Evidence map›Paper›PMID 31197979›Full record

ArticleJournal of diabetes investigation2020

Protective potential of klotho protein on diabetic retinopathy: Evidence from clinical and in vitro studies.

Baolan Ji, Huili Wei, Yao Ding, Huimin Liang, Lu Yao, Hang Wang, Hua Qu, Huacong Deng

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 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

8 authors at 1 institution in 1 country.

Baolan JiDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Huili WeiDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yao DingDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Huimin LiangDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Lu YaoDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Hang WangDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Hua QuDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Huacong DengDepartment of Endocrinology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0000-0002-4829-1009
The Affiliated Yongchuan Hospital of Chongqing Medical University · CN

Funding

National Key Clinical Specialties Construction Program of ChinaNational Nature Science Foundation of China 30570744National Nature Science Foundation of China 30771038National Nature Science Foundation of China 81070639National Nature Science Foundation of China 81270911
6 · The paper itself

Abstract

AIMS/

introductionThe purpose of the present study was to observe the relationship between serum α-klotho (KL) protein level and diabetic retinopathy (DR), and to further examine the effects of KL protein on apoptosis induced by palmitic acid (PA) in human retinal endothelial cells. MATERIALS AND

methodsA total of 17 healthy people and 60 type 2 diabetes patients were included. According to the results from fundus fluorescein angiography, the diabetes patients were divided into three subgroups: without DR, non-proliferative DR and proliferative DR. Serum KL level was measured by enzyme-linked immunosorbent assay. In vitro, human retinal endothelial cells were exposed to PA with or without KL protein. Apoptosis rates were analyzed by flow cytometry analysis. Apoptotic-related protein expressions were detected by western blotting analysis.

resultsSerum KL level was lower in diabetes patients than that in healthy participants (P = 0.007), and was gradually decreased among the without DR, non-proliferative DR and proliferative DR subgroups (P = 0.045). A logistic regression analysis showed that after adjusting for the other confounding factors, serum KL level was independently and negatively related with DR (P = 0.049). Furthermore, the increased apoptosis rates induced by PA were inhibited with the addition of KL protein. Consistently, KL protein reversed the expression levels of the increased pro-apoptotic protein Bax and the decreased anti-apoptotic protein Bcl-2 induced by PA. However, the anti-apoptotic effect of KL protein was attenuated by LY294002 through the phosphatidylinositol 3 kinase-serine∕threonine kinase pathway.

conclusionsThe data suggested that KL protein was probably a potential protective factor against retinopathy in type 2 diabetes patients.

Indexed as

ApoptosisBiomarkersCase-Control StudiesCells, CulturedDiabetes Mellitus, Type 2Diabetic RetinopathyEndothelial CellsFemaleFollow-Up StudiesGlucuronidaseHumansKlotho ProteinsMaleMiddle AgedPrognosisRetinaBiomarkersGlucuronidaseKlotho ProteinsApoptosisDiabetic retinopathyα-Klotho

Identifiers

PMID31197979
PMCPMC6944830
OpenAlexW2951988161

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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.