Evidence map›Paper›PMID 34017413›Full record

ArticleAmerican journal of translational research2021

Correlation of CD3+/CD4+, and serum CK-18 fragment levels with glucose and lipid metabolism in elderly type 2 diabetes patients with nonalcoholic fatty liver disease.

Chunzhi Zhao, Fangyong Lou, Xing Li, Jianhua Ma, Zhengtai Zhu, Hua Li, Yuefang Zhai, Hui Chen, Qing Zhang, Zhe Liu and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-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

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 11 citations in OpenAlex.

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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 1 country.

Chunzhi ZhaoDepartment of Geriatrics, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Fangyong LouDepartment of Orthopaedics, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Xing LiDepartment of Endocrinology, Second Hospital of Shanxi Medical University Taiyuan 030000, Shanxi Province, China.
Jianhua MaDepartment of Endocrinology, Nanjing Hospital Affiliated to Nanjing Medical University Nanjing 210006, Jiangsu Province, China.
Zhengtai ZhuDepartment of Geriatrics, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Hua LiDepartment of General Practice, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Yuefang ZhaiDepartment of Geriatrics, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Hui ChenDepartment of Geriatrics, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Qing ZhangDepartment of Geriatrics, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Zhe LiuDepartment of Geriatrics, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Shujun XiaoDepartment of General Practice, Taizhou People's Hospital Taizhou 225300, Jiangsu Province, China.
Nantong University · CNNanjing Medical University · CNShanxi Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo test the correlation of helper T lymphocytes (CD3+/CD4+), and cytokeratin 18 fragment (CK-18) with glucose and lipid metabolism in elderly patients with type 2 diabetes mellitus (T2DM) and nonalcoholic fatty liver disease (NAFLD).

methodsA total of 108 patients with T2DM hospitalized in Geriatrics, Taizhou People's Hospital from August 2019 to December 2020 were obtained and grouped into' Non-NAFLD group (58 patients) and NAFLD group (50 patients) according to the patients' conditions. Another 50 healthy people were obtained as the control group (CG). The BMI was tested, and the elbow venous blood was collected. The indexes of blood glucose, liver and kidney function (ALT, AST, creatinine, urea nitrogen), blood lipid (triglyceride, total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol) and blood uric acid were detected. CD3+/CD4+ in elbow venous blood was tested using flow cytometry, and CK-18 was tested using ELISA. Pearson correlation coefficient was applied to test the correlation of CD3+/CD4+, CK-18 with glucose and lipid metabolism in NAFLD group.

resultsCompared with the CG, CK-18 in the other two groups were elevated, and CK-18 in the NAFLD group were elevated compared to the Non-NAFLD group. Compared with the CG, CD3+ and CD4+ in the other two groups were decreased, and CD3+ and CD4+ in the NAFLD group decreased compared to the Non-NAFLD group. Correlation analysis revealed that both CD3+ and CD4+ had a negative correlation with FPG, HbA1C, FINS, HOMA-IR, TG, TC, HDL and LDL, while CK-18 had a positive correlation with these indexes. ROC curve revealed that the AUC values of CK-18, CD3+ and CD4+ for NAFLD in elderly T2DM patients were 0.875, 0.867, and 0.871, respectively. Logistic regression analysis revealed that FINS, HOMA-IR, CK-18, CD3+ and CD4+ were all related factors leading to NAFLD in elderly T2DM patients.

conclusionCD3+/CD4+, and CK-18 were correlated with glucose and lipid metabolism in elderly T2DM patients with NAFLD. They may be related to the development of T2DM and NAFLD, and these indexes can be used as biological diagnostic indicators for elderly T2DM patients with NAFLD.

Indexed as

CD3+/CD4+cytokeratin 18 fragmentglucose and lipid metabolismnonalcoholic fatty liver diseaseType 2 diabetes mellitus

Identifiers

PMID34017413
PMCPMC8129350
OpenAlexW3162802554

What OpenQuestion holds

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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.