Evidence map›Paper›PMID 33502018›Full record

ArticleClinical endocrinology2021

Cardiac phenotype in familial partial lipodystrophy.

Abdelwahab Jalal Eldin, Baris Akinci, Andre Monteiro da Rocha, Rasimcan Meral, Ilgin Yildirim Simsir, Suleyman Cem Adiyaman, Ebru Ozpelit, Nicole Bhave, Ramazan Gen, Banu Yurekli and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical endocrinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 19% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  4. Observational
  5. Review
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  11. Review
  12. Lipodystrophic Laminopathies: From Dunnigan Disease to Progeroid Syndromes.International journal of molecular sciences · 2024
    Review
  13. Article
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  15. 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

19 authors at 8 institutions in 3 countries.

Abdelwahab Jalal EldinDivision of Metabolism, Endocrinology and Diabetes (MEND), Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-2042-8878
Baris AkinciDivision of Metabolism, Endocrinology and Diabetes (MEND), Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-8634-4845
Andre Monteiro da RochaCenter for Arrhythmia Research, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-3324-3773
Rasimcan MeralDivision of Metabolism, Endocrinology and Diabetes (MEND), Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-4026-5049
Ilgin Yildirim SimsirDivision of Endocrinology, Department of Internal Medicine, Ege University, Izmir, Turkey.
Suleyman Cem AdiyamanDivision of Endocrinology, Department of Internal Medicine, Dokuz Eylul University, Izmir, Turkey.
Ebru OzpelitDivision of Cardiology, Department of Internal Medicine, Dokuz Eylul University, Izmir, Turkey.
Nicole BhaveDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Ramazan GenDivision of Endocrinology, Department of Internal Medicine, Mersin University, Mersin, Turkey.
Banu YurekliDivision of Endocrinology, Department of Internal Medicine, Ege University, Izmir, Turkey.ORCID 0000-0003-1809-2655
Nilufer Ozdemir KutbayDivision of Endocrinology, Department of Internal Medicine, Celal Bayar University, Manisa, Turkey.ORCID 0000-0002-0719-988X
Zeynep SiklarDivision of Endocrinology, Department of Pediatrics, Ankara University, Ankara, Turkey.ORCID 0000-0003-0921-2694
Adam H NeidertDivision of Metabolism, Endocrinology and Diabetes (MEND), Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Rita HenchDivision of Metabolism, Endocrinology and Diabetes (MEND), Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
Marwan K TayehDepartments of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Jeffrey W InnisDepartments of Pediatrics, University of Michigan, Ann Arbor, MI, USA.
Jose JalifeDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Hakan OralDivision of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Elif A OralDivision of Metabolism, Endocrinology and Diabetes (MEND), Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0002-9171-1144
Michigan Medicine · USDokuz Eylül University · TRUniversity of Michigan · USEge University · TRAnkara University · TRManisa Celal Bayar University · TRMersin Üniversitesi · TRSpanish National Centre for Cardiovascular Research · ES

Funding

Michigan Institute for Clinical and Health Research (MCHR)UL1TR000433 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$49.9M
University of Michigan Center for Gastrointestinal ResearchP30DK034933 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI OWYANG, CHUNG · 1986 to 2021
$22.5M
Pilot and Feasibility (P and F) ProgramP30DK089503 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joyce Lee · 2010 to 2026
$20.3M
Mechanisms of adipocyte loss in laminopathy-induced lipodystrophy in mice and humansR01DK125513 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Ormond A MacDougald, Elif Arioglu Oral · 2020 to 2026
$3.0M
Mechanisms by which adipocytes adapt to cool environmental temperaturesR01DK121759 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MACDOUGALD, ORMOND A · 2020 to 2024
$2.0M
Michigan Institute for Clinical and Health Research (MCHR)TL1TR000435 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MASHOUR, GEORGE ALEXANDER · 2012 to 2016
$1.8M
Effects of recombinant human leptin in nonalcoholic fatty liver disease (NAFLD)R01DK088114 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CONJEEVARAM, HARI S, ORAL, ELIF ARIOGLU · 2011 to 2015
$1.7M
NCATS NIH HHS TL1 TR000435NCATS NIH HHS UL1 TR000433NIDDK NIH HHS P30 DK034933NIDDK NIH HHS P30 DK089503NIDDK NIH HHS R01 DK088114NIDDK NIH HHS R01 DK121759NIDDK NIH HHS R01 DK125513
6 · The paper itself

Abstract

objectivesLMNA variants have been previously associated with cardiac abnormalities independent of lipodystrophy. We aimed to assess cardiac impact of familial partial lipodystrophy (FPLD) to understand the role of laminopathy in cardiac manifestations. STUDY

designRetrospective cohort study.

methodsClinical data from 122 patients (age range: 13-77, 101 females) with FPLD were analysed. Mature human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) from a patient with an LMNA variant were studied as proof-of-concept for future studies.

resultsSubjects with LMNA variants had a higher prevalence of overall cardiac events than others. The likelihood of having an arrhythmia was significantly higher in patients with LMNA variants (OR: 3.77, 95% CI: 1.45-9.83). These patients were at higher risk for atrial fibrillation or flutter (OR: 5.78, 95% CI: 1.04-32.16). The time to the first arrhythmia was significantly shorter in the LMNA group, with a higher HR of 3.52 (95% CI: 1.34-9.27). Non-codon 482 LMNA variants were more likely to be associated with cardiac events (vs. 482 LMNA: OR: 4.74, 95% CI: 1.41-15.98 for arrhythmia; OR: 17.67, 95% CI: 2.45-127.68 for atrial fibrillation or flutter; OR: 5.71, 95% CI: 1.37-23.76 for conduction disease). LMNA mutant hiPSC-CMs showed a higher frequency of spontaneous activity and shorter action potential duration. Functional syncytia of hiPSC-CMs displayed several rhythm alterations such as early afterdepolarizations, spontaneous quiescence and spontaneous tachyarrhythmia, and significantly slower recovery in chronotropic changes induced by isoproterenol exposure.

conclusionsOur results highlight the need for vigilant cardiac monitoring in FPLD, especially in patients with LMNA variants who have an increased risk of developing cardiac arrhythmias. In addition, hiPSC-CMs can be studied to understand the basic mechanisms for the arrhythmias in patients with lipodystrophy to understand the impact of specific mutations.

Indexed as

Induced Pluripotent Stem CellsLipodystrophyLipodystrophy, Familial PartialAdolescentAdultAgedFemaleHumansLamin Type AMiddle AgedMutationPhenotypeRetrospective StudiesYoung AdultLamin Type Aarrhythmiaatrial fibrillationconduction diseaselipodystrophyLMNA

Identifiers

PMID33502018
PMCPMC9003538
OpenAlexW3124131063

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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.