Evidence map›Paper›PMID 29888466›Full record

ArticleJournal of internal medicine2018

Plasma levels of the proprotein convertase furin and incidence of diabetes and mortality.

C Fernandez, J Rysä, P Almgren, J Nilsson, G Engström, M Orho-Melander, H Ruskoaho, O Melander

Open access · hybridAbstract read
In one paragraph

Article in Journal of internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 5 pooled it
9.1field-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

106 citing papers in PubMed, 5 syntheses or guidelines pooled it, 217 citations in OpenAlex.

  1. Pooled it
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  13. The Functions of SARS-CoV-2 Receptors in Diabetes-Related Severe COVID-19.International journal of molecular sciences · 2024
    Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Functional Roles of Furin in Cardio-Cerebrovascular Diseases.ACS pharmacology & translational science · 2024
    Review
  20. Review

46 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

8 authors at 3 institutions in 2 countries.

C FernandezDepartment of Clinical Sciences, Lund University, Malmö, Sweden.ORCID 0000-0003-1290-4982
J RysäFaculty of Health Sciences, School of Pharmacy, University of Eastern Finland, Kuopio, Finland.
P AlmgrenDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
J NilssonDepartment of Clinical Sciences, Lund University, Malmö, Sweden.ORCID 0000-0002-9752-7479
G EngströmDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
M Orho-MelanderDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
H RuskoahoDivision of Pharmacology and Pharmacotherapy, Drug Research Program, University of Helsinki, Helsinki, Finland.
O MelanderDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Lund University · SEUniversity of Eastern Finland · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes mellitus is linked to premature mortality of virtually all causes. Furin is a proprotein convertase broadly involved in the maintenance of cellular homeostasis; however, little is known about its role in the development of diabetes mellitus and risk of premature mortality.

objectivesTo test if fasting plasma concentration of furin is associated with the development of diabetes mellitus and mortality.

methodsOvernight fasted plasma furin levels were measured at baseline examination in 4678 individuals from the population-based prospective Malmö Diet and Cancer Study. We studied the relation of plasma furin levels with metabolic and hemodynamic traits. We used multivariable Cox proportional hazards models to investigate the association between baseline plasma furin levels and incidence of diabetes mellitus and mortality during 21.3-21.7 years follow-up.

resultsAn association was observed between quartiles of furin concentration at baseline and body mass index, blood pressure and plasma concentration of glucose, insulin, LDL and HDL cholesterol (|0.11| ≤ β ≤ |0.31|, P < 0.001). Plasma furin (hazard ratio [HR] per one standard deviation increment of furin) was predictive of future diabetes mellitus (727 events; HR = 1.24, CI = 1.14-1.36, P < 0.001) after adjustment for age, sex, body mass index, systolic and diastolic blood pressure, use of antihypertensive treatment, alcohol intake and fasting plasma level of glucose, insulin and lipoproteins cholesterol. Furin was also independently related to the risk of all-cause mortality (1229 events; HR = 1.12, CI = 1.05-1.19, P = 0.001) after full multivariable adjustment.

conclusionIndividuals with high plasma furin concentration have a pronounced dysmetabolic phenotype and elevated risk of diabetes mellitus and premature mortality.

Indexed as

Mortality, PrematureAdultAgedBlood PressureCause of DeathCholesterol, HDLCholesterol, LDLCohort StudiesCoronary Artery DiseaseCorrelation of DataDiabetes MellitusFemaleFollow-Up StudiesFurinHumansKaplan-Meier EstimateCholesterol, HDLCholesterol, LDLFurinFURIN protein, humandiabetes mellitusfurinmortalitypopulation-based cohortrisk prediction

Identifiers

PMID29888466
PMCPMC6175079
OpenAlexW2807753852

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LicenceCC BY-NC-ND
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Registered trials

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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.