Evidence map›Paper›PMID 34041950›Full record

ArticleThe Journal of international medical research2021

Effects of alpha-lipoic acid treatment on serum progranulin levels and inflammatory markers in diabetic neuropathy.

Bíborka Nádró, Hajnalka Lőrincz, Ágnes Molnár, Anita Szentpéteri, Eszter Zöld, Ildikó Seres, Dénes Páll, György Paragh, Péter Kempler, Mariann Harangi and 1 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 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 2 institutions in 1 country.

Bíborka NádróDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Hajnalka LőrinczDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Ágnes MolnárDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Anita SzentpéteriDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Eszter ZöldDepartment of Ophthalmology, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Ildikó SeresDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Dénes PállDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
György ParaghDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
Péter KemplerFirst Department of Internal Medicine, Semmelweis University Faculty of Medicine, Budapest, Hungary.
Mariann HarangiDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.ORCID https://orcid.org/0000-0001-9761-9595
Ferenc SztanekDepartment of Internal Medicine, University of Debrecen Faculty of Medicine, Debrecen, Hungary.
University of Debrecen · HUSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesProgranulin (PGRN) is a secreted growth factor that helps to regulate neuronal survival by blocking tumor necrosis factor-alpha (TNFα) receptors. The antioxidant alpha-lipoic acid (ALA) is used in diabetic neuropathy to improve nerve conduction and relieve neuropathic pain, but its effects on PGRN levels have not yet been elucidated.

methodsIn this prospective study, 54 patients with type 2 diabetes and peripheral neuropathy received 600 mg of ALA daily for 6 months. Twenty-four patients with diabetes without neuropathy were also included in the study. Serum PGRN and TNFα levels were determined using enzyme-linked immunosorbent assays. In addition, current perception threshold (CPT) testing was used to assess sensory neuropathy.

resultsAfter ALA treatment, serum PGRN levels were significantly increased and CPT values were significantly improved. Furthermore, there were significant positive correlations among TNFα, ICAM-1, and PGRN levels both before and after ALA treatment. A significant negative correlation was observed between the improvements in CPT and the PGRN levels. Furthermore, ICAM-1 levels were an independent predictor of PGRN levels.

conclusionsChanges in serum PGRN levels indicate that ALA treatment may have beneficial effects on endothelial function and neuronal inflammation.

Indexed as

Diabetes Mellitus, Type 2Diabetic NeuropathiesThioctic AcidHumansProgranulinsProspective StudiesProgranulinsThioctic Acidalpha-lipoic acidcardiac autonomic neuropathyDiabetic neuropathyintercellular adhesion molecule-1progranulintumor necrosis factor-alphatype 2 diabetes

Identifiers

PMID34041950
PMCPMC8165837
OpenAlexW3164151855

What OpenQuestion holds

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LicenceCC BY-NC
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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.