Evidence map›Paper›PMID 26606753›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2016

Recessive mutations in the cancer gene Ataxia Telangiectasia Mutated (ATM), at a locus previously associated with metformin response, cause dysglycaemia and insulin resistance.

P J Connelly, N Smith, R Chadwick, A R Exley, J M Shneerson, E R Pearson

Registry-linked trialOpen access · hybridFull text read
In one paragraph

Article in Diabetic medicine : a journal of the British Diabetic Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02733679 (Response of Individuals With Ataxia-Telangiectasia to Metformin and Pioglitazone), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.5field-weighted citation impact, top 17% 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.

NCT02733679 phase4completednot on this map

Response of Individuals With Ataxia-Telangiectasia to Metformin and Pioglitazone

TypeinterventionalSponsorNHS TaysideRan2016 to 2017Enrolled27ConditionsAtaxia-TelangiectasiaArmsMetformin, Pioglitazone
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Medicinal Plant Extracts EvaluatedEvidence-based complementary and alternative medicine : eCAM · 2021
    Review
  5. Article
  6. Review
  7. Heart failure and diabetes: role of ATM.Current opinion in pharmacology · 2020
    Review
  8. Article
  9. Review
  10. Diabetes: Is There a Future for Pharmacogenomics Guided Treatment?Clinical pharmacology and therapeutics · 2019
    Review
  11. Article
  12. Pharmacogenetics of Antidiabetic Drugs.Advances in pharmacology (San Diego, Calif.) · 2018
    Review
  13. Article
  14. Review
  15. Ataxia telangiectasia: a review.Orphanet journal of rare diseases · 2016
    Review
  16. Review
  17. Personalized medicine in diabetes: the role of 'omics' and biomarkers.Diabetic medicine : a journal of the British Diabetic Association · 2016
    Review
  18. Article
  19. Review
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

6 authors at 2 institutions in 1 country.

P J ConnellyDivision of Cardiovascular and Diabetes Medicine, Medical Research Institute, University of Dundee, Dundee, UK.
N SmithDivision of Cardiovascular and Diabetes Medicine, Medical Research Institute, University of Dundee, Dundee, UK.
R ChadwickPapworth Hospital NHS Foundation Trust, Cambridge, UK.
A R ExleyPapworth Hospital NHS Foundation Trust, Cambridge, UK.
J M ShneersonPapworth Hospital NHS Foundation Trust, Cambridge, UK.
E R PearsonDivision of Cardiovascular and Diabetes Medicine, Medical Research Institute, University of Dundee, Dundee, UK.
Papworth Hospital NHS Foundation Trust · GBUniversity of Dundee · GB

Funding

Wellcome Trust 102820Wellcome Trust 102820/Z/13/Z
6 · The paper itself

Abstract

aimTo investigate glucose and insulin metabolism in participants with ataxia telangiectasia in the absence of a diagnosis of diabetes.

methodsA standard oral glucose tolerance test was performed in participants with ataxia telangiectasia (n = 10) and in a control cohort (n = 10). Serial glucose and insulin measurements were taken to permit cohort comparisons of glucose-insulin homeostasis and indices of insulin secretion and sensitivity.

resultsDuring the oral glucose tolerance test, the 2-h glucose (6.75 vs 4.93 mmol/l; P = 0.029), insulin concentrations (285.6 vs 148.5 pmol/l; P = 0.043), incremental area under the curve for glucose (314 vs 161 mmol/l/min; P = 0.036) and incremental area under the curve for insulin (37,720 vs 18,080 pmol/l/min; P = 0.03) were higher in participants with ataxia telangiectasia than in the controls. There were no significant differences between groups in fasting glucose, insulin concentrations or insulinogenic index measurement (0.94 vs 0.95; P = 0.95). The Matsuda index, reflecting whole-body insulin sensitivity, was lower in participants with ataxia telangiectasia (5.96 vs 11.03; P = 0.019) than in control subjects.

conclusionsMutations in Ataxia Telangiectasia Mutated (ATM) that cause ataxia telangiectasia are associated with elevated glycaemia and low insulin sensitivity in participants without diabetes. This indicates a role of ATM in glucose and insulin metabolic pathways.

Indexed as

Genes, RecessiveAdultAtaxia Telangiectasia Mutated ProteinsBiomarkers, PharmacologicalBlood GlucoseCase-Control StudiesFemaleGenes, NeoplasmGenetic LociGlucose Metabolism DisordersGlucose Tolerance TestHumansInsulin ResistanceMaleMetabolic Networks and PathwaysMetforminAtaxia Telangiectasia Mutated ProteinsATM protein, humanBiomarkers, PharmacologicalBlood GlucoseMetformin

Identifiers

PMID26606753
PMCPMC4832393
OpenAlexW2179039968

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Registered trials

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.