Evidence map›Paper›PMID 34417843›Full record

ArticleDiabetologia2021

The CREBRF diabetes-protective rs373863828-A allele is associated with enhanced early insulin release in men of Māori and Pacific ancestry.

Hannah J Burden, Shannon Adams, Braydon Kulatea, Morag Wright-McNaughton, Danielle Sword, Jennifer J Ormsbee, Conor Watene-O'Sullivan, Tony R Merriman, Jennifer L Knopp, J Geoffrey Chase and 6 more

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In one paragraph

Article in Diabetologia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Impact ofArchives of medical science : AMS · 2026
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  8. Phenotypic and Genetic Diversity in Diabetes Across Populations.The Journal of clinical endocrinology and metabolism · 2025
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  11. Reduced Weight Gain with Pioglitazone vs Vildagliptin inDiabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  12. Article
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  14. Review
  15. Article
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  17. 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

16 authors at 3 institutions in 2 countries.

Hannah J BurdenDepartment of Molecular Medicine and Pathology, School of Medical Sciences, The University of Auckland, Auckland, New Zealand.
Shannon AdamsDiscipline of Nutrition, School of Medical Sciences, The University of Auckland, Auckland, New Zealand.
Braydon KulateaDiscipline of Nutrition, School of Medical Sciences, The University of Auckland, Auckland, New Zealand.
Morag Wright-McNaughtonDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.
Danielle SwordDepartment of Medicine, University of Otago Wellington, Wellington, New Zealand.
Jennifer J OrmsbeeCentre for Bioengineering, Department of Mechanical Bioengineering, University of Canterbury, Christchurch, New Zealand.
Conor Watene-O'SullivanMaurice Wilkins Centre for Molecular Biodiscovery, The University of Auckland, Auckland, New Zealand.
Tony R MerrimanMaurice Wilkins Centre for Molecular Biodiscovery, The University of Auckland, Auckland, New Zealand.
Jennifer L KnoppCentre for Bioengineering, Department of Mechanical Bioengineering, University of Canterbury, Christchurch, New Zealand.
J Geoffrey ChaseCentre for Bioengineering, Department of Mechanical Bioengineering, University of Canterbury, Christchurch, New Zealand.
Jeremy D KrebsMaurice Wilkins Centre for Molecular Biodiscovery, The University of Auckland, Auckland, New Zealand.
Rosemary M HallMaurice Wilkins Centre for Molecular Biodiscovery, The University of Auckland, Auckland, New Zealand.
Lindsay D PlankDepartment of Surgery, School of Medicine, The University of Auckland, Auckland, New Zealand.
Rinki MurphyMaurice Wilkins Centre for Molecular Biodiscovery, The University of Auckland, Auckland, New Zealand.
Peter R ShepherdDepartment of Molecular Medicine and Pathology, School of Medical Sciences, The University of Auckland, Auckland, New Zealand.
Troy L MerryMaurice Wilkins Centre for Molecular Biodiscovery, The University of Auckland, Auckland, New Zealand. t.merry@auckland.ac.nz.ORCID 0000-0001-8699-500X
University of Auckland · NZUniversity of Canterbury · NZUniversity of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisThe minor A allele of rs373863828 (CREBRF p.Arg457Gln) is associated with increased BMI, but reduced risk of type 2 and gestational diabetes in Polynesian (Pacific peoples and Aotearoa New Zealand Māori) populations. This study investigates the effect of the A allele on insulin release and sensitivity in overweight/obese men without diabetes.

methodsA mixed meal tolerance test was completed by 172 men (56 with the A allele) of Māori or Pacific ancestry, and 44 (24 with the A allele) had a frequently sampled IVGTT and hyperinsulinaemic-euglycaemic clamp. Mixed linear models with covariates age, ancestry and BMI were used to analyse the association between the A allele of rs373863828 and markers of insulin release and blood glucose regulation.

resultsThe A allele of rs373863828 is associated with a greater increase in plasma insulin 30 min following a meal challenge without affecting the elevation in plasma glucose or incretins glucagon-like polypeptide-1 or gastric inhibitory polypeptide. Consistent with this point, following an i.v. infusion of a glucose bolus, participants with an A allele had higher early (p < 0.05 at 2 and 4 min) plasma insulin and C-peptide concentrations for a similar elevation in blood glucose as those homozygous for the major (G) allele. Despite increased plasma insulin, rs373863828 genotype was not associated with a significant difference (p > 0.05) in insulin sensitivity index or glucose disposal during hyperinsulinaemic-euglycaemic clamp. CONCLUSIONS/

interpretationrs373863828-A allele associates with increased glucose-stimulated insulin release without affecting insulin sensitivity, suggesting that CREBRF p.Arg457Gln may increase insulin release to reduce the risk of type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2InsulinAllelesBlood GlucoseHumansMaleTumor Suppressor ProteinsBlood GlucoseInsulinTumor Suppressor ProteinsAdiposityBeta cellsBMICREBRFDiabetesGeneticsInsulin resistanceInsulin secretionObesitySNP

Identifiers

PMID34417843
OpenAlexW3134760609

What OpenQuestion holds

Textmetadata
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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.