Evidence map›Paper›PMID 36303871›Full record

ArticleFrontiers in endocrinology2022

Advanced glycation end-products are associated with diabetic neuropathy in young adults with type 1 diabetes.

Elaf Al-Saoudi, Marie M B Christensen, Peter Nawroth, Thomas Fleming, Eva E Hommel, Marit E Jørgensen, Jesper Fleischer, Christian S Hansen

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 17 citations in OpenAlex.

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  8. New Glycotoxin Inhibitor fromMolecules (Basel, Switzerland) · 2024
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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

8 authors at 4 institutions in 3 countries.

Elaf Al-SaoudiDepartment of Complication Research , Steno Diabetes Center Copenhagen, Herlev, Denmark.
Marie M B ChristensenDepartment of Clinical Epidemiology, Steno Diabetes Center Copenhagen, Herlev, Denmark.
Peter NawrothDepartment of Medicine I and Clinical Chemistry, University Hospital of Heidelberg, Heidelberg, Germany.
Thomas FlemingDepartment of Medicine I and Clinical Chemistry, University Hospital of Heidelberg, Heidelberg, Germany.
Eva E HommelSteno Diabetes Center Copenhagen, Herlev, Denmark.
Marit E JørgensenDepartment of Clinical Epidemiology, Steno Diabetes Center Copenhagen, Herlev, Denmark.
Jesper FleischerSteno Diabetes Center Aarhus, Aarhus, Denmark.
Christian S HansenDepartment of Complication Research , Steno Diabetes Center Copenhagen, Herlev, Denmark.
Steno Diabetes Centers · DKDeutsches Diabetes-Zentrum e.V. · DEHeinrich Heine University Düsseldorf · DEIlisimatusarfik · GL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims/hypothesis: Advanced glycation end-products (AGEs) may contribute to the development of diabetic neuropathy. In young adults with type 1 diabetes, we aimed to investigate the association between AGEs and cardiovascular autonomic neuropathy (CAN) and distal symmetric polyneuropathy (DSPN). Methods: This cross-sectional study comprised 151 young adults. CAN was assessed by cardiovascular autonomic reflex tests; lying-to-standing test, deep breathing test (E/I), Valsalva manoeuvre, and heart rate variability indices; and the mean square of the sum of the squares of differences between consecutive R-R intervals and standard deviation of normal-to-normal intervals (SDNN), high- (HF) and low-frequency (LF) power, total frequency power, and the LF/HF ratio. DSPN was assessed by light touch, pain and vibration perception threshold (VPT), neuropathy questionnaires, and objective measures. AGEs were analysed in four groups using z-scores adjusted for relevant confounders and multiple testing: i) "glycolytic dysfunction", ii) "lipid peroxidation", iii) "oxidative stress", and iv) "glucotoxicity". Results: A higher z-score of "glycolytic dysfunction" was associated with higher VPT (4.14% (95% CI 1.31; 7.04), p = 0.004) and E/I (0.03% (95% CI 0.01; 0.05), p = 0.005), "lipid peroxidation" was associated with higher LF/HF ratio (37.72% (95% CI 1.12; 87.57), p = 0.044), and "glucotoxicity" was associated with lower SDNN (-4.20% (95% CI -8.1416; -0.0896), p = 0.047). No significance remained after adjustment for multiple testing. Conclusions/interpretations: In young adults with type 1 diabetes, increased levels of AGEs involving different metabolic pathways were associated with several measures of CAN and DSPN, suggesting that AGEs may play a diverse role in the pathogeneses of diabetic neuropathy.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic NeuropathiesCross-Sectional StudiesHumansLipidsYoung AdultLipidsadvanced-glycation end-productsAGEscardiovascular autonomic neuropathydistal symmetric polyneuropathyperipheral neuropathytype 1 diabetes

Identifiers

PMID36303871
PMCPMC9592972
OpenAlexW4304182804

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.