Evidence map›Paper›PMID 29879181›Full record

ArticlePloS one2018

Glutathione metabolism in type 2 diabetes and its relationship with microvascular complications and glycemia.

Fallon K Lutchmansingh, Jean W Hsu, Franklyn I Bennett, Asha V Badaloo, Norma McFarlane-Anderson, Georgiana M Gordon-Strachan, Rosemarie A Wright-Pascoe, Farook Jahoor, Michael S Boyne

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 1% 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

98 citing papers in PubMed, 1 synthesis or guideline pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Ferroptosis in health and disease.Molecular biomedicine · 2026
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  9. Mechanistic Role of Disulfidptosis in Type 2 Diabetes Mellitus.Molecular nutrition & food research · 2026
    Review
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  14. Article
  15. Review
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  17. Article
  18. Article
  19. Review
  20. Article

38 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 2 countries.

Fallon K LutchmansinghDepartment of Basic Medical Sciences, The University of the West Indies, Mona, Jamaica.
Jean W HsuChildren's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, United States of America.ORCID 0000-0002-5666-3132
Franklyn I BennettDepartment of Pathology, University Hospital of the West Indies; Mona, Jamaica.
Asha V BadalooCaribbean Institute for Health Research, The University of the West Indies, Mona, Jamaica.
Norma McFarlane-AndersonDepartment of Basic Medical Sciences, The University of the West Indies, Mona, Jamaica.
Georgiana M Gordon-StrachanHealth Research Unit, Faculty of Medical Sciences, The University of the West Indies, Mona, Jamaica.
Rosemarie A Wright-PascoeDepartment of Medicine, The University of the West Indies, Mona, Jamaica.
Farook JahoorChildren's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, United States of America.
Michael S BoyneCaribbean Institute for Health Research, The University of the West Indies, Mona, Jamaica.ORCID 0000-0002-5227-2492
University of the West Indies System · JMChildren's Nutrition Research Center at Baylor College of Medicine · USUniversity of the West Indies · JM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesesWe hypothesized that there is decreased synthesis of glutathione (GSH) in type 2 diabetes (T2DM) especially in the presence of microvascular complications, and this is dependent on the degree of hyperglycemia.

methodsIn this case-control study, we recruited 16 patients with T2DM (7 without and 9 with microvascular complications), and 8 age- and sex-matched non-diabetic controls. We measured GSH synthesis rate using an infusion of [2H2]-glycine as isotopic tracer and collection of blood samples for liquid chromatography mass spectrometric analysis.

resultsCompared to the controls, T2DM patients had lower erythrocyte GSH concentrations (0.90 ± 0.42 vs. 0.35 ± 0.30 mmol/L; P = 0.001) and absolute synthesis rates (1.03 ± 0.55 vs. 0.50 ± 0.69 mmol/L/day; P = 0.01), but not fractional synthesis rates (114 ± 45 vs. 143 ± 82%/day; P = 0.07). The magnitudes of changes in patients with complications were greater for both GSH concentrations and absolute synthesis rates (P-values ≤ 0.01) compared to controls. There were no differences in GSH concentrations and synthesis rates between T2DM patients with and without complications (P-values > 0.1). Fasting glucose and HbA1c did not correlate with GSH concentration or synthesis rates (P-values > 0.17).

conclusionsCompared to non-diabetic controls, patients with T2DM have glutathione deficiency, especially if they have microvascular complications. This is probably due to reduced synthesis and increased irreversible utilization by non-glycemic mechanisms.

Indexed as

Blood GlucoseAdultCase-Control StudiesDiabetes Mellitus, Type 2Diabetic AngiopathiesFemaleGlutathioneHumansMaleMicrovesselsMiddle AgedBlood GlucoseGlutathione

Identifiers

PMID29879181
PMCPMC5991679
OpenAlexW2806063230

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.