Evidence map›Paper›PMID 27811985›Full record

ArticleScientific reports2016

Elevated homocysteine levels in type 2 diabetes induce constitutive neutrophil extracellular traps.

Manjunath B Joshi, Guruprasad Baipadithaya, Aswath Balakrishnan, Mangala Hegde, Manik Vohra, Rayees Ahamed, Shivashankara K Nagri, Lingadakai Ramachandra, Kapaettu Satyamoorthy

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
2.6field-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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. MMP8 Promotes NETosis in Gestational Diabetes Mellitus.Antioxidants (Basel, Switzerland) · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Tandem ssDNA in neutrophil extracellular traps binds thrombin and regulates immunothrombosis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Effect of the ProbioticVeterinary sciences · 2023
    Article
  20. 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

9 authors at 2 institutions in 1 country.

Manjunath B JoshiSchool of Life Sciences, Manipal University, Manipal, India.
Guruprasad BaipadithayaSchool of Life Sciences, Manipal University, Manipal, India.
Aswath BalakrishnanSchool of Life Sciences, Manipal University, Manipal, India.
Mangala HegdeSchool of Life Sciences, Manipal University, Manipal, India.
Manik VohraSchool of Life Sciences, Manipal University, Manipal, India.
Rayees AhamedSchool of Life Sciences, Manipal University, Manipal, India.
Shivashankara K NagriDepartment of Medicine, Kasturba Medical College, Manipal University, Manipal, India.
Lingadakai RamachandraDepartment of Surgery, Kasturba Medical College, Manipal University, Manipal, India.
Kapaettu SatyamoorthySchool of Life Sciences, Manipal University, Manipal, India.
Manipal Academy of Higher Education · INKasturba Medical College, Manipal · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Constitutively active neutrophil extracellular traps (NETs) and elevated plasma homocysteine are independent risk factors for Type 2 Diabetes (T2D) associated vascular diseases. Here, we show robust NETosis due to elevated plasma homocysteine levels in T2D subjects and increased components of NETs such as neutrophil elastase and cell free DNA. Cooperative NETs formation was observed in neutrophils exposed to homocysteine, IL-6 and high glucose suggesting acute temporal changes tightly regulate constitutive NETosis. Homocysteine induced NETs by NADPH oxidase dependent and independent mechanisms. Constitutively higher levels of calcium and mitochondrial superoxides under hyperglycemic conditions were further elevated in response to homocysteine leading to accelerated NETosis. Homocysteine showed robust interaction between neutrophils and platelets by inducing platelet aggregation and NETosis in an interdependent manner. Our data demonstrates that homocysteine can alter innate immune function by promoting NETs formation and disturbs homeostasis between platelets and neutrophils which may lead to T2D associated vascular diseases.

Indexed as

Up-RegulationBlood PlateletsCalciumCell-Free Nucleic AcidsDiabetes Mellitus, Type 2Extracellular TrapsFemaleHomocysteineHumansLeukocyte ElastaseMaleMiddle AgedNADPH OxidasesNeutrophilsCalciumCell-Free Nucleic AcidsHomocysteineLeukocyte ElastaseNADPH Oxidases

Identifiers

PMID27811985
PMCPMC5095649
OpenAlexW2547632055

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.