Evidence map›Paper›PMID 28929564›Full record

ArticlePediatric diabetes2018

Prefronto-temporal white matter microstructural alterations 20 years after the diagnosis of type 1 diabetes mellitus.

Sujung Yoon, Jungyoon Kim, Gail Musen, Perry F Renshaw, Jaeuk Hwang, Nicolas R Bolo, Jieun E Kim, Donald C Simonson, Katie Weinger, Christopher M Ryan and 2 more

Abstract read
In one paragraph

Article in Pediatric diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  7. Transient gain of function of cannabinoid CBBrain research bulletin · 2020
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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

12 authors at 8 institutions in 2 countries.

Sujung YoonEwha Brain Institute, Ewha Womans University, Seoul, South Korea.ORCID 0000-0001-9705-415X
Jungyoon KimEwha Brain Institute, Ewha Womans University, Seoul, South Korea.ORCID 0000-0002-6204-5170
Gail MusenDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Perry F RenshawThe Brain Institute and the Department of Psychiatry, The University of Utah, Salt Lake City, Utah.
Jaeuk HwangDepartment of Psychiatry, Soonchunhyang University College of Medicine, Seoul, South Korea.
Nicolas R BoloDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Jieun E KimEwha Brain Institute, Ewha Womans University, Seoul, South Korea.
Donald C SimonsonDepartment of Internal Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Katie WeingerDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Christopher M RyanDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
In Kyoon LyooEwha Brain Institute, Ewha Womans University, Seoul, South Korea.ORCID 0000-0002-9717-1935
Alan M JacobsonResearch Division, Joslin Diabetes Center, Boston, Massachusetts.
Ewha Womans University · KRJoslin Diabetes Center · USBeth Israel Deaconess Medical Center · USBrigham and Women's Hospital · USSoonchunhyang University · KRUniversity of Pittsburgh · USUniversity of Utah · USWinthrop-University Hospital · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
Type 1 Diabetes and Depression: Role of Brain GlutamateR01DK084202 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BOLO, NICOLAS R. · 2010 to 2013
$2.2M
DEPRESSION AND BRAIN STRUCTURE IN TYPE 1 DIABETESR01DK060754 · NIDDK · JOSLIN DIABETES CENTER · PI JACOBSON, ALAN M · 2002 to 2005
$1.3M
NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R01 DK060754NIDDK NIH HHS R01 DK084202
6 · The paper itself

Abstract

objectiveMicrovascular pathophysiology that uniquely manifests as white matter (WM) abnormalities is often implicated in type 1 diabetes mellitus (T1DM)-related central nervous system (CNS) complications. This study sought to identify regional WM abnormalities in young adults diagnosed with T1DM and further examine their association with cognitive and emotional dysfunction. RESEARCH DESIGN AND

methodsDiffusion tensor images (DTI) obtained from 34 young adults with T1DM for ≥15 years (mean duration, 20.9 years), and 16 age- and sex-matched healthy control subjects were analyzed using tract-based spatial statistics. Fractional anisotropy (FA) values of the whole brain were analyzed, and their associations with memory function and depressive symptoms were assessed.

resultsWhole brain voxel-wise analyses showed that T1DM-related FA reductions were most prominent within the fronto-temporo-parietal regions of the brain. Reduced FA values in the bilateral superior longitudinal fasciculi, at which group differences were most prominent, correlated with lower working memory performance in young adults with T1DM (left, P < .001; right, P = .009). Subsyndromal depressive symptoms were also associated with lower FA values in the right inferior fronto-occipital fasciculus (P = .004).

conclusionWidespread WM microstructural abnormalities in the fronto-temporo-parietal brain regions, which are associated with emotional and cognitive dysfunction, may be a contributing factor to the neural mechanisms underlying T1DM-related CNS complications, thus affecting the quality of life in young adults with T1DM.

Indexed as

AdultAnisotropyCase-Control StudiesDiabetes Mellitus, Type 1FemaleHumansMagnetic Resonance ImagingMaleMemoryWhite MatterYoung Adultcognitionconnectivitydiffusion tensor imagingtype 1 diabetes mellituswhite matter

Identifiers

PMID28929564
PMCPMC5860922
OpenAlexW2755973771

What OpenQuestion holds

Textmetadata
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.