Evidence map›Paper›PMID 34193611›Full record

ArticleScience translational medicine2021

Circulating proteins protect against renal decline and progression to end-stage renal disease in patients with diabetes.

Zaipul I Md Dom, Eiichiro Satake, Jan Skupien, Bozena Krolewski, Kristina O'Neil, Jill A Willency, Simon T Dillon, Jonathan M Wilson, Hiroki Kobayashi, Katsuhito Ihara and 4 more

Open access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.4field-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

23 citing papers in PubMed, 38 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

14 authors at 5 institutions in 2 countries.

Zaipul I Md DomResearch Division, Joslin Diabetes Center, Boston, MA 02215, USA.ORCID 0000-0003-3503-7391
Eiichiro SatakeResearch Division, Joslin Diabetes Center, Boston, MA 02215, USA.ORCID 0000-0002-9784-4423
Jan SkupienDepartment of Metabolic Diseases, Jagiellonian University Medical College, 31-008 Krakow, Poland.
Bozena KrolewskiResearch Division, Joslin Diabetes Center, Boston, MA 02215, USA.
Kristina O'NeilResearch Division, Joslin Diabetes Center, Boston, MA 02215, USA.ORCID 0000-0002-2020-8728
Jill A WillencyDiabetes and Complication Department, Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN 46225, USA.ORCID 0000-0002-2569-6046
Simon T DillonDepartment of Medicine, Harvard Medical School, Boston, MA 02215, USA.ORCID 0000-0002-4417-178X
Jonathan M WilsonDiabetes and Complication Department, Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN 46225, USA.ORCID 0000-0002-8648-600X
Hiroki KobayashiResearch Division, Joslin Diabetes Center, Boston, MA 02215, USA.ORCID 0000-0002-9674-0374
Katsuhito IharaResearch Division, Joslin Diabetes Center, Boston, MA 02215, USA.
Towia A LibermannDepartment of Medicine, Harvard Medical School, Boston, MA 02215, USA.
Marlon PragnellJDRF International, New York, NY 10281, USA.ORCID 0000-0001-8976-3511
Kevin L DuffinDiabetes and Complication Department, Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN 46225, USA.ORCID 0000-0002-1656-8982
Andrzej S KrolewskiResearch Division, Joslin Diabetes Center, Boston, MA 02215, USA. andrzej.krolewski@joslin.harvard.edu.ORCID 0000-0002-1705-2953
Joslin Diabetes Center · USEli Lilly (United States) · USBeth Israel Deaconess Medical Center · USBreakthrough T1D · USJagiellonian University · PL

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Tumor necrosis factor superfamily of ligands and receptors in progressive renal decline in diabetesR01DK041526 · NIDDK · JOSLIN DIABETES CENTER · PI KROLEWSKI, ANDRZEJ S · 1990 to 2018
$7.8M
NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R01 DK041526
6 · The paper itself

Abstract

Diabetic kidney disease (DKD) and its major clinical manifestation, progressive renal decline that leads to end-stage renal disease (ESRD), are a major health burden for individuals with diabetes. The disease process that underlies progressive renal decline comprises factors that increase risk as well as factors that protect against this outcome. Using untargeted proteomic profiling of circulating proteins from individuals in two independent cohorts with type 1 and type 2 diabetes and varying stages of DKD followed for 7 to 15 years, we identified three elevated plasma proteins-fibroblast growth factor 20 (OR, 0.69; 95% CI, 0.54 to 0.88), angiopoietin-1 (OR, 0.72; 95% CI, 0.57 to 0.91), and tumor necrosis factor ligand superfamily member 12 (OR, 0.75; 95% CI, 0.59 to 0.95)-that were associated with protection against progressive renal decline and progression to ESRD. The combined effect of these three protective proteins was demonstrated by very low cumulative risk of ESRD in those who had baseline concentrations above median for all three proteins, whereas the cumulative risk of ESRD was high in those with concentrations below median for these proteins at the beginning of follow-up. This protective effect was shown to be independent from circulating inflammatory proteins and clinical covariates and was confirmed in a third cohort of diabetic individuals with normal renal function. These three protective proteins may serve as biomarkers to stratify diabetic individuals according to risk of progression to ESRD and might also be investigated as potential therapeutics to delay or prevent the onset of ESRD.

Indexed as

Diabetes Mellitus, Type 2Kidney Failure, ChronicBiomarkersDisease ProgressionGlomerular Filtration RateHumansKidneyProteomicsRisk FactorsBiomarkers

Identifiers

PMID34193611
PMCPMC9022453
OpenAlexW3175908479

What OpenQuestion holds

Textmetadata
LicenceTDM
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.