Evidence map›Paper›PMID 25037197›Full record

ArticleJournal of the American Heart Association2014

Circulating dickkopf-1 in diabetes mellitus: association with platelet activation and effects of improved metabolic control and low-dose aspirin.

Stefano Lattanzio, Francesca Santilli, Rossella Liani, Natale Vazzana, Thor Ueland, Patrizia Di Fulvio, Gloria Formoso, Agostino Consoli, Pål Aukrust, Giovanni Davì

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

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  19. Decreased Serum Dickkopf-1 Levels After Hypoglycemic Therapy in Patients with Type 2 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
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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 2 institutions in 2 countries.

Stefano LattanzioCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
Francesca SantilliCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
Rossella LianiCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
Natale VazzanaCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
Thor UelandResearch Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway (T.U., A.).
Patrizia Di FulvioCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
Gloria FormosoCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
Agostino ConsoliCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
Pål AukrustResearch Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway (T.U., A.).
Giovanni DavìCenter of Excellence on Aging, "G. d'Annunzio" University of Chieti, Italy (S.L., F.S., R.L., N.V., P.D.F., G.F., A.C., G.D.).
University of Chieti-Pescara · ITOslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDickkopf-1 (DKK-1) is a major regulator of the Wnt signaling pathway, involved in inflammation, atherogenesis, and the regulation of glucose metabolism. Because platelets are major contributors to circulating levels of DKK-1 in other clinical settings, we aimed at characterizing the platelet contribution to DKK-1 in type 2 diabetes mellitus (T2DM) and evaluating associations of DKK-1 with glucose metabolism, platelet activation, and endothelial dysfunction. METHODS AND

resultsA cross-sectional comparison of DKK-1, soluble CD40L (sCD40L; reflecting platelet-mediated inflammation), asymmetric dimethylarginine (ADMA; marker of endothelial dysfunction), and urinary 11-dehydro-thromboxane B2 (in vivo marker of platelet activation) was performed among 214 diabetic patients (90 receiving aspirin at 100 mg/day) and 30 healthy controls. Plasma DKK-1 levels were markedly higher in patients with T2DM than in healthy patients (P<0.0001). DKK-1 levels were significantly lower in diabetic patients receiving compared with those not on aspirin treatment (P=0.008); in the latter, DKK-1 was significantly correlated with 11-dehydro-thromboxane B2, ADMA, and CD40L (ρ=0.303. P<0.0001, ρ=0.45. P<0.0001, and ρ=0.37, P<0.0001, respectively) but not with glycemic control or DM duration. Among patients not receiving aspirin, improvement of metabolic control in a subgroup of newly diagnosed patients treated with acarbose for 20 weeks and in a group treated with rosiglitazone for 24 weeks was associated with concurrent significant reductions in DKK-1 (P=0.005 and P=0.004) and 11-dehydro-thromboxane B2 (P=0.005 and P=0.004).

conclusionsCirculating DKK-1 is increased in T2DM and associated with endothelial dysfunction and platelet activation. Plasma DKK-1 levels are reduced with improvement of glycemic control and low-dose aspirin treatment.

Indexed as

Platelet ActivationAgedArginineAspirinBiomarkersCardiovascular DiseasesCase-Control StudiesCD40 LigandCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansHypoglycemic AgentsIntercellular Signaling Peptides and ProteinsMale11-dehydro-thromboxane B2ArginineAspirinBiomarkersCD40 LigandDKK1 protein, humanGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsIntercellular Signaling Peptides and ProteinsN,N-dimethylargininePlatelet Aggregation InhibitorsThromboxane B2diabetes mellitusDKK‐1endothelial dysfunctioninflammationplatelet activationplatelet‐derived factor

Identifiers

PMID25037197
PMCPMC4310390
OpenAlexW2106238693

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.