Evidence map›Paper›PMID 24337154›Full record

Trial reportDiabetologia2014

A sustained increase in plasma NEFA upregulates the Toll-like receptor network in human muscle.

Sophie E Hussey, Helen Lum, Andrea Alvarez, Yolanda Cipriani, Jesús Garduño-Garcia, Luis Anaya, John Dube, Nicolas Musi

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetologia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01740817 (A Randomized, Crossover Study to Evaluate the Effect of Lipid Infusion on TLR4 Signaling and Insulin Resistance in Human Muscle), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT01740817 nacompletednot on this map

A Randomized, Crossover Study to Evaluate the Effect of Lipid Infusion on TLR4 Signaling and Insulin Resistance in Human Muscle

TypeinterventionalSponsorThe University of Texas Health Science Center at San AntonioRan2008 to 2015Enrolled12ConditionsDiabetes, ObesityArmsIntralipid 20%, Saline
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
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  14. Article
  15. Lipid-mediated muscle insulin resistance: different fat, different pathways?Journal of molecular medicine (Berlin, Germany) · 2015
    Review
  16. Article
  17. Lipid-induced insulin resistance does not impair insulin access to skeletal muscle.American journal of physiology. Endocrinology and metabolism · 2015
    Article
  18. Fetuin-A: a novel link between obesity and related complications.International journal of obesity (2005) · 2015
    Review
  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

8 authors at 2 institutions in 1 country.

Sophie E HusseyDepartment of Medicine-Diabetes Division, University of Texas Health Science Center at San Antonio, San Antonio, TX, 78229, USA.
Helen Lum
Andrea Alvarez
Yolanda Cipriani
Jesús Garduño-Garcia
Luis Anaya
John Dube
Nicolas Musi
The University of Texas Health Science Center at San Antonio · USUniversity of Pittsburgh · US

Funding

Translational Science Laboratory Shared ResourceP30CA138313 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Jian Ouyang · 2009 to 2026
$42.7M
THE ROLE OF LACTOSYLCERAMIDE IN RENAL AGING AND DISEASEP20RR017677 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ZHANG, YONG-MEI · 2002 to 2011
$23.4M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR000149 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A · 2012 to 2013
$6.8M
Institute for Integration of Medicine & Science: A Partnership to Improve HealthKL2TR001118 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, DOUGHERTY, DONALD M · 2013 to 2017
$3.4M
Role of TLR4 on insulin resistance in humansR01DK080157 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MUSI, NICOLAS · 2008 to 2017
$3.0M
EXTRAMURAL RESEARCH FACILITIES CONSTRUCTIONC06RR018823 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND, JOHN R · 2003 to 2003
$2.9M
Effect of age on glucose and lipid metabolismR01DK089229 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI MUSI, NICOLAS · 2010 to 2013
$1.3M
A molecular basis for endotoxin mediated insulin resistanceF32DK095565 · NIDDK · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI HUSSEY, SOPHIE · 2012 to 2013
$107k
NCATS NIH HHS KL2 TR001118NCATS NIH HHS TR000149NCATS NIH HHS UL1 TR000149NCATS NIH HHS UL1 TR001120NCI NIH HHS P30 CA138313NCRR NIH HHS C06 RR018823NCRR NIH HHS P20 RR017677NIDDK NIH HHS 1F32DK095565-01A1NIDDK NIH HHS F32 DK095565NIDDK NIH HHS R01 DK080157NIDDK NIH HHS R01 DK089229NIDDK NIH HHS R01-DK089229NIDDK NIH HHS R01-DK80157
6 · The paper itself

Abstract

aims/hypothesisInsulin-sensitive tissues (muscle, liver) of individuals with obesity and type 2 diabetes mellitus are in a state of low-grade inflammation, characterised by increased Toll-like receptor (TLR) expression and TLR-driven signalling. However, the cause of this mild inflammatory state is unclear. We tested the hypothesis that a prolonged mild increase in plasma NEFA will increase TLR expression and TLR-driven signalling (nuclear factor κB [NFκB] and mitogen-activated kinase [MAPK]) and impair insulin action in muscle of lean healthy individuals.

methodsTwelve lean, normal-glucose-tolerant participants were randomised to receive a 48 h infusion (30 ml/h) of saline or Intralipid followed by a euglycaemic-hyperinsulinaemic clamp. Vastus lateralis muscle biopsies were performed before and during the clamp.

resultsLipid infusion impaired insulin-stimulated IRS-1 tyrosine phosphorylation and reduced peripheral insulin sensitivity (p < 0.01). The elevation in circulating NEFA increased expression of TLR3, TLR4 and TLR5, and several MAPK (MAPK8, MAP4K4, MAP2K3) and inhibitor of κB kinase-NFκB (CHUK [IKKA], c-REL [REL] and p65 [RELA, NFKB3, p65]) signalling genes (p < 0.05). The lipid infusion also increased extracellular signal-regulated kinase (ERK) phosphorylation (p < 0.05) and tended to reduce the content of inhibitor of kappa Bα (p = 0.09). The muscle content of most diacylglycerol, ceramide and acylcarnitine species was unaffected. In summary, insulin resistance induced by prolonged low-dose lipid infusion occurs together with increased TLR-driven inflammatory signalling and impaired insulin-stimulated IRS-1 tyrosine phosphorylation. CONCLUSIONS/

interpretationA sustained, mild elevation in plasma NEFA is sufficient to increase TLR expression and TLR-driven signalling (NFκB and MAPK) in lean individuals. The activation of this pathway by NEFA may be involved in the pathogenesis of insulin resistance in humans.

trial registrationClinicalTrials.gov NCT01740817.

Indexed as

Insulin ResistanceAdolescentAdultBlood GlucoseDiacylglycerol KinaseExtracellular Signal-Regulated MAP KinasesFatty Acids, NonesterifiedFemaleGlucose Clamp TechniqueHumansImmunoblottingInsulinInsulin SecretionMaleMiddle AgedMuscle, SkeletalBlood GlucoseDiacylglycerol KinaseExtracellular Signal-Regulated MAP KinasesFatty Acids, NonesterifiedInsulinNF-kappa BProtein Serine-Threonine KinasesToll-Like Receptors

Identifiers

PMID24337154
PMCPMC3945433
OpenAlexW2168309576

What OpenQuestion holds

Textmetadata
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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.