Evidence map›Paper›PMID 26852231›Full record

ArticleCardiovascular diabetology2016

Type 2 diabetes enhances arterial uptake of choline in atherosclerotic mice: an imaging study with positron emission tomography tracer ¹⁸F-fluoromethylcholine.

Sanna Hellberg, Johanna M U Silvola, Max Kiugel, Heidi Liljenbäck, Olli Metsälä, Tapio Viljanen, Jari Metso, Matti Jauhiainen, Pekka Saukko, Pirjo Nuutila and 4 more

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.6field-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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. From incidental positron emission uptake toFrontiers in cardiovascular medicine · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Dietary NWorld journal of diabetes · 2022
    Article
  7. Atherosclerosis Burdens in Diabetes Mellitus: Assessment by PET Imaging.International journal of molecular sciences · 2022
    Review
  8. Positron Emission Tomography in Atherosclerosis Research.Methods in molecular biology (Clifton, N.J.) · 2022
    Article
  9. Review
  10. Review
  11. Current and novel radiopharmaceuticals for imaging cardiovascular inflammation.The quarterly journal of nuclear medicine and molecular imaging : official publication of the Italian Association of Nuclear Medicine (AIMN) [and] the International Association of Radiopharmacology (IAR), [and] Section of the Society of... · 2020
    Review
  12. Article
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  15. 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

14 authors at 5 institutions in 1 country.

Sanna HellbergTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. saelhe@utu.fi.
Johanna M U SilvolaTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. johanna.silvola@utu.fi.
Max KiugelTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. max.kiugel@utu.fi.
Heidi LiljenbäckTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. heidi.liljenback@utu.fi.
Olli MetsäläTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. olli.metsala@utu.fi.
Tapio ViljanenTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. tapio.viljanen@utu.fi.
Jari MetsoGenomics and Biomarkers Unit, National Institute for Health and Welfare, Haartmaninkatu 8, 00250, Helsinki, Finland. jari.metso@thl.fi.
Matti JauhiainenGenomics and Biomarkers Unit, National Institute for Health and Welfare, Haartmaninkatu 8, 00250, Helsinki, Finland. matti.jauhiainen@thl.fi.
Pekka SaukkoDepartment of Pathology and Forensic Medicine, University of Turku, Kiinamyllynkatu 10, 20520, Turku, Finland. psaukko@utu.fi.
Pirjo NuutilaTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. pirjo.nuutila@utu.fi.
Seppo Ylä-HerttualaA.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Neulaniementie 2, 70210, Kuopio, Finland. seppo.ylaherttuala@uef.fi.
Juhani KnuutiTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. juhani.knuuti@tyks.fi.
Anne RoivainenTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. anne.roivainen@utu.fi.
Antti SarasteTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20520, Turku, Finland. antti.saraste@utu.fi.
University of Turku · FITurku PET Centre · FIFinnish Institute for Health and Welfare · FITurku University Hospital · FIUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes is a risk factor for atherosclerosis associated with oxidative stress, inflammation and cell proliferation. The purpose of this study was to evaluate arterial choline uptake and its relationship to atherosclerotic inflammation in diabetic and non-diabetic hypercholesterolemic mice.

methodsLow-density lipoprotein-receptor deficient mice expressing only apolipoprotein B100, with or without type 2 diabetes caused by pancreatic overexpression of insulin-like growth factor II (IGF-II/LDLR(-/-)ApoB(100/100) and LDLR(-/-)ApoB(100/100)) were studied. Distribution kinetics of choline analogue (18)F-fluoromethylcholine ((18)F-FMCH) was assessed in vivo by positron emission tomography (PET) imaging. Then, aortic uptakes of (18)F-FMCH and glucose analogue (18)F-fluorodeoxyglucose ((18)F-FDG), were assessed ex vivo by gamma counting and autoradiography of tissue sections. The (18)F-FMCH uptake in atherosclerotic plaques was further compared with macrophage infiltration and the plasma levels of cytokines and metabolic markers.

resultsThe aortas of all hypercholesterolemic mice showed large, macrophage-rich atherosclerotic plaques. The plaque burden and densities of macrophage subtypes were similar in diabetic and non-diabetic animals. The blood clearance of (18)F-FMCH was rapid. Both the absolute (18)F-FMCH uptake in the aorta and the aorta-to-blood uptake ratio were higher in diabetic than in non-diabetic mice. In autoradiography, the highest (18)F-FMCH uptake co-localized with macrophage-rich atherosclerotic plaques. (18)F-FMCH uptake in plaques correlated with levels of total cholesterol, insulin, C-peptide and leptin. In comparison with (18)F-FDG, (18)F-FMCH provided similar or higher plaque-to-background ratios in diabetic mice.

conclusionsType 2 diabetes enhances the uptake of choline that reflects inflammation in atherosclerotic plaques in mice. PET tracer (18)F-FMCH is a potential tool to study vascular inflammation associated with diabetes.

Indexed as

Fluorine RadioisotopesAnimalsAortaAortic DiseasesAtherosclerosisBiomarkersCholineCytokinesDiabetes Mellitus, Type 2Diabetic AngiopathiesDisease Models, AnimalHypercholesterolemiaMacrophagesMice, Inbred C57BLMice, TransgenicPlaque, AtheroscleroticBiomarkersCholineCytokinesFluorine RadioisotopesfluoromethylcholineRadiopharmaceuticals

Identifiers

PMID26852231
PMCPMC4744438
OpenAlexW2255768643

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.