Evidence map›Paper›PMID 30533028›Full record

ArticlePloS one2018

Metformin and insulin treatment prevent placental telomere attrition in boys exposed to maternal diabetes.

Isabel Garcia-Martin, Richard J A Penketh, Anna B Janssen, Rhiannon E Jones, Julia Grimstead, Duncan M Baird, Rosalind M John

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Can Antidiabetic Medications Affect Telomere Length in Patients with Type 2 Diabetes? A Mini-Review.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Review
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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

7 authors at 2 institutions in 1 country.

Isabel Garcia-MartinDivision of Biomedicine, Cardiff School of Biosciences, Cardiff University, Cardiff, Wales, United Kingdom.
Richard J A PenkethDepartment of Obstetrics and Gynaecology, University Hospital Wales, Cardiff, Wales, United Kingdom.
Anna B JanssenDivision of Biomedicine, Cardiff School of Biosciences, Cardiff University, Cardiff, Wales, United Kingdom.
Rhiannon E JonesDivision of Cancer and Genetics, Cardiff School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom.
Julia GrimsteadDivision of Cancer and Genetics, Cardiff School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom.
Duncan M BairdDivision of Cancer and Genetics, Cardiff School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom.
Rosalind M JohnDivision of Biomedicine, Cardiff School of Biosciences, Cardiff University, Cardiff, Wales, United Kingdom.ORCID 0000-0002-3827-7617
Cardiff University · GBUniversity Hospital of Wales · GB

Funding

Biotechnology and Biological Sciences Research Council BB/F016557/1Cancer Research UK 18246Cancer Research UK C17199/A18246Medical Research Council MR/M013960/1
6 · The paper itself

Abstract

Shortened leukocyte and placental telomeres associated with gestational diabetes mellitus (GDM) suggest this exposure triggers telomere attrition contributing to adverse outcomes. We applied high resolution Single Telomere Length Analysis (STELA) to placenta from GDM pregnancies with different treatment pathways to determine their effectiveness at preventing telomere attrition. Differences in telomere length between control (N = 69), GDM lifestyle intervention (n = 14) and GDM treated with metformin and/or insulin (n = 17) was tested by Analysis of Covariance (ANCOVA) followed by group comparisons using Fisher's least significant difference. For male placenta only, there were differences in mean telomere length (F(2,54) = 4.98, P = 0.01) and percentage of telomeres under 5 kb (F(2,54) = 4.65, P = 0.01). Telomeres were shorter in the GDM lifestyle intervention group compared to both controls (P = 0.02) and medically treated pregnancies (P = 0.003). There were more telomeres under 5 kb in the GDM lifestyle intervention group compared to the other two groups (P = 0.03 and P = 0.004). Although further work is necessary, we suggest that early adoption of targeted medical treatment of GDM pregnancies where the fetus is known to be male may be an effective strategy for ameliorating adverse outcomes for children.

Indexed as

AdultAnalysis of VarianceCase-Control StudiesDiabetes, GestationalFemaleHumansHypoglycemic AgentsInsulinMaleMetforminPlacentaPregnancyRisk Reduction BehaviorTelomereTelomere ShorteningHypoglycemic AgentsInsulinMetformin

Identifiers

PMID30533028
PMCPMC6289439
OpenAlexW2901584188

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.