Evidence map›Paper›PMID 28093849›Full record

ArticlePediatric diabetes2017

Obesity and type 2 diabetes are associated with elevated PCSK9 levels in young women.

Amy E Levenson, Amy S Shah, Philip R Khoury, Thomas R Kimball, Elaine M Urbina, Sarah D de Ferranti, David M Maahs, Lawrence M Dolan, R Paul Wadwa, Sudha B Biddinger

Erratum issuedAbstract read
In one paragraph

Article in Pediatric diabetes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Amy E LevensonDivision of Endocrinology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Amy S ShahDivision of Endocrinology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Philip R KhouryDivision of Cardiology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Thomas R KimballDivision of Cardiology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Elaine M UrbinaDivision of Cardiology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Sarah D de FerrantiDepartment of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
David M MaahsBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Lawrence M DolanDivision of Endocrinology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
R Paul WadwaBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, Colorado.
Sudha B BiddingerDivision of Endocrinology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
Pathogenesis of Dyslipidemia and Atherosclerosis in the Diabetic StateR01HL109650 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI BIDDINGER, SUDHA B · 2011 to 2024
$7.2M
CAREER DEVELOPMENT IN DIABETES RESEARCH FOR PEDIATRIC ENDOCRINOLOGISTSK12DK094721 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LAFFEL, LORI M, WHITE, MORRIS F. · 2011 to 2021
$6.3M
Accelerated CV Aging in Youth Related to CV Risk Factor ClustersR01HL105591 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI URBINA, ELAINE MOTT · 2011 to 2015
$2.7M
NCRR NIH HHS UL1 RR026314NHLBI NIH HHS R01 HL105591NHLBI NIH HHS R01 HL109650NIDDK NIH HHS K12 DK094721NIDDK NIH HHS L40 DK065607
6 · The paper itself

Abstract

backgroundProprotein convertase subtilisin/kexin type 9 (PCSK9) is a key regulator of low-density lipoprotein cholesterol and cardiovascular disease risk, and is an emerging therapeutic target.

objectiveWe compared serum PCSK9 levels in young adults, with and without type 2 diabetes. SUBJECTS AND

methodsCross-sectional analysis was conducted in a cohort, aged 15 to 26 years, in Cincinnati, OH, from 2005 to 2010. Serum PCSK9 levels were measured in 94 youth with type 2 diabetes, 93 obese control subjects, and 99 lean control subjects. Correlative analyses were conducted to determine significant covariates of PCSK9 by group and sex, and multivariate linear regression models were used to study the independent determinants of PCSK9.

resultsIn females, PCSK9 levels were significantly increased in the obese and type 2 diabetes subjects relative to the lean controls (P < .01). Moreover, PCSK9 was positively correlated with multiple metabolic parameters in females: body mass index, systolic blood pressure, fasting glucose, fasting insulin, and C-reactive protein levels (P ≤ .02). In males, PCSK9 levels were decreased overall compared with females (P = .03), and did not differ between the lean, obese, or type 2 diabetes groups.

conclusionsObesity and type 2 diabetes were associated with significantly higher levels of PCSK9 in young women, but not in young men. These data suggest that sex could modify the effects of obesity and diabetes on PCSK9 in young adults.

Indexed as

Cohort StudiesCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHumansMaleObesityProprotein Convertase 9Sex CharacteristicsYoung AdultPCSK9 protein, humanProprotein Convertase 9cardiovascular diseaseLDL cholesterolPCSK9type 2 diabetesyoung adult

Identifiers

PMID28093849
PMCPMC5513789

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
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.