Evidence map›Paper›PMID 33478120›Full record

ArticleAntioxidants (Basel, Switzerland)2021

Microdose Lithium Protects against Pancreatic Islet Destruction and Renal Impairment in Streptozotocin-Elicited Diabetes.

Jiahui Zhang, Fnu Anshul, Deepak K Malhotra, Juan Jaume, Lance D Dworkin, Rujun Gong

Open access · goldAbstract read
In one paragraph

Article in Antioxidants (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

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  9. Lithium and exercise ameliorate insulin-deficient hyperglycemia by independently attenuating pancreatic α-cell mass and hepatic gluconeogenesis.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2024
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  15. Antioxidants Isolated fromMolecules (Basel, Switzerland) · 2021
    Article
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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.

Jiahui ZhangDivision of Nephrology, College of Medicine, University of Toledo, Toledo, OH 43614, USA.
Fnu AnshulDivision of Nephrology, College of Medicine, University of Toledo, Toledo, OH 43614, USA.
Deepak K MalhotraDivision of Nephrology, College of Medicine, University of Toledo, Toledo, OH 43614, USA.
Juan JaumeDivision of Endocrinology, College of Medicine, University of Toledo, Toledo, OH 43614, USA.ORCID 0000-0002-2723-331X
Lance D DworkinDivision of Nephrology, College of Medicine, University of Toledo, Toledo, OH 43614, USA.
Rujun GongDivision of Nephrology, College of Medicine, University of Toledo, Toledo, OH 43614, USA.ORCID 0000-0002-6302-2800
University of Toledo · US

Funding

the U.S. National Institutes of Health grant R01DK114006
6 · The paper itself

Abstract

Psychiatric use of lithium has been associated with hypoglycemic effects, but its effect on type 1 diabetes mellitus (T1D) is unknown. In streptozotocin (STZ) induced murine models of T1D, microdose lithium therapy improved hyperglycemia, attenuated body weight loss and prevented early signs of diabetic kidney injury. This beneficial effect was associated with preservation of pancreatic islet histology and β-cell production of insulin as well as mitigated oxidative damage of islets. Mechanistically, lithium in islets cells induced inhibitory phosphorylation of glycogen synthase kinase 3β (GSK3β), the major molecular target of lithium that has been recently implicated in non-canonical regulation of Nrf2 activity. In turn, Nrf2 antioxidant response was potentiated in islets, marked by nuclear translocation of Nrf2 and augmented expression of its target antioxidant enzyme heme oxygenase 1 (HO-1). Conversely, cotreatment with trigonelline, a selective blockade of Nrf2, offset the lithium enhanced Nrf2 antioxidant response in islets, blunted the protective effect of lithium on pancreatic islets and β-cells, and abolished the hypoglycemic activity of lithium in STZ-injured mice. Collectively, our findings suggest that microdose lithium confers a protective effect on islet β-cells via targeting the GSK3β-regulated Nrf2 antioxidant response and thereby ameliorates T1D and its related kidney impairment.

Indexed as

glycogen synthase kinase 3β (GSK3β)lithiummicrodosenuclear factor erythroid 2-related factor 2 (Nrf2)oxidative stresstherapytype 1 diabetes mellitus (T1D)

Identifiers

PMID33478120
PMCPMC7835906
OpenAlexW3122438795

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.