Evidence map›Paper›PMID 38218861›Full record

ArticleCardiovascular diabetology2024

Type 1 diabetes, its complications, and non-ischemic cardiomyopathy: a mendelian randomization study of European ancestry.

Yunyue Zhao, Enxi Quan, Tao Zeng, Zhuoshan Huang, Yanting Luo, Long Peng, Suhua Li, Jinlai Liu, Yutian Chong, Hong Cao

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

5 citing papers in PubMed, 17 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 3 institutions in 1 country.

Yunyue Zhao *Department of Cardiology, The Third Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Enxi Quan *Department of Clinical Pharmacy, Guangzhou First People's Hospital, Guangzhou, 511457, China.
Tao Zeng *Department of Infectious Diseases, Guangdong Key Laboratory of Liver Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Zhuoshan HuangDepartment of Cardiology, The Third Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Yanting LuoDepartment of Cardiology, The Third Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Long PengDepartment of Cardiology, The Third Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Suhua LiDepartment of Cardiology, The Third Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Jinlai LiuDepartment of Cardiology, The Third Hospital of Sun Yat-sen University, Guangzhou, 510630, China.
Yutian ChongDepartment of Infectious Diseases, Guangdong Key Laboratory of Liver Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China. chongyt@mail.sysu.edu.cn.
Hong CaoDepartment of Infectious Diseases, Guangdong Key Laboratory of Liver Disease, The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510630, China. caohong@mail.sysu.edu.cn.
Sun Yat-sen University · CNThird Affiliated Hospital of Sun Yat-sen University · CNGuangzhou First People's Hospital · CN

Funding

Guangzhou City Science and Technology Plan Projects: Key Research and Development Plan 202003000060
6 · The paper itself

Abstract

backgroundType 1 diabetes (T1D) is a significant risk factor for a range of cardiovascular diseases. Nonetheless, the causal relationship between T1D and non-ischemic cardiomyopathy (NICM) remains to be elucidated. Furthermore, the mechanisms responsible for the progression from T1D to NICM have not been definitively characterized.

objectiveThe aim of this study was to conduct a Mendelian randomization (MR) study to investigate the causal effects of T1D and its complications on the development of NICM. Additionally, this study aimed to conduct a mediation analysis to identify potential mediators within this correlation.

methodsGenetic variants were used as instrumental variables for T1D. The summary data for T1D were obtained from two genome-wide association study datasets. The summary data for T1D with complications and NICM were obtained from the Finnish database. Two-sample MR, multivariable MR and mediation MR were conducted in this study.

resultsThe study revealed a causal association between T1D, T1D with complications, and NICM (with odds ratios of 1.02, 95% CI 1.01-1.04, p = 1.17e-04 and 1.03, 95% CI 1.01-1.05, p = 3.15e-3). Even after adjusting for confounding factors such as body mass index and hypertension, T1D remained statistically significant (with odds ratio of 1.02, 95% CI 1.01-1.04, p = 1.35e-4). Mediation analysis indicated that monokine induced by gamma interferon may play a mediating role in the pathogenesis of T1D-NICM (mediation effect indicated by odds ratio of 1.005, 95% CI 1.001-1.01, p = 4.9e-2).

conclusionThe study demonstrates a causal relationship between T1D, its complications, and NICM. Additionally, monokine induced by gamma interferon may act as a potential mediator in the pathogenesis of T1D-NICM.

Indexed as

CardiomyopathiesDiabetes Mellitus, Type 1Myocardial IschemiaGenome-Wide Association StudyHumansInterferon-gammaMendelian Randomization AnalysisMonokinesPolymorphism, Single NucleotideInterferon-gammaMonokinesMediation analysisMendelian randomizationNon-ischemic cardiomyopathyType 1 diabetesType 1 diabetes with complication

Identifiers

PMID38218861
PMCPMC10787423
OpenAlexW4390838399

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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.