Evidence map›Paper›PMID 34743218›Full record

SynthesisDiabetologia2022

The role of circulating galectin-1 in type 2 diabetes and chronic kidney disease: evidence from cross-sectional, longitudinal and Mendelian randomisation analyses.

Isabel Drake, Emanuel Fryk, Lena Strindberg, Annika Lundqvist, Anders H Rosengren, Leif Groop, Emma Ahlqvist, Jan Borén, Marju Orho-Melander, Per-Anders Jansson

Registry-linked trialOpen access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Diabetologia, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06065930 (Mechanistic Studies in Human Subcutaneous Adipose Tissue), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.9field-weighted citation impact, top 27% 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.

NCT06065930 recruitingnot on this mapstarted 2023, after this paper: background citation

Mechanistic Studies in Human Subcutaneous Adipose Tissue

TypeobservationalSponsorVastra Gotaland RegionRan2023 to 2028Enrolled45ConditionsObesity, Type 2 DiabetesArmsSubcutaneous microdialysis
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 18 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

10 authors at 2 institutions in 1 country.

Isabel DrakeDepartment of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund University, Malmö, Sweden.ORCID 0000-0002-6500-6310
Emanuel FrykDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-5251-0227
Lena StrindbergDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Annika LundqvistDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-4736-0244
Anders H RosengrenDepartment of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund University, Malmö, Sweden.
Leif GroopDepartment of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund University, Malmö, Sweden.ORCID 0000-0002-0187-3263
Emma AhlqvistDepartment of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund University, Malmö, Sweden.ORCID 0000-0002-6513-2384
Jan BorénDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0003-0786-8091
Marju Orho-MelanderDepartment of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund University, Malmö, Sweden.ORCID 0000-0002-3578-2503
Per-Anders JanssonDepartment of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. per-anders.jansson@wlab.gu.se.ORCID 0000-0003-4032-3317
Lund University · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisGalectin-1 modulates inflammation and angiogenesis, and cross-sectional studies indicate that galectin-1 may be a uniting factor between obesity, type 2 diabetes and kidney function. We examined whether circulating galectin-1 can predict incidence of chronic kidney disease (CKD) and type 2 diabetes in a middle-aged population, and if Mendelian randomisation (MR) can provide evidence for causal direction of effects.

methodsParticipants (n = 4022; 58.6% women) in the Malmö Diet and Cancer Study-Cardiovascular Cohort enrolled between 1991 and 1994 (mean age 57.6 years) were examined. eGFR was calculated at baseline and after a mean follow-up of 16.6 ± 1.5 years. Diabetes status was ascertained through registry linkage (mean follow-up of 18.4 ± 6.1 years). The associations of baseline galectin-1 with incident CKD and type 2 diabetes were assessed with Cox regression, adjusting for established risk factors. In addition, a genome-wide association study on galectin-1 was performed to identify genetic instruments for two-sample MR analyses utilising the genetic associations obtained from the Chronic Kidney Disease Genetics (CKDGen) Consortium (41,395 cases and 439,303 controls) and the DIAbetes Genetics Replication And Meta-analysis (DIAGRAM) consortium (74,124 cases and 824,006 controls). One genome-wide significant locus in the galectin-1 gene region was identified (sentinel SNP rs7285699; p = 2.4 × 10

resultsGalectin-1 was strongly associated with lower eGFR at baseline (p = 2.3 × 10 CONCLUSIONS/

interpretationGalectin-1 is strongly associated with lower kidney function in cross-sectional analyses, and two-sample MR analyses suggest a causal protective effect on kidney function among individuals with type 2 diabetes at high risk of diabetic nephropathy. Future studies are needed to explore the mechanisms by which galectin-1 affects kidney function and whether it could be a useful target among individuals with type 2 diabetes for renal improvement.

Indexed as

Diabetes Mellitus, Type 2Renal Insufficiency, ChronicCross-Sectional StudiesFemaleGalectin 1Genome-Wide Association StudyGlomerular Filtration RateHumansMaleMiddle AgedRisk FactorsGalectin 1ANDISChronic kidney diseaseGalectin-1HumanMalmö Diet CancerMendelian randomisationPopulation-basedProspectiveType 2 diabetes

Identifiers

PMID34743218
PMCPMC8660752
OpenAlexW3211940288

What OpenQuestion holds

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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.