Evidence map›Paper›PMID 25441222›Full record

ArticleJournal of diabetes and its complications

The predictive role of markers of Inflammation and endothelial dysfunction on the course of diabetic retinopathy in type 1 diabetes.

Hussein A Rajab, Nathaniel L Baker, Kelly J Hunt, Richard Klein, Patricia A Cleary, John Lachin, Gabriel Virella, Maria F Lopes-Virella, DCCT/EDIC Group of Investigators

Abstract readComparative Study
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. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.6field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Proteomic Biomarkers of Retinal Inflammation in Diabetic Retinopathy.International journal of molecular sciences · 2019
    Review
  13. Review
  14. Pharmacology of Corticosteroids for Diabetic Macular Edema.Investigative ophthalmology & visual science · 2018
    Review
  15. Article
  16. Article
  17. Future opportunities in diabetic retinopathy research.Current opinion in endocrinology, diabetes, and obesity · 2016
    Review
  18. Review
  19. Neuroinflammatory responses in diabetic retinopathy.Journal of neuroinflammation · 2015
    Review
  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

9 authors at 3 institutions in 1 country.

Hussein A RajabDepartment of Medicine, Division of Endocrinology, Diabetes and Medical Genetics, Medical University of South Carolina, Charleston, SC, USA.
Nathaniel L BakerDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Kelly J HuntDepartment of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Richard KleinDepartment of Medicine, Division of Endocrinology, Diabetes and Medical Genetics, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA.
Patricia A ClearyThe Biostatistics Center, George Washington University, Washington DC, Washington DC, USA.
John LachinThe Biostatistics Center, George Washington University, Washington DC, Washington DC, USA.
Gabriel VirellaDepartment of Microbiology and Immunology, Medical University of South Carolina, Charleston, SC, USA.
Maria F Lopes-VirellaDepartment of Medicine, Division of Endocrinology, Diabetes and Medical Genetics, Medical University of South Carolina, Charleston, SC, USA; Ralph H. Johnson VA Medical Center, Charleston, SC, USA. Electronic address: virellam@musc.edu.
DCCT/EDIC Group of Investigators
Medical University of South Carolina · USGeorge Washington University · USRalph H. Johnson VA Medical Center · US

Funding

Epidemiology of Diabetes Interventions and Complications Data Coordinating CenterU01DK094176 · NIDDK · GEORGE WASHINGTON UNIVERSITY · PI BEBU, IONUT, BRAFFETT, BARBARA HALINA · 2012 to 2022
$30.8M
Biomarkers of Vascular Disease Progression in Type 1 Diabetes MellitusR01DK081352 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LOPES-VIRELLA, MARIA F · 2008 to 2011
$2.2M
NIDDK NIH HHS R01 DK081352NIDDK NIH HHS R01-DK-081352NIDDK NIH HHS U01 DK094176
6 · The paper itself

Abstract

aimsThis study was undertaken to determine whether levels of inflammation and endothelial dysfunction biomarkers in serum samples collected at baseline in the Diabetes Control and Complications Trial (DCCT) cohort could predict the development of retinopathy.

methodsLevels of clotting/fibrinolysis, inflammation and endothelial dysfunction biomarkers were measured in 1391 subjects with type 1 diabetes to determine whether their levels predicted increased risk to develop or accelerate progression of retinopathy during 16years of follow-up.

resultsUsing regression models adjusted for DCCT treatment group, duration of diabetes, baseline retinopathy scores, HbA1c and albumin excretion rate, the baseline levels of sE-selectin and PAI-1 (active) were significantly associated with increased risk of a 3-step progression in retinopathy score in the primary prevention cohort (PPC). After adjusting for additional covariates (e.g., ACE/ARB and statin therapy), this association persisted. Levels of active and total PAI-1 in the same group were also significantly associated, after similar adjustments, with the time to progress to severe non-proliferative retinopathy during the follow-up period (54 and 29%, respectively of increased risk). No associations were observed in the secondary intervention cohort for any of the outcomes.

conclusionsHigh levels of sE-selectin and PAI-1 are associated with the development of retinopathy in patients with uncomplicated type 1 diabetes.

Indexed as

AdultBiomarkersCohort StudiesC-Reactive ProteinCytokinesDiabetic RetinopathyDisease ProgressionEndothelium, VascularE-SelectinFemaleFollow-Up StudiesHumansInflammation MediatorsMalePlasminogen Activator Inhibitor 1Predictive Value of TestsBiomarkersC-Reactive ProteinCytokinesE-SelectinInflammation MediatorsPlasminogen Activator Inhibitor 1BiomarkersDiabetes complicationsE-selectinPlasminogen activator inhibitor type 1RetinopathyType 1 diabetes

Identifiers

PMID25441222
PMCPMC4426877
OpenAlexW2111891434

What OpenQuestion holds

Textmetadata
LicenceTDM
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.