Evidence map›Paper›PMID 35123462›Full record

ArticleCardiovascular diabetology2022

The gut hormone glucose-dependent insulinotropic polypeptide is downregulated in response to myocardial injury.

Florian Kahles, Matthias Rau, Martin Reugels, Ann C Foldenauer, Robert W Mertens, Maria C Arrivas, Jörg Schröder, Paul Idel, Julia Moellmann, Emiel P C van der Vorst and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
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

12 authors at 3 institutions in 2 countries.

Florian Kahles *Department of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Matthias Rau *Department of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Martin ReugelsDepartment of Medical Statistics, University Hospital Aachen, Pauwelsstraße 19, 52074, Aachen, Germany.
Ann C FoldenauerFraunhofer Institute for Molecular Biology and Applied Ecology IME, Theodor-Stern-Kai 7, 60596, Frankfurt am Main, Germany.
Robert W MertensDepartment of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Maria C ArrivasDepartment of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Jörg SchröderDepartment of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Paul IdelDepartment of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Julia MoellmannDepartment of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Emiel P C van der VorstInterdisciplinary Center for Clinical Research (IZKF), Institute for Molecular Cardiovascular Research (IMCAR), University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Nikolaus MarxDepartment of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany.
Michael LehrkeDepartment of Internal Medicine I-Cardiology, University Hospital Aachen, Pauwelsstraße 30, 52074, Aachen, Germany. mlehrke@ukaachen.de.
Universitätsklinikum Aachen · DEFraunhofer Institute for Molecular Biology and Applied Ecology · DEMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe gut incretin hormones GLP-1 (glucagon-like peptide-1) and GIP (glucose-dependent insulinotropic peptide) are secreted by enteroendocrine cells following food intake leading to insulin secretion and glucose lowering. Beyond its metabolic function GIP has been found to exhibit direct cardio- and atheroprotective effects in mice and to be associated with cardiovascular prognosis in patients with myocardial infarction. The aim of this study was to characterize endogenous GIP levels in patients with acute myocardial infarction. METHODS AND

resultsSerum concentrations of GIP were assessed in 731 patients who presented with clinical indication of coronary angiography. Circulating GIP levels were significantly lower in patients with STEMI (ST-elevation myocardial infarction; n=100) compared to clinically stable patients without myocardial infarction (n=631) (216.82 pg/mL [Q1-Q3: 52.37-443.07] vs. 271.54 pg/mL [Q1-Q3: 70.12-542.41], p = 0.0266). To characterize endogenous GIP levels in patients with acute myocardial injury we enrolled 18 patients scheduled for cardiac surgery with cardiopulmonary bypass and requirement of extracorporeal circulation as a reproducible condition of myocardial injury. Blood samples were drawn directly before surgery (baseline), upon arrival at the intensive care unit (ICU), 6 h post arrival to the ICU and at the morning of the first and second postoperative days. Mean circulating GIP concentrations decreased in response to surgery from 45.3 ± 22.6 pg/mL at baseline to a minimum of 31.9 ± 19.8 pg/mL at the first postoperative day (p = 0.0384) and rose again at the second postoperative day (52.1 ± 28.0 pg/mL).

conclusionsCirculating GIP levels are downregulated in patients with myocardial infarction and following cardiac surgery. These results might suggest nutrition-independent regulation of GIP secretion following myocardial injury in humans.

Indexed as

AgedBiomarkersCardiac Surgical ProceduresCardiopulmonary BypassCase-Control StudiesCoronary AngiographyDown-RegulationEnzyme-Linked Immunosorbent AssayFemaleGastric Inhibitory PolypeptideHeart DiseasesHumansMaleMiddle AgedPredictive Value of TestsST Elevation Myocardial InfarctionBiomarkersGastric Inhibitory PolypeptideCardiac injuryCardiac surgeryGIPIncretinMyocardial infarction

Identifiers

PMID35123462
PMCPMC8817614
OpenAlexW4212836654

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.