Evidence map›Paper›PMID 26650926›Full record

ArticlePloS one2015

Regional Brain Glucose Hypometabolism in Young Women with Polycystic Ovary Syndrome: Possible Link to Mild Insulin Resistance.

Christian-Alexandre Castellano, Jean-Patrice Baillargeon, Scott Nugent, Sébastien Tremblay, Mélanie Fortier, Hélène Imbeault, Julie Duval, Stephen C Cunnane

Registry-linked trialOpen 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. It is linked to trial NCT07021664 (Santé, Imagerie et Cognition à Travers la Transition ménopausique), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 7% 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.

NCT07021664 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Santé, Imagerie et Cognition à Travers la Transition ménopausique

TypeobservationalSponsorUniversité de SherbrookeRan2025 to 2026Enrolled45ConditionsMenopause
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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    Trial
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  6. Observational
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  13. Article
  14. Kinetic Modeling of Brain [Metabolites · 2024
    Article
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  16. Review
  17. Article
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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

8 authors at 2 institutions in 1 country.

Christian-Alexandre CastellanoResearch Centre on Aging, Sherbrooke University Geriatrics Institute, Sherbrooke, QC, Canada.
Jean-Patrice BaillargeonDepartment of Medicine, Université de Sherbrooke, Sherbrooke, QC, Canada.
Scott NugentResearch Centre on Aging, Sherbrooke University Geriatrics Institute, Sherbrooke, QC, Canada.
Sébastien TremblaySherbrooke Molecular Imaging Center, Université de Sherbrooke, Sherbrooke, QC, Canada.
Mélanie FortierResearch Centre on Aging, Sherbrooke University Geriatrics Institute, Sherbrooke, QC, Canada.
Hélène ImbeaultHealth and Social Sciences Center-Sherbrooke University Geriatrics Institute, Sherbrooke, QC, Canada.
Julie DuvalHealth and Social Sciences Center-Sherbrooke University Geriatrics Institute, Sherbrooke, QC, Canada.
Stephen C CunnaneResearch Centre on Aging, Sherbrooke University Geriatrics Institute, Sherbrooke, QC, Canada.
Université de Sherbrooke · CAHealth and Social Services Centre University Institute of Geriatrics of Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate whether cerebral metabolic rate of glucose (CMRglu) is altered in normal weight young women with polycystic ovary syndrome (PCOS) who exhibit mild insulin resistance. MATERIALS AND

methodsSeven women with PCOS were compared to eleven healthy female controls of similar age, education and body mass index. Regional brain glucose uptake was quantified using FDG with dynamic positron emission tomography and magnetic resonance imaging, and its potential relationship with insulin resistance assessed using the updated homeostasis model assessment (HOMA2-IR). A battery of cognitive tests was administered to evaluate working memory, attention and executive function.

resultsThe PCOS group had 10% higher fasting glucose and 40% higher HOMA2-IR (p ≤ 0.035) compared to the Controls. The PCOS group had 9-14% lower CMRglu in specific regions of the frontal, parietal and temporal cortices (p ≤ 0.018). A significant negative relation was found between the CMRglu and HOMA2-IR mainly in the frontal, parietal and temporal cortices as well as in the hippocampus and the amygdala (p ≤ 0.05). Globally, cognitive performance was normal in both groups but scores on the PASAT test of working memory tended to be low in the PCOS group.

conclusionsThe PCOS group exhibited a pattern of low regional CMRglu that correlated inversely with HOMA2-IR in several brain regions and which resembled the pattern seen in aging and early Alzheimer's disease. These results suggest that a direct association between mild insulin resistance and brain glucose hypometabolism independent of overweight or obesity can exist in young adults in their 20s. Further investigation of the influence of insulin resistance on brain glucose metabolism and cognition in younger and middle-aged adults is warranted.

Indexed as

Insulin ResistanceAdultBrain DiseasesCase-Control StudiesFemaleGlucoseGlucose Tolerance TestHumansMagnetic Resonance ImagingPolycystic Ovary SyndromeYoung AdultGlucose

Identifiers

PMID26650926
PMCPMC4674147
OpenAlexW2195969592

What OpenQuestion holds

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LicenceCC BY
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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.