Evidence map›Paper›PMID 31685528›Full record

ArticleDiabetes2020

Acyl-ghrelin Is Permissive for the Normal Counterregulatory Response to Insulin-Induced Hypoglycemia.

Kripa Shankar, Deepali Gupta, Bharath K Mani, Brianna G Findley, Caleb C Lord, Sherri Osborne-Lawrence, Nathan P Metzger, Claudio Pietra, Chen Liu, Eric D Berglund and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Ghrelin mediated regulation of neurosynaptic transmitters in depressive disorders.Current research in pharmacology and drug discovery · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Lowering oxidative stress in ghrelin cells stimulates ghrelin secretion.American journal of physiology. Endocrinology and metabolism · 2020
    Article
  16. Article
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

11 authors at 2 institutions in 2 countries.

Kripa ShankarCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Deepali GuptaCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Bharath K ManiCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Brianna G FindleyCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Caleb C LordCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Sherri Osborne-LawrenceCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Nathan P MetzgerCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Claudio PietraHelsinn Healthcare SA, Lugano, Switzerland.
Chen LiuCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX.
Eric D BerglundCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX jeffrey.zigman@utsouthwestern.edu eric.berglund@utsouthwestern.edu.ORCID 0000-0003-2724-8674
Jeffrey M ZigmanCenter for Hypothalamic Research, Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX jeffrey.zigman@utsouthwestern.edu eric.berglund@utsouthwestern.edu.ORCID 0000-0003-3477-1295
Southwestern Medical Center · USHelsinn (Switzerland) · CH

Funding

Hypothalamic Serotonin Receptors and Olanzapine-induced Metabolic SyndromeR01DK114036 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Chen Liu · 2017 to 2026
$4.2M
Role of the hormone LEAP2 in eating, body weight, blood glucose and survivalR01DK103884 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI ZIGMAN, JEFFREY M · 2015 to 2023
$3.4M
Role of Ghrelin in the Counter-Regulatory Response to Insulin-Induced HypoglycemiaR01DK119341 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI BERGLUND, ERIC, ZIGMAN, JEFFREY M · 2019 to 2022
$2.2M
Novel Insulin-Independent Gluco-Regulatory MechanismsR01DK109408 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI BERGLUND, ERIC · 2016 to 2020
$1.8M
Role of ghrelin in the counterregulatory response to insulin-induced hypoglycemiaR56DK071320 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI ZIGMAN, JEFFREY M · 2016 to 2016
$122k
NIDDK NIH HHS R01 DK103884NIDDK NIH HHS R01 DK109408NIDDK NIH HHS R01 DK114036NIDDK NIH HHS R01 DK119341NIDDK NIH HHS R56 DK071320
6 · The paper itself

Abstract

Insulin-induced hypoglycemia leads to far-ranging negative consequences in patients with diabetes. Components of the counterregulatory response (CRR) system that help minimize and reverse hypoglycemia and coordination between those components are well studied but not yet fully characterized. Here, we tested the hypothesis that acyl-ghrelin, a hormone that defends against hypoglycemia in a preclinical starvation model, is permissive for the normal CRR to insulin-induced hypoglycemia. Ghrelin knockout (KO) mice and wild-type (WT) littermates underwent an insulin bolus-induced hypoglycemia test and a low-dose hyperinsulinemic-hypoglycemic clamp procedure. Clamps also were performed in ghrelin-KO mice and C57BL/6N mice administered the growth hormone secretagogue receptor agonist HM01 or vehicle. Results show that hypoglycemia, as induced by an insulin bolus, was more pronounced and prolonged in ghrelin-KO mice, supporting previous studies suggesting increased insulin sensitivity upon ghrelin deletion. Furthermore, during hyperinsulinemic-hypoglycemic clamps, ghrelin-KO mice required a 10-fold higher glucose infusion rate (GIR) and exhibited less robust corticosterone and growth hormone responses. Conversely, HM01 administration, which reduced the GIR required by ghrelin-KO mice during the clamps, increased plasma corticosterone and growth hormone. Thus, our data suggest that endogenously produced acyl-ghrelin not only influences insulin sensitivity but also is permissive for the normal CRR to insulin-induced hypoglycemia.

Indexed as

AnimalsGhrelinGlucose Clamp TechniqueHypoglycemiaInsulinMaleMiceMice, Inbred C57BLMice, KnockoutNeuroprotective AgentsPiperidinesReceptors, GhrelinGhrelinGhsr protein, MouseHM01InsulinNeuroprotective AgentsPiperidinesReceptors, Ghrelin

Identifiers

PMID31685528
PMCPMC6971486
OpenAlexW2985058830

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.