Evidence map›Paper›PMID 34841432›Full record

ArticleDisease models & mechanisms2021

Insulin at 100 years - is rebalancing its action key to fighting obesity-related disease?

Gemma V Brierley, Robert K Semple

Open access · goldAbstract read
In one paragraph

Article in Disease models & mechanisms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Insulin Resistance and Adrenal Androgen Synthesis Viewed Through a Monogenic Lens.The Journal of clinical endocrinology and metabolism · 2022
    Article
  2. What lies beyond 100 years of insulin.Disease models & mechanisms · 2021
    Article
  3. 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

2 authors at 2 institutions in 1 country.

Gemma V BrierleyBiomedical Research Group, School of Life Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK.ORCID 0000-0002-4600-9970
Robert K SempleCentre for Cardiovascular Science, University of Edinburgh, Edinburgh EH16 4TJ, UK.ORCID 0000-0001-6539-3069
University of Cambridge · GBUniversity of Edinburgh · GB

Funding

Wellcome TrustWellcome Trust 210752/Z/18/Z
6 · The paper itself

Abstract

One hundred years ago, insulin was purified and administered to people with diabetes to lower blood glucose, suppress ketogenesis and save lives. A century later, insulin resistance (IR) lies at the heart of the obesity-related disease pandemic. Multiple observations attest that IR syndrome is an amalgamation of gain and loss of insulin action, suggesting that IR is a misnomer. This misapprehension is reinforced by shortcomings in common model systems and is particularly pronounced for the tissue growth disorders associated with IR. It is necessary to move away from conceptualisation of IR as a pure state of impaired insulin action and to appreciate that, in the long term, insulin can harm as well as cure. The mixed state of gain and loss of insulin action, and its relationship to perturbed insulin-like growth factor (IGF) action, should be interrogated more fully in models recapitulating human disease. Only then may the potential of rebalancing insulin action, rather than simply increasing global insulin signalling, finally be appreciated.

Indexed as

Insulin ResistanceMetabolic SyndromeBlood GlucoseHumansInsulinInsulin-Like Growth Factor IObesityBlood GlucoseInsulinInsulin-Like Growth Factor I

Identifiers

PMID34841432
PMCPMC8649170
OpenAlexW3215154968

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.