Evidence map›Paper›PMID 27038419›Full record

ArticleAtherosclerosis2016

Fetuin-A, glycemic status, and risk of cardiovascular disease: The Multi-Ethnic Study of Atherosclerosis.

Sarah A Aroner, David E St-Jules, Kenneth J Mukamal, Ronit Katz, Michael G Shlipak, Michael H Criqui, Bryan Kestenbaum, David S Siscovick, Ian H de Boer, Nancy S Jenny and 3 more

Open access · greenAbstract read
In one paragraph

Article in Atherosclerosis, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Article
  6. Review
  7. Review
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  9. Review
  10. Article
  11. The impact of the AHSG genetic polymorphism on the risk of ischemic stroke: a case-control study.International journal of clinical and experimental pathology · 2018
    Article
  12. Novel biomarkers for prediabetes, diabetes, and associated complications.Diabetes, metabolic syndrome and obesity : targets and therapy · 2017
    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

13 authors at 8 institutions in 1 country.

Sarah A AronerDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
David E St-JulesDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Kenneth J MukamalDivision of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Ronit KatzDivision of Nephrology and Kidney Research Institute, Department of Medicine, University of Washington, USA.
Michael G ShlipakDivision of General Internal Medicine, University of California, San Francisco, USA.
Michael H CriquiDepartment of Family and Preventive Medicine, University of California, San Diego, USA.
Bryan KestenbaumDivision of Nephrology and Kidney Research Institute, Department of Medicine, University of Washington, USA.
David S SiscovickThe New York Academy of Medicine, New York, NY, USA.
Ian H de BoerDivision of Nephrology and Kidney Research Institute, Department of Medicine, University of Washington, USA.
Nancy S JennyDepartment of Pathology and Laboratory Medicine, University of Vermont College of Medicine, USA.
Matthew J BudoffLos Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, USA.
Joachim H IxDivision of Nephrology-Hypertension, Department of Medicine, University of California, San Diego, CA, USA; Nephrology Section, Veterans Affairs San Diego Healthcare System, San Diego, CA, USA.
Majken K JensenDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: mkjensen@hsph.harvard.edu.
Harvard University · USUniversity of Washington · USUniversity of California San Diego · USBeth Israel Deaconess Medical Center · USNew York Academy of Medicine · USThe Lundquist Institute · USUniversity of California, San Francisco · USUniversity of Vermont · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
TRAINING GRANT IN ACADEMIC NUTRITIONT32DK007703 · NIDDK · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTOPHER P DUGGAN, Frank B Hu · 1994 to 2026
$7.8M
Determinants and Cardiovascular Consequences of Diabetes in Older AdultsR01HL094555 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ARNOLD, ALICE A., DJOUSSE, LUC · 2009 to 2012
$5.9M
Ventricular Size and Valve Calcification Measures by CTR01HL071739 · NHLBI · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI BUDOFF, MATTHEW J · 2003 to 2010
$2.0M
Cigarette Smoke and Susceptibility to Influenza InfectionR01HL095163 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JASPERS, ILONA, NOAH, TERRY L · 2009 to 2013
$2.0M
Adjunctive Use of Apyrase to Fibrinolytic TherapyR44HL095169 · NHLBI · APT THERAPEUTICS, INC. · PI CHEN, RIDONG · 2012 to 2013
$1.3M
SUBCLINICAL CARDIOVASCULAR DISEASE STUDYN01HC095166 · HC · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI TRACY, RUSSELL P · 1999 to 2001
$758k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY-FIELD CENTERN01HC095162 · HC · JOHNS HOPKINS UNIVERSITY · PI SZKLO, MOYSES A · 1999 to 2000
$694k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095161 · HC · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHEA, STEVEN · 1999 to 2001
$642k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095165 · HC · WAKE FOREST UNIVERSITY · PI BURKE, GREGORY L · 1999 to 2001
$616k
Fetuin-A: A Novel Biomarker of Vascular Calcification and Diabetes MellitusR21HL091217 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI IX, JOACHIM H · 2009 to 2010
$608k
NCATS NIH HHS UL1 TR000040NCATS NIH HHS UL1-TR-000040NCATS NIH HHS UL1 TR001079NCATS NIH HHS UL1-TR-001079NHLBI NIH HHS N01 HC095159NHLBI NIH HHS N01 HC095160NHLBI NIH HHS N01 HC095161NHLBI NIH HHS N01 HC095162NHLBI NIH HHS N01 HC095163NHLBI NIH HHS N01 HC095164NHLBI NIH HHS N01 HC095165NHLBI NIH HHS N01 HC095166NHLBI NIH HHS N01 HC095167NHLBI NIH HHS N01 HC095168NHLBI NIH HHS N01 HC095169NHLBI NIH HHS N01-HC-95159NHLBI NIH HHS N01-HC-95160NHLBI NIH HHS N01-HC-95161NHLBI NIH HHS N01-HC-95162NHLBI NIH HHS N01-HC-95163NHLBI NIH HHS N01-HC-95164NHLBI NIH HHS N01-HC-95165NHLBI NIH HHS N01-HC-95166NHLBI NIH HHS N01-HC-95167NHLBI NIH HHS N01-HC-95168NHLBI NIH HHS N01-HC-95169NHLBI NIH HHS R01 HL071739NHLBI NIH HHS R01 HL094555NHLBI NIH HHS R21 HL091217NIDDK NIH HHS T32 DK 007703NIDDK NIH HHS T32 DK007703
6 · The paper itself

Abstract

aimsFetuin-A is a hepatic secretory protein that both promotes insulin resistance and inhibits arterial calcification. Previous studies have suggested that the association of fetuin-A with incident cardiovascular disease (CVD) might be modified by glycemic status. METHODS AND

resultsWe conducted a case-cohort study of fetuin-A and incident non-fatal CVD nested in the Multi-Ethnic Study of Atherosclerosis with follow-up from 2000 to 2007. Fetuin-A concentrations were measured from baseline serum samples among 2505 randomly selected subcohort members and 142 incident cases. In weighted multivariable Cox regression models, no association was observed between fetuin-A and incident CVD in the total study population (HR per SD = 1.01; 95% CI: 0.84, 1.23). Although associations with CVD events were not statistically significant within categories of glycemic status, our results tended to support the interaction with glycemic status observed in other studies, with a positive trend restricted to participants with impaired fasting glucose or diabetes (HR per SD = 1.20; 95% CI: 0.89, 1.63) and an inverse trend among normoglycemic individuals (HR = 0.89; 95% CI: 0.69-1.13) (p-interaction = 0.04). In addition, we observed significant interaction between fasting glucose and fetuin-A when both were treated continuously in the subset of participants not using diabetes medication (p-interaction = 0.006).

conclusionOur results suggest that fetuin-A is not associated with an overall risk of CVD, but support prior evidence indicating that the association might be modified by glycemic status.

Indexed as

AgedAged, 80 and overalpha-2-HS-GlycoproteinAtherosclerosisBlood GlucoseCardiovascular DiseasesCase-Control StudiesCohort StudiesDiabetes MellitusEthnicityFemaleHumansHyperglycemiaInsulin ResistanceMaleMiddle AgedAHSG protein, humanalpha-2-HS-GlycoproteinBlood GlucoseBlood glucoseCardiovascular diseaseFetuin-A

Identifiers

PMID27038419
PMCPMC4841455
OpenAlexW2306585824

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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.