degree to which CPC depletion predates and is associated with propensity to develop overt disease is unclear.

methodsThe Enhanced Fitness trial enrolled overweight/obese (body mass index >25) sedentary patients with glucose intolerance but without overt diabetes. Baseline CPCs were measured in 129 patients based on the cell surface markers CD34, CD133, and aldehyde dehydrogenase (ALDH) activity. HgbA1C, fasting insulin and glucose levels, and HOMA calculations were ascertained.

resultsLower counts of early angiogenic CPCs identified as CD34(+), CD34(+)CD133(+), and ALDH-bright (ALDH(br)) cells were associated with impairments in glucose homeostasis as reflected by HgbA1C, but not fasting insulin, glucose, or HOMA-IR. These associations remained when corrected for age and cardiovascular risk factors. CONCLUSIONS/

interpretationThe numbers of CD34(+) and ALDH(br) CPCs were significantly lower in patients with impaired glucose tolerance. Depletion of reparative capacity as reflected by loss of CPCs may presage overt disease as exemplified in this pre-diabetes model.

Indexed as

AgedAged, 80 and overAldehyde Dehydrogenase 1 FamilyAntigens, CD34Blood Cell CountClinical Trials as TopicDiabetes Mellitus, Type 2Disease ProgressionFemaleGlucose IntoleranceHematopoietic Stem CellsHumansIsoenzymesMaleMiddle AgedPhysical FitnessAldehyde Dehydrogenase 1 FamilyALDH1A1 protein, humanAntigens, CD34IsoenzymesRetinal DehydrogenaseDisease progressionEtiologyPathophysiologyPrediabetesProgenitor cellsStem cells

Identifiers

PMID24055327
PMCPMC3874717
OpenAlexW2171520278

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.