Evidence map›Paper›PMID 34389003›Full record

Observational studyCardiovascular diabetology2021

Plasma nesfatin-1 and DDP-4 levels in patients with coronary artery disease: Kozani study.

Nikolaos P E Kadoglou, Emmanouil Korakas, Stylianos Lampropoulos, Eirini Maratou, George Kassimis, Nikolaos Patsourakos, Panagiotis Plotas, Paraskevi Moutsatsou, Vaia Lambadiari

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Cardiovascular diabetology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00306176 (Rosiglitazone and Exercise in Patients With Type 2 Diabetes Mellitus), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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.

NCT00306176 phase4completednot on this map

Rosiglitazone and Exercise in Patients With Type 2 Diabetes Mellitus

TypeinterventionalSponsorAristotle University Of ThessalonikiRan2005 to 2006Enrolled100ConditionsType II Diabetes MellitusArmsRosiglitazone
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Biomolecules & biomedicine · 2025
    Article
  4. Article
  5. Review
  6. Research progress on the relationship between Nesfatin-1 and glucose metabolism.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Review
  7. Nesfatin-1 - as a diagnosis regulatory peptide in type 2 diabetes mellitus.Journal of diabetes and metabolic disorders · 2022
    Article
  8. Association of the rs17574Diagnostics (Basel, Switzerland) · 2022
    Article
  9. Article
  10. 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

9 authors at 6 institutions in 2 countries.

Nikolaos P E KadoglouMedical School, University of Cyprus, 215/6 Old road Lefkosias-Lemesou, Aglantzia, 2029, Nicosia, Cyprus. nikoskad@yahoo.com.
Emmanouil Korakas2nd Department of Internal Medicine, Research Institute and Diabetes Centre, Athens University Medical School, Attikon University General Hospital, Athens, Greece.
Stylianos LampropoulosCardiology Department, "Mamatsio" General Hospital of Kozani, Kozani, Greece.
Eirini Maratou2nd Department of Internal Medicine, Research Institute and Diabetes Centre, Athens University Medical School, Attikon University General Hospital, Athens, Greece.
George Kassimis2nd Cardiology Department, "Hippokration" Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Nikolaos PatsourakosCardiology Department, "Tzaneio" General Hospital of Piraeus, Pireas, Greece.
Panagiotis PlotasDepartment of Cardiology, University of Patras Medical School, Patras, Greece.
Paraskevi MoutsatsouDepartment of Clinical Biochemistry, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Vaia Lambadiari2nd Department of Internal Medicine, Research Institute and Diabetes Centre, Athens University Medical School, Attikon University General Hospital, Athens, Greece.ORCID 0000-0002-4620-4039
University General Hospital Attikon · GRAristotle University of Thessaloniki · GRNational and Kapodistrian University of Athens · GRTzaneion General Hospital · GRUniversity of Cyprus · CYUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNesfatin-1, a novel adipokine and dipeptidyl peptidase-4 (DPP4), a mam malian serine protease, are potent factors of atherosclerosis. In the present cross-sectional study, we investigated whether the plasma nesfatin-1 and DPP4 is associated with the prevalence and severity of coronary artery disease (CAD) with and without diabetes mellitus (DM).

methodsWe consecutively enrolled a total of 240 patients with significant CAD (previous revascularization or angiographically-proven coronary artery stenosis > 50%) presented with either unstable angina (UA, N = 76) or stable chronic CAD (SCAD, N = 165). 85 patients with at least 2 classical cardiovascular risk factors but without significant CAD served as controls. The severity of CAD was assessed using coronary angiography by the Gensini score. Clinical parameters, glycemic and lipid profile, high-sensitivity CRP (hsCRP), nesfatin-1 and DPP4 levels were assayed.

resultsNo differences were found for age, sex, hypertension and diabetes distribution between groups. Low nesfatin-1 levels were found in both CAD groups (UA & SCAD) with respect to controls. The difference between UA and SCAD groups was marginally non-significant. There was a significant increase of DPP4 along UA to SCAD and control groups. Differences between groups remained unchanged in non-diabetic participants. Nesfatin-1 significantly correlated to hsCRP (r = - 0.287, p = 0.036), HOMA-IR (r = - 0.587, p = 0.007) and hyperlipidemia (r = - 0.331, p = 0.034). DPP4 was significantly associated with hs-CRP (r = 0.353 p < 0.001) and FPG (r = 0.202, p = 0.020) in univariate analysis, but those correlations were lost in multiple regression analysis. There was a negative correlation between nesfatin-1 and the severity of CAD, quantified by the Gensini score (r = - 0.511, p < 0.001), but no association was found for DPP4.

conclusionsSerum DPP4 levels are increased in patients with CAD, while serum nesfatin-1 levels have a negative association with both the incidence and the severity of CAD. These results are independent of the presence of diabetes mellitus. In addition, both peptides have a strong association with hsCRP. Trial registration ClinicalTrials.gov Identifier: NCT00306176.

Indexed as

AgedAged, 80 and overBiomarkersCoronary Artery DiseaseCross-Sectional StudiesCyprusDiabetes MellitusDipeptidyl Peptidase 4FemaleHumansIncidenceMaleMiddle AgedNucleobindinsPrevalenceRisk AssessmentBiomarkersDipeptidyl Peptidase 4DPP4 protein, humanNUCB2 protein, humanNucleobindinsCoronary artery diseaseDipeptidyl peptidase-4Nesfatin-1Unstable angina

Identifiers

PMID34389003
PMCPMC8362239
OpenAlexW3188337654

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Registered trials

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.