Evidence map›Paper›PMID 38587563›Full record

ArticleClinical research in cardiology : official journal of the German Cardiac Society2025

Association of an impaired GH-IGF-I axis with cardiac wasting in patients with advanced cancer.

Ann-Kathrin Fröhlich, Jan Porthun, Khawaja M Talha, Alessia Lena, Sara Hadzibegovic, Ursula Wilkenshoff, Frederike Sonntag, Anja Nikolski, Luisa Valentina Ramer, Tanja Zeller and 14 more

Abstract read
In one paragraph

Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

24 authors.

Ann-Kathrin FröhlichCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Jan PorthunCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Khawaja M TalhaDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Alessia LenaCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Sara HadzibegovicCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Ursula WilkenshoffCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Frederike SonntagCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Anja NikolskiCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Luisa Valentina RamerCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Tanja ZellerUniversity Center of Cardiovascular Science, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Ulrich KellerDepartment of Hematology, Oncology and Cancer Immunology, Charité - University Medicine Berlin, Campus Benjamin Franklin, Berlin, Germany.
Lars BullingerGerman Cancer Consortium (DKTK), Partner Site Berlin, a partnership between DKFZ and Charité-Universitätsmedizin Berlin, Berlin, Germany.
Stefan D AnkerGerman Centre for Cardiovascular Research (DZHK), Partner Site Berlin, Berlin, Germany.
Wilhelm HaverkampGerman Centre for Cardiovascular Research (DZHK), Partner Site Berlin, Berlin, Germany.
Stephan von HaehlingDepartment of Cardiology and Pneumology, University of Göttingen Medical Center, Göttingen, Germany.
Wolfram DoehnerGerman Centre for Cardiovascular Research (DZHK), Partner Site Berlin, Berlin, Germany.
Ursula RauchCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Carsten SkurkCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
John G F ClelandSchool of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, UK.
Javed ButlerDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Andrew J S CoatsHeart Research Institute, Sydney, Australia.
Ulf LandmesserCharité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany.
Mahir Karakas *German Centre for Cardiovascular Research, Partner Site HH/Kiel/HL, Hamburg, Germany.
Markus S Anker *Charité - University Medicine Berlin corporate member of Free University Berlin and Humboldt-University Berlin, Berlin, Germany. markus.anker@charite.de.ORCID http://orcid.org/0000-0002-4406-8555

Funding

Deutsches Zentrum für Herz-Kreislaufforschung 81Z0710102
6 · The paper itself

Abstract

backgroundGrowth hormone (GH) resistance is characterized by high GH levels but low levels of insulin-like growth factor-I (IGF-I) and growth hormone binding protein (GHBP) and, for patients with chronic disease, is associated with the development of cachexia.

objectivesWe investigated whether GH resistance is associated with changes in left ventricular (LV) mass (cardiac wasting) in patients with cancer.

methodsWe measured plasma IGF-I, GH, and GHBP in 159 women and 148 men with cancer (83% stage III/IV). Patients were grouped by tertile of echocardiographic LVmass/height

resultsPatients in the lowest LVmass/height

conclusionIn advanced cancer, reduced LVmass is associated with increased plasma GH and reduced IGF-I/GH ratio, suggesting increasing GH resistance, especially for patients with wasting syndrome with unintentional weight loss. Higher baseline IGF-I was associated with a decrease in relative LVmass during follow-up.

Indexed as

CachexiaHuman Growth HormoneInsulin-Like Growth Factor INeoplasmsAgedBiomarkersCarrier ProteinsEchocardiographyFemaleHumansMaleMiddle AgedNeoplasm StagingBiomarkersCarrier ProteinsHuman Growth HormoneIGF1 protein, humanInsulin-Like Growth Factor Isomatotropin-binding proteinCachexiaCancerCardiologyEchocardiographyGrowth hormoneInsulin-like growth factor-ILeft ventricular mass

Identifiers

PMID38587563
PMCPMC12408708

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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.