Evidence map›Paper›PMID 28400202›Full record

ArticleEBioMedicine2017

Genetic Variation in Kruppel like Factor 15 Is Associated with Left Ventricular Hypertrophy in Patients with Type 2 Diabetes: Discovery and Replication Cohorts.

Sheila K Patel, Bryan Wai, Chim C Lang, Daniel Levin, Colin N A Palmer, Helen M Parry, Elena Velkoska, Stephen B Harrap, Piyush M Srivastava, Louise M Burrell

Open access · goldAbstract read
In one paragraph

Article in EBioMedicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

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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

10 authors at 4 institutions in 2 countries.

Sheila K PatelDepartment of Medicine, University of Melbourne, Austin Health, Melbourne, Australia. Electronic address: skpatel@unimelb.edu.au.
Bryan WaiDepartment of Medicine, University of Melbourne, Austin Health, Melbourne, Australia; Department of Cardiology, Austin Health, Melbourne, Australia.
Chim C LangDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK. Electronic address: c.c.lang@dundee.ac.uk.
Daniel LevinDivision of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Colin N A PalmerPat McPherson Centre for Pharmacogenomics and Pharmacogenetics, Division of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Helen M ParryPat McPherson Centre for Pharmacogenomics and Pharmacogenetics, Division of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Elena VelkoskaDepartment of Medicine, University of Melbourne, Austin Health, Melbourne, Australia.
Stephen B HarrapDepartment of Physiology, University of Melbourne, Victoria, Australia.
Piyush M SrivastavaDepartment of Medicine, University of Melbourne, Austin Health, Melbourne, Australia; Department of Cardiology, Austin Health, Melbourne, Australia.
Louise M BurrellDepartment of Medicine, University of Melbourne, Austin Health, Melbourne, Australia; Department of Cardiology, Austin Health, Melbourne, Australia. Electronic address: l.burrell@unimelb.edu.au.
Austin Health · AUUniversity of Melbourne · AUNinewells Hospital · GBUniversity of Dundee · GB

Funding

British Heart Foundation PG/14/4/30539British Heart Foundation PG/16/32/32132Medical Research Council G0701592
6 · The paper itself

Abstract

Left ventricular (LV) hypertrophy (LVH) is a heritable trait that is common in type 2 diabetes and is associated with the development of heart failure. The transcriptional factor Kruppel like factor 15 (KLF15) is expressed in the heart and acts as a repressor of cardiac hypertrophy in experimental models. This study investigated if KLF15 gene variants were associated with LVH in type 2 diabetes. In stage 1 of a 2-stage approach, patients with type 2 diabetes and no known cardiac disease were prospectively recruited for a transthoracic echocardiographic assessment (Melbourne Diabetes Heart Cohort) (n=318) and genotyping of two KLF15 single nucleotide polymorphisms (SNPs) (rs9838915, rs6796325). In stage 2, the association of KLF15 SNPs with LVH was investigated in the Genetics of Diabetes Audit and Research in Tayside Scotland (Go-DARTS) type 2 diabetes cohort (n=5631). The KLF15 SNP rs9838915 A allele was associated in a dominant manner with LV mass before (P=0.003) and after (P=0.001) adjustment for age, gender, body mass index (BMI) and hypertension, and with adjusted septal (P<0.0001) and posterior (P=0.004) wall thickness. LVH was present in 35% of patients. Over a median follow up of 5.6years, there were 22 (7%) first heart failure hospitalizations. The adjusted risk of heart failure hospitalization was 5.5-fold greater in those with LVH and the rs9838915 A allele compared to those without LVH and the GG genotype (hazard ratio (HR) 5.5 (1.6-18.6), P=0.006). The association of rs9838915 A allele with LVH was replicated in the Go-DARTS cohort. We have identified the KLF15 SNP rs9838915 A allele as a marker of LVH in patients with type 2 diabetes, and replicated these findings in a large independent cohort. Studies are needed to characterize the functional importance of these results, and to determine if the SNP rs9838915 A allele is associated with LVH in other high risk patient cohorts.

Indexed as

Genetic VariationAdultAgedAllelesDiabetes Mellitus, Type 2EchocardiographyFemaleGenotypeHumansHypertrophy, Left VentricularKruppel-Like Transcription FactorsLinkage DisequilibriumMaleMiddle AgedNuclear ProteinsPolymorphism, Single NucleotideKLF15 protein, humanKruppel-Like Transcription FactorsNuclear ProteinsEchocardiogramGenetic association studyHeart failureKruppel like factor 15Left ventricular hypertrophyType 2 diabetes

Identifiers

PMID28400202
PMCPMC5405178
OpenAlexW2603491649

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.