Evidence map›Paper›PMID 24315372›Full record

ArticleCell metabolism2013

Role of KATP channels in glucose-regulated glucagon secretion and impaired counterregulation in type 2 diabetes.

Quan Zhang, Reshma Ramracheya, Carolina Lahmann, Andrei Tarasov, Martin Bengtsson, Orit Braha, Matthias Braun, Melissa Brereton, Stephan Collins, Juris Galvanovskis and 12 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cell 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 NCT05616273 (Stimulated Glucagon as a Biomarker of Hypoglycemic Risk in Type 1 Diabetes), which is not on this map. Cited by 141 papers.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed
13.7field-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.

NCT05616273 completednot on this mapstarted 2023, after this paper: background citation

Stimulated Glucagon as a Biomarker of Hypoglycemic Risk in Type 1 Diabetes

TypeobservationalSponsorUniversity of ExeterRan2023 to 2025Enrolled62ConditionsType 1 Diabetes, HypoglycemiaArmsMixed Meal Tolerance Test (MMTT), Arginine Stimulation Test (AST), Home Finger Prick Sample
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 223 citations in OpenAlex.

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81 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

22 authors at 5 institutions in 1 country.

Quan ZhangOxford Centre for Diabetes, Endocrinology, and Metabolism, University of Oxford, Churchill Hospital, Oxford OX3 7LJ, UK.
Reshma Ramracheya
Carolina Lahmann
Andrei Tarasov
Martin Bengtsson
Orit Braha
Matthias Braun
Melissa Brereton
Stephan Collins
Juris Galvanovskis
Alejandro Gonzalez
Lukas N Groschner
Nils J G Rorsman
Albert Salehi
Mary E Travers
Jonathan N Walker
Anna L Gloyn
Fiona Gribble
Paul R V Johnson
Frank Reimann
Frances M Ashcroft
Patrik Rorsman
University of Oxford · GBOxford Centre for Diabetes, Endocrinology and Metabolism · GBCentre for Human Genetics · GBAddenbrooke's Hospital · GBChurchill Hospital · GB

Funding

Medical Research Council MC_UU_12012/3Wellcome Trust 084655Wellcome Trust 088357Wellcome Trust 095101Wellcome Trust 095531Wellcome Trust 095531/Z/11/Z
6 · The paper itself

Abstract

Glucagon, secreted by pancreatic islet α cells, is the principal hyperglycemic hormone. In diabetes, glucagon secretion is not suppressed at high glucose, exacerbating the consequences of insufficient insulin secretion, and is inadequate at low glucose, potentially leading to fatal hypoglycemia. The causal mechanisms remain unknown. Here we show that α cell KATP-channel activity is very low under hypoglycemic conditions and that hyperglycemia, via elevated intracellular ATP/ADP, leads to complete inhibition. This produces membrane depolarization and voltage-dependent inactivation of the Na(+) channels involved in action potential firing that, via reduced action potential height and Ca(2+) entry, suppresses glucagon secretion. Maneuvers that increase KATP channel activity, such as metabolic inhibition, mimic the glucagon secretory defects associated with diabetes. Low concentrations of the KATP channel blocker tolbutamide partially restore glucose-regulated glucagon secretion in islets from type 2 diabetic organ donors. These data suggest that impaired metabolic control of the KATP channels underlies the defective glucose regulation of glucagon secretion in type 2 diabetes.

Indexed as

Adenosine TriphosphateAnimalsCalciumCalcium ChannelsDiabetes Mellitus, Type 2ExocytosisGlucagonGlucagon-Secreting CellsGlucoseHumansIn Vitro TechniquesKATP ChannelsKcnj11 ChannelMembrane PotentialsMiceMutationAdenosine TriphosphateCalciumCalcium ChannelsGlucagonGlucoseKATP ChannelsKcnj11 ChannelPotassium Channels, Inwardly RectifyingTolbutamide

Identifiers

PMID24315372
PMCPMC3851686
OpenAlexW2161741963

What OpenQuestion holds

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LicenceCC BY
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.