Evidence map›Paper›PMID 25973922›Full record

ArticlePloS one2015

A panel of novel biomarkers representing different disease pathways improves prediction of renal function decline in type 2 diabetes.

Michelle J Pena, Andreas Heinzel, Georg Heinze, Alaa Alkhalaf, Stephan J L Bakker, Tri Q Nguyen, Roel Goldschmeding, Henk J G Bilo, Paul Perco, Bernd Mayer and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  11. Associations of Plasma Biomarkers of Inflammation, Fibrosis, and Kidney Tubular Injury With Progression of Diabetic Kidney Disease: A Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Article
  12. Article
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  18. The Role of Chemokines and Chemokine Receptors in Diabetic Nephropathy.International journal of molecular sciences · 2020
    Review
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  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

12 authors at 5 institutions in 2 countries.

Michelle J PenaDepartment of Clinical Pharmacy & Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Andreas Heinzelemergentec biodevelopment GmbH, Vienna, Austria.
Georg HeinzeCenter For Medical Statistics, Informatics, And Intelligent Systems, Medical University of Vienna, Vienna, Austria.
Alaa AlkhalafDiabetes Centre, Isala Clinics, Zwolle, The Netherlands; Department of Gastroenterology and Hepatology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Stephan J L BakkerDepartment of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Tri Q NguyenDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Roel GoldschmedingDepartment of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
Henk J G BiloDiabetes Centre, Isala Clinics, Zwolle, The Netherlands; Department of Internal Medicine, Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Paul Percoemergentec biodevelopment GmbH, Vienna, Austria.
Bernd Mayeremergentec biodevelopment GmbH, Vienna, Austria.
Dick de ZeeuwDepartment of Clinical Pharmacy & Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Hiddo J Lambers HeerspinkDepartment of Clinical Pharmacy & Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLEmergenTec (Austria) · ATUniversity Medical Center Utrecht · NLMedical University of Vienna · ATUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aimed to identify a novel panel of biomarkers predicting renal function decline in type 2 diabetes, using biomarkers representing different disease pathways speculated to contribute to the progression of diabetic nephropathy. RESEARCH DESIGN AND

methodsA systematic data integration approach was used to select biomarkers representing different disease pathways. Twenty-eight biomarkers were measured in 82 patients seen at an outpatient diabetes center in The Netherlands. Median follow-up was 4.0 years. We compared the cross-validated explained variation (R2) of two models to predict eGFR decline, one including only established risk markers, the other adding a novel panel of biomarkers. Least absolute shrinkage and selection operator (LASSO) was used for model estimation. The C-index was calculated to assess improvement in prediction of accelerated eGFR decline defined as <-3.0 mL/min/1.73m2/year.

resultsPatients' average age was 63.5 years and baseline eGFR was 77.9 mL/min/1.73m2. The average rate of eGFR decline was -2.0 ± 4.7 mL/min/1.73m2/year. When modeled on top of established risk markers, the biomarker panel including matrix metallopeptidases, tyrosine kinase, podocin, CTGF, TNF-receptor-1, sclerostin, CCL2, YKL-40, and NT-proCNP improved the explained variability of eGFR decline (R2 increase from 37.7% to 54.6%; p=0.018) and improved prediction of accelerated eGFR decline (C-index increase from 0.835 to 0.896; p=0.008).

conclusionsA novel panel of biomarkers representing different pathways of renal disease progression including inflammation, fibrosis, angiogenesis, and endothelial function improved prediction of eGFR decline on top of established risk markers in type 2 diabetes. These results need to be confirmed in a large prospective cohort.

Indexed as

Adaptor Proteins, Signal TransducingAdipokinesAdultAgedBiomarkersBone Morphogenetic ProteinsChemokine CCL2Chitinase-3-Like Protein 1Connective Tissue Growth FactorDiabetes Mellitus, Type 2Diabetic NephropathiesDisease ProgressionFemaleFibrosisGenetic MarkersGlomerular Filtration RateAdaptor Proteins, Signal TransducingAdipokinesamino-terminal pro-C-type natriuretic peptide, humanBiomarkersBone Morphogenetic ProteinsCCL2 protein, humanCCN2 protein, humanChemokine CCL2CHI3L1 protein, humanChitinase-3-Like Protein 1Connective Tissue Growth FactorGenetic MarkersIntracellular Signaling Peptides and ProteinsLectinsMatrix Metalloproteinases, SecretedMembrane ProteinsNatriuretic Peptide, C-TypeNPHS2 proteinProtein-Tyrosine KinasesReceptors, Tumor Necrosis Factor, Type ISOST protein, human

Identifiers

PMID25973922
PMCPMC4431870
OpenAlexW2131474777

What OpenQuestion holds

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Registered trials

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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.