Evidence map›Paper›PMID 31883432›Full record

Observational studyJournal of diabetes investigation2020

Serum chromogranin A level continuously rises with the progression of type 1 diabetes, and indicates the presence of both enterochromaffin-like cell hyperplasia and autoimmune gastritis.

Zoltan Herold, Magdolna Herold, Peter Nagy, Attila Patocs, Marton Doleschall, Aniko Somogyi

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 13 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

6 authors at 1 institution in 1 country.

Zoltan Herold2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0001-5990-4889
Magdolna Herold2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.
Peter Nagy1st Department of Pathology and Experimental Cancer Research, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0002-1664-9221
Attila PatocsDepartment of Laboratory Medicine, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0001-7506-674X
Marton DoleschallMolecular Medicine Research Group, Eotvos Lorand Research Network and Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0002-0909-5232
Aniko Somogyi2nd Department of Internal Medicine, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0003-0807-260X
Semmelweis University · HU

Funding

Hungarian Diabetes AssociationNemzeti Kutatási Fejlesztési és Innovációs Hivatal K-116128
6 · The paper itself

Abstract

AIMS/

introductionThe relationship of chromogranin A (CgA) levels above the normal range with various outcomes, such as glycated hemoglobin levels, enterochromaffin-like cell hyperplasia and autoimmune gastritis, was investigated in type 1 diabetes patients with special regard to the progression of comorbidities. MATERIALS AND

methodsA cohort study on 153 type 1 diabetes patients was carried out with a prospective branch on clinical and laboratory data, and a retrospective branch on histological data obtained by gastroscopy.

resultsPatients with CgA levels above the upper limit of the normal range (n = 28) had significantly higher glycated hemoglobin levels (P = 0.0160) than those with CgA in the normal range (n = 125). The correlation between CgA and glycated hemoglobin was significant (P < 0.0001), but weak (R = +0.32). A slight, but steady elevation (P = 0.0410) in CgA level was observed to co-vary with the duration of type 1 diabetes. Enterochromaffin-like cell hyperplasia and autoimmune gastritis was significantly more frequent (P = 0.0087 for both) in the high CgA group. Detailed analyses on gastric tissue samples confirmed a progression of enterochromaffin-like cell hyperplasia (P = 0.0192) accompanied by CgA elevation (P = 0.0316).

conclusionsThe early detection and follow up of the later progression of enterochromaffin-like cell hyperplasia and autoimmune gastritis into gastric neuroendocrine tumors, which have ~100-fold greater incidence in type 1 diabetes patients, can be achieved by assessment of CgA levels. Therefore, the use of CgA could be considered as a novel auxiliary biomarker in the care of these type 1 diabetes complications.

Indexed as

AdultAutoantibodiesAutoimmune DiseasesChromogranin AC-PeptideDiabetes Mellitus, Type 1Disease ProgressionEnterochromaffin-like CellsFemaleGastritisGlutamate DecarboxylaseGlycated HemoglobinHumansHungaryHyperplasiaIslets of LangerhansAutoantibodiesChromogranin AC-PeptideGlutamate DecarboxylaseGlycated Hemoglobinhemoglobin A1c protein, humanAutoimmune gastritisChromogranin AEnterochromaffin-like cell hyperplasia

Identifiers

PMID31883432
PMCPMC7378417
OpenAlexW2996803545

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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.