Evidence map›Paper›PMID 31863644›Full record

ArticleJournal of cachexia, sarcopenia and muscle2020

Chronic heart failure with diabetes mellitus is characterized by a severe skeletal muscle pathology.

Jack O Garnham, Lee D Roberts, Ever Espino-Gonzalez, Anna Whitehead, Peter P Swoboda, Aaron Koshy, John Gierula, Maria F Paton, Richard M Cubbon, Mark T Kearney and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

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  10. Nutrients · 2023
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  18. Malondialdehyde as a Useful Biomarker of Low Hand Grip Strength in Community-Dwelling Stroke Patients.International journal of environmental research and public health · 2020
    Article
  19. Review
  20. 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

13 authors at 1 institution in 1 country.

Jack O GarnhamLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Lee D RobertsLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Ever Espino-GonzalezSchool of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, UK.
Anna WhiteheadLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Peter P SwobodaLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Aaron KoshyLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
John GierulaLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Maria F PatonLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Richard M CubbonLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Mark T KearneyLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
Stuart EggintonSchool of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, UK.
T Scott BowenSchool of Biomedical Sciences, Faculty of Biological Sciences, University of Leeds, Leeds, UK.ORCID 0000-0002-1740-2474
Klaus K WitteLeeds Institute of Cardiovascular and Metabolic Medicine, University of Leeds, Leeds, UK.
University of Leeds · GB

Funding

British Heart Foundation CH/13/1/30086British Heart Foundation FS/12/80/29821British Heart Foundation PG/14/15/30691British Heart Foundation RG/15/7/31521Department of Health NIHR-CS-012-032Medical Research Council, UK MR/S025472/1
6 · The paper itself

Abstract

backgroundPatients with coexistent chronic heart failure (CHF) and diabetes mellitus (DM) demonstrate greater exercise limitation and worse prognosis compared with CHF patients without DM, even when corrected for cardiac dysfunction. Understanding the origins of symptoms in this subgroup may facilitate development of targeted treatments. We therefore characterized the skeletal muscle phenotype and its relationship to exercise limitation in patients with diabetic heart failure (D-HF).

methodsIn one of the largest muscle sampling studies in a CHF population, pectoralis major biopsies were taken from age-matched controls (n = 25), DM (n = 10), CHF (n = 52), and D-HF (n = 28) patients. In situ mitochondrial function and reactive oxygen species, fibre morphology, capillarity, and gene expression analyses were performed and correlated to whole-body exercise capacity.

resultsMitochondrial respiration, content, coupling efficiency, and intrinsic function were lower in D-HF patients compared with other groups (P < 0.05). A unique mitochondrial complex I dysfunction was present in D-HF patients only (P < 0.05), which strongly correlated to exercise capacity (R

conclusionsPatients with D-HF develop a specific skeletal muscle pathology, characterized by mitochondrial impairments, fibre atrophy, and derangements in the capillary network that are linked to exercise intolerance. These novel preliminary data support skeletal muscle as a potential therapeutic target for treating patients with D-HF.

Indexed as

AgedChronic DiseaseDiabetes ComplicationsFemaleHeart FailureHumansMaleMuscle, SkeletalAtrophyDiabetesExercise intoleranceHFrEFMitochondrial dysfunction

Identifiers

PMID31863644
PMCPMC7113493
OpenAlexW2995199017

What OpenQuestion holds

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LicenceCC BY
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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.