Evidence map›Paper›PMID 28779138›Full record

ArticleScientific reports2017

Glargine and degludec: Solution behaviour of higher dose synthetic insulins.

Gary G Adams, Qushmua Alzahrani, Shahwar I Jiwani, Andrew Meal, Paul S Morgan, Frank Coffey, Samil Kok, Arthur J Rowe, Stephen E Harding, Naomi Chayen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 10 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

11 authors at 3 institutions in 2 countries.

Gary G AdamsThe University of Nottingham, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK. Gary.adams@nottingham.ac.uk.ORCID 0000-0002-0335-2162
Qushmua AlzahraniThe University of Nottingham, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
Shahwar I JiwaniThe University of Nottingham, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
Andrew MealThe University of Nottingham, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
Paul S MorganThe University of Nottingham, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK.ORCID 0000-0002-5870-1446
Frank CoffeyThe University of Nottingham, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK.
Samil KokAbant Izzet Baysal University, Faculty of Engineering & Architecture, Department of Food Engineering, Gölköy Bolu, Turkey.
Arthur J RoweThe University of Nottingham, School of Biosciences, National Centre for Macromolecular Hydrodynamics (NCMH), Sutton Bonington Campus, Sutton Bonington, Leicestershire, LE12 5RD, UK.
Stephen E HardingThe University of Nottingham, School of Biosciences, National Centre for Macromolecular Hydrodynamics (NCMH), Sutton Bonington Campus, Sutton Bonington, Leicestershire, LE12 5RD, UK.
Naomi ChayenImperial College London, Faculty of Medicine, Department of Surgery & Cancer, Sir Alexander Fleming Building, South Kensington Campus, London, UK.
Richard B GillisThe University of Nottingham, Faculty of Medicine and Health Sciences, Queen's Medical Centre, Nottingham, NG7 2UH, UK. Richard.gillis@nottingham.ac.uk.ORCID 0000-0002-7607-6808
University of Nottingham · GBBolu Abant İzzet Baysal University · TRImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Single, double and triple doses of the synthetic insulins glargine and degludec currently used in patient therapy are characterised using macromolecular hydrodynamic techniques (dynamic light scattering and analytical ultracentrifugation) in an attempt to provide the basis for improved personalised insulin profiling in patients with diabetes. Using dynamic light scattering and sedimentation velocity in the analytical ultracentrifuge glargine was shown to be primarily dimeric under solvent conditions used in current formulations whereas degludec behaved as a dihexamer with evidence of further association of the hexamers ("multi-hexamerisation"). Further analysis by sedimentation equilibrium showed that degludec exhibited reversible interaction between mono- and-di-hexamer forms. Unlike glargine, degludec showed strong thermodynamic non-ideality, but this was suppressed by the addition of salt. With such large injectable doses of synthetic insulins remaining in the physiological system for extended periods of time, in some case 24-40 hours, double and triple dose insulins may impact adversely on personalised insulin profiling in patients with diabetes.

Indexed as

Blood GlucoseDynamic Light ScatteringHumansHydrodynamicsHypoglycemic AgentsInsulin GlargineInsulin, Long-ActingTissue DistributionBlood GlucoseHypoglycemic Agentsinsulin degludecInsulin GlargineInsulin, Long-Acting

Identifiers

PMID28779138
PMCPMC5544765
OpenAlexW2742058503

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.