Evidence map›Paper›PMID 31597668›Full record

ArticleDiabetes care2020

High Concentration of Medium-Sized HDL Particles and Enrichment in HDL Paraoxonase 1 Associate With Protection From Vascular Complications in People With Long-standing Type 1 Diabetes.

Tomas Vaisar, Jenny E Kanter, Jake Wimberger, Angela D Irwin, John Gauthier, Emily Wolfson, Vanessa Bahnam, I-Hsien Wu, Hetal Shah, Hillary A Keenan and 4 more

Abstract read
In one paragraph

Article in Diabetes care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
–field-weighted citation impact
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

48 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. HDL metabolism and function in diabetes mellitus.Nature reviews. Endocrinology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Article
  16. Article
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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

14 authors.

Tomas VaisarDivision of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington Medicine Diabetes Institute, University of Washington School of Medicine, Seattle, WA.
Jenny E KanterDivision of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington Medicine Diabetes Institute, University of Washington School of Medicine, Seattle, WA.ORCID 0000-0003-3212-772X
Jake WimbergerDivision of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington Medicine Diabetes Institute, University of Washington School of Medicine, Seattle, WA.
Angela D IrwinDivision of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington Medicine Diabetes Institute, University of Washington School of Medicine, Seattle, WA.
John GauthierResearch Division, Joslin Diabetes Center, Boston, MA.
Emily WolfsonResearch Division, Joslin Diabetes Center, Boston, MA.
Vanessa BahnamResearch Division, Joslin Diabetes Center, Boston, MA.
I-Hsien WuResearch Division, Joslin Diabetes Center, Boston, MA.
Hetal ShahResearch Division, Joslin Diabetes Center, Boston, MA.ORCID 0000-0002-3685-4572
Hillary A KeenanResearch Division, Joslin Diabetes Center, Boston, MA.
Carla J GreenbaumDiabetes Program, Benaroya Research Institute, Seattle, WA.ORCID 0000-0003-4451-9800
George L KingResearch Division, Joslin Diabetes Center, Boston, MA.ORCID 0000-0002-0335-5881
Jay W HeineckeDivision of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington Medicine Diabetes Institute, University of Washington School of Medicine, Seattle, WA.
Karin E BornfeldtDivision of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington Medicine Diabetes Institute, University of Washington School of Medicine, Seattle, WA bornf@uw.edu.ORCID 0000-0001-9208-6523

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
Project 3 - HDL Structure/Function in LCAT Deficient HumansP01HL128203 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Tomas Vaisar · 2016 to 2026
$25.1M
Role of Serum Amyloid A in Diabetic Vascular DiseaseP01HL092969 · NHLBI · UNIVERSITY OF WASHINGTON · PI VAISAR, TOMAS · 2008 to 2019
$23.5M
Identification of Retinoid-Binding Protein 3 (RBP3): A Protective Factor against Diabetic Retinopathy Using Retina from People with Extreme Duration of DiabetesR01EY026080 · NEI · JOSLIN DIABETES CENTER · PI KING, GEORGE L · 2016 to 2024
$3.1M
HDL composition/function and cardiovascular risk in youths with diabetesR01HL144558 · NHLBI · UNIVERSITY OF WASHINGTON · PI VAISAR, TOMAS · 2019 to 2022
$2.8M
APOC3, HDL Function and Cardiovascular Complications of T1DMDP3DK108209 · NIDDK · UNIVERSITY OF WASHINGTON · PI BORNFELDT, KARIN E., HEINECKE, JAY W · 2015 to 2015
$1.6M
Probing human leukocytes to target inflammatory macrophage proliferation in chronic inflammationR21AI135447 · NIAID · UNIVERSITY OF WASHINGTON · PI BORNFELDT, KARIN E. · 2018 to 2019
$427k
NEI NIH HHS R01 EY026080NHLBI NIH HHS P01 HL092969NHLBI NIH HHS P01 HL128203NHLBI NIH HHS R01 HL144558NIAID NIH HHS R21 AI135447NIDDK NIH HHS DP3 DK108209NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveA subset of people with long-standing type 1 diabetes (T1D) appears to be protected from microvascular and macrovascular complications. Previous studies have focused on improved abilities to respond to glucose and its downstream effects as protective mechanisms. It is unclear whether lipoproteins play a role in the vascular health of these people. We therefore determined whether HDL particle concentration, size, function, and/or protein composition associate with protection from vascular complications. RESEARCH DESIGN AND

methodsWe studied two independent cross-sectional cohorts with T1D: the T1D Exchange Living Biobank (

resultsIn both cohorts, people without vascular complications exhibited significantly higher concentrations of medium-sized HDL particles (M-HDL) independently of total and HDL cholesterol levels. While no consistent differences in HDL functions were observed ex vivo, people without vascular complications had higher levels of HDL-associated paraoxonase 1 (PON1), an enzyme that inhibits atherosclerosis in animal models.

conclusionsElevated concentrations of M-HDL particles and elevated levels of HDL-associated PON1 may contribute to long-term protection from the vascular complications of diabetes by pathways that are independent of total cholesterol and HDL cholesterol.

Indexed as

AdultAgedAryldialkylphosphataseAtherosclerosisCholesterol, HDLCohort StudiesCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetic AngiopathiesFemaleHumansLipoproteinsMaleMiddle AgedTime FactorsAryldialkylphosphataseCholesterol, HDLLipoproteinsPON1 protein, human

Identifiers

PMID31597668
PMCPMC6925582

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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.