Evidence map›Paper›PMID 34129696›Full record

Observational studyEuropean journal of clinical investigation2021

Neutrophil degranulation biomarkers characterize restrictive echocardiographic pattern with diastolic dysfunction in patients with diabetes.

Stefano Ministrini, Francesco Andreozzi, Fabrizio Montecucco, Silvia Minetti, Maria Bertolotto, Luca Liberale, Gaia Chiara Mannino, Elena Succurro, Velia Cassano, Sofia Miceli and 4 more

Abstract readObservational Study
In one paragraph

Observational study in European journal of clinical investigation, 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
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
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

14 authors.

Stefano MinistriniInternal Medicine, Angiology and Atherosclerosis, Department of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.ORCID https://orcid.org/0000-0003-4358-6411
Francesco AndreozziDepartment of Medical and Surgical Sciences, University 'Magna Graecia' of Catanzaro, Catanzaro, Italy.
Fabrizio MontecuccoDepartment of Internal Medicine, First Clinic of internal Medicine, University of Genoa, Genoa, Italy.ORCID https://orcid.org/0000-0003-0823-8729
Silvia MinettiInternal Medicine, Angiology and Atherosclerosis, Department of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.
Maria BertolottoInternal Medicine, Angiology and Atherosclerosis, Department of Medicine and Surgery, Università degli Studi di Perugia, Perugia, Italy.
Luca LiberaleCenter for Molecular Cardiology, University of Zürich, Schlieren, Switzerland.ORCID https://orcid.org/0000-0003-1472-7975
Gaia Chiara ManninoDepartment of Medical and Surgical Sciences, University 'Magna Graecia' of Catanzaro, Catanzaro, Italy.
Elena SuccurroDepartment of Medical and Surgical Sciences, University 'Magna Graecia' of Catanzaro, Catanzaro, Italy.
Velia CassanoDepartment of Medical and Surgical Sciences, University 'Magna Graecia' of Catanzaro, Catanzaro, Italy.
Sofia MiceliDepartment of Medical and Surgical Sciences, University 'Magna Graecia' of Catanzaro, Catanzaro, Italy.
Maria PerticoneDepartment of Medical and Surgical Sciences, University 'Magna Graecia' of Catanzaro, Catanzaro, Italy.
Giorgio SestiDepartment of Clinical and Molecular Medicine, University of Rome-Sapienza, Rome, Italy.
Angela SciacquaDepartment of Medical and Surgical Sciences, University 'Magna Graecia' of Catanzaro, Catanzaro, Italy.
Federico CarboneDepartment of Internal Medicine, First Clinic of internal Medicine, University of Genoa, Genoa, Italy.

Funding

Fondazione Carige to Prof. FRete Cardiologica of Italian Ministry of Health #2754291
6 · The paper itself

Abstract

objectiveTo investigate the potential association between neutrophil degranulation and patterns of myocardial dysfunction in a cohort of patients with type 2 diabetes mellitus (T2DM).

backgroundTwo distinct phenotypes of diabetic cardiomyopathy have been described: a restrictive phenotype with diastolic dysfunction (restrictive/DD) and a dilative phenotype with systolic dysfunction (dilative/SD). However, the underlying determinants of these two patterns are not yet recognized.

methodsIn this single-centre, observational, cross-sectional study, 492 patients were recruited. Ultrasonographic measurements were performed by two experienced sonographers, blinded to the clinical data of the participants. Serum biomarkers of neutrophil degranulation were measured by enzyme-linked immunosorbent sandwich assay (ELISA).

resultsAfter adjustment for confounders, resistin, myeloperoxidase, matrix metalloproteinase 8 and matrix metalloproteinase 9/tissue inhibitor of metalloproteinases 1 complex were positively associated with the restrictive/DD pattern compared with the normal pattern. Similarly, MPO was positively associated with the dilative/SD pattern compared with the normal pattern, and resistin was negatively associated with the dilative/SD pattern compared with the restrictive/DD pattern.

conclusionsNeutrophil degranulation is associated with the restrictive/DD echocardiographic pattern in patients with T2DM, but not with the normal pattern and dilative/SD patterns. Neutrophils could have a pivotal role in the pathogenesis of myocardial dysfunction, and particularly diastolic dysfunction, in patients with T2DM.

Indexed as

Neutrophil ActivationAgedBiomarkersCardiomyopathy, DilatedCardiomyopathy, RestrictiveDiabetes Mellitus, Type 2Diabetic CardiomyopathiesEchocardiographyFemaleHeart Failure, DiastolicHeart Failure, SystolicHumansMaleMatrix Metalloproteinase 8Matrix Metalloproteinase 9Middle AgedBiomarkersMatrix Metalloproteinase 8Matrix Metalloproteinase 9PeroxidaseResistinTissue Inhibitor of Metalloproteinase-1Tissue Inhibitor of Metalloproteinase-2diabetic cardiomyopathyechocardiographyneutrophilsresistintype 2 diabetes mellitus

Identifiers

PMID34129696
PMCPMC9286613

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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.