Evidence map›Paper›PMID 33687921›Full record

ArticleBMJ open diabetes research & care2021

Oxidized LDL, insulin sensitivity and beta-cell function in newborns.

Fang Fang, Anne Monique Nuyt, Carole Garofalo, Jun Zhang, Pierre Julien, William Fraser, Emile Levy, Zhong-Cheng Luo

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
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

8 authors at 5 institutions in 2 countries.

Fang FangMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Department of Pediatrics, Xinhua Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China.
Anne Monique NuytSainte-Justine University Hospital and Research Center, University of Montreal, Montreal, Québec, Canada.
Carole GarofaloSainte-Justine University Hospital and Research Center, University of Montreal, Montreal, Québec, Canada.
Jun ZhangMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Department of Pediatrics, Xinhua Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China.
Pierre JulienDepartment of Medicine, Molecular and Oncologic Endocrinology and Human Genomics Research Center, CHU-Quebec Laval University Research Center, Laval University, Quebec City, Quebec, Canada.
William FraserSainte-Justine University Hospital and Research Center, University of Montreal, Montreal, Québec, Canada.
Emile LevySainte-Justine University Hospital and Research Center, University of Montreal, Montreal, Québec, Canada.
Zhong-Cheng LuoMinistry of Education-Shanghai Key Laboratory of Children's Environmental Health, Department of Pediatrics, Xinhua Hospital, Shanghai Jiao-Tong University School of Medicine, Shanghai, China zcluo@lunenfeld.ca.ORCID 0000-0002-1794-1312
Université de Montréal · CAMount Sinai Hospital · CAShanghai Jiao Tong University · CNUniversité de Sherbrooke · CAUniversité Laval · CA

Funding

CIHR 158616CIHR 79896
6 · The paper itself

Abstract

introductionOxidized low-density lipoprotein (OxLDL), a biomarker of oxidative stress, itself possesses proatherogenic and proinflammatory effects. Elevated circulating OxLDL levels have been consistently associated with insulin resistance and diabetes in adults. We sought to assess whether OxLDL may be associated with insulin sensitivity and beta-cell function in early life. RESEARCH DESIGN AND

methodsIn a birth cohort study, we assessed cord plasma OxLDL concentration and OxLDL to total LDL ratio in relation to glucose to insulin ratio (an indicator of fetal insulin sensitivity), proinsulin to insulin ratio (an indicator of fetal beta-cell function), and leptin and adiponectin concentrations in 248 singleton newborns.

resultsCord plasma OxLDL concentration was positively correlated with glucose to insulin ratio (r=0.24, p<0.001) and proinsulin to insulin ratio (r=0.20, p<0.001) and was not correlated with leptin or adiponectin. Adjusting for maternal and neonatal characteristics, each log unit increase in cord plasma OxLDL concentration was associated with a 25.8% (95% CI 12.8% to 40.3%) increase in glucose to insulin ratio and a 19.0% (95% CI 6.8% to 32.9%) increase in proinsulin to insulin ratio, respectively. Similar associations were observed for cord plasma OxLDL to LDL ratio in relation to cord plasma glucose to insulin ratio and proinsulin to insulin ratio.

conclusionsHigher OxLDL levels were associated with lower fetal beta-cell function (higher proinsulin to insulin ratio) but higher insulin sensitivity (higher glucose to insulin ratio). The study is the first to demonstrate that OxLDL may affect glucose metabolic health in early life in humans.

Indexed as

Insulin ResistanceAdultCohort StudiesHumansInfant, NewbornInsulinLipoproteins, LDLInsulinLipoproteins, LDLoxidized low density lipoproteincholesterolinsulin secretionLDLoxidative stresspregnancy

Identifiers

PMID33687921
PMCPMC7944989
OpenAlexW3133491550

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.