Evidence map›Paper›PMID 33651448›Full record

ArticleJournal of diabetes investigation2021

Prospective study: Aldehyde dehydrogenase 2 gene is associated with cardio-cerebrovascular complications in type 2 diabetes patients.

Qingfang He, Jin Pan, Lixin Wang, Yujia Fang, Ruying Hu

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.4field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. AldehydeFrontiers in medicine · 2026
    Article
  4. ALDH2 Enzyme Deficiency in Diabetic Cardiomyopathy.International journal of molecular sciences · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Association BetweenInternational journal of general medicine · 2023
    Article
  11. Article
  12. 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

5 authors at 1 institution in 1 country.

Qingfang HeZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Jin PanZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Lixin WangZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Yujia FangZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.
Ruying HuZhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China.ORCID https://orcid.org/0000-0002-6920-0524
Zhejiang Center for Disease Control and Prevention · CN

Funding

National Key Research and Development Program of China "precision medical research" (2016YFC0901200, 2016YFC0901205) from the Ministry of Science and Technology 2016YFC0901200National Key Research and Development Program of China "precision medical research" (2016YFC0901200, 2016YFC0901205) from the Ministry of Science and Technology 2016YFC0901205"Zhejiang Provincial Public Welfare Technology Applied Research Projects (no. 2017C33090 )". 2017C33090
6 · The paper itself

Abstract

AIMS/

introductionMost studies have shown that aldehyde dehydrogenase 2 (ALDH2) mutations were associated with cardio-cerebrovascular complications of diabetes based on cross-sectional investigations, but few studies based on cohorts were carried out. The aim of this study was to explore the correlation between the ALDH2 gene and the occurrence of and death from cardio-cerebrovascular complications in type 2 diabetes patients through a prospective cohort study. MATERIALS AND

methodsAccording to a community-based and disease-based prospective cohort study design, a baseline cohort of 10,339 persons with type 2 diabetes was established in 2016, and the occurrence of and death from cardio-cerebrovascular complications were followed up until December 2018. A total of 2,500 diabetes patients without cardio-cerebrovascular complications were randomly selected from the baseline cohort to detect the rs671 polymorphism of the ALDH2 gene. Cox regression analysis was carried out on the effect of different ALDH2 rs671 single-nucleotide polymorphisms on the risk and survival time of cardio-cerebrovascular complications among diabetes patients.

resultsThere were 215 cardio-cerebrovascular complications, including 10 deaths, that occurred in the 2,500 diabetes patients during the follow-up period. Cox regression analysis showed that rs671 GA/AA genotype, sex (male), poor control of high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, blood pressure and glycated were risk factors, whereas drinking alcohol was a protective factor for cardio-cerebrovascular complications (P < 0.05). After adjusting for age and sex, the risk of the rs671 GA/AA genotype was 1.314-fold (95% confidence interval 1.000-1.727) that of the GG genotype.

conclusionThe G-A mutation of ALDH2 rs671 is a risk factor for the occurrence of and death from cardio-cerebrovascular complications in type 2 diabetes patients. Further studies with larger cohorts and longer follow up will be necessary to reveal a consensus.

Indexed as

AdultAgedAldehyde Dehydrogenase, MitochondrialCerebrovascular DisordersChinaDiabetes Mellitus, Type 2FemaleHeart DiseasesHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesAldehyde Dehydrogenase, MitochondrialALDH2 protein, humanAldehyde dehydrogenase 2Cardio-cerebrovascular complicationsType 2 diabetes mellitus

Identifiers

PMID33651448
PMCPMC8504900
OpenAlexW3135058758

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.