Evidence map›Paper›PMID 32886731›Full record

ArticlePloS one2020

Serum progranulin levels are associated with frailty in middle-aged individuals.

Andrew D Nguyen, Theodore K Malmstrom, Michael L Niehoff, Asef Aziz, Douglas K Miller, John E Morley

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
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  4. Review
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  8. Article
  9. Article
  10. Editorial: Physical Frailty: A Biological Marker of Aging?The journal of nutrition, health & aging · 2020
    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

6 authors at 3 institutions in 1 country.

Andrew D NguyenDivision of Geriatric Medicine, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, United States of America.ORCID 0000-0002-9492-9472
Theodore K MalmstromHenry and Amelia Nasrallah Center for Neuroscience, Saint Louis University, St. Louis, Missouri, United States of America.
Michael L NiehoffDivision of Geriatric Medicine, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, United States of America.
Asef AzizDivision of Geriatric Medicine, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, United States of America.
Douglas K MillerRegenstrief Institute, Inc., Indianapolis, Indiana, United States of America.
John E MorleyDivision of Geriatric Medicine, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, United States of America.
Saint Louis University · USRegenstrief Institute · USVeterans Health Administration · US

Funding

PHYSICAL FRAILTY IN URBAN AFRICAN-AMERICANSR01AG010436 · NIA · SAINT LOUIS UNIVERSITY · PI DAVILA-ROMAN, VICTOR G. · 1991 to 2011
$8.5M
NIA NIH HHS R01 AG010436
6 · The paper itself

Abstract

BACKGROUND AND

objectiveA recent study identified progranulin as a candidate biomarker for frailty, based on gene expression databases. In the present study, we investigated associations between serum progranulin levels and frailty in a population-based sample of late middle-age and older adults.

methodsWe utilized a cohort study that included 358 African Americans (baseline ages 49-65). Frailty was assessed by three established methods: the interview-based FRAIL scale, the Cardiovascular Health Study (CHS) frailty scale that includes performance-based measurements, and the Frailty Index (FI) that is based on cumulative deficits. Serum levels of the following proteins and metabolites were measured: progranulin, cystatin C, fructosamine, soluble cytokine receptors (interleukin-2 and -6, tumor necrosis factor α-1 and -2), and C-reactive protein. Sarcopenia was assessed using the SARC-F index. Vital status was determined by matching through the National Death Index (NDI).

resultsSerum progranulin levels were associated with frailty for all indices (FRAIL, CHS, and FI) but not with sarcopenia. Inflammatory markers indicated by soluble cytokine receptors (sIL-2R, sIL-6R, sTNFR1, sTNFR2) were positively associated serum progranulin. Increased serum progranulin levels at baseline predicted poorer outcomes including future frailty as measured by the FRAIL scale and 15-year all-cause mortality independent of age, gender, and frailty.

conclusionsOur findings suggest that serum progranulin levels may be a candidate biomarker for physical frailty, independent of sarcopenia. Further studies are needed to validate this association and assess the utility of serum progranulin levels as a potential biomarker for prevalent frailty, for risk for developing incident frailty, and for mortality risk over and above the effect of baseline frailty.

Indexed as

BiomarkersCohort StudiesC-Reactive ProteinCystatin CFemaleFrailtyFructosamineHumansMaleMiddle AgedProgranulinsReceptors, CytokineBiomarkersC-Reactive ProteinCST3 protein, humanCystatin CFructosamineProgranulinsReceptors, Cytokine

Identifiers

PMID32886731
PMCPMC7473561
OpenAlexW3083691870

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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.