Evidence map›Paper›PMID 30383252›Full record

Observational studyThe Journal of clinical endocrinology and metabolism2019

Circulating Adrenomedullin Is Elevated in Gestational Diabetes and Its Role in Impaired Insulin Production by β-Cells.

Yuanlin Dong, Manu Banadakoppa, Madhu Chauhan, Meena Balakrishnan, Michael Belfort, Chandra Yallampalli

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in The Journal of clinical endocrinology and metabolism, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed, 21 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

6 authors at 1 institution in 1 country.

Yuanlin DongDepartment of Obstetrics and Gynecology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
Manu BanadakoppaDepartment of Obstetrics and Gynecology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
Madhu ChauhanDepartment of Obstetrics and Gynecology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
Meena BalakrishnanDepartment of Obstetrics and Gynecology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
Michael BelfortDepartment of Obstetrics and Gynecology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
Chandra YallampalliDepartment of Obstetrics and Gynecology, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas.
Baylor College of Medicine · US

Funding

SEX STEROID HORMONES AND CALCITONIN GENE RELATED PEPTIDER01HL058144 · NHLBI · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI CHAUHAN, MADHU LATA S., YALLAMPALLI, CHANDRASEKHAR · 1998 to 2022
$6.9M
Molecular and Vascular MRI of Placenta AccretaR01HD094347 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI ANNAPRAGADA, ANANTH V, FOX, KARIN ANNELIESE · 2018 to 2022
$2.2M
Mechanisms for Sex Differences in Metabolic ProgrammingR01DK114689 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI BLESSON, CHELLAKKAN SELVANESAN, YALLAMPALLI, CHANDRASEKHAR · 2018 to 2021
$1.6M
Adrenomedullin, Diabetes and PregnancyR21HD091503 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI YALLAMPALLI, CHANDRASEKHAR · 2018 to 2019
$436k
NHLBI NIH HHS R01 HL058144NICHD NIH HHS R01 HD094347NICHD NIH HHS R21 HD091503NIDDK NIH HHS R01 DK114689
6 · The paper itself

Abstract

Context: Defective pancreatic β-cell adaptation in pregnancy plays an important role in the pathophysiology of gestational diabetes mellitus (GDM), but the molecular basis remains unclear. Objectives of this study were to determine if circulating levels of adrenomedullin (ADM) in women with GDM are elevated and to assess the effects of ADM on insulin synthesis and secretion by human pancreatic β-cells. Design: A stable gene product of ADM precursor, midregional pro-adrenomedullin (MR-proADM), was measured in plasma of pregnant women with normal glucose tolerance (NGT, n = 10) or GDM (n = 11). The β-Lox5 cell line, derived from human pancreatic β-cells, was transduced with homeodomain transcription factor pancreatic-duodenal homeobox (PDX) factor 1 (PDX1) encoding lentiviral vector and treated with different doses of ADM. mRNA for insulin, ADM, and its receptor components in β-Lox5 cells and insulin in media were measured. Results: Plasma MR-proADM levels were significantly higher in GDM compared with patients with NGT. Pancreatic β-Lox5 cells express mRNA for insulin, ADM, and its receptor components. PDX1 transduction and cell-cell contact synergistically promote β-Lox5 cells insulin mRNA and secretion. Furthermore, ADM dose-dependently inhibited mRNA and secretion of insulin in β-Lox5 cell aggregates. These inhibitory effects were blocked by ADM antagonist ADM22-52, cAMP-dependent protein kinase A inhibitor KT5720, and Erk inhibitor PD98059, but not by PI-3K the inhibitor wortmannin. Conclusions: Circulating ADM concentrations were elevated in pregnant women with GDM. ADM suppresses insulin synthesis and secretion by pancreatic β-cells in vitro. Thus, increased circulating ADM may contribute to the defective adaptation of β-cells in diabetic pregnancies, and blockade of ADM actions with its antagonists may improve β-cell functions.

Indexed as

AdrenomedullinAdultBlood GlucoseCell LineDiabetes, GestationalFemaleGlucose Tolerance TestHomeodomain ProteinsHumansInsulinInsulin-Secreting CellsPregnancyReceptors, AdrenomedullinTrans-ActivatorsADM protein, humanAdrenomedullinBlood GlucoseHomeodomain ProteinsInsulinpancreatic and duodenal homeobox 1 proteinReceptors, AdrenomedullinTrans-Activators

Identifiers

PMID30383252
PMCPMC6338207
OpenAlexW2899296129

What OpenQuestion holds

Textmetadata
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.