Evidence map›Paper›PMID 26098780›Full record

ArticlePloS one2015

C-Peptide Is Independently Associated with an Increased Risk of Coronary Artery Disease in T2DM Subjects: A Cross-Sectional Study.

Lingshu Wang, Peng Lin, Aixia Ma, Huizhen Zheng, Kexin Wang, Wenjuan Li, Chuan Wang, Ruxing Zhao, Kai Liang, Fuqiang Liu and 6 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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.2field-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

19 citing papers in PubMed, 28 citations in OpenAlex.

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  9. Association of C-peptide level with bone mineral density in type 2 diabetes mellitus.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2023
    Article
  10. The Correlation Between C-Peptide and Severity of Peripheral Atherosclerosis in Type 2 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Article
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  12. Insights into the physiology of C-peptide.Physiological research · 2020
    Review
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  19. Hemolysis Affects C-Peptide Immunoassay.Journal of clinical laboratory analysis · 2016
    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

16 authors at 2 institutions in 2 countries.

Lingshu WangDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Peng LinDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Aixia MaDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Huizhen ZhengDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Kexin WangDepartment of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Wenjuan LiDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Chuan WangDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Ruxing ZhaoDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Kai LiangDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Fuqiang LiuDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Xinguo HouDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Jun SongDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Yiran LuDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Ping ZhuDepartment of Ophthalmology, College of medicine, University of Florida, Gainesville, FL 32610-0284, United States of America.
Yu SunDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China.
Li ChenDepartment of Endocrinology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, China; Institute of Endocrinology and Metabolism, Shandong University, Jinan, Shandong 250012, China.
Qilu Hospital of Shandong University · CNUniversity of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveC-peptide has been reported to be a marker of subclinical atherosclerosis in type 2 diabetes mellitus (T2DM) patients, whereas its role in coronary artery disease (CAD) has not been clarified, especially in diabetics with differing body mass indices (BMIs). DESIGN AND

methodsThis cross-sectional study included 501 patients with T2DM. First, all subjects were divided into the following two groups: CAD and non-CAD. Then, binary logistic regression was used to determine the risk factors for CAD for all patients. To clarify the role of obesity, we re-divided all subjects into two additional groups (obese and non-obese) based on BMI. Finally, binary logistic regression was used to determine the risk factors for CAD for each weight group.

resultsThe patients with CAD showed a higher BMI and fasting C-peptide level in addition to an increased prevalence of traditional risk factors for CAD, such as hypertension, insulin resistance, higher cholesterol, cysteine-C (Cys-C) and lower estimated glomerular filtration rate (eGFR). Logistic regression analysis showed that fasting C-peptide (OR=1.513, p=0.005), insulin treatment (OR=1.832, p=0.027) hypertension (OR=1.987, p=0.016) and hyperlipidemia (OR=4.159, p<0.001) significantly increased the risk of clinical CAD in the T2DM patients independent of age, gender, diabetes duration, smoking and alcohol statuses, fasting insulin and glucose, hypoglycemic episodes, UA and eGFR. Additionally, in both of the obese (OR=1.488, p=0.049) and non-obese (OR=1.686, p=0.037) DM groups, C-peptide was associated with an increased risk of CAD after multiple adjustments.

conclusionsC-peptide is associated with an increased CAD risk in T2DM patients, no matter whether they are obese or not.

Indexed as

Body Mass IndexCoronary Artery DiseaseC-PeptideCross-Sectional StudiesDiabetes Mellitus, Type 2HumansHyperlipidemiasHypertensionInsulin ResistanceLogistic ModelsObesityRisk FactorsC-Peptide

Identifiers

PMID26098780
PMCPMC4476669
OpenAlexW1194130756

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.