Evidence map›Paper›PMID 33046063›Full record

ArticleEnvironmental health : a global access science source2020

Aryl-hydrocarbon receptor binding and the incidence of type 2 diabetes: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).

Bruce B Duncan, Cristina D Castilhos, Paula A Bracco, Maria I Schmidt, Sora Kang, Suyeol Im, Hong-Kyu Lee, Álvaro Vigo, Youngmi K Pak

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

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  13. End-stage renal disease and metalworking fluid exposure.Occupational and environmental medicine · 2022
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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

9 authors at 3 institutions in 2 countries.

Bruce B DuncanPostgraduate Program in Epidemiology and Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos, 2600/514, Porto Alegre, RS, 90035-003, Brazil. bbduncan@ufrgs.br.ORCID 0000-0002-7491-2630
Cristina D CastilhosPostgraduate Program in Epidemiology and Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos, 2600/514, Porto Alegre, RS, 90035-003, Brazil.
Paula A BraccoPostgraduate Program in Epidemiology and Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos, 2600/514, Porto Alegre, RS, 90035-003, Brazil.
Maria I SchmidtPostgraduate Program in Epidemiology and Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos, 2600/514, Porto Alegre, RS, 90035-003, Brazil.
Sora KangDepartment of Neuroscience, Medical Research Center for Bioreaction to Reactive Oxygen Species and Biomedical Science Institute, School of Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
Suyeol ImDepartment of Neuroscience, Medical Research Center for Bioreaction to Reactive Oxygen Species and Biomedical Science Institute, School of Medicine, Graduate School, Kyung Hee University, Seoul, South Korea.
Hong-Kyu LeeDepartment of Internal Medicine, College of Medicine, Eulji University, Seoul, South Korea.
Álvaro VigoPostgraduate Program in Epidemiology and Hospital de Clínicas, Universidade Federal do Rio Grande do Sul, Ramiro Barcelos, 2600/514, Porto Alegre, RS, 90035-003, Brazil.
Youngmi K PakDepartment of Neuroscience, Medical Research Center for Bioreaction to Reactive Oxygen Species and Biomedical Science Institute, School of Medicine, Graduate School, Kyung Hee University, Seoul, South Korea. ykpak@khu.ac.kr.
Universidade Federal do Rio Grande do Sul · BRKyung Hee University · KREulji University · KR

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 01 06 0010.00 and 01.10.0643.03Korea Health Industry Development Institute HI14C2700National Research Foundation of Korea 2018R1A6A1A03025124
6 · The paper itself

Abstract

backgroundPersistent organic pollutants (POPs) may cause diabetes, in part through aryl hydrocarbon receptor (AhR) binding. Ensuing mitochondrial dysfunction is postulated to mediate this effect. We aim to investigate the association of POPs with incident diabetes indirectly by bio-assaying AhR ligand bioactivity and intracellular ATP level induced by participant serum samples.

methodsIn incident case-cohort analyses of one ELSA-Brasil center, 1605 eligible subjects without diabetes at baseline had incident diabetes ascertained by self-report, medication use, OGTT or HbA1c at follow-up 4 years later. We assayed AhR ligand bioactivity (AhRL) and intracellular ATP content, the latter reflecting the presence of mitochondria-inhibiting substances (MIS), following incubation of recombinant mouse Hepa1c1c7 cells with participant sera for 71 incident diabetes cases and 472 randomly selected controls.

resultsIn multiply-adjusted proportional hazards regression analyses, those with above-median AhRL and below-median MIS-ATP had 69 and 226% greater risk of developing diabetes (HR = 1.69; 95%CI 1.01-2.83 and 3.26; 1.84-5.78), respectively. A strong interaction was seen between the two exposures (HR

conclusionThe markedly increased incidence of diabetes seen in those with both higher AhR ligand bioactivity and increased mitochondrial inhibition supports the hypothesis that widespread POPs exposure contributes to the diabetes epidemic.

Indexed as

Adenosine TriphosphateAdultAnimalsCell LineDiabetes Mellitus, Type 2Environmental PollutantsFemaleGlycated HemoglobinHumansIncidenceLigandsLongitudinal StudiesMaleMiceMiddle AgedReceptors, Aryl HydrocarbonAdenosine TriphosphateEnvironmental PollutantsGlycated Hemoglobinhemoglobin A1c protein, humanLigandsReceptors, Aryl Hydrocarbon

Identifiers

PMID33046063
PMCPMC7549209
OpenAlexW3092132435

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.