Evidence map›Paper›PMID 28991900›Full record

Trial reportPloS one2017

Intra-individual variability and circadian rhythm of vascular endothelial growth factors in subjects with normal glucose tolerance and type 2 diabetes.

Markolf Hanefeld, Katrin Engelmann, Dieter Appelt, Dirk Sandner, Ingo Weigmann, Xenia Ganz, Frank Pistrosch, Carsta Köhler, Antje Gasparic, Andreas L Birkenfeld

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02325271 (Intra-individual Variability and Circadian Rhythm of Systemic Vascular Endothelial Growth Factor), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

NCT02325271 completednot on this map

Intra-individual Variability and Circadian Rhythm of Systemic Vascular Endothelial Growth Factor (VEGF) Levels and Interaction With Biomarkers of Inflammation in Subjects With Normal Glucose Tolerance (NGT) and Patients With Type 2 Diabetes Without Diabetic Macular Edema (DME)

TypeobservationalSponsorGWT-TUD GmbHRan2015 to 2016Enrolled40ConditionsDiabetic Macular EdemaArmsFrequent blood and urine sampling and blood pressure measurement
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Angiogenic Doping: Plausible Yet Difficult to Detect.Sports medicine (Auckland, N.Z.) · 2026
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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.

Markolf HanefeldStudy Centre Metabolic Vascular Medicine, GWT TU-Dresden GmbH, Dresden, Germany.
Katrin EngelmannKlinikum Chemnitz gGmbH, Chemnitz, Germany.
Dieter AppeltStudy Centre Metabolic Vascular Medicine, GWT TU-Dresden GmbH, Dresden, Germany.
Dirk SandnerClinic for Ophthalmology, Universitätsklinikum "Carl Gustav Carus", Technische Universität Dresden, Dresden, Germany.
Ingo WeigmannStudy Centre Metabolic Vascular Medicine, GWT TU-Dresden GmbH, Dresden, Germany.
Xenia GanzStudy Centre Metabolic Vascular Medicine, GWT TU-Dresden GmbH, Dresden, Germany.
Frank PistroschStudy Centre Metabolic Vascular Medicine, GWT TU-Dresden GmbH, Dresden, Germany.
Carsta KöhlerMedical Consulting, GWT TU-Dresden GmbH, Dresden, Germany.
Antje GasparicMedical Consulting, GWT TU-Dresden GmbH, Dresden, Germany.
Andreas L BirkenfeldStudy Centre Metabolic Vascular Medicine, GWT TU-Dresden GmbH, Dresden, Germany.ORCID http://orcid.org/0000-0003-1407-9023
GWT-TUD (Germany) · DEKing's College London · GBKlinikum Chemnitz · DEUniversity Hospital Carl Gustav Carus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Increased levels of systemic vascular endothelial growth factors (VEGFs) in patients with diabetes are associated with increased risk of microvessel disease. On the other hand, low VEGF levels after intravitreal antibody application may be associated with acute cardiovascular complications and treatment failure. Individual levels of systemic VEGF vary in a wide range depending on analytical methods and quality of diabetes control. So far only limited information exists on intraindividual fluctuations over longer periods and circadian rhythms. We analysed the intraindividual variance of VEGF-A, VEGF-C and placental growth factor (PLGF) in CTAD (citrate-theophylline-adenine-dipyridamol) plasma as well as VEGF-A in serum over a period of 6 months in patients with stable controlled type 2 diabetes (10 M, 10 F) and age and sex matched subjects with normal glucose tolerance (NGT). Furthermore, circadian levels of VEGFs were controlled hourly from 7:30 a.m. to 7:30 p.m. under standardized metabolic ward conditions. In addition, the relationship to metabolic, hormonal and inflammatory biomarkers was analyzed. VEGF-A, VEGF-C and PLGF remained stable in plasma and VEGF-A in serum over 6 months in both groups. No circadian change was observed in VEGF-A serum and plasma concentrations. A minor decrease of VEGF-C plasma levels was evident after 5 p.m. in both groups and a significant peak of PLGF concentrations occurred after lunch, which was more pronounced in T2DM. In multivariate analysis, only serum VEGF-A correlated to diabetes duration, whereas VEGF-C only correlated to HbA1c and fasting blood glucose. We did not observe significant intraindividual variances for VEGF-A in serum and VEGF-A, VEGF-C and PLGF in CTAD plasma over a period of 6 months. Taken together, a single morning measurement of systemic VEGF levels after 7:30 am appears to be a reliable parameter for the individual risk associated with abnormal VEGF concentrations in blood.

trial registrationNCT02325271.

Indexed as

AgedBlood GlucoseCircadian RhythmDiabetes Mellitus, Type 2FemaleGlucose Tolerance TestGlycated HemoglobinHumansMaleMiddle AgedPlacenta Growth FactorVascular Endothelial Growth Factor AVascular Endothelial Growth Factor CBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanPGF protein, humanPlacenta Growth FactorVascular Endothelial Growth Factor AVascular Endothelial Growth Factor C

Identifiers

PMID28991900
PMCPMC5633167
OpenAlexW2761764332

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.