Evidence map›Paper›PMID 34003801›Full record

ArticleJCI insight2021

Sodium in the dermis colocates to glycosaminoglycan scaffold, with diminishment in type 2 diabetes mellitus.

Petra Hanson, Christopher J Philp, Harpal S Randeva, Sean James, J Paul O'Hare, Thomas Meersmann, Galina E Pavlovskaya, Thomas M Barber

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Science advances · 2026
    Article
  4. Estimation of skin sodium content viaMagma (New York, N.Y.) · 2026
    Article
  5. Gut Microbiota as a Mediator of Dietary Salt Effects on Blood Pressure.International journal of molecular sciences · 2026
    Review
  6. CD4Frontiers in immunology · 2026
    Review
  7. QuantitativeMagma (New York, N.Y.) · 2024
    Article
  8. Article
  9. 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

8 authors at 2 institutions in 2 countries.

Petra HansonWarwick Medical School, University of Warwick, Coventry, United Kingdom.
Christopher J PhilpSir Peter Mansfield Imaging Centre (SPMIC), School of Medicine, and.
Harpal S RandevaWarwick Medical School, University of Warwick, Coventry, United Kingdom.
Sean JamesWarwickshire Institute for the Study of Diabetes Endocrinology and Metabolism, University Hospitals Coventry and Warwickshire (UHCW), Clifford Bridge Road, Coventry, United Kingdom.
J Paul O'HareWarwick Medical School, University of Warwick, Coventry, United Kingdom.
Thomas MeersmannSir Peter Mansfield Imaging Centre (SPMIC), School of Medicine, and.
Galina E PavlovskayaSir Peter Mansfield Imaging Centre (SPMIC), School of Medicine, and.
Thomas M BarberWarwick Medical School, University of Warwick, Coventry, United Kingdom.
University Hospitals Coventry and Warwickshire NHS Trust · GBMansfield University · US

Funding

Medical Research Council MC_PC_15074
6 · The paper itself

Abstract

backgroundDietary sodium intake mismatches urinary sodium excretion over prolonged periods. Our aims were to localize and quantify electrostatically bound sodium within human skin using triple-quantum-filtered (TQF) protocols for MRI and magnetic resonance spectroscopy (MRS) and to explore dermal sodium in type 2 diabetes mellitus (T2D).

methodsWe recruited adult participants with T2D (n = 9) and euglycemic participants with no history of diabetes mellitus (n = 8). All had undergone lower limb amputations or abdominal skin reduction surgery for clinical purposes. We used 20 μm in-plane resolution 1H MRI to visualize anatomical skin regions ex vivo from skin biopsies taken intraoperatively, 23Na TQF MRI/MRS to explore distribution and quantification of freely dissolved and bound sodium, and inductively coupled plasma mass spectrometry to quantify sodium in selected skin samples.

resultsHuman dermis has a preponderance (>90%) of bound sodium that colocalizes with the glycosaminoglycan (GAG) scaffold. Bound and free sodium have similar anatomical locations. T2D associates with a severely reduced dermal bound sodium capacity.

conclusionWe provide the first evidence to our knowledge for high levels of bound sodium within human dermis, colocating to the GAG scaffold, consistent with a dermal "third space repository" for sodium. T2D associates with diminished dermal electrostatic binding capacity for sodium.

Indexed as

AdultAgedDermisDiabetes Mellitus, Type 2FemaleGlycosaminoglycansHumansMagnetic Resonance ImagingMaleMiddle AgedSodiumGlycosaminoglycansSodiumDiabetesEndocrinologySkin

Identifiers

PMID34003801
PMCPMC8262470
OpenAlexW3163443698

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.