Evidence map›Paper›PMID 30729677›Full record

ArticleJournal of cellular and molecular medicine2019

Genetically elevated circulating homocysteine concentrations increase the risk of diabetic kidney disease in Chinese diabetic patients.

Liang Ma, Qian Liu, Yongwei Jiang, Hailing Zhao, Tingting Zhao, Yongtong Cao, Ping Li, Wenquan Niu

Open access · goldAbstract read
In one paragraph

Article in Journal of cellular and molecular medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  8. A critical review on therapeutic approaches of CRISPR-Cas9 in diabetes mellitus.Naunyn-Schmiedeberg's archives of pharmacology · 2023
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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

8 authors at 1 institution in 1 country.

Liang MaClinical Laboratory, China-Japan Friendship Hospital, Beijing, China.
Qian LiuClinical Laboratory, China-Japan Friendship Hospital, Beijing, China.
Yongwei JiangClinical Laboratory, China-Japan Friendship Hospital, Beijing, China.
Hailing ZhaoBeijing Key Lab Immune-Mediated Inflammatory Diseases, China-Japan Friendship Hospital, Institute of Clinical Medical Science, Beijing, China.
Tingting ZhaoBeijing Key Lab Immune-Mediated Inflammatory Diseases, China-Japan Friendship Hospital, Institute of Clinical Medical Science, Beijing, China.
Yongtong CaoClinical Laboratory, China-Japan Friendship Hospital, Beijing, China.
Ping LiBeijing Key Lab Immune-Mediated Inflammatory Diseases, China-Japan Friendship Hospital, Institute of Clinical Medical Science, Beijing, China.
Wenquan NiuBioBank Center, China-Japan Friendship Hospital, Institute of Clinical Medical Science, Beijing, China.ORCID 0000-0003-1715-3372
China-Japan Friendship Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic kidney disease (DKD) is a devastating and frequent complication of diabetes mellitus. Here, we first adopted methylenetetrahytrofolate reductase (MTHFR) gene C677T polymorphism as an instrument to infer the possible causal relevance between circulating homocysteine and DKD risk in a Chinese population and next attempted to build a risk prediction model for DKD. This is a hospital-based case-control association study. Total 1107 study participants were diagnosed with type 2 diabetes mellitus, including 547 patients with newly diagnosed and histologically confirmed DKD. MTHFR gene C677T polymorphism was determined using the TaqMan method. Carriers of 677TT genotype (14.55 μmol/L) had significantly higher homocysteine concentrations than carriers of 677CT genotype (12.88 μmol/L) (P < 0.001). Carriers of 677TT genotype had a 1.57-fold increased risk of DKD (odds ratio: 1.57, 95% CI: 1.21-2.05, P = 0.001) relative to carriers of 677CT genotype after adjusting for confounders. Mendelian randomization analysis revealed that the odds ratio for DKD relative to diabetes mellitus per 5 μmol/L increment of circulating homocysteine concentrations was 3.86 (95% confidence interval: 1.21-2.05, P < 0.001). In the Logistic regression analysis, hypertension, homocysteine and triglyceride were significantly associated with an increased risk of DKD and they constituted a risk prediction model with good test performance and discriminatory capacity. Taken together, our findings provide evidence that elevated circulating homocysteine concentrations were causally associated with an increased risk of DKD in Chinese diabetic patients.

Indexed as

Polymorphism, GeneticAsian PeopleBiomarkersCase-Control StudiesDiabetes Mellitus, Type 2Diabetic NephropathiesFemaleFollow-Up StudiesGenetic Predisposition to DiseaseHomocysteineHumansMaleMethylenetetrahydrofolate Reductase (NADPH2)Middle AgedPrognosisRisk FactorsBiomarkersHomocysteineMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humandiabetes mellitusdiabetic kidney diseasehomocysteineMendelian randomizationrisk prediction model

Identifiers

PMID30729677
PMCPMC6433716
OpenAlexW2914308511

What OpenQuestion holds

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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.