Evidence map›Paper›PMID 32738021›Full record

ArticlePediatric diabetes2020

Markers of cholesterol synthesis are elevated in adolescents and young adults with type 2 diabetes.

Ivana Semova, Amy E Levenson, Joanna Krawczyk, Kevin Bullock, Kathryn A Williams, R Paul Wadwa, Philip R Khoury, Thomas R Kimball, Elaine M Urbina, Sarah D de Ferranti and 5 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Pathogenesis and advances in immunotherapy for type 1 diabetes treatment.Biotechnology reports (Amsterdam, Netherlands) · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Association and Risk Factors for Hypertension and Dyslipidemia in Young Adults from Poland.International journal of environmental research and public health · 2023
    Article
  6. 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

15 authors at 4 institutions in 1 country.

Ivana SemovaDivision of Endocrinology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-9754-1940
Amy E LevensonDivision of Endocrinology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Joanna KrawczykDivision of Endocrinology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Kevin BullockBroad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Kathryn A WilliamsDivision of Endocrinology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
R Paul WadwaBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado, USA.ORCID 0000-0002-4139-2122
Philip R KhouryDivision of Cardiology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio, USA.
Thomas R KimballDivision of Cardiology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio, USA.
Elaine M UrbinaHeart Institute, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio, USA.
Sarah D de FerrantiDepartment of Cardiology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
David M MaahsBarbara Davis Center for Diabetes, University of Colorado School of Medicine, Aurora, Colorado, USA.
Lawrence M DolanDivision of Endocrinology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio, USA.
Amy S ShahDivision of Endocrinology, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio, USA.
Clary B ClishBroad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Sudha B BiddingerDivision of Endocrinology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Boston Children's Hospital · USCincinnati Children's Hospital Medical Center · USBroad Institute · USUniversity of Colorado Denver · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Takara Leah Stanley · 1994 to 2026
$31.6M
Stanford Islet Research CoreP30DK116074 · NIDDK · STANFORD UNIVERSITY · PI Seung K Kim · 2017 to 2026
$19.5M
TRAINING IN DIABETES AND METABOLISMT32DK007260 · NIDDK · JOSLIN DIABETES CENTER · PI LAURIE J GOODYEAR · 1986 to 2026
$13.6M
Pathogenesis of Dyslipidemia and Atherosclerosis in the Diabetic StateR01HL109650 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI BIDDINGER, SUDHA B · 2011 to 2024
$7.2M
CAREER DEVELOPMENT IN DIABETES RESEARCH FOR PEDIATRIC ENDOCRINOLOGISTSK12DK094721 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LAFFEL, LORI M, WHITE, MORRIS F. · 2011 to 2021
$6.3M
CV Disease in Adolescents with Type 2 DiabetesR01HL076269 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI KIMBALL, THOMAS R · 2005 to 2008
$2.7M
Cardiovascular disease in Type 1 melitus: Young adults to adolescentsK23DK075360 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MAAHS, DAVID MATTHEW · 2007 to 2011
$663k
NCRR NIH HHS RR025780NCRR NIH HHS UL1 RR025780NHLBI NIH HHS R01 HL076269NHLBI NIH HHS R01-HL-076269NHLBI NIH HHS R01 HL109650NHLBI NIH HHS R01-HL-109650NIDDK NIH HHS 5K12-DK-094721-04NIDDK NIH HHS DK075360NIDDK NIH HHS DK116074NIDDK NIH HHS K12 DK094721NIDDK NIH HHS K23 DK075360NIDDK NIH HHS L40 DK065607NIDDK NIH HHS P30 DK040561NIDDK NIH HHS P30 DK116074NIDDK NIH HHS T32 DK007260NIH HHS DK007260
6 · The paper itself

Abstract

backgroundChanges in cholesterol absorption and cholesterol synthesis may promote dyslipidemia and cardiovascular disease in individuals with type 2 diabetes mellitus (T2DM).

objectiveTo assess cholesterol synthesis and absorption in lean individuals, obese individuals, and individuals with T2DM.

methodsWe measured lathosterol and lanosterol (markers of cholesterol synthesis) as well as campesterol and β-sitosterol (markers of cholesterol absorption) in the serum of 15 to 26 years old individuals with T2DM (n = 95), as well as their lean (n = 98) and obese (n = 92) controls.

resultsIndividuals with T2DM showed a 51% increase in lathosterol and a 65% increase in lanosterol compared to lean controls. Similarly, obese individuals showed a 31% increase in lathosterol compared to lean controls. Lathosterol and lanosterol were positively correlated with body mass index, fasting insulin and glucose, serum triglycerides, and C-reactive protein, and negatively correlated with HDL-cholesterol. In contrast, campesterol and β-sitosterol were not altered in individuals with T2DM. Moreover, campesterol and β-sitosterol were negatively correlated with body mass index, fasting insulin, and C-reactive protein and were positively correlated with HDL-cholesterol.

conclusionsAdolescents and young adults with T2DM show evidence of increased cholesterol synthesis compared to non-diabetic lean controls. These findings suggest that T2DM may promote cardiovascular disease by increasing cholesterol synthesis, and provide additional rationale for the use of cholesterol synthesis inhibitors in this group.

Indexed as

AdolescentAdultBiomarkersBody Mass IndexCase-Control StudiesCholesterolDiabetes Mellitus, Type 2HumansObesityPhytosterolsSitosterolsYoung AdultBiomarkerscampesterolCholesterolgamma-sitosterollathosterolPhytosterolsSitosterolscardiovascular disease riskcholesterol synthesistype 2 diabetesyouth

Identifiers

PMID32738021
PMCPMC7855867
OpenAlexW3046708772

What OpenQuestion holds

Textmetadata
LicenceTDM
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.