Evidence map›Paper›PMID 33874963›Full record

Trial reportLipids in health and disease2021

Regulation of circulating CTRP-2/CTRP-9 and GDF-8/GDF-15 by intralipids and insulin in healthy control and polycystic ovary syndrome women following chronic exercise training.

Jayakumar Jerobin, Manjunath Ramanjaneya, Ilham Bettahi, Raihanath Parammal, Kodappully Sivaraman Siveen, Meis Alkasem, Myint Aye, Thozhukat Sathyapalan, Monica Skarulis, Stephen L Atkin and 1 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Lipids in health and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.9field-weighted citation impact, top 6% 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, 26 citations in OpenAlex.

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  6. Skeletal Muscle as Endocrine Organ.Advances in experimental medicine and biology · 2025
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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

11 authors at 3 institutions in 3 countries.

Jayakumar JerobinQatar Metabolic Institute, Department of Medicine and Academic Health System, Hamad Medical Corporation, Doha, Qatar. JKumar3@hamad.qa.ORCID http://orcid.org/0000-0001-6421-3601
Manjunath RamanjaneyaQatar Metabolic Institute, Department of Medicine and Academic Health System, Hamad Medical Corporation, Doha, Qatar.
Ilham BettahiQatar Metabolic Institute, Department of Medicine and Academic Health System, Hamad Medical Corporation, Doha, Qatar.
Raihanath ParammalQatar Metabolic Institute, Department of Medicine and Academic Health System, Hamad Medical Corporation, Doha, Qatar.
Kodappully Sivaraman SiveenInterim Translational Research Institute, Academic Health System, Hamad Medical Corporation, Doha, Qatar.
Meis AlkasemQatar Metabolic Institute, Department of Medicine and Academic Health System, Hamad Medical Corporation, Doha, Qatar.
Myint AyeDepartment of Academic Endocrinology, Diabetes and Metabolism, Hull York Medical School, Hull, UK.
Thozhukat SathyapalanDepartment of Academic Endocrinology, Diabetes and Metabolism, Hull York Medical School, Hull, UK.
Monica SkarulisQatar Metabolic Institute, Department of Medicine and Academic Health System, Hamad Medical Corporation, Doha, Qatar.
Stephen L AtkinRCSI Bahrain, Adliya, Bahrain.
Abdul Badi Abou-SamraQatar Metabolic Institute, Department of Medicine and Academic Health System, Hamad Medical Corporation, Doha, Qatar.
Hamad Medical Corporation · QAHull York Medical School · GBRoyal College of Surgeons in Ireland - Bahrain · BH

Funding

Medical Research Center 17180/17
6 · The paper itself

Abstract

backgroundPolycystic ovary syndrome (PCOS) is associated with obesity, diabetes, and insulin resistance. The circulating C1Q/TNF-related proteins (CTRP-2, CTRP-9) and growth differentiation factors (GDF-8, GDF-15) contribute to glucose and lipid homeostasis. The effects of intralipids and insulin infusion on CTRP-2, CTRP-9, GDF-8 and GDF-15 in PCOS and control subjects before and after chronic exercise training were examined.

methodsTen PCOS and nine healthy subjects were studied at baseline status and after moderate-intensity chronic exercise training (1 h exercise, 3 times per week, 8 weeks). All participants were infused with 1.5 mL/min of saline or intralipids (20%) for 5 h, and during the last 2 h of saline or intralipids infusion hyperinsulinemic-euglycemic clamp (HIEC) was performed. CTRP-2, CTRP-9, GDF-8 and GDF-15 levels were measured at 0, 3 and 5 h.

resultsIntralipids dramatically increased CTRP-2 levels in PCOS (P = 0.02) and control (P = 0.004) subjects, which was not affected by insulin infusion or by exercise. Intralipids alone had no effects on CTRP-9, GDF-8, or GDF-15. Insulin increased the levels of GDF-15 in control subjects (P = 0.05) during the saline study and in PCOS subjects (P = 0.04) during the intralipid infusion. Insulin suppressed CTRP9 levels during the intralipid study in both PCOS (P = 0.04) and control (P = 0.01) subjects. Exercise significantly reduced fasting GDF-8 levels in PCOS (P = 0.03) and control (P = 0.04) subjects; however, intralipids infusion after chronic exercise training increased GDF-8 levels in both PCOS (P = 0.003) and control (P = 0.05) subjects and insulin infusion during intralipid infusion reduced the rise of GDF-8 levels.

conclusionThis study showed that exogenous lipids modulate CTRP-2, which might have a physiological role in lipid metabolism. Since chronic exercise training reduced fasting GDF-8 levels; GDF-8 might have a role in humoral adaptation to exercise. GDF-15 and CTRP-9 levels are responsive to insulin, and thus they may play a role in insulin responses.

Indexed as

ExerciseAdiponectinAdultCase-Control StudiesEmulsionsFemaleGrowth Differentiation Factor 15HumansInsulinIntercellular Signaling Peptides and ProteinsMyostatinPhospholipidsPolycystic Ovary SyndromeSoybean OilAdiponectinC1QTNF2 protein, humanC1QTNF9B protein, humanEmulsionsGDF15 protein, humanGrowth Differentiation Factor 15InsulinIntercellular Signaling Peptides and ProteinsMSTN protein, humanMyostatinPhospholipidsSoybean Oilsoybean oil, phospholipid emulsionC1Q/TNF related proteinsEuglycemic clampExercise and polycystic ovary syndromeGrowth differentiation factorsInsulinInsulin resistanceLipid

Identifiers

PMID33874963
PMCPMC8054421
OpenAlexW3152501265

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.