Evidence map›Paper›PMID 26367738›Full record

Observational studyPloS one2015

Chronic Endotoxemia in Subjects with Type-1 Diabetes Is Seen Much before the Onset of Microvascular Complications.

Vivekanandhan Aravindhan, Viswanathan Mohan, Namasivayam Arunkumar, Sreedharan Sandhya, Subash Babu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 31 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

Vivekanandhan AravindhanAU-KBC Research Centre, MIT Campus of Anna University, Chennai, India; Dept of Genetics, Dr ALM PG IBMS, University of Madras, Taramani, Chennai, 600113, India.
Viswanathan MohanMadras Diabetes Research Foundation & Dr. Mohan's Diabetes Specialties Centre, WHO Collaborating Centre for Non-Communicable Diseases Prevention and NGT, International Diabetes Federation (IDF) Centre for Education, Chennai, India.
Namasivayam ArunkumarBiostatistics & Programming, Algorithm Inc, Bengaluru, India.
Sreedharan SandhyaAU-KBC Research Centre, MIT Campus of Anna University, Chennai, India.
Subash BabuNational Institutes of Health-International Center for Excellence in Research, National Institute for Research in Tuberculosis, Chennai, India.
Anna University, Chennai · INMadras Diabetes Research Foundation · INNational Institute of Research in Tuberculosis · INUniversity of Madras · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLipopolysaccharide (LPS)/Endotoxin is hypothesized to play an important role in chronic inflammation associated with Type-1 diabetes (T1DM) and its complications. Endotoxin core antibodies (EndoCAb), LPS binding protein (LBP) and soluble CD14 (sCD14) act as modulators of LPS induced activation of innate immune system in vivo. For the present study we estimated the levels of LPS and its translocation markers in T1DM subjects with and without microvascular complications (MVC) and correlate them with clinical parameters of T1DM and serum inflammatory cytokine levels (TNF-α, IL-6, IL-1β and GM-CSF).

methodsA total of 197 subjects (64 normal glucose tolerance (NGT) subjects, 97 T1DM subjects without MVC and 36 with MVC) were included in this study and the levels of serum LPS, its translocation markers and cytokines measured by immunoassays.

resultsCompared to NGT, T1DM subjects (both with and without MVC) had significantly higher levels of LPS, reduced levels of LBP and EndoCAb along with significant increase in the levels of IL-1β, IL-6, TNF-α and GM-CSF (p<0.05). No significant change was seen in the levels of these biomarkers between T1DM subjects with and without MVC.

conclusionsDecreased levels of EndoCAb and LBP suggest sustained endotoxin activity in T1DM subjects even before the onset of microvascular complications.

Indexed as

Acute-Phase ProteinsAdolescentAdultBiomarkersCarrier ProteinsCross-Sectional StudiesCytokinesDiabetes Mellitus, Type 1EndotoxemiaFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansInterleukin-6Lipopolysaccharide-Binding ProteinLipopolysaccharide ReceptorsLipopolysaccharidesAcute-Phase ProteinsBiomarkersCarrier ProteinsCytokinesGranulocyte-Macrophage Colony-Stimulating FactorInterleukin-6Lipopolysaccharide-Binding ProteinLipopolysaccharide ReceptorsLipopolysaccharidesMembrane GlycoproteinsTumor Necrosis Factor-alpha

Identifiers

PMID26367738
PMCPMC4569180
OpenAlexW2273146971

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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.