Evidence map›Paper›PMID 34681832›Full record

ReviewInternational journal of molecular sciences2021

Glucocorticoid Receptor Signaling in Diabetes.

Ioanna Kokkinopoulou, Andriana Diakoumi, Paraskevi Moutsatsou

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 3% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 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

3 authors at 1 institution in 1 country.

Ioanna KokkinopoulouDepartment of Clinical Biochemistry, Medical School, National and Kapodistrian University of Athens, University General Hospital "ATTIKON", 12462 Athens, Greece.
Andriana DiakoumiDepartment of Clinical Biochemistry, Medical School, National and Kapodistrian University of Athens, University General Hospital "ATTIKON", 12462 Athens, Greece.ORCID 0000-0003-4817-9065
Paraskevi MoutsatsouDepartment of Clinical Biochemistry, Medical School, National and Kapodistrian University of Athens, University General Hospital "ATTIKON", 12462 Athens, Greece.
National and Kapodistrian University of Athens · GR

Funding

European Regional Development Fund of the European Union and Greek national funds through the Operational Program Competitiveness, Entrepreneurship and Innovation, under the call RESEARCH - CREATE - INNOVATE T1EDK-00235
6 · The paper itself

Abstract

Stress and depression increase the risk of Type 2 Diabetes (T2D) development. Evidence demonstrates that the Glucocorticoid (GC) negative feedback is impaired (GC resistance) in T2D patients resulting in Hypothalamic-Pituitary-Adrenal (HPA) axis hyperactivity and hypercortisolism. High GCs, in turn, activate multiple aspects of glucose homeostasis in peripheral tissues leading to hyperglycemia. Elucidation of the underlying molecular mechanisms revealed that Glucocorticoid Receptor (GR) mediates the GC-induced dysregulation of glucose production, uptake and insulin signaling in GC-sensitive peripheral tissues, such as liver, skeletal muscle, adipose tissue, and pancreas. In contrast to increased GR peripheral sensitivity, an impaired GR signaling in Peripheral Blood Mononuclear Cells (PBMCs) of T2D patients, associated with hyperglycemia, hyperlipidemia, and increased inflammation, has been shown. Given that GR changes in immune cells parallel those in brain, the above data implicate that a reduced brain GR function may be the biological link among stress, HPA hyperactivity, hypercortisolism and hyperglycemia. GR polymorphisms have also been associated with metabolic disturbances in T2D while dysregulation of micro-RNAs-known to target GR mRNA-has been described. Collectively, GR has a crucial role in T2D, acting in a cell-type and context-specific manner, leading to either GC sensitivity or GC resistance. Selective modulation of GR signaling in T2D therapy warrants further investigation.

Indexed as

Polymorphism, GeneticSignal TransductionAnimalsCushing SyndromeDepressionDiabetes Mellitus, Type 2GlucocorticoidsGlucoseHomeostasisHumansHypothalamo-Hypophyseal SystemInsulinMicroRNAsReceptors, GlucocorticoidStress, PhysiologicalGlucocorticoidsGlucoseInsulinMicroRNAsReceptors, Glucocorticoiddiabetes mellitusglucocorticoid receptorglucocorticoidsGRstress

Identifiers

PMID34681832
PMCPMC8537243
OpenAlexW3207276136

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.